Health advocacy in oncology nursing: an integrative literature review
Defensa de la salud en enfermería oncológica: revisión integradora de literatura
Advocacia em saúde na enfermagem oncológica: revisão integrativa da literatura
Franciele Budziareck das Neves; Mara Ambrosina de Oliveira Vargas; Francielly Zilli; Daiane Trentin; Andréa Huhn; Laura Cavalcanti de Farias Brehmer
Abstract
Objective: To identify the scientific production on the theme of patient advocacy by nurses in the context of oncology.
Method: An integrative review with search and selection of primary studies conducted in February 2020 in four relevant databases in the health area: Lilacs, SciELO, Cochrane, and PubMed. The sample consisted of 11 studies from a universe of 395 articles. The 11 studies were grouped into two categories.
Results: From the synthesis of the evidence, it was possible to elaborate the categories according to the most addressed themes: "Situations experienced by patients and nurses in which advocacy is necessary" and "Strategies that improve the exercise of advocacy", which was subdivided into three subcategories: Self-advocacy; Support and advocacy systems for patients; Patient-Centered Communication (PCC) and Shared Decision-Making (SDM).
Conclusions and implications for practice: The importance of the exercise of advocacy by nurses in oncology is evident in the studies, based on the need for communication, education, support, and recognition of the need to intervene when necessary, considering ethics as a guide to assist in decision-making, reinforcing the need for reflections on the theme by strengthening and technically basing the professional practice.
Keywords
Resumen
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Resumo
Objetivo: Identificar a produção científica acerca do tema advocacia do paciente por enfermeiros no contexto da oncologia.
Método: revisão integrativa com busca e seleção dos estudos primários realizadas em fevereiro de 2020 em quatro bases de dados relevantes na área da saúde: Lilacs, SciELO, Cochrane e PubMed. A amostra foi composta por 11 estudos de um universo de 395 artigos. Os 11 estudos foram agrupados em duas categorias.
Resultados: A partir da síntese das evidências foi possível elaborar as categorias conforme as temáticas mais abordadas, são elas: “Situações vivenciadas pelos pacientes e enfermeiros em que é necessária a advocacy” e “Estratégias que aprimoram o exercício de advocacy” que foi subdividida em três subcategorias: Self-advocacy; Sistemas de apoio e advocacy para os pacientes; Comunicação centrada no paciente (CCP) e Tomada de decisão compartilhada (TDC).
Conclusões e implicações para a prática: A importância do exercício de advocacy pelos enfermeiros em oncologia é evidente nos estudos, pautando-se na necessidade da comunicação, educação, apoio e reconhecimento da necessidade para intervir quando necessário, considerando a ética como guia para auxiliar na tomada de decisões, reforçando a necessidade de reflexões sobre a temática fortalecendo e embasando tecnicamente a prática profissional.
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References
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Submitted date:
04/04/2020
Accepted date:
06/03/2020
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