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Concept Analysis Paper Autonomy

Concept Analysis Paper Autonomy



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Published by Ashraf Ali Smadi
Ashraf smadi
Jordan University of Science and Technology
Ashraf smadi
Jordan University of Science and Technology

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Published by: Ashraf Ali Smadi on Feb 23, 2008
Copyright:Attribution Non-commercial


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Autonomy concept
- 1 -
Jordan University of Science and TechnologyFaculty of NursingConcept Analysis Paper: AutonomyPrepared by:Ashraf Ali Al-SmadiAdvised by:Dr.Yaseen Hayajneh RN, PhD
Autonomy concept
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 The concept has been used to give various meaning, concept defined as an “a complexmental formulation of experience” (chine & Kramer, 1995).In addition, the concept is a wordor label used to explain a phenomenon or a group of phenomena. (Melies, 1991).The concept of autonomy is particular interest from health care providers exclusivelyamong health care managers because dynamism of health care setting frequently requires aspecialized response in terms of improving and supporting health care providers roles andthese roles for all time need to apply autonomy in actions. The researchers have been studiedautonomy for many years and explained it from different methodological and theoretical perspectives and described it by various disciplines; including: political science, education, psychology, sociology and nursing. Furthermore, Autonomy concept is recently used indifferent settings, such as: regional autonomy, teacher autonomy, individual autonomy, andfamily autonomy, autonomy of groups, clinical autonomy, patient's autonomy and autonomyof nurses. From reviewing the related literature of the concept in the nursing, autonomy isintangible and uncertain concept in nursing field (Chine & Kramer, 1995).Autonomy as a concept in nursing profession is confused with other concepts such as:independence, power, control, professionalism, accountability, image, responsibility,empowerment and authority. (Kathryn A., 1998).The true meaning of autonomy concept in the nursing still unclear because there is nospecific or universal definition of autonomy, the definition mainly depends on the writer  believes and the context. The purpose of this analysis paper is to describe and examine theattributes or characteristics of an autonomy concept, antecedents, consequences, and clarifythe meaning of autonomy in nursing profession to add benefits, improving nursingknowledge base and practice.
Autonomy concept
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The assumption related to analysis of autonomy concept paper is that autonomy isenviable, today most of the chief nurse officers and other health administrators havedesirability to create professional practice environment that increase the awareness of autonomy to their followers to build professionalism and improve productivity, affectivityand efficiently of quality of health care services .
 Literature review
 From the literature of autonomy, autonomy is considered to be culturally dependent(Gracia, 1993). In addition, it is difficult to be found as a separate concept since it is linkedwith other concepts, such as: professional nurse autonomy, woman's autonomy, structural or work autonomy, and attitudinal autonomy. A lot of researchers and theories of the autonomyconcept mentioned that there is a lacking to find a unified definition for autonomy (Hertz,1996). Furthermore, autonomy is a vital character for attaining professional status that existson either individual or group level (Moloney, 1992).Autonomy is a complex and multidimensional phenomenon (kipper, 1992).and it isdescribed as a “dynamic process demonstrating varying amounts of independent, self-governed, not controlled, or not subordinate behaviors and sentiments related to readiness,empowerment, actualization, and valuation for autonomous performance” (Dempster, 1994).Beauchamp & Childress (1994) stated that autonomy is one of the most important principlesthat lead ethical practice in their work on medical ethics. Biomedical ethics offer threeimportant concepts related to autonomy concept: self-governance (Beauchamp; Childress,1994; Mill, 1985), actual autonomy (Agich, 1993) and self-realization (Miller, 1981; Taylor,1991). Furthermore, health professionals recognized three dimensions of autonomy:independence, self-care, and self-determination (Proot et al., 2000a).

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