Ian Peate - The Nursing Associate at a Glance

A rights‐based approach means advocating for those who are in need and providing people with greater opportunities to participate in shaping the decisions that impact them (their human rights). It also means increasing the ability of those with responsibility for fulfilling rights to recognise and know how to respect those rights and make sure they can be held to account. The PANEL principles ( Table 11.2) highlight some underlying principles which are of fundamental importance in applying a human‐rights‐based approach in practice.

In all of its guises, advocacy should aim to ensure that people, particularly those in our society who are most vulnerable, are able to have their voice heard on issues that they consider important to them, defend and safeguard their rights and have their views and their wishes genuinely considered when decisions are being made about their lives. For those people who cannot articulate their views about their care and treatment, regardless of the reason, advocacy is an important approach by which a person can be considered and protected in what can be very complex decision‐making about how they wish to live their lives and how their care is provided.

A relative or carer can be an advocate; someone close to the person, representing what the person would decide if they were able to make their own decisions. A Nursing Associate or health and social care professional could be an advocate for a person who has no one else, supporting them in understanding what is being proposed about their care and treatment. Advocacy services are also available. An external organisation can provide a person with expertise in representing the views of those who cannot do so independently, helping in decision‐making processes.

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