The Nurse Role

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The Nurse Role:

The role of the nurse in legal and ethical issues in adult health is that of a patient
advocate. According to Guido (2010), advocacy concerns the active support of a cause or issue
that is important and is both an ethical and a legal responsibility of the nurse (p. 26). In general,
this means that the nurse acts on behalf of the patients in her care. Accordingly, Mallik (1997)
states, as a patient advocate the nurse is well placed and can act as a natural mediator (which)
gives legitimate authority to foster team decision making (p.134), coordinate services and clarify
communication to resolve any conflicting issues the patient may have. As a patient advocate the
nurse is also able to develop a unique relationship with the patient which fosters an ethical
obligation to support intrinsically from unique knowledge of the patient; protecting the patient's
rights to be actively involved in the health decision-making and enabling the patient to make
knowledgeable decisions even if the nurse disagrees.
In nursing, the role of the nurse is frequently addressed in advocating the legal rights of
patients. Equally important is that nurse's advocate for the ethical concerns of the patients (p.
18). Accordingly, in acting as an advocate the nurse must be aware of the institutional policies
and protocols as well as acceptable standards of care. Since as an advocate, the nurse becomes
the responsible facilitator when ethical issues arise to ensure the patient wishes are carried out.
Therefore, as a patient advocate the nurse must defend the patient's rights. To defend the
patients rights the nurse should assist the patient to assert their autonomy rights, by promoting
the patient's best interest and by helping the patient make choices that are the most consistent
with their values, lifestyle and desires.
Mallik, M. (1997). Advocacy in nursing- a review of literature. Journal of Advance Nursing,
25(1), 130-138. doi:10.1046/j.1365-2648.1997.1997025130.x

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