EXPLORING PROFESSIONAL NURSE AUTONOMY: BALANCING EXPECTATIONS AND REALITIE
Main Article Content
Keywords
client care, advocacy, decision-making, nursing education, and professional nurse autonomy
Abstract
The notion of professional nurse autonomy is examined in this essay. It opens by drawing attention to the conflict that exists between the professional expectation of autonomous decision-making and the practical limitations that nurses frequently encounter. After that, the authors provide a framework for examining professional nurse autonomy that incorporates ideas from education, psychology, sociology, and nursing. The concept of professional nurse autonomy provided in the article places a strong emphasis on the client's centrality, responsible decision-making, and advocacy. It examines the relationship between professional nurse autonomy and variables including education, work environment, and personal traits by reviewing the literature on the subject. The authors present a type of autonomy for professional nurses and provide case studies to support their ideas. In their final section, they address the consequences for nursing education and offer curriculum modifications that can support the growth of professional nurse autonom.
References
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9. L. & Pankratz D. (1974) Nursing autonomy and patients rights: development of a nursing attitude scale. Journal of Health and Social Behavior 15, 211-216. Pearson C. (1995) The prediction of teacher autonomy from a set of work-related and attitudinal variables.
10. Journal of Research and Development in Education 20(2), 70-85 Party & Moss C. (109) Generating alternatives in nursing: turning curriculum into a living process. Australian Aurnal of Advanced Nursing (2), 35-40. Pinch W.J. (1985) Ethical dilemmas in nursing: the role of the nune and perceptions of autonamy, Journal of Nursing Educa
11. tion 24, 372-378 Rhoter J.H. (1989) An examination of the relationship between. munes educational preparation, work experience and attinadi nal autonomy. Doctoral Dissertation, University of Houston,
12. Dissertation Abstracts International 50, 2341. Salladay S.A. (1991) World views apart nursing practice and new age therapies.
13. Journal of Christian Narsing (3), 14-18, Sartar B. (1988) Philosophical sources of nursing theory, Nursing Science Quarterly 1, 53-59. Schriner JC. & Harris 1. (1084) Professionalism among nurse educators, Journal of Nursing Education 23, 252-258 of professional Schutzenhofer K.K. (1987) The measurement matonomy, Journal of Professional Nursing 3, 278-283. Schutzenhofor K.K. (1988) The problem of professional autonomy in nursing.
14. Health Care for Wonwn Laternational 9, 53-106. Schutzenhofer K.K. (1992) Narsing education and professional autonomy. Reflections 10(4), 7. Schatzenhofer K.K. & Museer D.R. (1994) Nurse characteristics and professional autonomy. Innage Journal of Nursing Schol arship 26, 201-205
15. Senneker P. & Hendrick C (1983) Androgyny and helping behavior. Journal of Personality and Social Psychology 45. 916-425. Stylns MM. (1982) On Nursing: Toward a Niw Endowment. Mosby, St Louis.
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17. Connecticut Watts RJ. (1990) Democntization of health cane challenge for nursing. Advanos in Nursing Science 12(2), 37-46. Wood JE. Tiedjo L.B. & Abraham L.L. (1906) Practicing autono- mously: a comparison of nurses Public Health Nursing of Carmat English ath odn. Clarendon, Oxford.
18. Gilligan C. (1982) In a Different Voice: Psychological Theory and Warmen's Development. Harvard University, Cambridge, Massachusetts.
19. Gonzalez L.W. (1949) Professional women's perceived autonomy related to autonomous behavior among nurses and touchers Doctoral Dissertation, Texas Woman's University. Dissertation Abstracts International 50, 3767.
20. Goosen CM. (1980) Concept analysis: an approach to teaching physiologic variahlm. Journal of Professional Nursing 3, 31- 38
21. Grinnell S.K. (1989) Post conference reflections: autonomy and independence for bealth professionals? Journal of Allied Health Hall R.H. (1968) Professionalization and bureaucratisation.
22. ican Socialogical Brview 92-104. Hallsworth 5.G. (1993) Comparative effects of baccalaureate and associate degree nursing education on senior students level of professional autonomy, Doctoral Dissertation.
