{"id":219,"date":"2021-09-10T16:08:08","date_gmt":"2021-09-10T16:08:08","guid":{"rendered":"https:\/\/pressbooks.ccconline.org\/accnursing2030\/chapter\/10-2-basic-advocacy-concepts\/"},"modified":"2025-02-18T18:43:03","modified_gmt":"2025-02-18T18:43:03","slug":"10-2-basic-advocacy-concepts","status":"publish","type":"chapter","link":"https:\/\/pressbooks.ccconline.org\/accnursing2030\/chapter\/10-2-basic-advocacy-concepts\/","title":{"raw":"10.2 Basic Advocacy Concepts","rendered":"10.2 Basic Advocacy Concepts"},"content":{"raw":"<h2>Advocacy<\/h2>\nThe American Nurses Association (ANA) emphasizes that advocacy is fundamental to nursing practice in every setting. See Figure 10.1<sup>[footnote]\u201c<a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Advocacy_-_The_Noun_Project.svg\" target=\"_blank\" rel=\"noopener\">Advocacy_-_The_Noun_Project.svg<\/a>\u201d by OCHA Visual Information Unit is licensed under <a href=\"https:\/\/creativecommons.org\/publicdomain\/zero\/1.0\/deed.en\" target=\"_blank\" rel=\"noopener\">CC0<\/a>[\/footnote]<\/sup> for an illustration of advocacy. <strong>[pb_glossary id=\"418\"]Advocacy[\/pb_glossary]<\/strong> is defined as the act or process of pleading for, supporting, or recommending a cause or course of action. Advocacy may be for individuals, groups, organizations, communities, society, or policy issues<sup>[footnote]American Nurses Association. (2021). <em>Nursing: Scope and standards of practice<\/em> (4th ed.). American Nurses Association.[\/footnote]<\/sup>:\n<ul>\n \t<li style=\"font-weight: 400\"><strong>Individual:<\/strong> The nurse educates health care consumers so they can consider actions, interventions, or choices related to their own personal beliefs, attitudes, and knowledge to achieve the desired outcome. In this way, the health care consumer learns self-management and decision-making.<sup>[footnote]American Nurses Association. (2021). <em>Nursing: Scope and standards of practice<\/em> (4th ed.). American Nurses Association.[\/footnote]\u00a0<\/sup><\/li>\n \t<li style=\"font-weight: 400\"><strong>Interpersonal:<\/strong> The nurse empowers health care consumers by providing emotional support, assistance in obtaining resources, and necessary help through interactions with families and significant others in their social support network.<sup>[footnote]American Nurses Association. (2021). <em>Nursing: Scope and standards of practice<\/em> (4th ed.). American Nurses Association.[\/footnote]\u00a0<\/sup><\/li>\n \t<li style=\"font-weight: 400\"><strong>Organization and Community:<\/strong> The nurse supports cultural and social transformation of organizations, communities, or populations. Registered nurses understand their obligation to help improve environmental and societal conditions related to health, wellness, and care of the health care consumer.<sup>[footnote]American Nurses Association. (2021). <em>Nursing: Scope and standards of practice<\/em> (4th ed.). American Nurses Association.[\/footnote]\u00a0<\/sup><\/li>\n \t<li style=\"font-weight: 400\"><strong>Policy:<\/strong> The nurse promotes inclusion of the health care consumers\u2019 voices into policy, legislation, and regulation about issues such as health care access, reduction of health care costs and financial burden, protection of the health care consumer, and environmental health, such as safe housing and clear water.<sup>[footnote]American Nurses Association. (2021). <em>Nursing: Scope and standards of practice<\/em> (4th ed.). American Nurses Association.[\/footnote]\u00a0<\/sup><\/li>\n<\/ul>\nAdvocacy at each of these levels will be further discussed in later sections of this chapter.\n\n&nbsp;\n\n[caption id=\"attachment_923\" align=\"aligncenter\" width=\"261\"]<a href=\"https:\/\/creativecommons.org\/publicdomain\/zero\/1.0\/deed.en\"><img class=\"wp-image-923 size-medium\" title=\"\u201cAdvocacy_-_The_Noun_Project.svg\u201d by OCHA Visual Information Unit is licensed under CC0\" src=\"https:\/\/pressbooks.ccconline.org\/accphysicalgeology\/wp-content\/uploads\/sites\/225\/2021\/09\/890px-Advocacy_-_The_Noun_Project.svg_.png\" alt=\"Illustration of human figures with a empty speech bubble coming from them\" width=\"261\" height=\"300\"><\/a> Figure 10.1 Advocacy[\/caption]\n\n<em>Advocacy<\/em> is one of the ANA\u2019s Standards of Professional Performance. The Standards of Professional Performance are \u201cauthoritative statements of the actions and behaviors that all registered nurses, regardless of role, population, specialty, and setting, are expected to perform competently.