International Journal of Advances in Nursing Management
  • Year: 2024
  • Volume: 12
  • Issue: 4

Bridging the gap: Redefining authority and autonomy in modern nursing

Tutor, M.Sc. in Obstetrics and Gynaecological Nursing, College of Nursing, All India Institute of Medical Sciences, Patna, Bihar, India

*Corresponding Author E-mail: koteswaridevarakonda@gmail.com

Online published on 16 May, 2025.

Abstract

This article explores the relationship between authority and autonomy in modern nursing, emphasizing the importance of a balanced approach to empower nurses and improve patient care outcomes. The evolving healthcare landscape has seen a shift from hierarchical models towards collaborative care, where nursing autonomy plays a central role. However, the authority gradient continues to influence decision-making, limiting the full potential of nurses. This review examines historical perspectives, current practices, and future directions to bridge the gap between authority and autonomy in nursing. Strategies to foster nursing autonomy are discussed, along with the impact of these changes on patient care and professional development.

Keywords

Nursing autonomy, Authority gradient, Healthcare collaboration, Nurse empowerment, Patient care, Nursing leadership