Several factors contribute to limited autonomy in nursing:
1. Legal and Regulatory Frameworks: Nurses must adhere to specific laws and regulations that define their scope of practice. These rules are designed to ensure patient safety and standardize care but can also restrict nurses' decision-making capabilities. 2. Institutional Policies: Hospitals and healthcare facilities often have their own set of policies that nurses must follow. These policies can be rigid and prevent nurses from exercising their judgement in certain situations. 3. Medical Hierarchy: In many healthcare settings, there is a strong hierarchical structure. Physicians and other senior medical staff often have the final say, limiting nurses' ability to make independent decisions.
