Concept Analysis Paper On Nursing Autonomy

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Autonomy in Nursing Practice: Concept Analysis

Concept Background

Concept Introduction

The concept autonomy or autonomy in nursing practice is of immense personal and professional significance to this graduate student. Questions keep abounding regarding what it means to practice autonomously, participate in decision-making, and to be held accountable for those decisions. Kramer and Schomalenberg (2003) define Clinical Nurse Autonomy as the power to determine what needs to done in providing patient care, to act on assessments, and to accept accountability for their decisions. Wilkinson (1997) also states that an autonomous nurse is one who practices within a self-regulated professional environment, makes decisions based on professional judgment, and has the ability to execute these in their own practice. Autonomy in nursing practice applies to clinical judgment, decision-making skills in patient care, and quality patient care in the clinical environment. When Nurses in the clinical area practice autonomously, it leads to increase job satisfaction, nurse retention, patients’ satisfaction, and high quality nursing care.

The following scenario is a personal example of the graduate student’s experience working in an orthopedic unit. A 64-year-old female admitted from the emergency room, with diagnosis of fever and right lower cellulitis. Patient was status post right knee replacement two weeks ago. Intravenous fluid was administered in the emergency room for hypotension, and orthopedic surgeon consulted. On arrival to the unit, the patient’s blood pressure was 90/ 50, temperature 101.9-degree Fahrenheit. On assessment, patient‘s right leg was red, swollen and warm to touch, pain level was 8/10 pain scale on numeric pain scale. Two hours after admitting her to the unit, her B/P started dropping, temperature elevated. The graduate student did a

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