Understanding nurse practitioner autonomy

被引:30
|
作者
Weiland, Sandra A. [1 ,2 ]
机构
[1] Tricty Family Hlth Clin, Wapanucka, OK USA
[2] Texas Womans Univ, Coll Nursing, Denton, TX 76204 USA
关键词
Hermeneutics; autonomy; NP practice; physician; healthcare system; hierarchy; collaboration; self-reliance; relationships; self-empowerment; COLLABORATION;
D O I
10.1002/2327-6924.12120
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
PurposeThis Gadamerian hermeneutic study was undertaken to understand the meaning of autonomy as interpreted by nurse practitioners (NPs) through their lived experiences of everyday practice in primary health care. Data sourcesA purposive sample of nine NPs practicing in primary health care was used. Network sampling achieved a broad swath of primary care NPs and practice settings. Data were collected by face-to-face interviews. Because NP autonomy is concerned with gender and marginalization, Gilligan's feminist perspective was utilized during interpretive analysis. ConclusionsHaving Genuine NP Practice was the major theme, reflecting the participants' overall meaning of their autonomy. Practicing alone with the patient provided the context within which participants shaped the meaning of Having Genuine NP Practice. Having Genuine NP Practice had four subthemes: relationships, self-reliance, self-empowerment, and defending the NP role. Implications for practiceThe understanding of Having Genuine NP Practice will enable NPs to articulate their autonomy clearly and better influence healthcare reform. Implications for advanced practice nursing education include integrating findings into classroom discussion to prompt self-reflection of what autonomy means and socialization to the NP role.
引用
收藏
页码:95 / 104
页数:10
相关论文
共 50 条
  • [41] Trans-Atlantic collaboration to establish a nurse practitioner-program in Switzerland
    Zumstein-Shaha, Maya
    Eissler, Christian
    Stamp, Kelly D. C.
    NURSE EDUCATION TODAY, 2025, 146
  • [42] Hospital-based nurse practitioner roles and interprofessional practice: A scoping review
    Hurlock-Chorostecki, Christina
    Forchuk, Cheryl
    Orchard, Carole
    van Soeren, Mary
    Reeves, Scott
    NURSING & HEALTH SCIENCES, 2014, 16 (03) : 403 - 410
  • [43] The journey: Legislative autonomy for nurse practitioners in Jamaica
    McGrath, Heather
    JOURNAL OF THE AMERICAN ASSOCIATION OF NURSE PRACTITIONERS, 2024, 36 (11) : 599 - 600
  • [44] Nurses' autonomy: influence of nurse managers' actions
    Mrayyan, MT
    JOURNAL OF ADVANCED NURSING, 2004, 45 (03) : 326 - 336
  • [45] Autonomy Levels and Professional Attitudes of Nurse Educators
    Turk, Gulengun
    Karagozoglu, Serife
    Adana, Filiz
    Ulku, Hilal Hatice
    FLORENCE NIGHTINGALE JOURNAL OF NURSING, 2021, 29 (01): : 22 - 29
  • [46] Level of autonomy of primary care nurse practitioners
    Bahadori, Alex
    Fitzpatrick, Joyce J.
    JOURNAL OF THE AMERICAN ACADEMY OF NURSE PRACTITIONERS, 2009, 21 (09): : 513 - 519
  • [47] Understanding Autonomy: An Urgent Intervention
    Reis-Dennis, Samuel
    JOURNAL OF LAW AND THE BIOSCIENCES, 2020, 7 (01):
  • [48] Exploration of nurse practitioner practice with clients who are grieving
    White, Patricia
    Ferszt, Ginette
    JOURNAL OF THE AMERICAN ACADEMY OF NURSE PRACTITIONERS, 2009, 21 (04): : 231 - 240
  • [49] Models of mental health nurse-general practitioner liaison: promoting continuity of care
    McCann, TV
    Baker, H
    JOURNAL OF ADVANCED NURSING, 2003, 41 (05) : 471 - 479
  • [50] Improving Nurse Practitioner Practice Readiness in an Interprofessional Student-Run Free Clinic
    Shakoor, Kelly
    Boelens, Laurel
    Yingling, Charles
    JNP- THE JOURNAL FOR NURSE PRACTITIONERS, 2023, 19 (07):