Focus on autonomy

Abstract

Current nursing literature documents the benefits of nurse autonomy with evidence of increased job satisfaction. Health care organizations can support autonomous behavior through empowerment. This article reports how one hospital is responding to nurses' requests for empowerment. The request to focus the nursing division's efforts to enable an innovative empowered staff was initiated during an annual planning session with clinical and administrative staff participation. The first phase of the project involved baseline measurements of autonomy and strategic planning for empowerment through education and leadership modeling. Initial autonomy studies were conducted in 1994 and will be repeated at 18, 36, and 48 months.