The status of professional autonomy and its predictors in clinical nurses in Iran.

IF 2 4区 医学 Q2 NURSING
Nursing Open Pub Date : 2024-09-01 DOI:10.1002/nop2.70011
Leila Rouhi Balasi, Maryam Hazrati, Asieh Ashouri, Abbas Ebadi, Nasrin Elahi
{"title":"The status of professional autonomy and its predictors in clinical nurses in Iran.","authors":"Leila Rouhi Balasi, Maryam Hazrati, Asieh Ashouri, Abbas Ebadi, Nasrin Elahi","doi":"10.1002/nop2.70011","DOIUrl":null,"url":null,"abstract":"<p><strong>Aim: </strong>The present study aimed to assess professional autonomy among clinical nurses and identify its predictors using a native and contemporary tool, which is in line with the recent advancement in nursing professionalism in Iran.</p><p><strong>Design: </strong>The study used an analytical cross-sectional design.</p><p><strong>Methods: </strong>A total of 1601 nurses working in medical centres nationwide under the Ministry of Health participated in the study. The research instrument consisted of two parts, including individual and organizational characteristics and a questionnaire on clinical nurses' professional autonomy. Data analysis involved descriptive and inferential statistics as well as multiple logistic regression analysis using SPSS software.</p><p><strong>Results: </strong>The results indicated that the total professional autonomy score among clinical nurses was 75.86 ± 12.03, with the majority (n = 1262, 78.9%) reporting high professional autonomy. Multiple logistic regression analysis revealed that nurses with 5-15 years of experience had 1.82 times higher odds (95% confidence interval: 2.47-1.35) of having high professional autonomy compared to those with less than 5 years of experience. Similarly, nurses with over 15 years of experience had 2.25 times higher odds (95% confidence interval: 1.56-3.26). Head nurses had 4.56 times higher odds (95% confidence interval: 2.60-7.99) of having high professional autonomy compared to clinical nurses.</p><p><strong>Conclusion: </strong>Educational interventions to enhance the professional autonomy of less experienced nurses, with more experienced nurses serving as role models, are recommended. Additionally, measures such as supporting nurses, providing effective communication training and empowering nurses are essential to promote professional mutual respect among nurses.</p><p><strong>No patient or public contribution: </strong>This study explored professional autonomy in clinical nurses in Iran. No patient or public contribution was investigated.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"11 9","pages":"e70011"},"PeriodicalIF":2.0000,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11421042/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Nursing Open","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1002/nop2.70011","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0

Abstract

Aim: The present study aimed to assess professional autonomy among clinical nurses and identify its predictors using a native and contemporary tool, which is in line with the recent advancement in nursing professionalism in Iran.

Design: The study used an analytical cross-sectional design.

Methods: A total of 1601 nurses working in medical centres nationwide under the Ministry of Health participated in the study. The research instrument consisted of two parts, including individual and organizational characteristics and a questionnaire on clinical nurses' professional autonomy. Data analysis involved descriptive and inferential statistics as well as multiple logistic regression analysis using SPSS software.

Results: The results indicated that the total professional autonomy score among clinical nurses was 75.86 ± 12.03, with the majority (n = 1262, 78.9%) reporting high professional autonomy. Multiple logistic regression analysis revealed that nurses with 5-15 years of experience had 1.82 times higher odds (95% confidence interval: 2.47-1.35) of having high professional autonomy compared to those with less than 5 years of experience. Similarly, nurses with over 15 years of experience had 2.25 times higher odds (95% confidence interval: 1.56-3.26). Head nurses had 4.56 times higher odds (95% confidence interval: 2.60-7.99) of having high professional autonomy compared to clinical nurses.

Conclusion: Educational interventions to enhance the professional autonomy of less experienced nurses, with more experienced nurses serving as role models, are recommended. Additionally, measures such as supporting nurses, providing effective communication training and empowering nurses are essential to promote professional mutual respect among nurses.

No patient or public contribution: This study explored professional autonomy in clinical nurses in Iran. No patient or public contribution was investigated.

伊朗临床护士的职业自主性状况及其预测因素。
目的:本研究旨在评估临床护士的专业自主性,并使用一种本地的现代工具确定其预测因素,该工具符合伊朗护理专业化的最新进展:研究采用分析性横断面设计:共有 1601 名在卫生部下属的全国医疗中心工作的护士参加了研究。研究工具由两部分组成,包括个人和组织特征以及临床护士专业自主性问卷。数据分析包括描述性和推论性统计,以及使用 SPSS 软件进行的多元逻辑回归分析:结果表明,临床护士的专业自主性总分为 75.86 ± 12.03 分,大多数护士(n = 1262,78.9%)表示专业自主性较高。多元逻辑回归分析显示,与工作经验少于 5 年的护士相比,工作经验在 5-15 年的护士拥有高度专业自主权的几率高出 1.82 倍(95% 置信区间:2.47-1.35)。同样,拥有 15 年以上工作经验的护士拥有高度专业自主权的几率是其他护士的 2.25 倍(95% 置信区间:1.56-3.26)。与临床护士相比,护士长拥有高度专业自主权的几率要高出 4.56 倍(95% 置信区间:2.60-7.99):建议采取教育干预措施,以经验丰富的护士为榜样,提高经验不足的护士的专业自主性。此外,支持护士、提供有效的沟通培训和赋予护士权力等措施对于促进护士之间的职业相互尊重至关重要:本研究探讨了伊朗临床护士的专业自主性。没有调查病人或公众的贡献。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
Nursing Open
Nursing Open Nursing-General Nursing
CiteScore
3.60
自引率
4.30%
发文量
298
审稿时长
17 weeks
期刊介绍: Nursing Open is a peer reviewed open access journal that welcomes articles on all aspects of nursing and midwifery practice, research, education and policy. We aim to publish articles that contribute to the art and science of nursing and which have a positive impact on health either locally, nationally, regionally or globally
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信