23. University of Massachusetts. Dissertation Abstructs International 34, 2006. Holden R.J. (1991) Responsibility and autonomous nursing practice. Journal of Advanced Narsing 16, 398-403
24. Hurley-Wilson B.A. (1988) Socialization for roles. In Role Theory: Perspectives for Health Professionals (Hardy M.E. & Conway M.E. eds). Appletun & Lange. Norwalk, Connecticut, pp. 73-110 Husted M.E. (1991) Stages of ego devolopment: relationships with personal autonomy and professional autonomy in female senior baccalaumate nursing students.
25. Dissertation Abstracts Interna tional, 25/06, Widener University, Chester, Pennsylvania Jacox A. (1978) Professional socialization of nurses. In The Nursing Profession: Views Through the Mist (Chaska N.L. ed.).
26. McGraw-Hill, New York, pp. 10-20 Keely B.R. (1900) Differenom in the degree of professional socialization in registered nurse students. Doctoral Disserta tion, Claremont. Dissertation Abstracts laternational 51, 2995. Kipper B.A. (1002) Roget's 21st Century Thesaurus in Dictionary Form. Dell, New York.
27. Koerner LG. & Karpiuk K.L. (1994) Implementing Differentiated Nursing Practice: Transformation by Design. Aspen. Gaithersburg Kramer M. & Schunalenberg C. (1963) Learning from success autonomy and empowerment.
28. Nursing Management 24(5),. Kurtines W.M. (1978) A measure of autonomy. Journal of Personality Assessment 42. 253-257.
29. Lach R.M. (1992) Professional nurse autonomy: instrument development and identification of mlated variables. Doctoral
30. Dissertation, The University of Illinois at Chicago. Dissertation Abstructs International 54, 106. McDaniels O.B. (1983)
31. Existentialism and pragmatism: the effect of philosophy on methodology of teaching, kournal of Nursing Education 22, 62-66 McKay P.S. (1983) laterdependent decision making: redefining professional autonomy. Nursing Administrotion Quarterly 7(4).
2. Management 24(10), 64)-640 Bramlett. MH, Gueldner S.H. & Sowell R.L. (1990) Consumer centric advocacy: its connection to nursing frameworks.
3. Nursing Science Quarterly 3, 156-161. Cassidy V.R. a Oddi L.F. (1988) Professional autonomy and ethical decision-making among graduate and undergraduate nursing majors.
4. Journal of Nursing Education 27. 405-410 Cassidy V.R. & Odds L.F. (1991) Professional autonomy and othical decision-making among graduate and undergraduato nursing majoen: a mplication,
5. Journal of Nursing Education 30, 149-152 Chally PS. (1993) Nursing ethics. In Professional Nursing: Concepts and Challenges Chitty K.K. ed.), W.B. Saunders, Philadelphia, pp. 363-384
6. Clare (1993) A challenge to the rhetoric of emancipation: recmating a professional culture. Journal of Advanced Nurs. Collins SS. & Henderson MC. (1991) Autonomy part of the nursing role? Nursing Forum 288(2), 21-29
7. Coser R.L. (1991) In Defense of Modernity: Role Complexity and Individual Antonomy. Stanford University, StanfCartin L. (1982) Autonomy, accountability and nursing praction, Topics in Clinical Nursing 4(1), 7-13
8. Dempster 15. (1954) Autonomy a professional issue of com carm for narse practitioners. Nurse Practitioner Forum 3. Dwyer D.J. Schwartz R.H. & Fox M.I. (1992) Decision-making autonomy in nursing Journal of Nursing Administration 22(2), Engel G. (1970) Professional autonomy and bureaucratic organi zations. Administrative Science Quarterly 1503), 12-21.
9. L. & Pankratz D. (1974) Nursing autonomy and patients rights: development of a nursing attitude scale. Journal of Health and Social Behavior 15, 211-216. Pearson C. (1995) The prediction of teacher autonomy from a set of work-related and attitudinal variables.
