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Professional nurse autonomy: concept analysis and application to nursing education
1College of Health and Nursing Sciences, University of Delaware, Newark, Delaware, USA. ghwade@udel.edu
Journal of Advanced Nursing
|August 24, 1999
Summary
Professional nurse autonomy is defined as client-centered, responsible decision-making and advocacy. Developing this requires specific educational approaches emphasizing knowledge, understanding, and clinical decision-making skills.
Area of Science:
- Nursing
- Healthcare Management
Background:
- Professional nurse autonomy is crucial for nursing's professional status.
- It is often confused with personal, work, or aggregate professional autonomy.
Purpose of the Study:
- To analyze the concept of professional nurse autonomy using Walker & Avant's model.
- To clarify its definition, attributes, antecedents, and consequences.
Main Methods:
- Concept analysis using Walker & Avant's (1995) model.
- Literature review to identify critical attributes, antecedents, and consequences.
Main Results:
- Professional nurse autonomy defined as client-centered, responsible discretionary decision-making and advocacy.
- Critical attributes include caring, collegial interdependence, and proactive client advocacy.
- Accountability is the primary consequence, linked to empowerment, job satisfaction, and professionalization.
Conclusions:
- A student-centered curriculum is essential for fostering professional nurse autonomy.
- Curricula should prioritize knowledge, understanding, and clinical decision-making skills.
- Developing professional nurse autonomy contributes to job satisfaction and the professionalization of nursing.