Abstract:
BACKGROUND:Autonomy plays an important part in nurses' job satisfaction and retention, but the literature shows that they are often dissatisfied with this aspect and want better working conditions and greater autonomy in decision-making. AIMS:The aim of this study was to examine the role that nurse managers have in enhancing hospital staff nurses' autonomy. METHODS:The study used a comparative descriptive survey design. Data collection took place over the Internet through the use of selective listservs in the United States of America (USA), Canada, and the United Kingdom. Of the 317 hospital nurses participating, 264 (83.3%) were from the USA. Differences relating to nurses, nurse managers, and hospital settings were controlled in the analysis. RESULTS:Nurses were more autonomous in making patient care decisions than unit operational decisions, and they perceived their autonomy to be at a moderate level. Those who were autonomous in patient care decision-making were also likely to be autonomous in unit operation decision-making. Nurse managers' actions had a strong relationship with nurses' autonomy in deciding on patient care and unit operation decisions, and with total autonomy. The three important variables that were reported by staff nurses to increase their autonomy were supportive management, education and experience. The three most important factors that were reported to decrease nurses' autonomy were autocratic management, doctors and workload. DISCUSSION:Technical issues such as the availability of listservs, valid e-mails, viruses, and familiarity with the Internet and its applications were the major limitations of this study. Nurses' autonomy over patient care and unit operations decisions needs to be enhanced, and nurse managers should promote this. Similarly, there is a role for nurse education, both in preregistration programmes and in continuing education for managers. Further research needs to explore the barriers that nurses face in autonomous decision-making and how nurses' participation in unit operational decisions can be promoted. CONCLUSIONS:Hospital staff nurses have moderate autonomy which could be increased by more effective support from nurse managers. The use of electronic questionnaires is a promising data collection method.
journal_name
J Adv Nursjournal_title
Journal of advanced nursingauthors
Mrayyan MTdoi
10.1046/j.1365-2648.2003.02893.xkeywords:
subject
Has Abstractpub_date
2004-02-01 00:00:00pages
326-36issue
3eissn
0309-2402issn
1365-2648pii
2893journal_volume
45pub_type
杂志文章,评审abstract::Women's attendance for regular cervical screening has been identified as a significant factor in the prevention of cervical cancer. Evidence suggests, however, that both extrinsic and intrinsic factors influence women's attendance patterns for screening. Extrinsic factors, in particular the practitioner undertaking th...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2000.01481.x
更新日期:2000-08-01 00:00:00
abstract:BACKGROUND:Recent mortality profiles in Brazil show that circulatory diseases are the leading cause of death in Brazil. These disorders contribute to 34% of deaths, with 50% of those deaths occurring in people under 50 years of age, that is, in people who are still active in the workforce. We assume that the growing in...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1046/j.1365-2648.2003.02753.x
更新日期:2003-09-01 00:00:00
abstract:AIM:To develop and psychometrically test Readiness for Hospital Discharge Scale for older people and to reduce the scale to a more practical short form. BACKGROUND:The Readiness for Hospital Discharge Scale is the only available and validated scale measuring patients' perceived readiness just prior to discharge. DESI...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,多中心研究
doi:10.1111/jan.12731
更新日期:2015-11-01 00:00:00
abstract::Trends reflected by Department of Health and Social Security statistics on the nursing workforce are examined and the ratios between grades discussed. Recruitment into nursing degree courses in the UK is considered in relation to overall recruitment into nursing. The somewhat ambiguous position of nursing degree cours...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1982.tb00252.x
更新日期:1982-07-01 00:00:00
abstract::Nursing education courses often require students to write about their learning experiences in a journal or a log book. Students write the journal/log and submit it to the instructor. The instructor reads, comments, and may or may not grade it. This paper is a reflection on the use and misuse of journals in nursing edu...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1993.18020290.x
更新日期:1993-02-01 00:00:00
abstract::Gaming-simulation exercises have become an established teaching strategy for nursing education. This paper suggests that nurse educators must now attempt to evaluate their effect on learning. Problems of evaluation are discussed and alternative approaches critically considered. The dominant 'classical' approach is rej...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1989.tb00913.x
