Ballou K A
University of Missouri-Kansas City, School of Nursing 64108, USA.
J Prof Nurs. 1998 Mar-Apr;14(2):102-10. doi: 10.1016/s8755-7223(98)80038-0.
The nursing profession places a high value on the acquisition of autonomy as a requisite for professional status. Although the literature is replete with studies that examine autonomy and nurses, methods and results often are inconsistent and inconclusive. Review of the literature reveals ambiguous or absent definitions of autonomy. Nursing commonly confuses autonomy with related concepts such as authority, accountability, power, professionalism, and independence. A concept analysis of autonomy is done using Walker and Avant's modification of Wilson's analysis procedure. This highly abstract concept emerges as a discrete, empirically definable term referring to a potential human quality in an existing state. The analysis includes antecedents, consequences, defining attributes, model and borderline cases, and empirical referents.
护理行业高度重视获得自主权,将其视为专业地位的必要条件。尽管文献中充斥着关于自主权与护士的研究,但研究方法和结果往往不一致且无定论。对文献的回顾显示,自主权的定义模糊或缺失。护理领域常常将自主权与权威、问责制、权力、专业性和独立性等相关概念混为一谈。运用沃克和阿万特对威尔逊分析程序的改进方法,对自主权进行了概念分析。这个高度抽象的概念呈现为一个离散的、可通过实证定义的术语,指的是现存状态下人类的一种潜在品质。该分析包括前因、后果、定义属性、模型和临界案例以及实证参照。