I am confused by the wording of this question.
Sorry, I put the answers in and thought I could go back and rephrase them, but I couldn't.
Maybe I can clarify.
We nurses always talk about how important it is to have autonomy. But most of the nursing issues that we complain about today represent the reality
that we do not, in fact, have autonomy over our practice--we must
take that extra admission, we can't
staff for acuity, we have to continually work in unsafe conditions where we feel our patients' lives are in jeopardy.
This is the kind of autonomy I mean.
We can actually do the work of nursing within our scope of practice, but as employees, our scope has become more and more limited over the years. We have to accept whatever decisions TPTB make, and we have no voice in this workplace of today.
Compared to the nurses of yesterday, who took a private patient and had much more control over their care, we have very little autonomy.
Maybe I'm wrong, but a great number of our profession's ills is clearly stemming from this powerlessness over our own practice, which I see as a loss of autonomy.
Do you agree or disagree and why?