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Centre for Policy on Ageing | |
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| Autonomy and the relationship between nurses and older people | | Author(s) | Brendan McCormack |
| Journal title | Ageing and Society, vol 21, part 4, July 2001 |
| Pages | pp 417-446 |
| Keywords | Nurses ; Communication ; Patients ; Consumer choice ; Rights [elderly] ; Social surveys. |
| Annotation | Autonomy is considered to be one of the central ethical principles of health care practice, and as such, is a significantly relevant concept for health care practitioners. With the many political and ideological drivers that challenge the way health care for older people is currently delivered, it is important to consider how older people's autonomy is facilitated in everyday practice. In this paper, the dominant understanding of autonomy as "individualism" is challenged. Through research undertaken with nurses who work with older people, the author identifies the conflicts that arise between an individualistic understanding of autonomy set alongside an emphasis on "person-centred" practice. A total of 14 case studies were recorded. The data was analysed using principles of conversation analysis and thematic analysis set within a hermeneutic interpretive framework. The paper ends with a discussion of an alternative view of autonomy based on "inter-connectedness" in the nurse-patient relationship. This perspective is not based on either the patient or nurse being the final arbiter of decisions, but is instead set within a framework of negotiation. (KJ/RH). |
| Accession Number | CPA-020104203 A |
| Classmark | QTE: U: LF: WYC: IKR: 3F |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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