Abstract
Paternalism is the term that describes that the healthcare professional has a dominant role in healthcare and determines what is best for the patient. Autonomy is the term that describes the emphasis on the patient who takes (health-related) decisions, or at least for specific (partial) decisions.
Autonomy provides tools to participate in care, to make decisions, to provide input and to develop patient management and self-management. Autonomy is about building a collaborative relationship with the patient within patient-centered care delivery. Patient empowerment can boost autonomy and self-confidence.
In patients whose autonomy is limited, patient satisfaction with the care experienced by the patient decreases, especially when routine care is involved. This in turn has a negative impact on quality of life.
Self-regulation influences in a broad sense how the patient deals with illness and health. It is desirable for patients to take control of their health.
Both patient-centered care and shared decision-making place high ethical demands on health professionals. Inner and outer moral distress often cause problems for health care professionals.
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Sassen, B. (2023). Nursing and Autonomy and Self-Direction. In: Improving Person-Centered Innovation of Nursing Care. Springer, Cham. https://doi.org/10.1007/978-3-031-35048-1_15
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DOI: https://doi.org/10.1007/978-3-031-35048-1_15
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