Types Of Advocacy Research Articles

A Qualitative Study of Resident Advocacy Work.

Advocacy is a critical component of pediatric training and practice. Pediatric resident advocacy experiences include skill development and real-world projects, but little is known about how pediatric residents participate in advocacy. Without this knowledge, educators run the risk of underpreparing residents for the full scope of advocacy work. This study sought to investigate how residents participate in advocacy by characterizing their projects using an evidence-informed conceptual framework and describing the unique lessons were learned by the residents. The authors used principles of thematic analysis to interrogate existing documents derived from pediatric residents from 2013 to 2021 at 1 institution. They purposefully sampled and deidentified project proposals and written reflections. Using a constant comparative method, they created codes. Codes, connections between codes, and findings were refined by discussion. Residents demonstrated 4 different types of advocacy: some residents participated in directed agency or activism and others focused on shared agency or activism. Residents reflected on different learning experiences; residents who participated in shared forms of advocacy learned skills such as "Partnering," "Evaluating," and "Planning." Residents who were involved in directed forms of advocacy shared lessons on "Leading," "Presenting," and "Intervening." Advocacy work also changed over time: in later projects (2016-2021) residents took ownership of the role of "advocate"; social and political climate was salient in reflections. Pediatric residents advocate through shared activism and agency and directed activism and agency. Educators should recognize, support, and supplement the experiences of residents as they participate in different types of advocacy.

Testing advocacy communication theory among undocumented college students using latent profile analysis

ABSTRACT Undocumented college students face systemic oppression, which they challenge through advocacy. Often, research focuses on one type of advocacy, but Advocacy Communication Theory (ACT) conceptualizes advocacy as multidimensional – minoritized people can engage in communicative strategies at the interpersonal, mediated, community, organizational, and policy levels to challenge oppression. Here, we used three waves of longitudinal survey data from 366 undocumented students, primarily of Latine origin, and conducted latent profile analyses. We found four advocacy communication profiles: Infrequent, Interpersonal, Organizational, and Frequent Advocators. The more students observed their family engage in undocumented advocacy, and the more students saw negative media depictions of undocumented immigrants, the more likely students were to be frequent advocators than infrequent advocators. Our findings support ACT's propositions.

In the Spirit of the Law

Research on the advancement of employment protections provided by Title VII of the Civil Rights Act of 1964 has focused on litigation and the role of civil rights groups in sponsoring this litigation. Yet the role of individual claims in presenting legal arguments for policy decisions at the agency level outside of litigation has been overlooked. Relying upon archival data from the Equal Employment Opportunity Commission (EEOC), this article demonstrates that individual claims of discrimination can be strategically used to advance specific interpretations of laws and to create social change. In the formative years of the EEOC, the National Association for the Advancement of Colored People (NAACP) collected individual claims to pressure the EEOC and Congress to establish affirmative action and other policies designed to advance progressive interpretations of Title VII. As such, claim-based campaigns may be used by interest groups to advance their agendas outside of the judicial system. At the same time, the assistance of the NAACP also reduced the number of claims that were delayed or denied, demonstrating that this type of advocacy has the potential to help claimants receive remedies to rights violations outside of the courts.

The Significance of 501(c) Status Among Environmental Nonprofits Engaged in Oil and Gas Policy Debates

This paper examines the advocacy activities of 30 environmental nonprofits engaged in oil and gas policy debates. Because 501(c)(3) organizations are restricted or prohibited from engaging in certain types of advocacy, the literature typically considers 501(c)(3) organizations service providers and 501(c)(4)s advocacy organizations. This study looks at whether this dichotomy holds among a group of organizations that actively advocates and examines the implications of 501(c) status. Data come from surveys of organizations active in hydraulic fracturing policy debates, along with organizations’ Form 990s and websites. Results obtained through statistical analyses and qualitative comparative analysis (QCA) indicate that the environmental nonprofits actively advocate and report doing so relatively effectively. Furthermore, this research uncovers new patterns in advocacy tactics and the organizations that use them by analyzing advocacy participation and effectiveness separately and through QCA.

“Don’t Drink, Don’t Smoke, What Do You Do?”

“Don’t Drink, Don’t Smoke, What Do You Do?”

Objectivity or Advocacy? The Ethics of the Scout Mindset in Psychoeducational Assessment.

