[The need for autonomy in the process of care-conceptual framework and research perspectives]

The article reflects the difference between independence and self-determination or autonomy in care relations. We consider that independence is only a fiction even for people with no functional limitations. Compared with this are people in need of care always confronted with professional interventions in their daily life which limit their self-determination. Even if participation and therefore also autonomy are part of the goal setting process in care a hierarchy in the relation of professional nurses and client is hardly to neglect. Quality of care with methods of evidence based nursing has must always take into account the client's implicit knowledge and experience which we call the "internal" evidence. Only the respect of the internal evidence can reduce the structural hierarchy between nurse and client. The article exemplifies these general conditions in care with nurse-client communication and the challenges of quality of care and quality of life.