Autonomy, Evidence And Intuition: The Role Of Nursing

Improved Essays
Although nursing today seen as an independent healthcare professional practice, its historical dependence on physician still lingers. I would say, nurses could not able to be psychologically free and independent from physicians influence. For instance, Boland, Boland and Buus (2010) in their research article titled “Autonomy, evidence, and intuition: nurses and decision-making”, discussed this very issue that nurses have in clinical practice. According to the researchers, nurses still have a problem to be independent practitioner and the problem seems emanated from the nursing education and curriculum development. The researchers found that nurses, who were involved in professional nurse education program development, distanced themselves from developing computing clinical practice curricula compared to physician training program. Nursing education is more focused on theory “rhetorical moves to the dangerous irrationalism of intuitive practice or with the strict and possibly disempowering following of procedures” (Traynor et al., 2010, p.1590). …show more content…
According to Sellgren, Ekvall and Tomson (2006), some nurses’ leadership profile is vague, and their decision making is ambiguous as well. “Nursing as a profession is people oriented with an emphasis on humanism and this probably influencing leadership in the area” (, 2006, p.349). It is, however, imperative for today’s nursing leaders to change their attitude and be free from historical bondage of dependence so that they become unambiguous in their decision making and distinct in their demand from the employees they

Related Documents

  • Great Essays

    Combining Nurse Leader With Advocacy Nurses have important role in health care setting. Advocacy for other nurses and profession create positive influence at workplace. Nurse’s role as a leader and advocate is very essential to provide safe and quality care to patients. “The IOM specifically recognizes the need for strong and capable leadership if the vision for transforming healthcare is to ever be realized. The report suggests that the nursing profession must produce leader at every level of the system and accept key leadership position in policy, politics, organizations and practice”(Nursing center, 2016).…

    • 1137 Words
    • 5 Pages
    Great Essays
  • Improved Essays

    This must be obtained of the nurse’s self and his/her patients. It is important for the nurses to understand their own self, values, and goals before they began to understand and assist with the care of others. Taking the initiative to understand the patient’s beliefs, values, and goals will increase the compliance and obtainable outcomes of their treatment plan. I implement personal knowledge in the clinical setting by being honest to myself concerning my own thoughts and feelings. When I become occasionally overwhelmed, I take a moment to myself to reflect on my thoughts and what is the true factor that is causing me conflict.…

    • 820 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    A Nurse leader is defined as nurse who is interested in the profession of nursing and interested in refining the ways to better and improve upon goals to make a better healthcare system. Nurse leaders are “essential to help shape and lead the future of a dynamic integrated patient-centric health care system” (Kennedy, M., Moen, A. (2017)), helping to maintain an overall healthy and functioning community. Nurse leaders need to ensure that they possess the necessary skills to provide “safe and competent patient care to ensure the success of the healthcare institution” (Kroning, M. (2015)), and those effected by the healthcare choices being implemented. Florence Wald, an influential nurse leader is known as the Mother of the American Hospice…

    • 1613 Words
    • 7 Pages
    Improved Essays
  • Decent Essays

    Leadership is a very important concept in nursing. Without proper leadership nurses would not guideline and patients would not have advocates. According to Yoder-Wise (2015), there are two leadership approaches. I personally am a transformational leader. A transformational leader is inspirational and empowering.…

    • 226 Words
    • 1 Pages
    Decent Essays
  • Decent Essays

    Despite the fact that the general public is not used to see the nurses as leaders, and not all nurses start their professions with ambitions of turning into a leader, the Institute of Medicine (IOM) visualizes a future where every nurses are leaders and advocates for the progressing changes to the health care system (Garner, 2011). Even though every nurse has the potential for a leader, however not everyone may perceive this inside themselves. An assessment tool like the "Nurse Manager Skills Inventory", by the American Association of Critical-Care Nurses can help an individual to understand his/her set of strength and weakness in the areas of management and leadership. This paper is a reflection of my strengths and weakness in the areas of…

    • 181 Words
    • 1 Pages
    Decent Essays
  • Decent Essays

    I have a similar view compare to yours, I firmly believe that nurses or advance practice nurses do apply theories, models and principle in daily nursing practice, however, the theories, models and principles are simply gone unnoticed. There is room for improvement to enhance the awareness of theories, models and principles that are being applied, however I believe that does not represent the theory-practice gap. I appreciate your expression on how you have gained deeper understanding of the theories that you have learned, and you are planning on including more theories into future practice. I have adjusted my philosophy after the semester of learning. At beginning of the semester, I simply believe one particular theory will support my advance…

    • 175 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    a) What are the ethical issues? This scenario exemplifies an ethical issue where there is an ethical dilemma between respect for autonomy and beneficence and non-maleficence Respect for Autonomy Autonomy can be defined as the person right to make an informed decision about the treatment and other decision in regards to their care. In this scenario, the hospitalized patient wants his partner to be involved in his care. Although this decision may have serious consequences ( such as an increased risk of spreading the infection), it is the duty of the nurse to educate patient about the risk and benefits of their decision thereby promoting their autonomy and informed decision making.…

