To identify a problem that nursing can change



Nursing according to medical association’s definitions is an occupation within the sector of health care aimed at the health care of communities, individuals and families so that they may accomplish, recover or maintain better life quality and optimal health. It is also defined as the promotion, protection, and maximization of abilities and health, preclusion of injury and illness, lessening of affliction through treatment and diagnosis of human, and advocacy especially in the families, individual and communities care (Salminen et. al, 2010, p.3).

In my work environment, poor public relations is a huge set back in the organization’s life. In the nursing career, good relations and presentation to patients or even fellow colleagues is crucial in ensuring that the organization remains a world class institution that provides quality services. Due to the challenging working conditions and environment, work related stresses are prone to occur, therefore bringing about poor communication and being rude to others. Undesirable public relation leads to poor handling of patients and overall poor quality of services Rich & Nugent, 2010, p.122).

Things that should change in nursing include mitigating nurses shortages so as to avoid the stressful conditions and dealing with a huge number of patients but with a limited personnel. Nursing leadership through advocacy should take a different shift, and also, education or practice should be modified to influence policy advancement within the nursing and healthcare system. Professional practice environments in nursing should considerably change. Traditionally, nurses have flourished in a typical and practical model of division of work. That practice no longer stands relevant and appropriate in recent times. Nurses, as robust and fundamental professionals, hold advanced skills, cognitive knowledge, individually motivated creativity and systems understanding. Nurses also hold technical and scientific knowledge, decision-making and critical thinking abilities; they offer holistic, individualized care and incorporate research into action. To capitalize on nurse’s potential as knowledge personnel; autonomy should be encouraged (Salminen et. al, 2010).

To improve the relationship between nurses and patients and to minimize on conflicts, empowering individuals and staff to apply their creative abilities and talents in adopting contemporary leadership approach should be recommended. Nurses therefore must be highly regarded for their contributions and ability to accept change especially in patients and in effective healthcare delivery. Ensuring good relations is essential and requires commitments of quality service delivery to meet standards no matter the pressure encountering them (Donley, 2004, p. 78).

Notwithstanding the importance on essential general knowledge, chances for specialty should be initiated at the basic undergraduate level. Enhancement of advanced roles and skills will be instituted in post-graduate course. The advancement of the accomplished generalist, and specialist, will foster innovation and collaboration in scholarly programs. The professional frameworks should entail, along with the healthcare nurse’s, means for the title, standards, and licensing. To maintain the move, leaders make most use of evidence concerning the outcomes linked with specialized practitioners or nurses. These optimistic outcomes are ascribed to holistic, individualized nursing interventions, and superior patient education, use of skills and knowledge in pain and psychosocial support and symptom management (Donley, 2004, p. 44).

Can advocacy in nursing enhance good patient’s relations?

P = advocacy in nursing
I = mandatory advocacy
C= elective advocacy or none
O = good relations
T = frequently

Using the PICOT, simple analyzing and interpreting is made possible. P which means the problem at hand appears to be advocacy in nursing. Advocacy in nursing has been seen to aid nursing change and mitigate very many things including mending the public relations with both the employees and patients. I on the other hand, signifies the intervention that is under deliberation, this being mandatory advocacy. It means that only mandatory advocacy can make nursing achieve good patient’s relations. Advocacy in all dimensions and holistically ensures that good working practices are upheld and thus ensures good quality of services because of enhanced courtesy and public relations.

According to the PICOT, C compares the possibilities and outcomes. When comparing instances where there is no advocacy or it is at its minimal, the nurses are prone to negative practices such as being rude and not relating well with the patients. However, with advocacy, then there will be no conflicts and quality service will be offered. The outcome is good relations and this is the desirable outcome expected after the advocacy is affected. In order to expect best results, some more time will be required for advocacy and knowledge acquisition, with an extended time frame the desired outcome will be easily reached.

Search Techniques:

CINAHL, Medline and ERIC are some of the three databases found in the comprehensive CCN library and address my research question. In performing the search, the most appropriate subject heading would be nursing advocacy.
To focus or effectively expand the required search, one can use detailed quotes in order to make words find a place or group them into particular phrases. One can apply the word or/and so as to manage the search. One can integrate any complex syntax for more detailed results in a search. One can also narrow down to publication type, ISBN, dates, and author.

Peer reviewed-journal limiter is used in limiting the searches and narrowing down to the most relevant one. The EBSCO subject heading is also applicable in result searches and is very effective and fast.


Healthcare is varying and the practice and function of the qualified nurse is shifting along with the services in healthcare. Advocacy proficiencies are getting increasingly imperative in this dynamic world. Opportunities flourish for care nurses and practitioners to advocate and campaign both for the job and nurses. Nurses have a very good opportunity to establish on their reputation and public image, such as being most trusted by advocating and communicating for an accurate perspective of their collective contributions to the society and healthcare. Administrators and managers work daily, aiming at obtaining sufficient resources for their staff in nursing and to encourage positive and better work environments. Every nurse has the golden opportunity to impact positively on the career through advocating for best practices and patient’s satisfaction.

Nurses have a lot of work pressure which if not handled well can lead to improper public relations and damage the organization’s reputation. It is therefore important to ensure that advocacy in every ethical element observed to keep the nurse in line of the organization’s objectives and values. It is thus a requirement to practice mandatory advocacy in order to establish good relations which subsequently results to better performance and image from the public who are even the patients. A PICOT analysis in nursing is therefore an important element in monitoring and evaluation and also crucial for planning.



Donley, R. (2004). Challenges for nursing in the 21st century. Nursing economic$, 23(6), 312-8.

Salminen, L., Stolt, M., Saarikoski, M., Suikkala, A., Vaartio, H., & Leino-Kilpi, H. (2010).          Future challenges for nursing education–A European perspective. Nurse Education     Today, 30(3), 233-238.

Rich, K. L., & Nugent, K. E. (2010). A United States perspective on the challenges in nursing      education. Nurse Education Today, 30(3), 228-232.