Speaking up factors and issues in nurses advocating for patients when patients are in jeopardy

Journal of Nursing Care Quality

Volumn 30, Issue 1, 2015, Pages 53-62

  Rainer, Jennifer ^a,b  

^a SAINT LOUIS UNIVERSITY SCHOOL OF NURSING   (United States)

^b PRESBYTERIAN HOSPITAL OF DALLAS   (United States)

Author keywords

Medical errors; Organizational culture; Patient advocacy; Patient safety; Speaking up

Indexed keywords

HUMAN; INTERPERSONAL COMMUNICATION; MEDICAL ERROR; NURSE ATTITUDE; ORGANIZATION; PATIENT ADVOCACY; PATIENT SAFETY; PREVENTION AND CONTROL; THEORETICAL MODEL;

COMMUNICATION; HUMANS; MEDICAL ERRORS; MODELS, THEORETICAL; NURSE'S ROLE; ORGANIZATIONAL CULTURE; PATIENT ADVOCACY; PATIENT SAFETY;

EID: 84918804903     PISSN: 10573631     EISSN: 15505065     Source Type: Journal    
DOI: 10.1097/NCQ.0000000000000081     Document Type: Article

References (56)

1. Institute of Medicine. To Err is Human. Washington, DC: National Academies Press. http://books.nap.edu/openbook.php?recordid=9728&page=R1/. Published 2000. Accessed June 22, 2014.
2. Institute of Medicine. Preventing Medication Errors. Washington, DC: National Academies Press. http://books.nap.edu/openbook.php?recordid=11623&page=R2/. Published 2006. Accessed June 22, 2014.
3. Centers for Medicare & Medicaid Services (CMS). National provider call: hospital value-based purchasing. Fiscal year 2015 overview. CMS Web site. http://www.cms.gov/Outreach-and-Education/Outreach/NPC/Downloads/HospVBPFY15NPCFinal03052013508.pdf/. Published 2013. Accessed June 22, 2014.
4. National Association for Healthcare Quality (NAHQ). Call to action. NAHQ Web site. http://www.nahq.org/uploads/NAHQcalltoactionFINAL.pdf. Published 2012. Accessed June 22, 2014.
5. The Joint Commission. Sentinel event data root causes. http://www.jointcommission.org/assets/1/18/RootCausesbyEventType2004-2Q2013.pdf. Published 2013. Accessed October 1, 2013.
6. Pendry P. Moral distress: recognizing it to retain nurses. Nurs Econ. 2007;25(4):217-221.
7. Walker LO, Avant KC. Strategies for Theory Construction in Nursing. 6th ed. Boston, MA: Prentice Hall; 2011.
8. Code of nurses with interpretative statements. American Nurses Association Web site. http://www.nursingworld.org/MainMenuCategories/EthicsStandards/CodeofEthicsforNurses/Code-of-Ethics.pdf. Published 2000. Accessed June 22, 2014.
9. Seifert P. Communication and safety. AORN J. 2012;95(5):562-564.
10. Moss E, Maxfield D. Silence kills: A case manager's guide to communication breakdowns in healthcare part 1 of 3. Prof Case Manage. 2007;12(1): 52-54.
11. Polito JM. Effective communication during difficult conversations. Neurodiag J. 2013;53(2):142-152.
12. Sayre MM, McNeese-SmithD, Leach LS, Phillips LR. An educational intervention to increase "speaking up" behaviors in nurses and improve patient safety. J Nurs Care Qual. 2012;27(2):154-160.
13. Bromily R. Clinical human factors: the need to speak up to improve patient safety. Nurs Stand. 2012;26(35):35-40.
14. GaronM. Speaking up, being heard: registered nurses' perceptions of workplace communication. J Nurs Manage. 2012;20(3):361-371.
15. Hanks RG. Sphere of nursing advocacy model. Nurs Forum. 2005;40(3):75-78.
16. Kohnke MF. Myths and realities about advocacyclinical research-abuse. J NY St Nurs Assoc. 1982;13(4):22-28.
17. Curtin LL. The nurse as advocate: A philosophical foundation for nursing. Adv Nurs Sci. 1979;1:1-10.
18. Gadow S. Caring for the dying: Advocacy or paternalism. Death Ed. 1980;3:387-398.
19. Kubsch SM, Sternard MJ, Hovarter R, Matzke V. A holistic model of advocacy: factors that influence its use. Comple Ther Nurs Midwif. 2004;10(1): 37-45.
20. Bu X, Jezewski MA. Developing a mid-range theory of patient advocacy through concept analysis. J Adv Nurs. 2007;57(1):101-110.
21. Negarandeh R, Oskouie F, Ahmadi F, Nikravesh M. The meaning of patient advocacy for Iranian nurses. Nurs Ethics. 2008;15(4):457-467.
22. Snowball J. Asking nurses about advocating for patients: "reactive" and "proactive" accounts. J Adv Nurs. 1996;24(1):67-75.
23. Schmidt LA. Making sure: registered nurses watching over their patients. Nurs Res. 2010;59(6):400-406.
24. Jacobson T, Belcher E, Sarr B, Riutta E, Ferrier JD, Botten MA. Clinical scenarios: enhancing the skill set of the nurse as a vigilant guardian. J Cont Ed Nurs. 2010;41(8):347-353; quiz 354-345.
25. DeMarco R, Roberts SJ, Norris A, McCurry MK. The development of the nurse workplace scale: selfadvocating behaviors and beliefs in the professional workplace. J Prof Nurs. 2008;24(5):296-301.
26. Priede-Kalnins Z. Oppressions influence on behavior: first hand impressions. J Cult Divers. 1995;2(3):83-87.
27. Roberts S. Development of a positive professional identity: liberating oneself from the oppressorwithin. Adv Nurs Sci. 2000;22(4):71-82.