\"<sup>[footnote]American Nurses Association. (2021). <em>Nursing: Scope and standards of practice<\/em> (4th ed.). American Nurses Association.[\/footnote]<\/sup> See the following box to read the competencies associated with the ANA\u2019s <em>Advocacy<\/em> Standard of Professional Performance.<sup>[footnote]American Nurses Association. (2021). <em>Nursing: Scope and standards of practice<\/em> (4th ed.). American Nurses Association.[\/footnote]\u00a0<\/sup>\n<div class=\"textbox shaded\">\n\n<strong>Competencies of ANA\u2019s Advocacy Standard of Professional Performance<\/strong><sup>[footnote]American Nurses Association. (2021). <em>Nursing: Scope and standards of practice<\/em> (4th ed.). American Nurses Association.[\/footnote]\u00a0<\/sup>\n<ul>\n \t<li style=\"font-weight: 400\">Champions the voice of the health care consumer.<\/li>\n \t<li style=\"font-weight: 400\">Recommends appropriate levels of care, timely and appropriate transitions, and allocation of resources to optimize outcomes.<\/li>\n \t<li style=\"font-weight: 400\">Promotes safe care of health care consumers, safe work environments, and sufficient resources.<\/li>\n \t<li style=\"font-weight: 400\">Participates in health care initiatives on behalf of the health care consumer and the system(s) where nursing happens.<\/li>\n \t<li style=\"font-weight: 400\">Demonstrates a willingness to address persistent, pervasive systemic issues.<\/li>\n \t<li style=\"font-weight: 400\">Informs the political arena about the role of nurses and the vital components necessary for nurses and nursing to provide optimal care delivery.<\/li>\n \t<li style=\"font-weight: 400\">Empowers all members of the health care team to include the health care consumer in care decisions, including limitation of treatment and end-of-life care.<\/li>\n \t<li style=\"font-weight: 400\">Embraces diversity, equity, inclusivity, health promotion, and health care for individuals of diverse geographic, cultural, ethnic, racial, gender, and spiritual backgrounds across the life span.<\/li>\n \t<li style=\"font-weight: 400\">Develops policies that improve care delivery and access for underserved and vulnerable populations.<\/li>\n \t<li style=\"font-weight: 400\">Promotes policies, regulations, and legislation at the local, state, and national levels to improve health care access and delivery of health care.<\/li>\n \t<li style=\"font-weight: 400\">Considers societal, political, economic, and cultural factors to address social determinants of health.<\/li>\n \t<li style=\"font-weight: 400\">Role models advocacy behavior.<\/li>\n \t<li style=\"font-weight: 400\">Addresses the urgent need for a diverse and inclusive workforce as a strategy to improve outcomes related to the social determinants of health and inequities in the health care system.<\/li>\n \t<li style=\"font-weight: 400\">Advances policies, programs, and practices within the health care environment that maintain, sustain, and restore the environment and natural world.<\/li>\n \t<li style=\"font-weight: 400\">Contributes to professional organizations.<\/li>\n<\/ul>\n<\/div>\n<div class=\"textbox shaded\">\n\n<strong>Reflective Questions<\/strong>\n<ol>\n \t<li style=\"font-weight: 400\">What <em>Advocacy<\/em> competencies have you already demonstrated during your nursing education?<\/li>\n \t<li style=\"font-weight: 400\">What <em>Advocacy<\/em> competencies are you most interested in performing next?<\/li>\n \t<li style=\"font-weight: 400\">What questions do you have about ANA\u2019s <em>Advocacy<\/em> competencies?<\/li>\n<\/ol>\n<\/div>\n&nbsp;","rendered":"<h2>Advocacy<\/h2>\n<p>The American Nurses Association (ANA) emphasizes that advocacy is fundamental to nursing practice in every setting. See Figure 10.1<sup><a class=\"footnote\" title=\"\u201cAdvocacy_-_The_Noun_Project.svg\u201d by OCHA Visual Information Unit is licensed under CC0\" id=\"return-footnote-219-1\" href=\"#footnote-219-1\" aria-label=\"Footnote 1\"><sup class=\"footnote\">[1]<\/sup><\/a><\/sup> for an illustration of advocacy. <strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_219_418\">Advocacy<\/a><\/strong> is defined as the act or process of pleading for, supporting, or recommending a cause or course of action. Advocacy may be for individuals, groups, organizations, communities, society, or policy issues<sup><a class=\"footnote\" title=\"American Nurses Association. (2021). Nursing: Scope and standards of practice (4th ed.). American Nurses Association.