Advocacy has been positioned as an ideal within the practice of nursing, with national
guidelines and professional standards obliging nurses to respect patients’ autonomous
choices and to act as their advocates. However, the meaning of advocacy and autonomy
is not well defined or understood, leading to uncertainty regarding what is
required, expected and feasible for nurses in clinical practice. In this article, a feminist
ethics perspective is used to examine how moral responsibilities are enacted in the perinatal
nurse–patient relationship and to explore the interaction between the various
threads that influence, and are in turn affected by, this relationship. This perspective
allows for consideration of contextual and relational factors that impact on the way perinatal
nursing care is given and received, and provides a framework for exploring the
ways in which patient autonomy, advocacy and choice are experienced by childbearing
women and their nurses during labour and birth.
Advocacy has been positioned as an ideal within the practice of nursing, with national
guidelines and professional standards obliging nurses to respect patients’ autonomous
choices and to act as their advocates. However, the meaning of advocacy and autonomy
is not well defined or understood, leading to uncertainty regarding what is
required, expected and feasible for nurses in clinical practice. In this article, a feminist
ethics perspective is used to examine how moral responsibilities are enacted in the perinatal
nurse–patient relationship and to explore the interaction between the various
threads that influence, and are in turn affected by, this relationship. This perspective
allows for consideration of contextual and relational factors that impact on the way perinatal
nursing care is given and received, and provides a framework for exploring the
ways in which patient autonomy, advocacy and choice are experienced by childbearing
women and their nurses during labour and birth.
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