Psychologists often act as advocates when conducting diagnostic evaluations, using their reports as a way to assist clients in achieving their goals. At times, this comes at the expense of objectivity. The “soldier” and “scout” mindsets are useful metaphors for biased and unbiased reasoning, respectively, and they apply well to the practice of conducting psychological evaluations. Psychologists face several strong incentives for adopting a soldier mindset, but these can lead to unethical practices. Cultivating a scout mindset of actively open-minded thinking, in which a wide variety of assessment data are obtained, considered fairly and in an evenhanded manner, and presented with appropriate degrees of confidence, is critical for ethical psychological evaluations. There are certain types of advocacy that can coexist with such practices, but any attempts at advocacy must respect objectivity as a higher goal.

English Learner Teacher Advocates: A Systematic Literature Review

In this systematic literature review, we synthesize and critically analyze information from publications between 2010 and 2020 that answer the following overarching research question: What does being (or not being) advocates for English learner (EL) students look like for EL teachers? Findings indicate that EL teachers’ backgrounds and characteristics, such as gender, race, intercultural experience, and experience teaching, affect their propensity to advocate and the types of advocacy in which they engage. Additionally, we examine ways teachers advocate for their students inside and outside the classroom/school, such as changing how they instruct their EL students, and speaking up for them at district or states’ departments of education meetings. We also explore and describe conditions that support (supportive administration, prioritizing ELs in the master school calendar, collaboration with general education teachers, for example) and hinder (unsupportive administration, marginalization of ELs and EL teachers, lack of collaboration with general education teachers, for instance) advocacy for ELs by EL teachers. Recommendations for pre- and in-service teacher education programs are offered, and potential areas for future research are also discussed.

Rapidly increasing eco‐certification coverage transforming management of world’s tuna fisheries

AbstractTuna support some of the world's largest, most valuable and spatially extensive fisheries, but effective management has been challenging due to their transboundary movements and the need for multilateral decision‐making. To address public concerns of over‐exploitation, fishing companies have sought to differentiate themselves through involvement in “sustainable seafood” eco‐certification programmes. Here, we show that the volume associated with such initiatives for tuna increased 237‐fold between 2007 and 2019. Today, 2.31 million tonnes (47%) of the global tuna catch comes from fisheries holding or seeking Marine Stewardship Council eco‐certification. This is due to a 57‐fold increase in the number of fisheries engaged in the eco‐certification process. Crucially, this growth is also correlated with a concurrent 14‐fold increase in the adoption of harvest strategies by Regional Fisheries Management Organizations (RFMOs). Semi‐structured interviews with a broad range of RFMO stakeholders corroborate that the rapid uptake of harvest strategies is largely attributable to pressure from fishing companies needing to meet eco‐certification requirements; over 90% of respondents had directly observed or speculated on this type of advocacy. These results suggest the tuna fishing industry and associated seafood supply chain actors are now playing an unprecedented role in shaping the international governance of these species.

Building Political Capital: Engaging Families in Child Health Policy.

* Abbreviations: AAP — : American Academy of Pediatrics CHIP — : Children’s Health Insurance Program As we reflect on the recent election, it is relevant to consider the variety of roles that pediatricians can play in supporting and promoting public policies that benefit child health. Pediatricians have historically used their knowledge and experience to advocate for children and families in a number of forums, including authoring opinion pieces and editorials, participating in interviews with the media, and meeting with policy makers. Although these forms of advocacy are important, they lack a key characteristic: enhancing the agency of our patients and families. Although pediatricians often convey anecdotes to channel families’ experiences and perspectives in these forums, this type of advocacy does little to strengthen the voices and political capital of the families and communities we serve. To better ensure that future policy-making is informed by what is best for children’s health and welfare, should we consider it our duty to encourage families to engage in civic discourse and advocacy themselves? Advocacy on behalf of children and families is widely recognized as a central tenet of our field. The Accreditation Council for Graduate Medical Education emphasizes this aspect of the pediatrician’s role by mandating that all residency programs incorporate training in child advocacy.1 The American Academy of Pediatrics (AAP) has also highlighted this responsibility in their policy statement on poverty and child health, in which they recommend that community pediatricians “advocate for public policies that … Address correspondence to Polina Krass, MD, Department of Pediatrics, Children’s Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA 19104. E-mail: krassp{at}email.chop.edu

Experiences of homeless women in accessing health care in community-based settings: a qualitative systematic review.

