title: Responsibility and autonomous nursing practice.
abstract: In this paper, the consequences were there greater autonomy in nursing practice, are considered. Autonomous practice implies accountability which entails both personal and professional responsibility: a personal responsibility to endorse ethical conduct consistent with professional practice; and a professional responsibility to exercise discretionary powers to the ultimate benefit of the patient. In this context, discretionary responsibility implies: recognizing a patient's wants may not be consistent with a patient's needs; abstaining from collusion with noncompliant patients; supporting the patient's right to refuse treatment only after full psychological exploration; understanding the psychological ramifications of informed consent from a practitioner and recipient point of view; maintaining appropriate personal and professional boundaries; and fostering collegiate relationships with the medical fraternity grounded on egalitarian principles. The author provides a philosophical and psychological analysis of responsibility in an effort to achieve a deeper understanding of the relationship this has with the concepts of 'freedom' and 'accountability'.
authors.affiliation: School of Nursing Studies, University of Tasmania, Launceston, Australia.
authors.forename: R J
authors.initials: RJ
authors.lastname: Holden
mesh_terms: D002755:Choice Behavior; D003071:Cognition; D003242:Conscience; D003657:Decision Making; D004993:Ethics, Nursing; D005086:Existentialism; D006801:Humans; D007389:Internal-External Control; D009014:Morals; D009726:Nurses / Q000523:psychology*; D011209:Power, Psychological; D011364:Professional Practice / Q000592:standards*