Premium
Responsibility and autonomous nursing practice
Author(s) -
Holden Robyn J.
Publication year - 1991
Publication title -
journal of advanced nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.948
H-Index - 155
eISSN - 1365-2648
pISSN - 0309-2402
DOI - 10.1111/j.1365-2648.1991.tb03428.x
Subject(s) - accountability , autonomy , professional responsibility , moral responsibility , collusion , context (archaeology) , social responsibility , psychology , nursing , medicine , social psychology , public relations , law , political science , business , paleontology , industrial organization , biology
In this paper, the consequences were there greater autonomy in nursing practice, are considered. Autonomous practice imples accountability which entabils both personal and professional responsibility: a personal responsibility to endorse ethical conduct consistent with professional practice; and and a professional responsibility to exercise discretionary powers to the ultimate benefit of the patient. of the patient. In this context, discretionary responsibility implies; recognizing a patient's wants may not be consistent with a patient's needs; abstaining form collusion with noncompliant patients; supporting the patient's right to refuse treatement only after full psychological exploration; understanding the psychological ramifications of informed consent from a practitioner and recipient point of view; maintaining appropriate personal and professional boundaries; and fostering collegiate relationships with the medical fratenity grounded on egalitarian principles. The author provides a philosophical and psychological analysis of responsibility in an effort to achieve a deeper understanding of the relationship this has with the concepts of ‘freedom’ and ‘accountability’