10. Journal of Research and Development in Education 20(2), 70-85 Party & Moss C. (109) Generating alternatives in nursing: turning curriculum into a living process. Australian Aurnal of Advanced Nursing (2), 35-40. Pinch W.J. (1985) Ethical dilemmas in nursing: the role of the nune and perceptions of autonamy, Journal of Nursing Educa
11. tion 24, 372-378 Rhoter J.H. (1989) An examination of the relationship between. munes educational preparation, work experience and attinadi nal autonomy. Doctoral Dissertation, University of Houston,
12. Dissertation Abstracts International 50, 2341. Salladay S.A. (1991) World views apart nursing practice and new age therapies.
13. Journal of Christian Narsing (3), 14-18, Sartar B. (1988) Philosophical sources of nursing theory, Nursing Science Quarterly 1, 53-59. Schriner JC. & Harris 1. (1084) Professionalism among nurse educators, Journal of Nursing Education 23, 252-258 of professional Schutzenhofer K.K. (1987) The measurement matonomy, Journal of Professional Nursing 3, 278-283. Schutzenhofor K.K. (1988) The problem of professional autonomy in nursing.
14. Health Care for Wonwn Laternational 9, 53-106. Schutzenhofer K.K. (1992) Narsing education and professional autonomy. Reflections 10(4), 7. Schatzenhofer K.K. & Museer D.R. (1994) Nurse characteristics and professional autonomy. Innage Journal of Nursing Schol arship 26, 201-205
15. Senneker P. & Hendrick C (1983) Androgyny and helping behavior. Journal of Personality and Social Psychology 45. 916-425. Stylns MM. (1982) On Nursing: Toward a Niw Endowment. Mosby, St Louis.
16. Tanner CA. (1990) Caring as Nursing Outlook 38, 70-72. value in nursing education. Walker L.O. & Avant KC (1995) Strategies for Theory Construc- tion in Nursing 3rd edn. Applaton Lange, Norwalk,
17. Connecticut Watts RJ. (1990) Democntization of health cane challenge for nursing. Advanos in Nursing Science 12(2), 37-46. Wood JE. Tiedjo L.B. & Abraham L.L. (1906) Practicing autono- mously: a comparison of nurses Public Health Nursing of Carmat English ath odn. Clarendon, Oxford.
18. Gilligan C. (1982) In a Different Voice: Psychological Theory and Warmen's Development. Harvard University, Cambridge, Massachusetts.
19. Gonzalez L.W. (1949) Professional women's perceived autonomy related to autonomous behavior among nurses and touchers Doctoral Dissertation, Texas Woman's University. Dissertation Abstracts International 50, 3767.
20. Goosen CM. (1980) Concept analysis: an approach to teaching physiologic variahlm. Journal of Professional Nursing 3, 31- 38
21. Grinnell S.K. (1989) Post conference reflections: autonomy and independence for bealth professionals? Journal of Allied Health Hall R.H. (1968) Professionalization and bureaucratisation.
22. ican Socialogical Brview 92-104. Hallsworth 5.G. (1993) Comparative effects of baccalaureate and associate degree nursing education on senior students level of professional autonomy, Doctoral Dissertation.
23. University of Massachusetts. Dissertation Abstructs International 34, 2006. Holden R.J. (1991) Responsibility and autonomous nursing practice. Journal of Advanced Narsing 16, 398-403
24. Hurley-Wilson B.A. (1988) Socialization for roles. In Role Theory: Perspectives for Health Professionals (Hardy M.E. & Conway M.E. eds). Appletun & Lange. Norwalk, Connecticut, pp. 73-110 Husted M.E. (1991) Stages of ego devolopment: relationships with personal autonomy and professional autonomy in female senior baccalaumate nursing students.
25. Dissertation Abstracts Interna tional, 25/06, Widener University, Chester, Pennsylvania Jacox A. (1978) Professional socialization of nurses. In The Nursing Profession: Views Through the Mist (Chaska N.L. ed.).
26. McGraw-Hill, New York, pp. 10-20 Keely B.R. (1900) Differenom in the degree of professional socialization in registered nurse students. Doctoral Disserta tion, Claremont. Dissertation Abstracts laternational 51, 2995. Kipper B.A. (1002) Roget's 21st Century Thesaurus in Dictionary Form. Dell, New York.
