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.
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