Hellenic Army, ICU Nurse Manager General Military Hospital, Athens, Greece.
J Adv Nurs. 2010 Nov;66(11):2520-31. doi: 10.1111/j.1365-2648.2010.05424.x. Epub 2010 Aug 23.
This paper is a report of a study conducted to describe Greek critical care nurses' views on professional autonomy and its relationship with job satisfaction and other work-related variables.
Professional autonomy is generally considered a highly desirable nursing attribute and a major factor in nurse job satisfaction. In the critical care environment, a high level of accountability, responsibility and autonomy are required to optimize outcomes of critically unstable patients.
A questionnaire survey was conducted with a convenience sample of Greek critical care nurses (n = 431; response rate 70%) in 2007. Data were collected on professional autonomy, job satisfaction, role conflict and role ambiguity.
Overall, nurses reported acting moderately autonomously. Younger nurses reported statistically significant lower levels of autonomy. Higher levels of autonomy were reported by female nurses. Multiple logistic regression revealed that appointment level, type of critical care unit and registration with a professional organization were independently associated with autonomy. A positive moderate association was found between reported autonomy, job satisfaction, role conflict and role ambiguity, but there was no relationship between job satisfaction and reported role conflict and role ambiguity.
Further education, role enhancement and support are required for nurses working in critical care in Greece if they are to achieve the maximum potential of their professional role. Failure to address the perceptions of professional autonomy may have an impact on staff retention, because of job dissatisfaction.
本文是一项研究报告，旨在描述希腊重症监护护士对专业自主性的看法及其与工作满意度和其他工作相关变量的关系。
专业自主性通常被认为是护士高度期望的属性，也是护士工作满意度的主要因素。在重症监护环境中，需要高度的责任感、责任心和自主性，以优化重症不稳定患者的治疗效果。
2007 年，对希腊重症监护护士进行了一项便利样本的问卷调查（n=431；回应率为 70%）。收集的数据包括专业自主性、工作满意度、角色冲突和角色模糊。
总体而言，护士报告的自主性处于中等水平。年轻护士报告的自主性水平显著较低。女性护士报告的自主性水平较高。多变量逻辑回归显示，任命级别、重症监护病房类型和专业组织注册与自主性独立相关。报告的自主性、工作满意度、角色冲突和角色模糊之间存在正相关关系，但工作满意度与报告的角色冲突和角色模糊之间没有关系。
如果希腊重症监护病房的护士要充分发挥其专业角色的潜力，就需要接受进一步的教育、增强角色和获得支持。如果不解决对专业自主性的看法，可能会对员工保留率产生影响，因为这会导致工作不满。
