Strategies for enhancing autonomy and control over nursing practice.

  • Weston M
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Abstract

Clinical nurse autonomy and control over nursing practice (CONP) have been associated with increased nurse satisfaction and improved patient outcomes -- both elements of a healthy work environment. This article outlines strategies for enhancing autonomy as well as strategies for enhancing CONP and describes the importance of articulating expectations for autonomous practice, enhancing competence in clinical expertise, establishing participative decision making, and developing nurses' skills in making decisions. In addition, the critical role of nurse leaders and the need to work upstream to influence the social, political, and economic factors affecting nursing practice are discussed.

Author-supplied keywords

  • Decision Making
  • Employer-Employee Relations
  • Empowerment
  • Health Facility Administration
  • Interprofessional Relations
  • Nursing Leaders
  • Nursing Practice
  • Nursing Role
  • Professional Autonomy
  • Work Environment

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Authors

  • M J Weston

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