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Concept analysis: patient autonomy in a caring context
Blekinge Institute of Technology ; Lund University.
Blekinge Institute of Technology.
Lund University.
Blekinge Institute of Technology ; Malmö University.
2014 (English)In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 70, no 10, p. 2208-2221Article in journal (Refereed) Published
Abstract [en]

Aim

This paper is a report of an analysis of the concept of patient autonomy.

Background

Many problems regarding patient autonomy in healthcare contexts derive from the patient's dependent condition as well as the traditional authoritarian position of healthcare professionals. Existing knowledge and experience reveal a lack of consensus among nurses regarding the meaning of this ethical concept.

Design

Concept

Analysis.

Data sources

Medline, CINAHL, The Cochrane Library and PsycINFO were searched (2005-June 2013) using the search blocks 'autonomy', 'patient' and 'nursing/caring'. A total of 41 articles were retrieved.

Review Methods

The Evolutionary Method of Concept Analysis by Rodgers was used to identify and construct the meaning of the concept of patient autonomy in a caring context.

Results

Five attributes were identified, thus creating the following descriptive definition: 'Patient autonomy is a gradual, time-changing process of (re-)constructing autonomy through the interplay of to be seen as a person, the capacity to act and the obligation to take responsibility for one’s actions’'. Patient vulnerability was shown to be the antecedent of patient autonomy and arises due to an impairment of a person's physical and/or mental state. The consequences of patient autonomy were discussed in relation to preserving control and freedom.

Conclusion

Patient autonomy in a caring context does not need to be the same before, during and after a care episode. A tentative model has been constructed, thus extending the understanding of this ethical concept in a caring context.

Place, publisher, year, edition, pages
John Wiley & Sons, 2014. Vol. 70, no 10, p. 2208-2221
Keywords [en]
Caring, Concept analysis, Nurses, Nursing, Patient autonomy
National Category
Nursing
Identifiers
URN: urn:nbn:se:lnu:diva-71991DOI: 10.1111/jan.12412ISI: 000342986100005OAI: oai:DiVA.org:lnu-71991DiVA, id: diva2:1194822
Available from: 2018-04-03 Created: 2018-04-03 Last updated: 2018-04-20Bibliographically approved

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CiteExportLink to record
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