Strategies for Enhancing Autonomy and Control Over Nursing Practice

Marla J. Weston, PhD, RN


Online J Issues Nurs. 2010;15(1) 

In This Article


The publication of the original research on Magnet hospitals concluded with a section on the overarching importance of autonomy and CONP (McClure, Poulin, Sovie, & Wandelt, 1983). Inherent in autonomy and CONP is nurse power—not power to dominate, but power to contribute uniquely nursing knowledge and expertise to patients and the organization. This power both enriches the practice of nursing and positively impacts the quality of patient care. Establishing strong structures and processes to enhance nurse autonomy and CONP provides for the engagement, inclusion, and ownership of nurses over their clinical practice, and thereby enhances the health of the work environment.


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