Homelessness among women is on the rise in the US and continues to be a concern globally. The challenges homeless women face are unique and vast, yet how they experience health care can greatly affect their desire to access health care in the future. The ability to shed light on what is meaningful to homeless women in their health care experiences can guide the changes necessary to provide appropriate patient-centered, impactful care with the goal of increasing access by this vulnerable population. This review aimed to identify, appraise and synthesize existing qualitative evidence on the experiences of homeless women when accessing community-based health care services. This review included studies on homeless women, both previously or currently, aged 18 or older. The phenomena of interest were homeless women's health care experiences, including perspectives, narratives and/or reflections, at any time during their period of homelessness. The review included health care services received by homeless women in community-based settings, shelter-based clinics and/or mobile clinics. Qualitative data including, but not limited to, the designs of phenomenology, grounded theory, ethnography, qualitative description, action research and feminist research were considered. Using a three-step search strategy, databases of published and unpublished articles were searched from database inception to 2018. All included studies were assessed by two independent reviewers for methodological quality, and data was extracted and pooled using the JBI System for the Unified Management, Assessment and Review of Information. Findings were rated according to their level of credibility, categorized based on similarity in meaning, and subjected to a meta-synthesis. Two reviewers utilized a meta-aggregative approach. A total of 196 qualitative articles were identified of which 24 were included after critical appraisal. Meta-synthesis generated three synthesized findings: (1) Homeless women who access health care services at community-based settings feel as if their homelessness qualifies them as second-class citizens, which impedes future access; (2) Homeless women have an expectation of therapeutic communication from their health care providers, the lack of which can incite negative emotional responses, fear and knowledge deficits; (3) Homeless women with limited resources struggle to prioritize competing needs, such as transportation, time and money, which influences their ability to access health care. These synthesized findings were derived from 47 study findings that were subsequently aggregated into 10 categories. Of the 47 study findings, 32 were rated as unequivocal and 15 were rated as credible. The overall ConQual for each of the three synthesized findings was low due to common dependability issues across the included studies. A total of 454 participants were included. The included studies were published from 1997 to 2017. The review identified that homeless women's experiences when accessing health care in community-based settings, particularly in the US, have been poor and have negatively affected their desire to access health care in the future. The synthesized findings illustrate clear indicators for use of cultural competence and addressing provider bias in the delivery of health care to homeless women. This review also highlights the importance of understanding clinical experiences of providing direct care for these women in order to shed light on the type of advocacy needed to ensure equitable access to health care services. While this review uncovered issues with some global health care systems, the predominance of system constraints within the US highlights the need for health policy reform to improve the experiences of homeless women when accessing health care.

Advocacy With Survivors of Intimate Partner Violence: What It Is, What It Isn't, and Why It's Critically Important.

Survivors of intimate partner violence arrive at the doors of domestic violence (DV) programs with a wide variety of needs, including long-term safety and healing, housing, economic stability, health and well-being, and community connection. Although some DV programs offer holistic approaches to survivors, many focus the vast majority of their attention and resources on providing emotional support and safety planning rather than advocating with survivors for their access to needed resources and opportunities. Although services focused on emotional support and safety planning are important, they alone are not likely to result in the life changes that many survivors are seeking. Programs that provide genuine advocacy for survivors-defined as partnering with them to represent their rights and interests while linking them to concrete resources, protections, and opportunities-have been found to be effective and well received. Although an early pillar of DV programs, this type of advocacy has fallen by the wayside in many agencies. In this article, the authors make a case for re-invigorating advocacy efforts designed to improve the life circumstances of survivors. We argue that such efforts will make DV programs more relevant and sought after by a wider range of survivors and that agencies will see real change occur at both the individual and community levels.

