Patient autonomy is a core nursing value. Even in the ICU during mechanical ventilation, we should be fighting to keep patients awake, cognitively, and physically intact and have access to means of nonverbal communication in order to preserve their autonomy.

During healthcare simulation activities, incorporating both communication and clinical skill objectives, develops a culture of therapeutic alliance which by default incorporates respect for patient autonomy. For example, having a standard objective of gaining patient perspective and involvement in care planning, then anchoring that objective in the debrief plan, will assist clinicians to understand the importance of patient autonomy and the power which it holds in cultivating patient centered care.

Start by fostering psychological safety, create an environment where patients feel comfortable expressing their concerns and preferences without hesitation. Leverage cognitive diversity by encouraging healthcare teams to listen to patients’ unique perspectives, empowering them to participate in decision-making. Stay motivated by reminding your team that patient autonomy isn’t just a nice-to-have, it leads to better outcomes and stronger patient-provider relationships. When you champion patients' voices, you don’t just provide care, you become their advocate, ensuring they are active participants in their own health journey.

In healthcare, patient voices must be at the center of every decision. Too often, patients feel unheard, leading to a disconnect between care and individual needs. Advocacy starts with listening. Truly understanding their concerns, preferences, and values. When we prioritise patient autonomy, we empower them to take an active role in their own healthcare journey, creating trust and improving outcomes. It's time to move beyond treating symptoms and prioritise the person behind the diagnosis.

"Educate patients on the details of their care options" means different things for different people, depending on their education and level of discomfort. Their appetite for being educated often change as we "travel" through the life of being a patient and a social being. Take prescribing drugs: Severe medication hypersensitivity can be life-threatening and should be carefully investigated to identify the specific medication and other environmental factors that could cause similar reactions. Once developed, broad medication hypersensitivity persists for life, requiring careful assessment of all medications. If you have medication hypersensitivity, always consult with an expert pharmacist before starting a new medication.