The concept describes the capacity of nurses to independently make professional judgments and decisions within their scope of practice. It encompasses the right to self-governance in clinical practice, enabling nurses to act on their knowledge and skills to provide optimal patient care. An instance of this is a registered nurse evaluating a patient’s condition, determining the appropriate nursing interventions, and implementing those interventions without needing direct orders for every action, based on their professional assessment.
This capacity is vital for fostering job satisfaction, enhancing nurse retention rates, and ultimately improving patient outcomes. Historically, the evolution of the nursing profession has seen a gradual increase in the level of independence granted to nurses. This progression acknowledges the expanding body of knowledge and expertise that nurses possess, recognizing their contribution as essential partners in the healthcare team. Increased levels of independence often translate to greater accountability, which in turn promotes professional growth and development.