Nurses’ Attitudes Toward Patient Advocacy in Oncology Department University Hospital
American Journal of Nursing Science
Volume 5, Issue 6, December 2016, Pages: 266-271
Received: Oct. 26, 2016; Accepted: Nov. 8, 2016; Published: Dec. 2, 2016
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Naglaa Abd El-Aziz El Seesy, Faculty of Nursing, Alexandria University, Alexandria, Egypt
Elham Abdallah Al Nagshabandi, Medical Surgical Nursing Department, King abdulaziz University, Jeddah, Saudi Arabia
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The concept of patient advocacy has received international recognition over the last two decades. Although much researches has been done on nurses’ attitudes in general, little has been done focusing particularly on oncology patient advocacy and almost no research was conducted in Saudi Arabian: The current study aimed to assess nurses’ attitudes toward patient advocacy in oncology department University hospital. The study followed a cross-sectional descriptive design and was carried out in the oncology department at university hospital in Jeddah, kingdom of Saudi Arabian. All nurses (n= 46) who were working in the previously mentioned units and willing to participate in study were included. All of them were responsible for providing direct health care to oncology patients. Data gathering tool used was the Attitude toward patient advocacy instrument which was developed by Wu and BU (2008) and adapted to measure nurses ' attitudes toward advocacy of oncology patients. It consists of three components of nurses attitudes 64 items. This study found that the mean percentage scores of the participants' overall attitudes toward oncology patients advocacy was relatively positive 82.06 (SD 5.61). The highest mean scores percentages of participants' attitudes were found on nurses response to acting on behalf of patients dimension 84.80 (SD 5.92), However, participants' attitude to championing social justice dimension of patient advocacy was the least item 79.59 (SD 6.49). Also, the results explains the relationship between nurses' attitudes and socio demographic characteristics. Nurses who were working in oncology wards had positive attitude toward patient advocacy. This study recommended incorporating patient advocacy in their curricula or designed programs. It is necessary to be included in the Saudi nursing student curriculum, and it should be continued for nurses to improve the quality of this role. In addition, encourage non Saudi nurses specifically, those from different cultural backgrounds to express their feelings toward patient advocacy. The study highlights important issues to be considered in hospital settings that recruit healthcare providers of diverse nationalities and support changes needed in the workplace setting to promote advocacy action for the patients’ sake.
Patient Advocacy, Oncology, Nurses, Attitude
To cite this article
Naglaa Abd El-Aziz El Seesy, Elham Abdallah Al Nagshabandi, Nurses’ Attitudes Toward Patient Advocacy in Oncology Department University Hospital, American Journal of Nursing Science. Vol. 5, No. 6, 2016, pp. 266-271. doi: 10.11648/j.ajns.20160506.15
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World Health Organization. (2014). Global Health Observatory Data Repository. Retrieved 12 May 2014 from:
World Health Organization. (2010). Global status report on non-communicable diseases. Geneva, Switzerland.
World Health Organization. (2011). Fact sheet N°297 World Health Organization, Geneva, Switzerland.
Ministry of Health Saudi Cancer Registry. (2012). Cancer incidence report Saudi Arabia 2009.
Kendall, S. (2007). Witnessing tragedy: Nurses’ perceptions of caring for patients with cancer. International Journal of Nursing Studies, 13, 111–20.
Wilkinson, S. (1999). Schering Plough clinical lecture communication: it makes a difference. Cancer Nurs, 22, 17–20.
Hack F, Cummings G, Green E, Bultz, B, Fitzgerald B, McLeod D, Bottorff J. (2013). Comment Psychosocial care in oncology organizations collaborate to speed implementation on a global scale 12. (3,) august 2013, 10-12.
Corner, J. (2002). Nurses’ experiences of cancer. European Journal of Cancer, 11,193–9.
Negarandeh, R, Oskouie F, Ahmadi F, & Nikravesh M. (2008). The meaning of patient advocacy for Iranian nurses. Nursing Ethics, 15 (4), 454-67.
Liske, C. (2015). Nurses attitude toward patient advocacy in long- term acute hospital setting Sigma Theta Tau international 43RD Biennial Convention, 7-11 November 2015 Lasvegas Nevada, USA.
