背景:護理人員比其他醫療人員花更多的時間與病人相處，最能瞭解病人對治療選擇的意向。護理人員必須具有病人自主的概念，才能在臨床實務上提供相關的資訊，在充分的知情同意後讓病人自己做決定。
目的:瞭解護理人員的護理經驗與其對病人自主態度的關係與現況。
方法:採橫斷式相關性研究，運用三部份的結構式問卷與簡單隨機抽樣來測量護理人員對病人自主的態度，量表包含收案對象的基本屬性、病人自主態度的四個面向（知情同意、行動自主、具有選擇、自我決策）與知情同意過程的經驗。樣本來自南部某醫學中心同意參與本研究的258位內、外科病房護理人員。
結果:護理人員平均為30.65歲、護理年資9.03年、工作年資6.41年、96.9%有約束病人的經驗。顯示⑴護理人員對病人自主態度平均得分3.22 ± 0.29（得分由1－ 4）。⑵四個面向以知情同意得分最高、行動自主與自我決策次之、具有選擇較低。⑶護理人員的年齡、婚姻狀況、職級與其對病人自主態度有顯著差異，年齡大、已婚且職級高的護理人員對病人自主的態度越正向。⑷護理人員的門診、住院就醫經驗、約束病人的經驗與其對病人自主態度無顯著差異；但護理人員的知情同意經驗與其對病人自主態度呈正相關。
結論:年紀大、已婚與資深的護理人員比較瞭解病人自主，曾經也是病人的護理人員會更重視照護過程的知情同意。期望藉研究結果提升醫事人員對病人自主的認識，充分提供治療相關的資訊，瞭解病人治療意向與尊重其決定。

Background: Nurses generally spend more time with their patients than other healthcare providers and have a greater understanding of their patients’ treatment options. Nurses must understand the concept of patient autonomy to provide relevant information and fully informed consent for patients to make their own decisions in clinical practices.

Purpose: The purpose of this study was to investigate the relationship between nursing experience and patient autonomy attitudes.

Methods: A cross-sectional correlation study and a three-part structural questionnaire were used with simple random sampling methods to investigate respondent attitudes toward patient autonomy. The written questionnaire was divided into three parts: relevant personal data; patient autonomy attitudes along the four dimensions of informed consent, autonomy of action, health care choices and decision-making; and informed consent experience. Study participants were all from a medical center in Southern Taiwan and agreed to participate in this research. The participant group included a total of 258 medical and surgical nurses.

Results: Average participant age was 30.65 years. Most were educated above the junior college level. They were employed in their current positions for an average of 6.41 years. Participants had an average of 9.03 years experience, and 96.9% of participants had experience using patient restraint. Results found a mean patient autonomy attitude scores of 3.22 ± 0.29 (on a scale from 1-4), with informed consent higher than autonomy of action, followed by decision making and healthcare choices. A positive relationship was found between participant age, marital status and nursing position and patient autonomy attitudes. Nurses’ outpatient, admission and restraint experience did not influence patient autonomy
attitudes, but the experience of informed consent was found to have a positive relationship with patient autonomy attitudes.

Conclusions / Implications for Practice: Experienced senior nurses, married nurses and nurses who have previously been patients have a better understanding of patient autonomy and informed consent. This study should provide medical care personnel with a greater knowledge of patient autonomy and assist with providing accurate treatment information while respecting the patient decision-making process.