\" id=\"return-footnote-219-2\" href=\"#footnote-219-2\" aria-label=\"Footnote 2\"><sup class=\"footnote\">[2]<\/sup><\/a><\/sup>:<\/p>\n<ul>\n<li style=\"font-weight: 400\"><strong>Individual:<\/strong> The nurse educates health care consumers so they can consider actions, interventions, or choices related to their own personal beliefs, attitudes, and knowledge to achieve the desired outcome. In this way, the health care consumer learns self-management and decision-making.<sup><a class=\"footnote\" title=\"American Nurses Association. (2021). Nursing: Scope and standards of practice (4th ed.). American Nurses Association.\" id=\"return-footnote-219-3\" href=\"#footnote-219-3\" aria-label=\"Footnote 3\"><sup class=\"footnote\">[3]<\/sup><\/a>\u00a0<\/sup><\/li>\n<li style=\"font-weight: 400\"><strong>Interpersonal:<\/strong> The nurse empowers health care consumers by providing emotional support, assistance in obtaining resources, and necessary help through interactions with families and significant others in their social support network.<sup><a class=\"footnote\" title=\"American Nurses Association. (2021). Nursing: Scope and standards of practice (4th ed.). American Nurses Association.\" id=\"return-footnote-219-4\" href=\"#footnote-219-4\" aria-label=\"Footnote 4\"><sup class=\"footnote\">[4]<\/sup><\/a>\u00a0<\/sup><\/li>\n<li style=\"font-weight: 400\"><strong>Organization and Community:<\/strong> The nurse supports cultural and social transformation of organizations, communities, or populations. Registered nurses understand their obligation to help improve environmental and societal conditions related to health, wellness, and care of the health care consumer.<sup><a class=\"footnote\" title=\"American Nurses Association. (2021). Nursing: Scope and standards of practice (4th ed.). American Nurses Association.\" id=\"return-footnote-219-5\" href=\"#footnote-219-5\" aria-label=\"Footnote 5\"><sup class=\"footnote\">[5]<\/sup><\/a>\u00a0<\/sup><\/li>\n<li style=\"font-weight: 400\"><strong>Policy:<\/strong> The nurse promotes inclusion of the health care consumers\u2019 voices into policy, legislation, and regulation about issues such as health care access, reduction of health care costs and financial burden, protection of the health care consumer, and environmental health, such as safe housing and clear water.<sup><a class=\"footnote\" title=\"American Nurses Association. (2021). Nursing: Scope and standards of practice (4th ed.). American Nurses Association.\" id=\"return-footnote-219-6\" href=\"#footnote-219-6\" aria-label=\"Footnote 6\"><sup class=\"footnote\">[6]<\/sup><\/a>\u00a0<\/sup><\/li>\n<\/ul>\n<p>Advocacy at each of these levels will be further discussed in later sections of this chapter.<\/p>\n<p>&nbsp;<\/p>\n<figure id=\"attachment_923\" aria-describedby=\"caption-attachment-923\" style=\"width: 261px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/creativecommons.org\/publicdomain\/zero\/1.0\/deed.en\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-923 size-medium\" title=\"\u201cAdvocacy_-_The_Noun_Project.svg\u201d by OCHA Visual Information Unit is licensed under CC0\" src=\"https:\/\/pressbooks.ccconline.org\/accphysicalgeology\/wp-content\/uploads\/sites\/225\/2021\/09\/890px-Advocacy_-_The_Noun_Project.svg_.png\" alt=\"Illustration of human figures with a empty speech bubble coming from them\" width=\"261\" height=\"300\" \/><\/a><figcaption id=\"caption-attachment-923\" class=\"wp-caption-text\">Figure 10.1 Advocacy<\/figcaption><\/figure>\n<p><em>Advocacy<\/em> is one of the ANA\u2019s Standards of Professional Performance. The Standards of Professional Performance are \u201cauthoritative statements of the actions and behaviors that all registered nurses, regardless of role, population, specialty, and setting, are expected to perform competently.&#8221;<sup><a class=\"footnote\" title=\"American Nurses Association. (2021). Nursing: Scope and standards of practice (4th ed.). American Nurses Association.