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Advocacy in Palliative Nursing: A Conceptual Model 

Advocacy in Palliative Nursing: A Conceptual Model
Chapter:
Advocacy in Palliative Nursing: A Conceptual Model
Author(s):

Nessa Coyle

, and Timothy W. Kirk

DOI:
10.1093/med/9780190862374.003.0074
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date: 18 October 2019

This chapter explores what it means for a nurse to advocate for a patient with serious illness. Six integrated components constitute a conceptual model of palliative nursing advocacy. A case study is used to illustrate seven functional elements embedded in the model. The focus is on relational care that empowers patients and their loved ones, highlighting advocacy as an approach to care rather than a set of tasks discrete from, or in addition to, good nursing care. Palliative nursing advocacy fully engages the bio-psycho-socio-spiritual orientation that is the hallmark of nursing education and practice. This enables nurse advocates to use a full spectrum of skills and knowledge to partner with patients, families, and care team members, identifying common ground and building upon areas of agreement to deliver care driven by patient values and preferences. Common pitfalls and challenges that nurses may encounter as advocates are reviewed.

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