27. Koerner LG. & Karpiuk K.L. (1994) Implementing Differentiated Nursing Practice: Transformation by Design. Aspen. Gaithersburg Kramer M. & Schunalenberg C. (1963) Learning from success autonomy and empowerment.
28. Nursing Management 24(5),. Kurtines W.M. (1978) A measure of autonomy. Journal of Personality Assessment 42. 253-257.
29. Lach R.M. (1992) Professional nurse autonomy: instrument development and identification of mlated variables. Doctoral
30. Dissertation, The University of Illinois at Chicago. Dissertation Abstructs International 54, 106. McDaniels O.B. (1983)
31. Existentialism and pragmatism: the effect of philosophy on methodology of teaching, kournal of Nursing Education 22, 62-66 McKay P.S. (1983) laterdependent decision making: redefining professional autonomy. Nursing Administrotion Quarterly 7(4).
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Published
Oct 11, 2022
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How to Cite
Abdullah Mohamad Alamer, Ghurmullah Mukharrib Khalaf Almalki, Mohmmad Saeed Mordi Al Dawseri, Fahaad Saeed Mordi Al Dawseri, Mohammed Abdullah Alharbi, Rafal Ahmad Hussin Damad, Emad Hazib Al Darraj, Fahad Ali Alshamrani, Ashwaq Hajji Alanazi, Ali Mohmmad Alghamdi, Khaled Hamoud Al Sofayany, Tahani ???????????????????????????? Alghammdi, Saad Mohammed Saad Lajhar, Saleha Hassan Abdul Rahman Al-Asmari, Abdullah Farhan Alanazi, & Saeeda Hanen Sofyani. (2022). EXPLORING PROFESSIONAL NURSE AUTONOMY: BALANCING EXPECTATIONS AND REALITIE. Journal of Population Therapeutics and Clinical Pharmacology, 29(04), 3816-3824. https://doi.org/10.53555/jptcp.v29i04.6003
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Author Biographies
Abdullah Mohamad Alamer
Ksa, ministry of health
Ghurmullah Mukharrib Khalaf Almalki
Ksa, ministry of health
Mohmmad Saeed Mordi Al Dawseri
Ksa, ministry of health
Fahaad Saeed Mordi Al Dawseri
Ksa, ministry of health
Mohammed Abdullah Alharbi
Ksa, ministry of health
Rafal Ahmad Hussin Damad
Ksa, ministry of health
Emad Hazib Al Darraj
Ksa, ministry of health
Fahad Ali Alshamrani
Ksa, ministry of health
Ashwaq Hajji Alanazi
Ksa, ministry of health
Ali Mohmmad Alghamdi
Ksa, ministry of health
Khaled Hamoud Al Sofayany
Ksa, ministry of health
Tahani ???????????????????????????? Alghammdi
Ksa, ministry of health
Saad Mohammed Saad Lajhar
Ksa, ministry of health
Saleha Hassan Abdul Rahman Al-Asmari
Ksa, ministry of health
Abdullah Farhan Alanazi
Ksa, ministry of health
Saeeda Hanen Sofyani
Ksa, ministry of health
How to Cite
Abdullah Mohamad Alamer, Ghurmullah Mukharrib Khalaf Almalki, Mohmmad Saeed Mordi Al Dawseri, Fahaad Saeed Mordi Al Dawseri, Mohammed Abdullah Alharbi, Rafal Ahmad Hussin Damad, Emad Hazib Al Darraj, Fahad Ali Alshamrani, Ashwaq Hajji Alanazi, Ali Mohmmad Alghamdi, Khaled Hamoud Al Sofayany, Tahani ???????????????????????????? Alghammdi, Saad Mohammed Saad Lajhar, Saleha Hassan Abdul Rahman Al-Asmari, Abdullah Farhan Alanazi, & Saeeda Hanen Sofyani. (2022). EXPLORING PROFESSIONAL NURSE AUTONOMY: BALANCING EXPECTATIONS AND REALITIE. Journal of Population Therapeutics and Clinical Pharmacology, 29(04), 3816-3824. https://doi.org/10.53555/jptcp.v29i04.6003