Professional Autonomy in Nursing: A Concept Analysis

Abstract

Professional autonomy is critical for nursing practice and professional development. A clear understanding of the professional autonomy concept and its applications in the real world is warranted. This paper clarified the “professional autonomy in nursing” concept using Walker and Avant’s method and the PRISMA flowchart and checklist to conduct the current analysis. Five electronic databases were searched: PubMed, ScienceDirect, ProQuest, Web of Science, and CINAHL Plus with Full Text. The search yielded 21 articles on “professional autonomy in nursing” between 2019 and 2023—however, six old articles related to measurement tools or instruments. The elements that characterize “professional autonomy in nursing” fall into four categories: shared leadership, professional skills, inter- and intra-professional collaboration, and a healthy work environment. Professional autonomy in nursing is defined as the professional nurse’s competency and innovative performance to determine independent or interdependently nursing activities while conserving accountability for decisions and reflecting advocacy and caring. The consequences of the concept are positive outcomes such as high patient satisfaction with provided care, nurses’ accountability, empowerment, a sense of self-efficacy, commitment to the profession, career, and organization, as well as high quality of work. The definitions and measurements of “professional autonomy in nursing” have developed over time, which mandates a continued study and analysis of this concept. It is essential to understand the multidimensional nature of the concept in order to offer professional development programs.