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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 .
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).