Autonomy refers to self-governance and independence in decision-making. It includes the ability to decide freely and independently as well as having the power to put those decisions into action. The components of autonomy are the ability to decide and respect for the autonomy of others. Factors like fear, lack of intelligence, pain, and drugs can diminish a person's autonomy. In nursing, respecting autonomy means recognizing each individual's uniqueness and right to make their own choices about personal goals and care.

1. Moderater to- Mrs. Bindu k
Lect. DMCH
Presented By –
Deepika

2.  It is a basic ethical principle. An
autonomous person is capable of making
rational decisions & acting on those
decisions . It is a positive force that allows
nurses to attain goal. Autonomy is also used
to refer to the self-government of the people
in decision making & practice .

3.  The meaning of Autonomy derived from
Ancient Greek word “Autonomous” in which
“Auto” means “Self” & “Nomos” means
“Law”, hence when combined understood to
mean "one who gives oneself their own law".
Autonomy essentially means independence &
ability to be self directed . In health care , it has
come to mean a self directing freedom & moral
independence in which an individual is free to
choose & implement his or her own decision.

4.  Autonomy is defined as “the state
of being self-governing.”
or
 “Autonomy also means self-
directing freedom, which could
mean moral independence.”

5. Control over Nursing Task
Participation in decision making

6. Having the opportunity for independent
thought & action .
Having the authority & responsibility for
implementing goals related to the quality of
care.
Being able to initiate changes & innovation in
practice.

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

8. The ability to
decide
A respect for
the individual
autonomy of
others
The power to
act upon
decisions

9. FACTORS
Fear
Lack of
intellig
ence
Pain
Drugs
that affect
reasoning
ability
Disease

10. 1.
• Principle of paternalism
2.
• Principle of extreme paternalism
3.
• Principle of social welfare / social welfare principle

11.  It includes “Preventing Self Harm.”
E.g- when a client must be involuntarily
hospitalized , such as in the case of
mentally ill person who is disoriented & is
danger to himself or herself.

12.  This principle includes “Providing benefits
for the person being constrained .”
In this a nurse must take those
decisions which provides benefits to the
client or which are beneficial for the
patients & promote their health by giving
quality of care.

13.  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 .

14. In nursing, Respect for autonomy means that nurses recognize
the individual’s uniqueness, the right to be what that person is,
and the right to choose personal goals. It includes-
 Nurses who follow the principle of autonomy respect a client's
right to make decisions.
 Respect for people also means treating others with
consideration (carefully) & give quality of care independently
 Patients should give informed consent before tests and
procedures are carried out.
 Nurse must respect the patient’s rights, dignity without any
discrimination.
 Nurse must maintain privacy &confidentiality

15.  Autonomy includes the freedom to act on the binding
decisions the nurse makes. The nurse does not need
to obtain permission from others to carry out actions
she has decided on. Instead, the nurse’s education has
prepared her to enact the decisions.
For example, a nurse can decide to
initiate an educational teaching plan with a new
mother who is trying to initiate breast her newborn
but who is not being consistently successful. No one
needs to give the nurse permission to do this
education with the mother.

16.  “A study was conducted to measure the
importance & satisfaction associated
with twenty –one job characteristics .
Special attention was given to aspects
of the faculty role as related to
professional autonomy.”

17.  The study confirmed that faculty members
regards professional autonomy & the freedom to
be self directed as more important than the
extrinsic or material rewards of their position .
 Increased faculty moral, productivity & retention
of qualified faculty members occur only when
faculty function autonomously.

18.  Autonomy means that one’s reasonably
independent & self governing in decision
making . Through clinical competence &
greater educational preparation , however
nurses are increasingly taking an independent
roles in nurse run clinic , collaborative
practice. The registered nurse is responsible
for designing roles , standards & nursing care
activities independently.

19. Today we have discussed about –
 Introduction
 Meaning
 Definition
 Components
 Features
 Factors
 Principles
 Autonomy in nursing
 Research Study

20.  1. Autonomy means……………..
 2. ………..&…………… are the components of
Autonomy
 3. principle of Paternalism includes………………
 4……………&…………. Factors that diminished
Autonomy.

21.  BT Basvanthapa; “ Nursing Administration”; 2nd edition; published
by jaypee bros. Pvt. Ltd. ; page no. 505-506
 Kumari Neelam; “A Text Book of Management of Nursing Services
and Education”; published by Pee Vee publishers; 1st edition; page
no -365
 Clement. I , “Management of Nursing services & Education”,
Elsevier publisher; Page no-499-501
 TNAI, “Fundamental of nursing a procedure Mannual,” 1st
edition2005;Published by TNAI; Page no-13
 Kozier Barbara “Fundamental of Nursing” Published by Pearson
Education Pvt.Ltd ; 7th edition ;Page no-11
 www.google.com
 www.jil.gv.jp pdf
 www.revisionguru.co.