{"id":7800,"date":"2025-06-28T22:05:27","date_gmt":"2025-06-28T22:05:27","guid":{"rendered":"https:\/\/ijssass.com\/journal\/patient-advocacy-and-advance-care-planning-in-the-acute-hospital-setting\/"},"modified":"2025-06-29T05:04:41","modified_gmt":"2025-06-29T05:04:41","slug":"patient-advocacy-and-advance-care-planning-in-the-acute-hospital-setting","status":"publish","type":"post","link":"https:\/\/ijssass.com\/journal\/patient-advocacy-and-advance-care-planning-in-the-acute-hospital-setting\/","title":{"rendered":"PATIENT ADVOCACY AND ADVANCE CARE PLANNING IN THE ACUTE HOSPITAL SETTING"},"content":{"rendered":"<p>This article was originally published as: <strong>PATIENT ADVOCACY AND ADVANCE CARE PLANNING IN THE ACUTE HOSPITAL SETTING<\/strong><\/p>\n<p>Original Article Link: <a href='https:\/\/www.ajan.com.au\/index.php\/AJAN\/article\/view\/1877' target='_blank' rel='noopener'>Read Original Article<\/a><\/p>\n<p>Download PDF: <a href='https:\/\/www.ajan.com.au\/index.php\/AJAN\/article\/download\/1877\/592' target='_blank' rel='noopener'>Click Here to Download PDF<\/a><\/p>\n<h2>Abstract<\/h2>\n<p>Objective: The aim of this study was to explain the role of patient advocacy in the Advance Care Planning (ACP-ing) process. Nurses rate prolonging the dying process with inappropriate measures as their most disturbing ethical issue and protecting patients\u2019 rights to be of great concern (Johnston et al 2002). Paradoxically ethical codes assume nurses have the autonomy to uphold patients\u2019 health-care choices. Advance Directives (AD) designed to improve endof-life care are poorly taken up and acute hospitals are generally not geared for the few they receive. The Respecting Patient Choices Program (RPCP) improves AD utilisation through providing asupportive framework for ACP-ing and primarily equipping nurses as RPC consultants. Assisting patients with this process requires attributes consistent with patient advocacy arising out of nursing\u2019s most basic tenet, the care of others.<br \/>\nDesign: Likert Scales survey administered pre and six months post-intervention to pilot and control groups, with coinciding focus groups.<br \/>\nSetting: Selected wards in an acute care public hospital in South Australia.<br \/>\nSubjects: Nurses on the palliative care, respiratory, renal and colo-rectal pilot wards and the haem-oncology, coronary care, cardiology and neurology\/geriatric control wards.<br \/>\nIntervention: The RPCP during the 2004-2005 South Australian pilot of the (RPCP).<br \/>\nMain outcomes: The organisational endorsement of ACP-ing gave nurses the autonomy to be patient advocates with respect to end-of-life care, reconciling clinical practice to their code of ethics and easing distress about prolonging the dying process inappropriately.<br \/>\nResults: Statistically significant survey results in the postintervention group showed nurses experienced: encouragement to ensure patients could make informed choices about their end-of-life treatment (84%); the ability to uphold these wishes in practice (73%); andjob satisfaction from delivering appropriate end-of-life care (67%); compared to approximately half (42-55%) of respondents in the pre-intervention and control groups. Focus group participants shared that it used to be hard to advocate for patients, but now they couldact legitimately and felt ethically comfortable about ensuing end-of-life-care.<br \/>\nConclusion: Findings suggested patient advocacy, fostered by the supportive RPC environment, effectuates the ACP-ing process. It is recommended that the RPCP should be recognised and developed as integral to promoting quality end-of-life assurance and associated job satisfaction.<\/p>\n<h2>Authors<\/h2>\n<ul>\n<li>Marion Seal<\/li>\n<\/ul>\n<h2>Keywords<\/h2>\n<p>patient advocacy, ethics, advanced care planning, hospitals, advanced care directives, nurses<\/p>\n<h2>References<\/h2>\n<p>References not available for this article.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>This article was originally published as: PATIENT ADVOCACY AND ADVANCE CARE PLANNING IN THE ACUTE HOSPITAL SETTING Original Article Link:&#8230;<\/p>\n","protected":false},"author":21,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[124],"tags":[5208,4493,1269,4215,3894,5207],"class_list":["post-7800","post","type-post","status-publish","format-standard","hentry","category-articles","tag-advanced-care-directives","tag-advanced-care-planning","tag-ethics","tag-hospitals","tag-nurses","tag-patient-advocacy","wpcat-124-id"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.8 - 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