28. Sherman RO. Leading a multigenerational nursing workforce: issues, challenges, and strategies. Online J Issues Nurs. 2006;11(2):5. http://web.ebscohost.com.ezp.slu.edu/ehost/delievery?sid=cba545f2-4. Accessed October 25, 2013.
29. Codier E, Freel M, Kamikawa C, Morrison P. Emotional intelligence, caring, and generational differences in nurses. Intl J Hum Car. 2011;15(1):49-55.
30. Hendricks JM, Cope VC. Generational diversity: what nurse managers need to know. J Adv Nurs. 2013;69(3):717-725.
31. Hahn JA. Managing multiple generations: scenarios from the workplace. Nurs Forum. 2011;46(3):119- 127.
32. Wolfe A, Ratner P, Robinson S, Oliffe J, Hall L. Beyond generational differences: A literature review of the impact of relational diversity on nurses' attitudes and work. J Nurs Manage. 2010;18:948-969.
33. d'Agincourt-Canning LG, Kissoon N, Singal M, Pitfield AF. Culture, communication and safety: lessons from the airline industry. Indian J Ped. 2011;78(6):703- 708.
34. Lyndon A, Zlatnik MG, Wachter RM. Effective physician-nurse communication: A patient safety essential for labor and delivery. Am J Obstet Gynecol. 2011;205(2):91-96.
35. Blegen MA, SehgalNL, Alldredge BK, Gearhart S, Auerbach AA, Wachter RM. Improving safety culture on adult medical units through multidisciplinary teamwork and communication interventions: the TOPS Project. Qual Saf Health Care. 2010;19(4):346-350.
36. Bagnasco A, Tubino B, Piccotti E, et al. Identifying and correcting communication failures among health professionalsworking in the Emergency Department. Intl Emerg Nurs. 2013;21(3):168-172.
37. Barnsteiner J, Disch J. A just culture for nurses and nursing students. Nurs Clin N Amer. 2012;47(3):407-416.
38. Ohrn A, Rutberg H, Nilsen P. Patient safety dialogue: evaluation of an intervention aimed at achieving an improved patient safety culture. J Pt Saf. 2011;7(4):185-192.
39. Goh SC, Chan C, Kuziemsky C. Teamwork, organizational learning, patient safety and job outcomes. Intl J Health Care Qual Assur. 2013;26(5):420-432.
40. Camargo CA Jr, Tsai CL, Sullivan AF, et al. Safety climate and medical errors in 62 US emergency departments. Ann Emerg Med. 2012;60(5):555-563.
41. Jeffs L, Rose D, Macrae C, Maione M, Macmillan KM. What near misses tell us about risk and safety in mental health care. J Psych Ment Health Nurs. 2012;19(5):430-437.
42. Singer SJ, Rosen A, Zhao S, Ciavarelli AP, Gaba DM. Comparing safety climate in naval aviation and hospitals: implications for improving patient safety. Health Care Manage Rev. 2010;35(2):134-146.
43. Melnyk BM. Achieving a high-reliability organization through implementation of the ARCC model for system-wide sustainability of evidence-based practice. Nurs Adm Quart. 2012;36(2):127-135.
44. Sculli GL, Fore AM, West P, Neily J, Mills PD, Paull DE. Nursing crew resource management. J Nurs Adm. 2013;43(3):122-126.
45. Johnson HL, Kimsey D. Patient safety: break the silence. AORN J. 2012;95(5):591-601.
46. Figueroa M, Sepanski R, Goldberg S, Shah S. Improving teamwork, confidence, and collaboration among members of a pediatric cardiovascular intensive care unit multidisciplinary team using simulation-based team training. Pediatr Cardiol. 2013;34(3):612-619.
47. Compton J, Copeland K, Flanders S, et al. Implementing SBAR across a large multihospital health system. Joint Comm J Qual Pat Saf. 2012;38(6):261-268.
48. Liou S-R, Cheng C-Y. Experiences of a Taiwanese nurse in the United States. Nurs Forum. 2011;46(2):102-109.
49. Xu Y. Strangers in strange lands: A meta-synthesis of lived experiences of immigrant Asian nurses working in western countries. Adv Nurs Sci. 2007;30(3): 246-265.
50. Shen J, Xu Y, Bolstad A, Covelli M, Torpey M, Colosimo R. Effects of a short term linguistic class on communication competence of international nurses: implications for practice, policy and research. Nurs Econ. 2012:30(1):21-28.
51. Corley MC. Nurse moral distress: A proposed theory and research agenda. Nurs Ethics. 2002;9(6): 636-650.
52. Wilson MA, Goettemoeller DM, Bevan NA, McCord JM. Moral distress: levels, coping and preferred interventions in critical care and transitional care nurses. J Clin Nurs. 2013;22(9/10):1455-1466.
53. Houghtaling D. Moral distress: An invisible challenge for trauma nurses. J Trauma Nurs. 2012;19(4):232-239.
54. Ganz F, Berkovitz K. Surgical nurse perception of ethical dilemmas, moral distress, and quality of care. J Adv Nurs. 2011;68(7):1516-1525.
55. Barlem E, Lunardi V, Lunardi G, Tomaschewski- Barlem J, DaSilveira R. Moral distress in everyday nursing: hidden traces of power and resistance. Rev Latino Am Enfermagem. 2013;21(1):293-299.
56. Gallop annual survey. Cited by: ANA. Nurses retain top spot as most ethical profession [press release]. December 16, 2013.