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Results for “Professional Autonomy”

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PubMed1988

Professional autonomy and ethical decision making among graduate and undergraduate nursing majors.

The purpose of this study was to determine differences in perceptions of ethical dilemmas and attitudes toward autonomy among four groups of nursing students. A randomly selected sample (n = 130) of students enrolled in associate degree, generic baccalaureate, degree completion, and master's study completed the Judgments About Nursing Decisions (JAND), the Nursing Autonomy and Patient's Rights Scale (NAPRS), and a demographic data sheet. Using one-way analysis of variance procedures, significant differences were found among groups on autonomy, patients' rights, and rejection of traditional role limitations. No significant differences were found on perceptions of idealistic and realistic moral behavior. Additional analysis produced significant findings when student groups were compared by age, RN status, and participation in ethics courses and seminars. Lack of significant differences on perceptions of ethical dilemmas may have resulted from the relatively low level of reliability of the JAND with the groups studied. Differences in attitudes are attributed to experience as a registered nurse, participation in an educational offering, and exposure to the bureaucratic environment of the health-care system.

Adult↗
PubMed1990

Self-certification in lay midwives' organizations: a vehicle for professional autonomy.

The recent resurgence of lay midwifery in the United States has been intimately connected with the establishment of grassroots organizations which address women's health issues and make the reappearance of the lay midwife a different kind of phenomenon than was the case earlier in this century. This paper describes the organizational structure of 32 lay midwives' organizations and compares them to a model of alternative women's health groups as well as more traditional health professional organizations. Are lay midwives' groups the beginnings of new professional organizations which eventually will become part of the dominant system or do they model themselves more closely after alternative women's health groups? Voluntary self-certification in five lay midwives' groups is described in detail as a means of determining how a group handles the question of integration with or separation from the existing medical care system. Certification plays a critical role in promoting acceptance and credibility of midwifery practice and is seen increasingly as a mechanism to preempt regulation by another body.

Age Factors↗
PubMed1991

Professional autonomy and ethical decision-making among graduate and undergraduate nursing majors: a replication.

The purpose of this study was to validate the findings of a previous investigation of differences in perceptions of idealistic and realistic moral behavior and attitudes toward autonomy, patients' rights, and traditional role limitations among four groups of nursing students. A sample of 147 associate, generic baccalaureate, degree completion, and master's students anonymously completed the Judgments About Nursing Decisions (JAND) and the Nursing Autonomy and Patient Rights Scale (NAPRS). Only three findings from the original study were validated: that both age and ethics education have effects on attitudes toward autonomy as measured by the NAPRS and that, overall, there is a consistent lack of significant findings on JAND scores among groups studied.

Adult↗