更新日期:1989-02-01 00:00:00
abstract::This research project examines whether health visiting policy, which developed at the beginning of the twentieth century, is relevant to contemporary mothers. Although previous studies have looked at clients' perceptions of the health visiting service, the fundamental question of whether or not such provision is neede...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1996.20317.x
更新日期:1996-08-01 00:00:00
abstract::One of the consequences of the expansion of degree, and diploma level Project 2000 courses in nursing, has been that students are now exposed to a significant amount of material from academic disciplines other than nursing, at a relatively advanced level. In this paper, one such discipline, sociology, is considered, a...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1994.20020391.x
更新日期:1994-08-01 00:00:00
abstract::Urinary incontinence is a common problem experienced by patients in hospital. As part of a series of studies, a retrospective survey was carried out of 229 nursing and medical records of patients identified as incontinent of urine by the nurses-in-charge, in 14 acute medical wards and 26 health care of the elderly war...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1993.18111734.x
更新日期:1993-11-01 00:00:00
abstract:AIM:To evaluate the preliminary effectiveness of the BRief Evaluation of Asthma THerapy intervention, a 7-min primary care provider-delivered shared decision-making protocol that uses motivational interviewing to address erroneous asthma disease and medication beliefs. DESIGN:A multi-centre masked two-arm group-random...
journal_title:Journal of advanced nursing
pub_type: 随机对照试验
doi:10.1111/jan.13916
更新日期:2019-04-01 00:00:00
abstract:AIM:To review systematically and integrate the findings of qualitative research to increase our understanding of patients' experiences of chronic pelvic pain. BACKGROUND:Chronic pelvic pain is a prevalent pain condition with a high disease burden for men and women. Its multifactorial nature makes it challenging for cl...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,meta分析,评审
doi:10.1111/jan.12485
更新日期:2014-12-01 00:00:00
abstract::Transplantation of organs has become the treatment of choice for many conditions, yet there remains a worldwide shortage of donor organs. This paper reviews the factors which influence organ procurement. It concentrates on the public's and the professional's attitudes and examines the potential role research could pla...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2648.1996.tb02678.x
更新日期:1996-02-01 00:00:00
abstract:AIMS: This paper is a report of a study of older emergency department attendees' demographic, health and social profiles. BACKGROUND: Relative to the general population, older people are higher users of hospital emergency departments. Attendance is most often associated with medical need, including a chronic conditi...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2011.05800.x
更新日期:2012-05-01 00:00:00
abstract::This paper considers the issue of the quality of nursing care for frail elderly patients in continuing-care environments. The continued failure to raise the standards of such care is explored and potential explanations sought. It is argued that the application of models of nursing do not represent the best solution an...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1993.18081305.x
更新日期:1993-08-01 00:00:00
abstract:AIM:To evaluate emergency nurse practitioner service effectiveness on outcomes related to quality of care and service responsiveness. BACKGROUND:Increasing service pressures in the emergency setting have resulted in the adoption of service innovation models; the most common and rapidly expanding of these is the emerge...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.12386
更新日期:2014-09-01 00:00:00
abstract::This paper considers some of the general principles that are common to much of quantitative research in nursing. In particular, the role of hypothesis testing is considered, and the use of estimation is emphasized. Confidence intervals are advocated as a means of assessing both statistical and clinical significance. T...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1046/j.1365-2648.1996.09121.x
更新日期:1996-05-01 00:00:00
abstract::The aim of the study reported in this paper was to identify stress factors in the early stage of acute traumatic hand injury. Stress factors were defined as circumstances which the hand-injured patients experienced as problems in the actual situation. A total of 20 patients, treated as inpatients at the Department of ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2000.01630.x
更新日期:2000-12-01 00:00:00
abstract::A prospective study designed for 336 hospitalized patients with stroke and their families, who were followed from the discharge day to the third month after being discharged, was carried out in order to compare the costs and effectiveness of home care with the community-based nursing homes for stroke patients with dif...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1997.00410.x
