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Older Adults' Self-Advocacy in Patient Safety: A Cross-Sectional Study Publisher Pubmed



Novinmehr N1 ; Hasanpour M2 ; Salsali M3 ; Mehrdad N4, 5 ; Qorbani M6 ; Shamsaei F7
Authors
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Authors Affiliations
  1. 1. School of Nursing and Midwifery, Elderly Health Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. School of Nursing and Midwifery, Knowledge Utilization Research Center, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  5. 5. Nursing Care Research Center, Iran University of Medical Sciences, Tehran, Iran
  6. 6. Non-communicable Diseases Research Center, Alborz University of Medical Sciences, Karaj, Iran
  7. 7. School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamedan, Iran

Source: British Journal of Nursing Published:2019


Abstract

Background: patient advocacy is a major nursing role, which is linked to supporting, encouraging and reinforcing self-advocacy in patients. Patient safety is an important nursing outcome, especially in older adults. Aims: older adults' self-advocacy regarding patient safety behaviour and its relationship with some demographic characteristics were assessed. Methods: a valid older adult patients' self-advocacy questionnaire, which included subscales of behaviour, self-efficacy, attitude and outcome efficacy (range of scores=0-63), was used. In this cross-sectional study, 230 patients aged over 60 years were selected using a stratified sampling method. Findings: an association was found between total self-advocacy score (mean=40.16; SD=9.6) and rural living (β=-0.168; P=0.016) using multiple linear regression analysis. Similar findings were found between questionnaire subscales and sex, rural living, occupation and age. Conclusion: older adults, especially women, those of advanced age and those in rural areas, may benefit from nursing interventions to improve their self-advocacy in patient safety. © 2019 MA Healthcare Ltd. All rights reserved.
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