title: Expanded nurse autonomy. Models for small rural hospitals.
abstract: Individual nurse autonomy in hospital settings seems an elusive goal. Models for increasing autonomy appear to have bypassed many small rural hospitals. The power and politics model of organizations helps describe impediments to and opportunities for power that can support autonomous practice. Expanded clinical ladders and modified shared governance are offered as models that can increase nurse autonomy in small rural hospitals that lack the human resources of large urban centers.
authors.affiliation: Eastern Mennonite College, Harrisonburg, Virginia.
authors.forename: A G
authors.initials: AG
authors.lastname: Wiens
mesh_terms: D002322:Career Mobility; D005639:Frustration; D006780:Hospitals, Rural / Q000458:organization & administration*; D006801:Humans; D016294:Models, Nursing; D015401:Nursing Administration Research; D009741:Nursing Staff, Hospital / Q000458:organization & administration*; D011057:Politics; D011209:Power, Psychological; D012924:Social Conditions; D000078329:Workforce