Autonomy in clinical settings,the nurses are given command of their expert knowledge and experience which allowed accountability and authority to them in decision making.Nurses are autonomous and self regulating health professionals with a distinct body of knowledge and practice in administration,teaching and research. At the personal level, nurses who ‘dare’ are liberated to act, able to think independently and with control over their decisions. . As one participant put it, ‘there are no standards or routines to follow’ (Skår 2010, p. 6). But there are also restrictions on their efforts to be autonomous; these restrictions are on their ability to make decisions about their course of action and to act on those decisions in unfamiliar clinical situations. For nurses they include legislation, policies and codes of conduct such as in the United Kingdom where the Code (NMC, 2008) governs nursing practice through standards for conduct, performance and ethics