Paternalism is when the registered nurse s values, beliefs, and knowledge takes precedence over those of the client. Paternalism can be an issue whenever a client is reluctant to make decisions or makes decisions that health care providers do not agree with. An effective advocate is an effective change agent, one who can obtain support for change from other nurses, physicians, team members, and administrators. Advocacy may also require the support of external organizations, such as interest groups. Advocacy when necessary is one of the responsibilities of the registered nurse.
Registered nurses can seek advice from the professional association before engaging in advocacy.
Registered nurses need to ensure that there are organizational policies to protect those who report unsafe conditions or practice, and that appropriate client care guidelines for decision-making are developed. Assess whether there is a need for client, family, workplace, community, or societal advocacy. This assessment should be based on what is known about the situation, what supports are needed for the client to advocate on their own behalf, and the laws or other guidelines which would impact what can or cannot be ethically or legally done. Plan to advocate effectively. Plans will need to be based on whether there is a need to assist others in advocating on their own behalf or advocating for others who are unable to advocate for themselves.