更新日期:1997-11-01 00:00:00
abstract:AIMS:This paper reports a study to elicit background data from recently qualified nurse prescribers and explore aspects of their work. BACKGROUND:Nurse prescribing has been introduced quite recently in the United Kingdom. Although a certain amount of information is available about the characteristics of nurse prescrib...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2005.03527.x
更新日期:2005-09-01 00:00:00
abstract::This paper presents some findings of a longitudinal study of nursing trainees in two British general hospitals concerning changes in attitudes to their work conditions, and compares the results with those of a cross-sectional study of the attitudes of trainees and qualified staff in the same two hospitals. Supporting ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1984.tb00374.x
更新日期:1984-05-01 00:00:00
abstract::The purpose of this study was to describe the problems of HIV-infected patients, hospitalized for Pneumocystis carinii pneumonia (PCP), as documented in the nursing care plan and to examine differences in the number and type of activated patient problems and patient outcomes between manually generated, computer-suppor...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1994.tb01140.x
更新日期:1994-04-01 00:00:00
abstract:AIMS:To discuss a potentially powerful approach to safer medication administration on the hospital ward, based on principles of safety developed in other high-risk industries, and consistent with recent national reports on safety in health care released in the United Kingdom (UK) and United States of America (USA). To ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2001.01820.x
更新日期:2001-07-01 00:00:00
abstract:AIMS:To identify the range of emotional labour employed by healthcare professionals in a healthcare setting and implications of this for staff and organisations. BACKGROUND:In a healthcare setting, emotional labour is the act or skill involved in the caring role, in recognizing the emotions of others and in managing o...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/jan.12738
更新日期:2016-01-01 00:00:00
abstract:AIMS:To identify trends in global health competency improvement programs for nurses and to verify their effects. DESIGN:Systematic review and meta-analysis. DATA SOURCES:Articles published from 2000-2017 in Ovid MEDLINE, Embase, and ProQuest and the Cumulative Index to Nursing and Allied Health Literature database, C...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/jan.14355
更新日期:2020-07-01 00:00:00
abstract:AIMS:We examined the effects of perceived supervisor support, value congruence and hospital nurse staffing on nurses' job satisfaction through the satisfaction of the three psychological needs for autonomy, competence and relatedness. Then, we examined the links between job satisfaction and quality of care as well as t...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.13524
更新日期:2018-05-01 00:00:00
abstract:AIMS:To examine the effects of two factors on the transmission of clinical information at nursing handover. These factors were: (i) an affective statement expressing concern about the information; and (ii) verbal reference to a written summary of the information. BACKGROUND:Quality of communication at patient handover...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,随机对照试验
doi:10.1111/jan.12484
更新日期:2015-01-01 00:00:00
abstract::Despite the recent interest in caring for both academic and clinical nursing, the theoretical basis of this concept may appear somewhat elusive as the research and debate vary widely in their focus. As a result, the available literature may fail to consider the specific contextual issues which characterize caring as i...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1998.00807.x
更新日期:1998-10-01 00:00:00
abstract::Research on cancer prevention among Hispanics and non-Hispanic whites (Anglos) has focused on identifying differential barriers they encounter. Although the information has been helpful in adapting traditional interventions for Hispanic clients, changes have not generally been theory-based. This research explores the ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1994.20050809.x
更新日期:1994-11-01 00:00:00
abstract:AIM:The aim of the study was to evaluate the changes in symptoms and quality of life in people with puborectalis dyssynergia after biofeedback by using Short Form-36 and Patient Assessment of Constipation Quality of Life Questionnaire. BACKGROUND:Biofeedback is an effective treatment in clinical symptoms for puborecta...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2010.05593.x
更新日期:2011-06-01 00:00:00
abstract:AIM OF THE PAPER:This paper, which is part of a larger study that examined how community mental health nurses promoted wellness with young adult who were experiencing an early episode of psychotic illness, aims to explicate how nurses develop interpersonal relationships with these consumers. RATIONALE:Research into th...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2001.01782.x
更新日期:2001-05-01 00:00:00