\" id=\"return-footnote-219-7\" href=\"#footnote-219-7\" aria-label=\"Footnote 7\"><sup class=\"footnote\">[7]<\/sup><\/a><\/sup> See the following box to read the competencies associated with the ANA\u2019s <em>Advocacy<\/em> Standard of Professional Performance.<sup><a class=\"footnote\" title=\"American Nurses Association. (2021). Nursing: Scope and standards of practice (4th ed.). American Nurses Association.\" id=\"return-footnote-219-8\" href=\"#footnote-219-8\" aria-label=\"Footnote 8\"><sup class=\"footnote\">[8]<\/sup><\/a>\u00a0<\/sup><\/p>\n<div class=\"textbox shaded\">\n<p><strong>Competencies of ANA\u2019s Advocacy Standard of Professional Performance<\/strong><sup><a class=\"footnote\" title=\"American Nurses Association. (2021). Nursing: Scope and standards of practice (4th ed.). American Nurses Association.\" id=\"return-footnote-219-9\" href=\"#footnote-219-9\" aria-label=\"Footnote 9\"><sup class=\"footnote\">[9]<\/sup><\/a>\u00a0<\/sup><\/p>\n<ul>\n<li style=\"font-weight: 400\">Champions the voice of the health care consumer.<\/li>\n<li style=\"font-weight: 400\">Recommends appropriate levels of care, timely and appropriate transitions, and allocation of resources to optimize outcomes.<\/li>\n<li style=\"font-weight: 400\">Promotes safe care of health care consumers, safe work environments, and sufficient resources.<\/li>\n<li style=\"font-weight: 400\">Participates in health care initiatives on behalf of the health care consumer and the system(s) where nursing happens.<\/li>\n<li style=\"font-weight: 400\">Demonstrates a willingness to address persistent, pervasive systemic issues.<\/li>\n<li style=\"font-weight: 400\">Informs the political arena about the role of nurses and the vital components necessary for nurses and nursing to provide optimal care delivery.<\/li>\n<li style=\"font-weight: 400\">Empowers all members of the health care team to include the health care consumer in care decisions, including limitation of treatment and end-of-life care.<\/li>\n<li style=\"font-weight: 400\">Embraces diversity, equity, inclusivity, health promotion, and health care for individuals of diverse geographic, cultural, ethnic, racial, gender, and spiritual backgrounds across the life span.<\/li>\n<li style=\"font-weight: 400\">Develops policies that improve care delivery and access for underserved and vulnerable populations.<\/li>\n<li style=\"font-weight: 400\">Promotes policies, regulations, and legislation at the local, state, and national levels to improve health care access and delivery of health care.<\/li>\n<li style=\"font-weight: 400\">Considers societal, political, economic, and cultural factors to address social determinants of health.<\/li>\n<li style=\"font-weight: 400\">Role models advocacy behavior.<\/li>\n<li style=\"font-weight: 400\">Addresses the urgent need for a diverse and inclusive workforce as a strategy to improve outcomes related to the social determinants of health and inequities in the health care system.<\/li>\n<li style=\"font-weight: 400\">Advances policies, programs, and practices within the health care environment that maintain, sustain, and restore the environment and natural world.<\/li>\n<li style=\"font-weight: 400\">Contributes to professional organizations.<\/li>\n<\/ul>\n<\/div>\n<div class=\"textbox shaded\">\n<p><strong>Reflective Questions<\/strong><\/p>\n<ol>\n<li style=\"font-weight: 400\">What <em>Advocacy<\/em> competencies have you already demonstrated during your nursing education?<\/li>\n<li style=\"font-weight: 400\">What <em>Advocacy<\/em> competencies are you most interested in performing next?<\/li>\n<li style=\"font-weight: 400\">What questions do you have about ANA\u2019s <em>Advocacy<\/em> competencies?