Carmel S, Yakubovich I S, Zwanger L, Zaltcman T
Department of the Sociology of Health, University Center for Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel.
Soc Sci Med. 1988;26(11):1103-7. doi: 10.1016/0277-9536(88)90185-2.
Nurses' autonomy is structurally limited by physicians' close supervision and control. A prolonged physicians' strike in Israel in 1983 created a special situation where for 3 months nurses had to provide primary health care services without physicians. This study, undertaken at the end of the strike, focuses on nurses' comparative perceptions of autonomy and job satisfaction with relation to role performance during the strike and in usual work conditions. Data were collected by means of a self-administered questionnaire. Sixty one percent (n = 1144) of the primary health care nurses in Israel responded. The strike situation increased the normal work load of the nurses, but it also gave many nurses the opportunity to initiate and carry out special programs in their clinics and communities. The majority of nurses report that in general they are satisfied with their work and perceive it as autonomous. The increase in routine as well as self-initiated activities was found to be positively but weakly correlated with an increase in job satisfaction and in the perception of role autonomy during the strike. These findings suggest that even after, or perhaps because of, being exposed to a significant change in contextual autonomy (working without physicians for a prolonged period of time) most Israeli primary care nurses do not appear to desire increased autonomy in the work place.
