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Related Experiment Videos

Independent, autonomous, or equal: what do we really want?

M Chiarella1

  • 1New South Wales College of Nursing, Glebe, Australia. chiazza@ozemail.com.au

Clinical Excellence for Nurse Practitioners : the International Journal of NPACE
|August 24, 1999
PubMed
Summary
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This article examines the evolution of autonomy in nursing, particularly for nurse practitioners (NPs), and explores interprofessional collaboration challenges and benefits. It suggests strategies for harmonious coexistence focused on patient care.

Area of Science:

  • Nursing
  • Healthcare Policy
  • Professional Development

Background:

  • The evolution of nursing terminology, including 'autonomous' and 'independent', is examined.
  • Nurse dissatisfaction and status issues are linked to recruitment/retention problems and the rise of nursing ethics.
  • Medical suspicion towards advanced practice roles like nurse practitioners (NPs) is a significant barrier.

Purpose of the Study:

  • To explore the development of autonomous and independent roles in nursing literature, focusing on the nurse practitioner (NP) role.
  • To analyze power dynamics, nurse dissatisfaction, and interprofessional collaboration challenges in healthcare.
  • To propose solutions for improved medical-nursing coexistence centered on patient care.

Main Methods:

  • Literature review of national and international nursing publications.

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  • Analysis of terminology related to nursing autonomy and advanced practice.
  • Exploration of power relationships and interprofessional dynamics in healthcare settings.

    • Main Results:

    • The development of advanced practice roles, such as NPs, has faced resistance from some medical organizations.
    • Barriers and benefits to collaborative practice between medicine and nursing are identified.
    • The perceived blurring of medical and nursing roles is a consequence of advanced practice.

    Conclusions:

    • Addressing power imbalances and role perceptions is crucial for effective interprofessional collaboration.
    • Refocusing medical and nursing practice on patient care can overcome interprofessional "bunker dwelling."
    • Strategies for harmonious coexistence are proposed to enhance patient outcomes and professional satisfaction.