Cajulis Corazon B, Fitzpatrick Joyce J
Department of Nursing/Medical Services, Mount Sinai Hospital, New York, New York, USA.
J Am Acad Nurse Pract. 2007 Oct;19(10):500-7. doi: 10.1111/j.1745-7599.2007.00257.x.
The purpose of this descriptive study was to determine the level of autonomy of nurse practitioners (NPs) providing care to an adult patient population in an acute care setting.
Data were collected from 54 NPs in different specialty areas currently working in a large metropolitan hospital. The Dempster Practice Behaviors Scale was used to measure the autonomy of the NPs.
The overall mean autonomy score of 117.37 (SD = 14.55) indicates a high level of autonomy of the NPs in this study. Forty-one percent of the participants had very high levels of autonomy, 31.5% had extremely high levels of autonomy, and 19% had moderate levels of autonomy. Demographic variables of age; years worked as an NP, as an RN, and at current job; highest educational level; basic nursing preparation; NP certification; and specialty had no statistically significant relationship with autonomy scores.
The results of this study provided preliminary evidence of the level of autonomy of NPs providing inpatient care to adult patients in an acute care setting. The findings could lead to future research on the impact of NP services on patient outcomes and clinical productivity in acute care settings.
本描述性研究的目的是确定在急性护理环境中为成年患者群体提供护理的执业护士（NP）的自主程度。
数据收集自目前在一家大型都市医院不同专业领域工作的54名执业护士。使用登普斯特执业行为量表来衡量执业护士的自主性。
本研究中执业护士的总体平均自主得分117.37（标准差 = 14.55）表明其自主程度较高。41%的参与者具有非常高的自主程度，31.5%具有极高的自主程度，19%具有中等自主程度。年龄、担任执业护士的年限、担任注册护士的年限、在当前工作岗位的工作年限、最高教育水平、基础护理准备情况、执业护士认证以及专业等人口统计学变量与自主得分无统计学上的显著关系。
本研究结果为在急性护理环境中为成年住院患者提供护理的执业护士的自主程度提供了初步证据。这些发现可能会引发关于执业护士服务对急性护理环境中患者结局和临床生产力影响的未来研究。