<\/li>\n<\/ol>\n<\/div>\n<p>&nbsp;<\/p>\n<hr class=\"before-footnotes clear\" \/><div class=\"footnotes\"><ol><li id=\"footnote-219-1\">\u201c<a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Advocacy_-_The_Noun_Project.svg\" target=\"_blank\" rel=\"noopener\">Advocacy_-_The_Noun_Project.svg<\/a>\u201d by OCHA Visual Information Unit is licensed under <a href=\"https:\/\/creativecommons.org\/publicdomain\/zero\/1.0\/deed.en\" target=\"_blank\" rel=\"noopener\">CC0<\/a> <a href=\"#return-footnote-219-1\" class=\"return-footnote\" aria-label=\"Return to footnote 1\">&crarr;<\/a><\/li><li id=\"footnote-219-2\">American Nurses Association. (2021). <em>Nursing: Scope and standards of practice<\/em> (4th ed.). American Nurses Association. <a href=\"#return-footnote-219-2\" class=\"return-footnote\" aria-label=\"Return to footnote 2\">&crarr;<\/a><\/li><li id=\"footnote-219-3\">American Nurses Association. (2021). <em>Nursing: Scope and standards of practice<\/em> (4th ed.). American Nurses Association. <a href=\"#return-footnote-219-3\" class=\"return-footnote\" aria-label=\"Return to footnote 3\">&crarr;<\/a><\/li><li id=\"footnote-219-4\">American Nurses Association. (2021). <em>Nursing: Scope and standards of practice<\/em> (4th ed.). American Nurses Association. <a href=\"#return-footnote-219-4\" class=\"return-footnote\" aria-label=\"Return to footnote 4\">&crarr;<\/a><\/li><li id=\"footnote-219-5\">American Nurses Association. (2021). <em>Nursing: Scope and standards of practice<\/em> (4th ed.). American Nurses Association. <a href=\"#return-footnote-219-5\" class=\"return-footnote\" aria-label=\"Return to footnote 5\">&crarr;<\/a><\/li><li id=\"footnote-219-6\">American Nurses Association. (2021). <em>Nursing: Scope and standards of practice<\/em> (4th ed.). American Nurses Association. <a href=\"#return-footnote-219-6\" class=\"return-footnote\" aria-label=\"Return to footnote 6\">&crarr;<\/a><\/li><li id=\"footnote-219-7\">American Nurses Association. (2021). <em>Nursing: Scope and standards of practice<\/em> (4th ed.). American Nurses Association. <a href=\"#return-footnote-219-7\" class=\"return-footnote\" aria-label=\"Return to footnote 7\">&crarr;<\/a><\/li><li id=\"footnote-219-8\">American Nurses Association. (2021). <em>Nursing: Scope and standards of practice<\/em> (4th ed.). American Nurses Association. <a href=\"#return-footnote-219-8\" class=\"return-footnote\" aria-label=\"Return to footnote 8\">&crarr;<\/a><\/li><li id=\"footnote-219-9\">American Nurses Association. (2021). <em>Nursing: Scope and standards of practice<\/em> (4th ed.). American Nurses Association. <a href=\"#return-footnote-219-9\" class=\"return-footnote\" aria-label=\"Return to footnote 9\">&crarr;<\/a><\/li><\/ol><\/div><div class=\"glossary\"><span class=\"screen-reader-text\" id=\"definition\">definition<\/span><template id=\"term_219_418\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_219_418\"><div tabindex=\"-1\"><p>The act or process of pleading for, supporting, or recommending a cause or course of action.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><\/div>","protected":false},"author":32,"menu_order":2,"template":"","meta":{"pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":[],"pb_section_license":""},"chapter-type":[48],"contributor":[],"license":[],"class_list":["post-219","chapter","type-chapter","status-publish","hentry","chapter-type-numberless"],"part":215,"_links":{"self":[{"href":"https:\/\/pressbooks.ccconline.org\/accnursing2030\/wp-json\/pressbooks\/v2\/chapters\/219","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pressbooks.ccconline.org\/accnursing2030\/wp-json\/pressbooks\/v2\/chapters"}],"about":[{"href":"https:\/\/pressbooks.ccconline.org\/accnursing2030\/wp-json\/wp\/v2\/types\/chapter"}],"author":[{"embeddable":true,"href":"https:\/\/pressbooks.ccconline.org\/accnursing2030\/wp-json\/wp\/v2\/users\/32"}],"version-history":[{"count":2,"href":"https:\/\/pressbooks.ccconline.org\/accnursing2030\/wp-json\/pressbooks\/v2\/chapters\/219\/revisions"}],"predecessor-version":[{"id":573,"href":"https:\/\/pressbooks.ccconline.org\/accnursing2030\/wp-json\/pressbooks\/v2\/chapters\/219\/revisions\/573"}],"part":[{"href":"https:\/\/pressbooks.ccconline.org\/accnursing2030\/wp-json\/pressbooks\/v2\/parts\/215"}],"metadata":[{"href":"https:\/\/pressbooks.ccconline.org\/accnursing2030\/wp-json\/pressbooks\/v2\/chapters\/219\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/pressbooks.ccconline.org\/accnursing2030\/wp-json\/wp\/v2\/media?parent=219"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/pressbooks.ccconline.org\/accnursing2030\/wp-json\/pressbooks\/v2\/chapter-type?post=219"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/pressbooks.ccconline.org\/accnursing2030\/wp-json\/wp\/v2\/contributor?post=219"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/pressbooks.ccconline.org\/accnursing2030\/wp-json\/wp\/v2\/license?post=219"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}