Identifying barriers to patient advocacy in the promotion of a safety culture: An integrative review

Problem identification: Promoting patient safety, through patient advocacy, is an important part of the perioperative nurse role. However, identified barriers to effective patient advocacy have also reflected deficits in the characteristics of safety culture. This integrative review aims to highlig...

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Main Authors: Teena Shoemark, Paula Foran
Format: Article
Language:English
Published: Australian College of Perioperative Nurses 2021-05-01
Series:Journal of Perioperative Nursing
Subjects:
Online Access:https://journal.acorn.org.au/index.php/jpn/article/view/197
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author Teena Shoemark
Paula Foran
author_facet Teena Shoemark
Paula Foran
author_sort Teena Shoemark
collection DOAJ
description Problem identification: Promoting patient safety, through patient advocacy, is an important part of the perioperative nurse role. However, identified barriers to effective patient advocacy have also reflected deficits in the characteristics of safety culture. This integrative review aims to highlight these barriers and discuss strategies for promoting patient safety within the perioperative context by presenting links between patient advocacy and safety culture. Literature search: An electronic search of the databases, EBSCOhost, Academic search ultimate, Cumulative Index Nursing and Allied Health Literature (CINAHL), Healthsource, MEDLINE and PubMed, was undertaken and yielded ten articles for inclusion. Primary research included in this review consisted of five qualitative studies, three quantitative studies and two case studies. Further literature was used to provide background into this subject and guidance on writing this paper. Data evaluation synthesis: The selected research was critically appraised for methodological quality using JBI critical appraisal checklists for case reports, qualitative and prevalence research. A data extraction table was used to record, group, compare and inform the integrative process of thematic analysis and data synthesis, generating themes that emerged through the selected literature. Implications for practice: Synthesised findings will highlight the importance of patient advocacy by the perioperative nurse to increase patient safety. This review of the literature will present barriers to patient advocacy and discuss the suggestion that the key to greater patient safety may be an organisational commitment to enhance patient advocacy by perioperative nurses allowing them to speak up on behalf of their patients.
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spelling doaj-art-c70d797b1d0541e2ae94ba91fe04bd7c2025-08-20T03:53:23ZengAustralian College of Perioperative NursesJournal of Perioperative Nursing2209-10842209-10922021-05-0134210.26550/2209-1092.1126Identifying barriers to patient advocacy in the promotion of a safety culture: An integrative reviewTeena ShoemarkPaula Foran Problem identification: Promoting patient safety, through patient advocacy, is an important part of the perioperative nurse role. However, identified barriers to effective patient advocacy have also reflected deficits in the characteristics of safety culture. This integrative review aims to highlight these barriers and discuss strategies for promoting patient safety within the perioperative context by presenting links between patient advocacy and safety culture. Literature search: An electronic search of the databases, EBSCOhost, Academic search ultimate, Cumulative Index Nursing and Allied Health Literature (CINAHL), Healthsource, MEDLINE and PubMed, was undertaken and yielded ten articles for inclusion. Primary research included in this review consisted of five qualitative studies, three quantitative studies and two case studies. Further literature was used to provide background into this subject and guidance on writing this paper. Data evaluation synthesis: The selected research was critically appraised for methodological quality using JBI critical appraisal checklists for case reports, qualitative and prevalence research. A data extraction table was used to record, group, compare and inform the integrative process of thematic analysis and data synthesis, generating themes that emerged through the selected literature. Implications for practice: Synthesised findings will highlight the importance of patient advocacy by the perioperative nurse to increase patient safety. This review of the literature will present barriers to patient advocacy and discuss the suggestion that the key to greater patient safety may be an organisational commitment to enhance patient advocacy by perioperative nurses allowing them to speak up on behalf of their patients. https://journal.acorn.org.au/index.php/jpn/article/view/197patient safetysafety culturepatient advocacyperioperative nursing
spellingShingle Teena Shoemark
Paula Foran
Identifying barriers to patient advocacy in the promotion of a safety culture: An integrative review
Journal of Perioperative Nursing
patient safety
safety culture
patient advocacy
perioperative nursing
title Identifying barriers to patient advocacy in the promotion of a safety culture: An integrative review
title_full Identifying barriers to patient advocacy in the promotion of a safety culture: An integrative review
title_fullStr Identifying barriers to patient advocacy in the promotion of a safety culture: An integrative review
title_full_unstemmed Identifying barriers to patient advocacy in the promotion of a safety culture: An integrative review
title_short Identifying barriers to patient advocacy in the promotion of a safety culture: An integrative review
title_sort identifying barriers to patient advocacy in the promotion of a safety culture an integrative review
topic patient safety
safety culture
patient advocacy
perioperative nursing
url https://journal.acorn.org.au/index.php/jpn/article/view/197
work_keys_str_mv AT teenashoemark identifyingbarrierstopatientadvocacyinthepromotionofasafetycultureanintegrativereview
AT paulaforan identifyingbarrierstopatientadvocacyinthepromotionofasafetycultureanintegrativereview