Nurse-Patient Relationship and Patient Autonomy in Decision-Making

Subject: Nursing
Pages: 3
Words: 925
Reading time:
4 min
Study level: College


The purpose of this report is to evaluate the article “Impact of Nurse-Patient Relationship on Quality of Care and Patient Autonomy in Decision-Making” written by Jesús Molina-Mula and Julia Gallo-Estrad. In this paper, the author analyzes the nurse-patient relationship in order to examine its impact on clinical practice. The writers also discuss the effects on quality of care and patients’ ability to make decisions. Significantly, a phenomenological and qualitative study was conducted, and the paper uses thirteen interviews. The research suggests an equal distribution of power, allowing patients to produce their own health decisions with the advice of health care professionals. Thus, this paper is significant in assessing the information. Evaluation will be conducted based on criteria such as authors and source, aim and audience, evidence, and conclusion.

Authors and Source

Jesús Molina-Mula is a Doctor of Universitat de les Illes Balears. He has an RN. and Bachelor of Science in Documentation, Master of Research Methodology in Health Sciences. The author received a six-year research period accredited by the National Commission for the Evaluation of Research Activities (CNEAI) (Molina-Mula & Gallo-Estrada, 2020). Thus, he has fundamental theoretical and practical knowledge in the field of investigation. Jesús Molina-Mula is the author of more than 8 complete books and over 50 sections of professional and research books related to health care. At the same time, many of these articles deal with patient care issues. Significantly, he received the International Outlanding Reviewer 2020 Award from Healthcare magazine in 2021 (Molina-Mula & Gallo-Estrada, 2020). Another author is Julia Gallo Estrada, who is employed at the Nursing and Physiotherapy Department, Universitat de les Illes Balears. Her research interests are in the field of nursing and patient care (Molina-Mula & Gallo-Estrada, 2020). Therefore, her contribution to the writing of this article is extremely beneficial and weighty from a practical point of view.

It is specifically significant that her field of studies also relates to the care of the elderly. This leads one to assert that she understands the peculiarities of nursing care. It is also essential to characterize the publication; it is an international journal of environmental research and public health. This is an interdisciplinary journal with open access and publishing articles once every six months, ensuring the publication of quality material. The journal focuses on the sciences of environment and engineering, public health, and environmental hygiene. At the same time, the original articles of critical reviews research notes are published, which enable to assert that the material is based on various scientific thoughts and practical evidence (Molina-Mula & Gallo-Estrada, 2020). Thus, it appropriately covers a variety of controversial issues in the field of health care. This ensures the validity and reliability of the published data.

Purpose and Audience

The article aims to determine the ways in which the nurse-patient relationship can influence the patient’s ability to make their own decisions. At the same time, the study considers many other factors, such as interprofessional relationships, the health care institution, and models of nursing care. It also focuses on the role of the patient and health care provider to determine what type of relationship is most appropriate to ensure the person’s well-being. Thus, the paper aims to provide readers with information about the different kinds and concepts of professional relationships between patients and nurses (Molina-Mula & Gallo-Estrada, 2020). It is also a fundamental goal to analyze the factors that influence trusting relationships between them and explore the implications for clinical practice.

It is essential to point out that the article does not specify an audience, but from the title, it can be assumed that the target audience is nurses. This is because they need to create an atmosphere of trust and understanding with the client to help them make healthy decisions (Molina-Mula & Gallo-Estrada, 2020). Considering that the article is available to the public, it can also be read by medical students, patients, and anyone else interested in the issue.


To provide an evidence-based argument, the article used discursive data analysis. Thus, nurses’ records were examined to assess the actual situation in practice. The research also included notes from different categories of nurses to ensure validity, both experienced and temporary staff. It is also necessary to refer to the interviews conducted with the nurses, which were required to explain their records and compare the outcome. In this way, readers can be confident that they received credible and reliable data. From this, it can be argued that health care nurses want to work with passive patients (Molina-Mula & Gallo-Estrada, 2020).. The record indicates that nurses continually justify any decision about care for the patient’s benefit in consideration of scientific facts and health conditions. Therefore, these facts suggest that the patient’s opinion is not the highest priority. Although there was also data cited that asserted that where medical staff and nurses had established trust, they could negotiate a treatment decision. Hence, the article’s evidence may be considered sufficient to support the analysis.


Thus, the article effectively informs the audience about the role of the nurse and the patient in making important decisions about the patient’s health and treatment. The authors have considered different concepts and provided evidence with a different orientation. This proves that they did not bias their research on a problematic issue. At the same time, although the reader is not explicitly defined in the article, it is clear who the potential audience is. This information is significant because it is gathered from nursing practice and can be applied to clinician education that will focus on collaboration with patients.


Molina-Mula, J., & Gallo-Estrada, J. (2020). Impact of nurse-patient relationship on quality of care and patient autonomy in decision-making. International journal of environmental research and public health, 17(3), 835.