Question

How can barriers of the past be broken down to allow nurses to have the opportunity to provide autonomous and accountable patient care? What type of leadership would be important to facilitate this movement?

Answer 1

Nurses have the opportunity for decision making in Patient's health care and interventions. It is achieved by defined the role of the nurse clearly and their roles and responsibilities. Their independent decision is improved first in the primary care setting where the nurses are allowed to take functional decisions in the ward. Secondly, the nurse's education has given more important for knowledge-based theory and scope of practice. This had given more autonomy and self-respect to the nurses. The liberal education and multidimensional concept are introduced in nursing education. Thirdly, the management has delegated opportunities and more scope for their practice to remove the barriers and protected them legally. State and federal legal laws, rules and licensed provided more opportunity to broke down the barriers and to work as autonomous and accountable patient care.

The leadership should provide optimum health environment for nurses to work as autonomous. The leader should make visibility in policymaking. Make long-term strategies for nurse's vision. Provide wide opportunities for nurses and addresses the issues. The Leader should facilitate both the teamwork and individual's autonomous practice. The leader should be skilled by encouraging the staff in applying of theory into practice. Leadership behavior should have a great impact on individual professional practice. Nurse leader should promote a positive outcome for nursing practice.