Robinowitz Honored as Long-Time Leader and Mentor in AMA House

Back to table of contents Previous article Next article Professional NewsFull AccessRobinowitz Honored as Long-Time Leader and Mentor in AMA HouseMark MoranMark MoranSearch for more papers by this authorPublished Online:18 Dec 2018https://doi.org/10.1176/appi.pn.2018.12b21AbstractOver the years, Robinowitz has witnessed and helped to shape the evolution of the AMA House into a far more diverse body with a renewed focus on public health concerns, medical education, and physician performance and satisfaction.Carolyn Robinowitz, M.D., a long-time AMA member and immediate past chair of the AMA Section Council on Psychiatry, was honored with a special reception at this year’s Interim Meeting of the AMA House of Delegates at National Harbor outside of Washington, D.C.APA CEO and Medical Director Saul Levin, M.D., M.P.A., presents Carolyn Robinowitz, M.D., with a plaque in recognition of her long service at the AMA that helped elevate the profile of psychiatry in the AMA House of Delegates. Mark MoranRobinowitz is a former APA president, APA senior deputy medical director, and director of APA’s Division of Education. She is also a former dean of the Georgetown University School of Medicine and held leadership positions in many psychiatric organizations. She has been a member of the AMA House of Delegates since 1975, when there were no more than a dozen women in the House, and has held numerous AMA leadership positions, including chair of the AMA’s Council on Science and Public Health.AMA leaders, including AMA President-elect Patrice Harris, M.D., APA leaders, and other members of the psychiatric delegation, hailed her tireless energy and dedication to advancing the interests of psychiatry within the AMA and her mentoring of many psychiatrists who have risen to positions of leadership in the AMA.“Carolyn has been a role model and an example of leadership in organized medicine for all of us,” said Harris.Over the years, Robinowitz has witnessed and helped to shape the evolution of the AMA House into a far more diverse body with a renewed focus on public health concerns, medical education, and physician performance and satisfaction. “This is definitely not your grandfather’s or even father’s organization,” Robinowitz said.At the reception and in comments to Psychiatric News after the meeting, Robinowitz spoke of the enormous success of the AMA Section Council on Psychiatry and the larger psychiatric delegation within the AMA.“I am proud of the successes of psychiatry in the AMA and the House of Medicine,” she said. “Our results have been the culmination of more than a decade of work beginning with a strategic planning process initiated by [past APA President and former section council member] Joe English, M.D., who held us to maintaining a focus on goals and priorities.”The AMA Section Council on Psychiatry is composed of delegates from APA, the American Academy of Child and Adolescent Psychiatry, the American Academy of Psychiatry and the Law, and the American Association of Geriatric Psychiatry. Additionally, there are psychiatrist members of most state delegations to the AMA House.Psychiatrists currently occupy seats and leadership positions on virtually all of the AMA councils. For instance, psychiatrist Jim Sabin, M.D., is chair of the influential Council on Ethical and Judicial Affairs, and psychiatrist Al Herzog, M.D., is chair of the AMA Council on Long-Range Planning and Development. Within the last decade, two psychiatrists have been elected president of the AMA—Jeremy Lazarus, M.D., who was president in 2012-2013, and Harris, whose presidential year will commence next June.“Not only have psychiatrists been elected to major leadership positions, but our delegation and more importantly our issues—especially parity for mental illness and substance use disorders—have been endorsed and promoted by colleagues throughout the House,” Robinowitz said. “We have worked to educate colleagues and to strengthen alliances for the benefit of our profession and the patients whom we serve.“It takes considerable time to build trust and respect at the AMA,” Robinowitz said. “I am so proud that our delegation and the Section Council on Psychiatry have been recognized as an important, trustworthy, and reliable participant.”Current section council chair Jerry Halverson, M.D., echoed those comments. “The AMA House of Delegates is a great model of how psychiatrists can work with other physicians to push common-sense policies that will help improve the lives of our patients and our practices,” he said. “This works at the national level and the state and local levels. One of the most effective ways for a psychiatrist to engage in this type of advocacy is to work with our other colleagues at the national level and the state and local levels by engaging in our state and county medical societies along with our state psychiatric organizations.”After many years practicing psychiatry in the Washington, D.C., area, Robinowitz and her husband, Max Robinowitz, M.D., a pathologist, recently moved to San Francisco to be near children and grandchildren. ■ ISSUES NewArchived

Epistemic struggles: The role of advocacy in promoting epistemic justice and rights in mental health

