Abstract
Nurses are often encouraged to work to their fullest potential, including exercising clinical autonomy--a factor known to decrease morbidity and mortality. Nonetheless, nurses endure historical, societal, and professional barriers to be respected and independent. In the intensive care unit (ICU), critically ill, often unstable patients require nurses to respond quickly and adapt to each unique situation, which may mean migrating outside of formal rules, norms, and policies, or "rule-bending." However, as inherent subordinates of hospital administrators and physicians, rule-bending, no matter how well-intended, necessary, or benign, often cause nurses to function in a grey zone of vulnerability and risk.
I sought to explore how ICU nurses conceive of personal and professional risk when exercising clinical autonomy at the bedside.
Sigma Membership
Non-member
Type
Dissertation
Format Type
Text-based Document
Study Design/Type
Grounded Theory
Research Approach
Qualitative Research
Keywords:
Clinical Autonomy, Quality of Care, Rule-Bending, Professional Challenges
Advisor
Ester Apesoa-Varano
Second Advisor
Jodie C. Gary
Third Advisor
Donald A. Palmer
Degree
PhD
Degree Grantor
University of California, Davis
Degree Year
2020
Recommended Citation
Randall, William Albert, "How intensive care unit nurses conceive of personal and professional risk when exercising clinical autonomy" (2022). Dissertations. 1025.
https://www.sigmarepository.org/dissertations/1025
Rights Holder
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All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Review Type
None: Degree-based Submission
Acquisition
Proxy-submission
Date of Issue
2022-03-16
Full Text of Presentation
wf_yes
Description
This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 27996874; ProQuest document ID: 2442640277. The author still retains copyright.