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Exercise of autonomous home care practice: the relationship with nurse characteristics
Susan Tullai-McGuinness1, Elizabeth A Madigan, Mary K Anthony
1Case Western Reserve University, Cleveland, Ohio 44106-4904, USA. sxt32@xase.edu
Abstract:
This study examined how the value of autonomy is reflected in home healthcare agencies' practice models and how staff registered nurse (RN) characteristics (education, experience, certification) relate to the RNs' perception of their ability to exercise autonomous practice: control over practice decisions (clinical autonomy) and control over practice setting decisions (organizational autonomy). RNs (N = 82) from 11 agencies were found to have more control over practice decisions than practice setting decisions. No significant relationship was found between RN characteristics of education, RN experience, home healthcare experience, and specialty certification.
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