Client Autonomy and Nursing

Paper Summary:

This paper explains that nurses involved in community nursing often face ethical and practical dilemmas, particularly with regard to the issue of patient autonomy. It also discusses how community practice differs for nurses in a more formal settings in that there are many complex variables that can intervene in nursing care.

From the Paper:

"Examples of this complexity are cases where access is refused by the client, even when the client is in need of urgent assistance. This presents an acute problem on an ethical level for the community nurse. As Stulginski (1993) points out. "The nurse may be the deliverer of care, but the setting is borrowed and every interaction is negotiated with respect to this." (Stulginski, 1993, p.405) Refusal of entry is only one of the issues that a community nurse might face. In essence the problems that the community nurse faces are often of an ethical nature and need careful consideration. These may include the following examples of some scenarios that community nurses sometimes face."

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