Advocacy for people using health and social care services is widely promoted but its theoretical foundation is under-developed and its impact poorly conceptualised. This paper explores the liberatory potential of independent advocacy, using Fricker's concept of ‘epistemic injustice’ as a framework. People experiencing mental distress are particularly vulnerable to epistemic injustices as a consequence of deeply embedded social stigma resulting in a priori assumptions of irrationality and unreliability such that their knowledge is often discounted or downgraded. The mental health service user/survivor movement is at the forefront of validating personal experience and narrative to secure a different ontological and epistemological basis for mental distress. A foundational strand of this is advocacy to enable people to give voice to their experience.The case of independent mental health advocacy (IMHA) services under mental health legislation in England, provides an opportunity to critically examine whether advocacy can promote epistemic justice as a result of the legally sanctioned encounter between clinical assessment and subjective experience, pivoting on judgements about risk. This paper draws on empirical data from a national evaluation of IMHA services, which included 90 individual interviews with people subject to detention and three focus groups with mental health service users. Fricker's concept of epistemic injustice is used as a lens to investigate how this type of advocacy might mitigate forms of epistemic injustice, and thereby promote greater social justice in mental health.The concept of epistemic injustice provides a valuable theoretical basis for understanding the worth of advocacy in addressing testimonial injustice as well as its relative weakness in overcoming hermeneutical injustice. The challenge of independent advocacy to the dominant discourse within mental health is considered and questions raised about the place of advocacy in modern democratic mental health systems.

The role of perceived attitudinal bases on spontaneous and requested advocacy

The attitudes and persuasion literature has extensively examined what makes a message influential, paying much less attention to what makes someone communicate that message in the first place (i.e., engage in attitudinal advocacy). In addressing this, the present research first makes a novel distinction regarding the type of advocacy (requested versus spontaneous). Then, we examine how one's perceived attitudinal base (affective or cognitive) influences intentions to engage in each type of advocacy. Across six studies (four correlational and two experimental, n = 1040), this research demonstrates two consistent patterns: perceiving one's attitude to be more cognitively (vs. affectively) based results in greater willingness to engage in requested advocacy, whereas perceiving one's attitude to be more affectively (vs. cognitively) based results in greater willingness to engage in spontaneous advocacy.

‘That’s the beauty of it, it’s very simple!’ Animal rights and settler colonialism in Palestine–Israel

ABSTRACTThis article examines the contemporary animal rights movement in Palestine–Israel and compares Jewish Israeli activism to Palestinian activism to illuminate the ways in which the settler colonial context shapes animal politics. The article argues that human–animal relationships constitute a significant dimension through which settler colonialism is expressed, engaged with, and resisted. As such, drawing on ethnographic material, it explores how different approaches to animal activism can obscure or reveal the racial and colonial relations they are bound up with. It considers how Jewish Israelis frame animal rights in non-intersectional ways, as a simple, single-issue movement that can be abstracted from human politics and power relations, while the Palestinian Animal League in the occupied West Bank weaves animal activism with the decolonial struggle for Palestinian self-determination in an intersectional spirit. The article hence suggests that, to a great extent, animal politics follows the patterns set up by the settler colonial regime, with the type of advocacy on behalf of animals being shaped by the sides taken within the settler state. Instances that trouble and complicate this settler/native binary are explored as well as the possibilities of coalitional politics.

Safety Planning: A Vital Preliminary Step for Professionals Working With Intimate Partner Violence Victims

Domestic violence (DV) is defined as a pattern of assaultive and coercive behaviors, including physical, sexual, and psychological attacks, as well as economic coercion, that adults or adolescents use against their intimate partners (Ganley, 1995). Safety planning is a widely used intervention for professionals working with battered women. Safety planning is referred to as a structured procedure for enhancing the safety of women in DV situations that includes the gathering of information, evaluation of the existing situation, decision-making for the type of advocacy and resources needed and the identification of future strategies on how to respond effectively to violence (Campbell, 2001; Davies et al, 1998; Parker & Gielen, 2014). Although it is seen as the first step of helping battered women and trauma informed care in the United States, the safety planning technique is being limitedly used in Turkey only by women shelters. This review will summarize the characteristics of DV situations, explain the theoretical rationale for safety planning, discuss the safety planning process, clarify therapists’ responsibilities about safety planning and highlight research findings on the effectiveness of safety planning.

Essentials of Advocacy in Case Management: Part 1: Ethical Underpinnings of Advocacy-Theories, Principles, and Concepts.

