Lived Experiences of Nursing Autonomy: a Phenomenological Exploration

摘要: ABSTRACT LIVED EXPERIENCES OF NURSING AUTONOMY: A PHENOMENOLOGICAL EXPLORATION by Rebekah Dubrosky The University of Wisconsin - Milwaukee, 2015 Under the Supervision Professor Mary Jo Baisch purpose this phenomenological study was to explore meaning that acute care, bedside nurses’ assign their autonomous actions. feminist critique nursing work environment applied using standpoint theory. This balanced and supplemented a post-modern Foucault’s method assessing power knowledge in relation discipline profession. designed how issues gender, knowledge, affected participants’ interpretations used qualitative, approach with an emergent design. Purposive sampling find registered nurses currently working care settings whose only form practice provision direct patient care. 10 Participants were recruited email snowball from wide variety specialty areas. Data collected three semi-structured interviews. Each participant interviewed times, which allowed for in-depth exploration autonomy, power. interviews audio-recorded then transcribed verbatim. analyzed DEDOOSETM, !ii web-based qualitative data management software program facilitate analysis data. revealed context they acted crucial autonomy. Poor nurse-physician relationships fear created negative autonomy inhibited while trust respect could flourish. For these participants meant able do right thing patients it led positive outcomes. felt gender negatively impacted physicians turn While most discussed benefits nurse empowerment had largely reactions general. understand impact on decisions nurses. It is clear environments. Developing policies improve will require we social political actions occur.