Nurse managers' perceptions of nurses' professional autonomy-A qualitative interview study.
content analysis
leadership
nurse
nurse manager
professional autonomy
Journal
Journal of advanced nursing
ISSN: 1365-2648
Titre abrégé: J Adv Nurs
Pays: England
ID NLM: 7609811
Informations de publication
Date de publication:
Dec 2023
Dec 2023
Historique:
revised:
29
05
2023
received:
23
03
2023
accepted:
09
06
2023
medline:
10
11
2023
pubmed:
19
6
2023
entrez:
19
6
2023
Statut:
ppublish
Résumé
To describe nurse managers' perceptions of nurses' professional autonomy in hospitals and their role in promoting it. A qualitative descriptive approach. Fifteen nurse managers participated in semi-structured focus group interviews in two university hospitals in Finland between May and June 2022. The data were analysed using inductive content analysis. Nurses' professional autonomy in hospitals is perceived according to three themes: individual qualities behind independent actions, limited influencing opportunities in the organization and physicians' central effect. The nurse managers perceive that they enhance nurses' professional autonomy by promoting the nurses' independence at work, their sufficient and up-to-date competence, their expert role in multi-professional cooperation and joint decision-making and an open and appreciative work community. Nurse managers can enhance nurses' professional autonomy with shared leadership. However, there are still gaps in nurses' equal possibilities to influence multi-professional work, especially outside of patient care. Promoting their autonomy requires commitment and support from leadership at all levels of the organization. The results advise nurse managers and the administration of the organization to maximize the potential of nurses' expertise, along with encouraging nurses towards self-leadership. This study provides an innovative approach to nurses' roles through their professional autonomy from the perspective of nurse managers. These managers have an important role in enhancing nurses' professional autonomy, empowering and supporting them in their expertise, enabling necessary advanced training, and maintaining an appreciative work community where all have equal participation opportunities. Thus, nurse managers have the opportunity to strengthen high-quality multi-professional teams' ability to jointly develop the patient's care for better outcomes through their leadership. No patient or public contribution.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
4580-4592Subventions
Organisme : Nursing Research Center, Helsinki University Hospital
Organisme : University of Eastern Finland, Faculty of Health Sciences
Informations de copyright
© 2023 The Authors. Journal of Advanced Nursing published by John Wiley & Sons Ltd.
Références
Al-Ruzzieh, M. A., Ayaad, O., & Hess, R. G., Jr. (2022). The role of participation in and effectiveness of shared governance councils in the nurses' perception of a professional practice work environment. Journal of Nursing Administration, 52(1), 51-56. https://doi.org/10.1097/NNA.0000000000001102
ANCC. (2023). Find a Magnet organization. https://www.nursingworld.org/organizational-programs/magnet/find-a-magnet-organization/
Arends, S. A., Thodé, M., De Veer, A. J., Pasman, H. R., Francke, A. L., & Jongerden, I. P. (2022). Nurses' perspective on their involvement in decision-making about life-prolonging treatments: A quantitative survey study. Journal of Advanced Nursing, 78, 2884-2893. https://doi.org/10.1111/jan.15223
Bartmess, M. P., Myers, C. R., & Thomas, S. P. (2022). ‘It Would Be Nice to Think We Could Have a Voice’: Exploring RN involvement in hospital staffing policymaking. American Journal of Nursing, 122(10), 22-31. https://doi.org/10.1097/01.NAJ.0000884564.75005.a9
Beal, J. A., & Riley, J. M. (2019). Best organizational practices that foster scholarly nursing practice in Magnet® hospitals. Journal of Professional Nursing, 35, 187-194. https://doi.org/10.1016/j.profnurs.2019.01.001
Bloemhof, J., Knol, J., Van Rijn, M., & Buurman, B. M. (2021). The implementation of a professional practice model to improve the nurse work environment in a Dutch hospital: A quasi-experimental study. Journal of Advanced Nursing, 77, 4919-4934. https://doi.org/10.1111/jan.15052
Cai, Y., Li, Q., Cao, T., & Wan, Q. (2023). Nurses' work engagement: The influences of ambidextrous leadership, clinical nurse leadership and workload. Journal of Advanced Nursing, 79, 1152-1161. https://doi.org/10.1111/jan.15086
Dawood Baig, L., Faisal Azeem, M., & Paracha, A. (2022). Cognitive appraisal of job autonomy by nurses: A cross-sectional study. Open Nursing, 8, 1-14. https://doi.org/10.1177/23779608221127823
Elo, S., & Kyngäs, H. (2008). The qualitative content analysis process. Journal of Advanced Nursing, 62(1), 107-115. https://doi.org/10.1111/j.1365-2648.2007.04569.x
Fernet, C., Gillet, N., Austin, S., Trépanier, S.-G., & Drouin-Rousseau, S. (2021). Predicting nurses' occupational commitment and turnover intention: The role of autonomous motivation and supervisor and coworker behaviours. Journal of Nursing Management, 29, 2611-2619. https://doi.org/10.1111/jonm.13433
