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Essay / Research Paper Abstract
A 6 page research paper that explores the concept of patient autonomy, which is a factor that impacts the theoretical basis of all areas of nursing practice, and concerns the moral and legal right of competent individuals to make decisions affecting their lives. Bibliography lists 4 sources.
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6 pages (~225 words per page)
File: D0_khpataut.rtf
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impacts the theoretical basis of all areas of nursing practice, and concerns the moral and legal right of competent individuals to make decisions affecting their lives. Therefore, health professionals
are concerned with "improving methods for the expression of their preferences and in better understanding of the familys role and experience in decision making" (Breier-Mackie, 2001, p. 510). Definition
The term "autonomy" has its basis in the Greek words auto (self) and homos (rule, legislation, or determination) (Breier-Mackie, 2001). The Greek word autonomia was used to describe city-states that
were independent of external control. In modern use, "autonomy" is defined as the "capacity to think, decide, and act on the basis of such thought and decision, unhindered and independently
without fear of reprisal" (Breier-Mackie, 2001, p. 510). However, the incapacity that accompanies injury or illness places the individual into a health care situation where others act in a paternalistic
manner that encroaches on individual autonomy. Patients who are confronted with this "autonomy/paternalism dichotomy," frequently are unable to adequately communicate their needs or desires to their doctors, either because they
are intimidated by their doctor or the doctors in charge of the individuals care lack the time to listen to patient concerns (Breier-Mackie, 2001). Nurses, on the other hand,
are ideally suited to assist patient and their families in clarifying their needs and desires, enhancing patient autonomy (Breier-Mackie, 2001). Literature Review Autonomy is most often interpreted in a
liberal manner that focuses on patient independence and self-determination. However, Van Thiel and Van Delden (2001) argue that this interpretation of autonomy is too narrow within the context of nursing
home care. This seems to be a feature of this concept, i.e. that it takes on slightly different connotations depending on the circumstances of the patient, that is, whether
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