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Responsibility and autonomous nursing practice.

¹School of Nursing Studies, University of Tasmania, Launceston, Australia.

Journal of Advanced Nursing

|April 1, 1991

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Greater nursing autonomy necessitates accountability, encompassing ethical conduct and professional responsibility for patient benefit. This involves complex decision-making, ethical considerations, and professional boundaries in autonomous nursing practice.

Area of Science:

Nursing Ethics
Professional Autonomy
Healthcare Psychology

Background:

Increased autonomy in nursing practice presents new ethical challenges.
Autonomous practice requires a deep understanding of accountability.
Professional responsibility is central to ethical nursing care.

Purpose of the Study:

To explore the concept of accountability in autonomous nursing practice.
To analyze the philosophical and psychological dimensions of professional responsibility.
To examine the relationship between freedom, accountability, and nursing autonomy.

Main Methods:

Philosophical analysis of responsibility.
Psychological analysis of ethical decision-making.
Conceptual exploration of autonomy and accountability.

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Main Results:

Autonomous nursing practice demands a dual accountability: personal ethical conduct and professional responsibility for patient welfare.
Professional responsibility includes navigating complex patient needs vs. wants, informed consent, and maintaining boundaries.
Egalitarian relationships with medical professionals are crucial for effective autonomous practice.

Conclusions:

Greater nursing autonomy is intrinsically linked to comprehensive accountability.
Understanding the psychological and philosophical underpinnings of responsibility is vital for autonomous practitioners.
Ethical frameworks must evolve to support autonomous nursing roles and ensure patient-centered care.