    • 1018 Words
    • 5 Pages
    Improved Essays
  • Decent Essays

    Nursing Leadership When we think of nursing leaders, we think of Florence Nightingale, the mother of modern nursing, or Clara Barton, founder of the American Red Cross. These nurses exhibited critical nursing leadership and management skills. Nursing leadership and management are not the same. In leadership, the nurse leader propels others to meet goals and does not have to be in a position of authority (Kelly, 2012).…

    • 498 Words
    • 2 Pages
    Decent Essays
  • Decent Essays

    In 2009, during the Influenza pandemic, I lead a group of 15 nurses for Vaccination campaign against influenza in my neighborhood primary Health Center. As a leader, I was responsible for creating a plan to start this campaign, ensuring that Vaccination campaign meets policies and procedures, collaborating with nursing staff and upper management in the coordination of successively and safe Vaccination campaign, monitoring and ordering vaccines and supplies. During that time, I tried to get know everyone in the team, I started conversation among the group since we were from different organizations. So we did our first meeting to discuss how we do this as a team. We spent several hours brainstorming ideas on paper, than we identified the most appropriate ideas.…

    • 307 Words
    • 2 Pages
    Decent Essays
  • Improved Essays

    (Frosch et al., 2012; Singh Joy, 2011) as leadership skills have been associated with patient outcome (Chappell & Richards, 2015). However, although clinical leadership skill can increase over the twelve months of nursing practice this will only happen for grad nurses when they participate in skill building activities for leadership (Chappell & Richards, 2015). A grad nurse’s education for leadership skills can be greatly increased by ensuring collaboration amongst peers especially since leaders have the expertise and insight to offer information and graduate nursing assessment (Wissmann et al., 2002). Furthermore, staff are willing to stay in a job and have higher job satisfaction when they receive feedback, positive or negative, from their…

    • 729 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Autonomy In Nursing Essay

    • 417 Words
    • 2 Pages

    In gerenal, nurses apprximately make a clinical decision per 30 seconds, and 10 important decisions every hour in the clinical preactice (Buchnall, 2009; Watson, 1994). The enormous decisions and complicated process constantly related to nurses’ job satisfaction. Studies have showed nurses who perceive less autonomy in clinical practice are associated with lower job’s satisfaction and result in higher rates of turnover (Nejati, Rodiek, & Shepley, 2015; Roberts-turner, 2014). Although a number of researhchers have addressed on the improving nurses’ autonomy in different approach, the discrepancy understanding the meaning of autonomy among researchers would decrease the validity of means in clinical…

    • 417 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Dorothea Orem’s Self-Care Nursing Philosophy encourages patient autonomy and gives patients a voice. It provides nurses with a solid foundation to give patients’ self-sufficiency and control in caring for themselves. Developing a personal nursing philosophy increases self-confidence, enhances critical thinking and provides a solid foundation for professional nursing practice. Following a personal nursing philosophy is not only a reminder why we chose this profession, but also provides direction and…

    • 767 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    The development of this nursing conceptual model began with the evolution of defining the nursing practice as a profession; and to create knowledge within the nursing community, to set the tone for future theories to be develop on. As Florence Nightingale paved the way for the foundation of the current theories of practice that separate nursing from other medical professions; she also defined what the standard of nursing care and education should encompass. Nursing theories become the foundation to the research and the evidence-based-practices (EBP) that are incorporated into the curriculum of the developing nurse; and as more focus has been diverted to the advanced of nursing practice more is being taken away from the fundamental aspects of it such as the development of a therapeutic and caring nurse-patient relations (Dyess, Boykin & Rigg, 2010). Over time theorist developed methods of applying the nursing process while using all sense of “being” and “becoming” by learning to care for and care about the patient. It has been shown that when less emphasis is on the things involved in care, but more on how to demonstrate care for the patient; it resulted in a better nurse-patient relationship and better outcome for the patient and the development of the…

    • 1157 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    The dynamic and challenging nature of the nursing profession has meant that that leadership is a priority in today’s healthcare environment. The nursing leadership concept is complex and multi-dimensional such that it influences the working environment. The leadership method adopted will have a direct bearing on the nursing staff satisfaction, retention and organizational performance (Schwartz, Spencer, Wilson, & Wood, 2011). For quality healthcare provision, it is therefore prudent that an organization adopts the right leadership mechanism and criteria. As a result, numerous theories have been developed to try and address leadership theories that would be prudent in the nursing profession.…

    • 839 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Theory is central to effective nursing practice and research. Nursing theory offers a framework for thought in which nurses examine situations. This framework supplies structure and organization to nursing knowledge and provides a methodical means of collecting data to interpret, explain, and predict nursing practice (McEwen & Willis, 2014, p. 36). Nursing theory is crucial for the evolution of the nursing discipline. The knowledge that is developed through nursing research is used to test existing theories and to generate new theories and ideas.…

    • 840 Words
    • 4 Pages
    Improved Essays