AUTONOMY

INTRODUCTION:-
It is a basic ethical principle. An autonomous person is capable of making
rational & unconstrained decisions & acting on those decisions . belief of autonomy means that
the nurse respects the clients may make a rational person or rationality .

MEANING:-
The meaning of Autonomy derived from Ancient Greek word
“Autonomos” from auto- "self" +  nomos, "law", hence when combined understood to mean "one
who gives oneself their own law ".Autonomy is also used to refer to the self-government of
the people or It's the right of self-government. It is a positive force that allows nurses to attain
goal. It is a conscious decision to identify objectives, plan strategy , assume responsibilities is to
be held accountable.

DEFINITION:-
Autonomy is defined as “the state of being self-governing.”

or

“ Autonomy also means self-directing freedom, which could mean moral independence.”

COMPONENTS:- There are two major components of Autonomy-

1. Control over Nursing Task
2. Participation in decision making

1.Control over Nursing Task:- which means

 Having the opportunity for independent thought & action .
 Having use of time , skills & ability by being able to eliminate , refuse or delegate non
nursing task .
 Having the authority & responsibility for implementing goals related to the quality of
care .
 Being able to initiate changes & innovation in practice.

2.Participation in decision making :- Which involves nurses participation in the

following-
  Determining & implementing quality standards .
 Making decision affecting each nurse’s job context including salary, staffing,
professional growth.
 Setting institutional policies , procedures & goals.

FACTORS THAT DIMINISHED INDIVIDUAL’S / PERSON’S

RATIONALITY OR AUTONOMY:-
 Fear
 Laziness
 Lack of intelligence
 Pain
 Drugs that affect reasoning ability
 Disease

PRINCIPLES THATJUSTIFY THE CONSTRAINTS ON AUTONOMY:-

 Private harm principle/ principle of private harm
 Offence principle/ principle of offence
 Principle of Public harm
 Principle of paternalism
 Principle of extreme paternalism
 Principle of social welfare / social welfare principle

Private harm principle/ principle of private harm :- This principle of autonomy

includes the “Preventing harm to others.”

Offence principle/ principle of offence:- This principle includes the “preventing offence
to other.”

Principle of Public harm:- It includes “ preventing impairments of institutional practices

that are in public interest .”It could be done by Setting institutional policies , procedures & goals.

Principle of paternalism:- It includes “Preventing Self Harm.”

Principle of extreme paternalism:-This principle includes “Providing benefits for the

person being constrained .”

Principle of social welfare / social welfare principle :- This principle of autonomy

emphasis on “Providing benefits to others or the society .” In this principle a nurse can take
decision independently for the welfare of society or the welfare for the individuals of a particular
society by giving preventive , promotive, curative & rehabilitative health care services .
 BIBLIOGRAPHY
1. BT Basvanthapa; “ Nursing Administration”; 2nd edition; published by jaypee bros. Pvt.
Ltd. ; page no. 505-506
2. Kumari Neelam; “A Text Book of Management of Nursing Services and Education”;
published by Pee Vee publishers; 1st edition; page no -365
3. Clement. I , “Management of Nursing services & Education”, Elsevier publisher; Page
no-499-501
4. TNAI, “Fundamental of nursing a procedure Mannual,” 1 st edition2005;Published by
TNAI; Page no-13
5. Kozier Barbara “Fundamental of Nursing” Published by Pearson Education Pvt.Ltd ; 7 th
edition ;Page no-11
6. www.google.com
7. www.jil.gv.jp pdf
8. www.revisionguru.co.
 SEMINAR ON
Health care environment ,economics,consfrands

SUBJECT- Advance Nursing Practice

PRESENTED TO- Mrs. Bindu K.

Lecturer, C.O.N,
DMC&H Ludhiana.

PRESENTED BY- Ms. Deepika

M.Sc (N)1st year
Roll No.- 7