Department of Nursing Science, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland.
Research Unit of Nursing Science and Health Management, University of Oulu, Oulu, Finland.
J Nurs Manag. 2021 Sep;29(6):1565-1577. doi: 10.1111/jonm.13282. Epub 2021 Feb 26.
To summarize knowledge of professional autonomy in nursing.
Professional autonomy is associated with experienced meaningfulness of the work. This refers to participation in decision-making and the ability to influence working practices.
In an integrative review, relevant studies were retrieved from four databases. Quality was systematically evaluated using critical appraisal tools. PRISMA guidelines were followed. Inductive content analysis was used to analyse current knowledge of the focal subject.
The search identified 27 relevant studies published between 2000 and 2019. Elements describing nurses' professional autonomy were independence in decision-making and ability to utilize one's own competence. Themes relating to nurses' professional autonomy were shared leadership, professional skills, inter- and intra-professional collaboration and healthy work environment.
Understanding the multidimensional nature of professional autonomy is essential to create attractive work environments. It is important to enable nurses to participate in decision-making and develop nursing through shared leadership to enhance the recruitment and retention of a skilled workforce.
The findings have anticipated utility for supporting nursing practice and nurse leaders' understanding of approaches to foster nurses' professional autonomy.
总结护理专业自主性的知识。
专业自主性与工作的有意义体验相关。这是指参与决策和影响工作实践的能力。
在一项综合评价中，从四个数据库中检索了相关研究。使用批判性评价工具系统地评价了质量。遵循 PRISMA 指南。使用归纳内容分析对焦点主题的现有知识进行分析。
搜索确定了 2000 年至 2019 年期间发表的 27 项相关研究。描述护士专业自主性的要素包括决策的独立性和运用自身能力的能力。与护士专业自主性相关的主题包括共享领导、专业技能、跨专业和专业内协作以及健康的工作环境。
了解专业自主性的多维性质对于创造有吸引力的工作环境至关重要。通过共享领导来赋予护士参与决策和发展护理的能力，以提高熟练劳动力的招聘和留用率，这一点非常重要。
研究结果对支持护理实践和护士领导者理解促进护士专业自主性的方法具有预期的效用。
