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Nursing Ethics
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Nurses' Advocacy Behaviors in End-of-Life Nursing Care

Karen S Thacker

Alvernia College, 400 St Bernardine Street, Reading, PA 19607, USA, karen.thacker{at}alvernia.edu

Nursing professionals are in key positions to support end-of-life decisions and to advocate for patients and families across all health care settings. Advocacy has been identified as the common thread of quality end-of-life nursing care. The purpose of this comparative descriptive study was to reveal acute care nurses' perceptions of advocacy behaviors in end-of-life nursing practice. The 317 participating nurses reported frequent contact with dying patients despite modest exposure to end-of-life education. This study did not confirm an overall difference in advocacy behaviors among novice, experienced and expert nurses; however, it offered insight into the supports and barriers nurses at different skill levels experienced in their practice of advocacy.

Key Words: advocacy • end-of-life nursing care • supports and barriers to advocacy practice

Nursing Ethics, Vol. 15, No. 2, 174-185 (2008)
DOI: 10.1177/0969733007086015


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