Finlex. (559/1994). Act on health care professionals. https://www.finlex.fi/en/laki/kaannokset/1994/en19940559
GDPR. (2018). General data protection regulation. https://gdpr-info.eu/
Graneheim, U. H., & Lundman, B. (2004). Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trustworthiness. Nurse Education Today, 24, 105-112. https://doi.org/10.1016/j.nedt.2003.10.001
Grinberg, K., & Sela, Y. (2022). Expanding nurses' authority - Physicians' and nurses' attitudes. Applied Nursing Research, 63, 151550. https://doi.org/10.1016/j.apnr.2021.151550
International Council of Nurses (ICN). (2013). Nursing regulation. Position statement. https://www.icn.ch/sites/default/files/inline-files/B04_Nsg_Regulation.pdf
Junttila, K., An, H., As, H., Koivunen, M., Lehtikunnas, T., Mattila, E., Meriläinen, M., Peltokoski, J., Sneck, S., & Tervo-Heikkinen, T. (2023). The impact of leadership in the autonomy and engagement of nurses. A cross-sectional multicenter study among nurses outside the United States. Journal of Nursing Administration, 53(1), 19-26. https://doi.org/10.1097/NNA.0000000000001237
Kanninen, T., Häggman-Laitila, A., Tervo-Heikkinen, T., & Kvist, T. (2021). Nurses' critical reflections of working in unit practice councils-A qualitative interview study. Journal of Nursing Management, 30, 252-259. https://doi.org/10.1111/jonm.13489
Kaya, G., & Eskin Bacaksiz, F. (2022). The relationships between nurses' positive psychological capital, and their employee voice and organizational silence behaviors. Perspectives in Psychiatric Care, 58, 1793-1800. https://doi.org/10.1111/ppc.12990
Kim, M., Beehr, T. A., & Prewett, M. S. (2018). Employee responses to empowering leadership: A meta-analysis. Journal of Leadership & Organizational Studies, 25(3), 257-276. https://doi.org/10.1177/154805181775053
Kurt, D., & Gurdogan, E. P. (2023). Professional autonomy and patient advocacy in nurses. Collegian, 30, 327-334. https://doi.org/10.1016/j.colegn.2022.09.015
Lundin, K., Silén, M., Strömberg, A., Engström, M., & Skytt, B. (2022). Staff structural empowerment-Observations of first-line managers and interviews with managers and staff. Journal of Nursing Management, 30, 403-412. https://doi.org/10.1111/jonm.13513
Moser, A., & Korstjens, I. (2018). Series: Practical guidance to qualitative research. Part 3: Sampling, data collection and analysis. European Journal of General Practice, 24(1), 9-18. https://doi.org/10.1080/13814788.2017.1375091
Nurmeksela, A., Zedreck-Gonzalez, J. F., Kinnunen, J., & Kvist, T. (2021). Components of the magnet® model provide structure for the future vision of nurse managers' work: A qualitative perspective of nurse managers. Journal of Nursing Management, 29(7), 2028-2036. https://doi.org/10.1111/jonm.13337
Porter-O'Grady, T. (2022). Privileging for nursing: Structural requisites for next-step professional governance. Nurse Leader, 20(5), 465-472. https://doi.org/10.1016/j.mnl.2022.06.001
Porter-O'Grady, T., & Clavelle, J. T. (2021). Transforming shared governance: Toward professional governance for nursing. The Journal of Nursing Administration, 51(4), 206-211. https://doi.org/10.1097/NNA.0000000000000999
Pursio, K., Kankkunen, P., Sanner- Stiehr, E., & Kvist, T. (2021). Professional autonomy in nursing: An integrative review. Journal of Nursing Management, 29, 1565-1577. https://doi.org/10.1111/jonm.13282
Rao, A. D., Kumar, P., & McHugh, M. (2017). Better nurse autonomy decreases the odds of 30-day mortality and failure to rescue. Journal of Nursing Scholarship, 49(1), 73-79.
Roberge, V., & Boudrias, J.-S. (2021). The moderating role of employees' psychological strain in the empowering leadership-Proactive performance relationship. International Journal of Stress Management, 28(3), 186-196. https://doi.org/10.1037/str0000221
Schmalenberg, C., & Kramer, M. (2009). Nurse-physician relationships in hospitals: 20000 nurses tell their story. Critical Care Nurse, 29(1), 74-83. https://doi.org/10.4037/ccn2009436
Tong, A., Sainsbury, P., & Graig, J. (2007). Consolidated criteria for reporting qualitative research (COREQ): A 32-item checklist for interviews and focus groups. International Journal for Quality in Health Care, 19(6), 349-357. https://doi.org/10.1093/intqhc/mzm042
Vaismoradi, M., Turunen, H., & Bondas, T. (2013). Content analysis and thematic analysis: Implications for conducting a qualitative descriptive study. Nursing and Health Sciences, 15(3), 398-405. https://doi.org/10.1111/nhs.12048
van Dorssen-Boog, P., van Vuuren, T., de Jong, J., & Veld, M. (2022). Healthcare workers' autonomy: Testing the reciprocal relationship between job autonomy and self-leadership and moderating role of need for job autonomy. Journal of Health Organization and Management, 36(9), 212-231. https://doi.org/10.1108/JHOM-04-2022-0106
Williams, M., & Christopher, R. (2023). Moving shared governance to the next level. Assessing council health and training council chairs. Journal of Nursing Administration, 53(1), 6-11. https://doi.org/10.1097/NNA.0000000000001235
Zidek, S., & Medland, J. (2020). Interprofessional collaboration: A model for nurse executives to follow to support magnet® designation. The Journal of Nursing Administration, 50(10), E8-E11. https://doi.org/10.1097/NNA.0000000000000933