Older adults' self-advocacy in patient safety: a cross-sectional study

Br J Nurs. 2019 Sep 12;28(16):1076-1084. doi: 10.12968/bjon.2019.28.16.1076.

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.

Keywords: Cross-sectional descriptive study; Older adults; Patient safety; Self-advocacy.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Cross-Sectional Studies
  • Female
  • Humans
  • Male
  • Middle Aged
  • Patient Advocacy*
  • Patient Safety*
  • Self Efficacy*
  • Surveys and Questionnaires