Jahromi M, Abbaszadeh A, Borhani F, Zaher H. (2012). Iranian nurses’ attitudes and perception towards patient advocacy. International Scholarly Research Network, Volume 2012, 5 pages.
Hem M, Heggen K. (2004). “Is compassion essential to nursing practice?” Contemporary Nurse, 17(1-2), 19–31.
Snowball, J. (1996). Asking nurses about advocating for patients: “reactive” and “proactive” accounts. Journal of Advanced Nursing, 24, 67-75.
Schroeter, K. (2000). Advocacy in perioperative practice. AOR Journal 71 (6), 1207-1223 Webb, C. (1987). Speaking up for advocacy. Nursing Times, 83 (34), 33-5.
Willard, C. (1996). The nurse’s role as patient advocate: obligation or imposition? Journal of Advanced Nursing.24, 60-6.
[16] Last retrieved on 23-12-2015.
Breckler S, Wiggins E. (1992). On defining attitude and attitude theory: Once more with feeling. In A. R. Pratkanis, S. J. Breckler, & A. G. Greenwald (Eds.) Attitude Structure and Function (pp. 407-427). Hillsdale, NJ: Erlbaum.
Bu X & Jezewski M. (2007). Developing a mid-range theory of patient advocacy through concept analysis. Journal of Advanced Nursing, 57 (1), 101-10.
Bu X, Wu Y. (2008). Development and psychometric evaluation of the instrument: Attitude toward patient advocacy. Research in Nursing & Health, 2008 Feb; 31 (1): 63-75.
Mattiasson C, Andersson L. (1995). Moral reasoning among professional caregivers in nursing homes. West journal of nursing research, 17, 277-91.
Ingram R. (1998). The nurse as the patient advocate.[] University of Portsmouth, Department of Humanities. School of Social and Historical Studies. Accessed august 8 2003.
O’Connor T, & Kelly B. (2005). Bridging the gap: A study of general nurses’ perceptions of patient advocacy in Ireland. Nursing Ethics, 12, 453–67.
Aldossary A, While A & Barriball, L. (2008). Health care and nursing in Saudi Arabia. International Nursing Review, 55 (1), 125–8.
Rushtan H. (1995). Creating an ethical practice environment. Critical Care Nursing Clinic North America, 7, 387-97.
Almutairi A & Mccarthy L. (2012). A multicultural nursing workforce and cultural perspectives in Saudi Arabia: An overview. The Health, 3 (3), 71-4.
Negarandeh R, Oskouie F, Ahmadi F, Nikravesh M & Hallberg I. (2006). Patient advocacy: Barriers and facilitators patient advocacy for Iranian nurses. Nursing Ethics, 15 (4), 454-67.
Barrett-Sheridan, S (2009). A Quantitative correlational study of political behavior and attitudes of nurses toward macro-social patient advocacy, [D. H. A.], University of Phoenix, Phoenix, Ariz, USA.
Konhne F (1982). Advocacy: Risks and reality. Mosby st, Louis.
Mutair A, Plummer V, O’Brien P & Clerehan R. (2014). Providing culturally congruent care for Saudi patients and their families. Contemporary Nurse, 46 (2), 254–8.
Albarran, W. (1992). Advocacy in critical care, an evaluation of the implications for nurses and the future. Intensive Critical Care Nursing, 8 (1), 47-53.
Donovan, C. (1989). Approaches to advocacy in cancer nursing- a revolution in care (Pritchard, A. P. Ed.). Proceedings of the fifth international conference on cancer nursing, London, 4-9 September 1988. McMillan Press Ltd, Basingstoke.
Gillan, J. (1994). The right to know: The nurse's role in informing patients. Nursing Times, 90 (35), 46-7.
Mallik, M. (1997). Advocacy in nursing - a review of the literature. Journal of Advanced Nursing, 25, 130-8.
Melia, K. (1994). The task of nursing ethics. Journal of Medical Ethics, 20, 7-11.
Schroeter, K. (2007). Advocacy: The tool of a hero. Journal of Trauma Nursing, 14 (1), 5-6.
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