This article describes the meaning and underpinnings of advocacy in the field of case management and shares essential principles and concepts for effective client advocacy. All practice settings across the continuum of health and human services and case managers of diverse professional backgrounds. Advocacy is vital to case management practice and a primary role of the professional case manager. It is rooted in ethical theory and principles. Successful case managers apply advocacy at every step of the case management process and in every action they take. Part I of this 2-part article explores the ethical theories and principles of advocacy, the perception of case management-related professional organizations of advocacy, and types of advocacy. Part II then presents a client advocacy model for case managers to apply in their practice, describes the role of advocacy in client engagement, and identifies important strategies and a set of essential competencies for effective case management advocacy. Acquiring foundational knowledge, skills, and competencies in what advocacy is equips case managers with the ability and confidence to enact advocacy-related behaviors in the provision of care to achieve desired outcomes for both the clients and health care agencies/providers alike. Case management leaders may use the knowledge shared in this article to develop advocacy training and competency programs for their case managers.

Assessment of the adequacy of advocacy as a strategy for championing the citizenry of persons with disabilities in Zimbabwe

This Different civic movements and advocacy groups the world over have committed much effort to championing the rights of persons with disabilities within the equality of rights and opportunities complex. These advocacy efforts have more often been targeted at rights to equal access and opportunities in social services and employment by persons with disabilities. It appears from literature that advocacy has not done enough in demanding those fundamental rights and freedoms which are central to the citizenship of persons with disabilities. As compared to their peers, persons with disabilities have limited, or to say the least, constrained citizenship rights. For a very long time, advocacy has been seen as a powerful strategy for championing the rights of persons with disabilities. This paper provides a critical analysis of the adequacy of the various advocacy initiatives to establish the extent to which the initiatives have addressed the citizenry issues affecting persons with disabilities. The author argues that citizenship rights form the basis for the equal opportunity complex inherent in the different types of advocacy. Thus, without addressing the issue of citizenry of persons with disabilities, the different types of advocacy cannot be endorsed as the panacea to the equal rights and opportunity problems facing people with disabilities in communities. From these arguments, the paper concludes that what has compromised the adequacy of advocacy for the citizenry of persons with disabilities is that the strategy has been patronized by non-disabled people. The author therefore recommends a multiple-advocacy approach coupled with practical policies, a genuine political will and strong political representation as the best way forward.

Peer, professional, and public: An analysis of the drugs policy advocacy community in Europe

BackgroundIn recent decades a range of advocacy organisations have emerged on the drugs policy landscape seeking to shape the development of policy at national and international levels. This development has been facilitated by the expansion of ‘democratic spaces’ for civil society participation in governance fora at national and supranational level. However, little is known about these policy actors – their aims, scope, organisational structure, or the purpose of their engagement. MethodsDrug policy advocacy organisations were defined as organisations with a clearly stated aim to influence policy and which were based in Europe. Data on these organisations was collected through a systematic tri-lingual (English, French and Spanish) Internet search, supplemented by information provided by national agencies in the 28 EU member states, Norway and Turkey. In order to differentiate between the diverse range of activities, strategies and standpoints of these groups, information from the websites was used to categorise the organisations by their scope of operation, advocacy tools and policy constituencies; and by three key typologies – the type of advocacy they engaged in, their organisational type, and their advocacy objectives and orientation. ResultsThe study identified over two hundred EU-based advocacy organisations (N=218) which included civil society associations, NGOs, and large-scale alliances and coalitions, operating at local, national and European levels. Three forms of advocacy emerged from the data analysis – peer, professional and public policy. These groups focused their campaigns on practice development (harm reduction or abstinence) and legislative reform (reducing or strengthening drug controls). ConclusionThe findings from this study provide a nuanced profile of civil society advocacy as a policy community in the drugs field; their legitimacy to represent cases, causes, social values and ideals; and their focus on both insider and outsider strategies to achieve their goals. The level of convergence and divergence in Europe in relation to policy positions on service provision ethos and drug control regulation is indicated.

Informed advocacy: rural, remote, and northern nursing praxis.

To explore what we have learned about informed advocacy from and with nurses working in rural, remote, and northern communities. Focuses on registered nurses who work in geographically isolated communities in Canada. A synthesis of the work of 2 nurse researchers drawing on critical feminist, postcolonial, and social justice theories. The following 4 types of advocacy are discussed: (1) ensuring that people's concerns are heard, (2) contextualizing practices, (3) safeguarding, and (4) addressing systemic health inequities. An informed advocacy perspective helps registered nurses make an important contribution toward improving the health of people living in rural, remote, and northern communities.