Department of Nursing Science, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland.
J Adv Nurs. 2023 Dec;79(12):4580-4592. doi: 10.1111/jan.15744. Epub 2023 Jun 19.
To describe nurse managers' perceptions of nurses' professional autonomy in hospitals and their role in promoting it.
A qualitative descriptive approach.
Fifteen nurse managers participated in semi-structured focus group interviews in two university hospitals in Finland between May and June 2022. The data were analysed using inductive content analysis.
Nurses' professional autonomy in hospitals is perceived according to three themes: individual qualities behind independent actions, limited influencing opportunities in the organization and physicians' central effect. The nurse managers perceive that they enhance nurses' professional autonomy by promoting the nurses' independence at work, their sufficient and up-to-date competence, their expert role in multi-professional cooperation and joint decision-making and an open and appreciative work community.
Nurse managers can enhance nurses' professional autonomy with shared leadership. However, there are still gaps in nurses' equal possibilities to influence multi-professional work, especially outside of patient care. Promoting their autonomy requires commitment and support from leadership at all levels of the organization. The results advise nurse managers and the administration of the organization to maximize the potential of nurses' expertise, along with encouraging nurses towards self-leadership.
This study provides an innovative approach to nurses' roles through their professional autonomy from the perspective of nurse managers. These managers have an important role in enhancing nurses' professional autonomy, empowering and supporting them in their expertise, enabling necessary advanced training, and maintaining an appreciative work community where all have equal participation opportunities. Thus, nurse managers have the opportunity to strengthen high-quality multi-professional teams' ability to jointly develop the patient's care for better outcomes through their leadership.
No patient or public contribution.
描述护士长对医院护士专业自主性的看法及其在促进自主性方面的作用。
定性描述性方法。
2022 年 5 月至 6 月，在芬兰的两家大学医院，15 名护士长参加了半结构式焦点小组访谈。使用归纳内容分析法对数据进行分析。
医院护士的专业自主性可归因于三个主题：独立行动背后的个人素质、在组织中有限的影响机会和医生的核心作用。护士长认为，通过促进护士在工作中的独立性、充足和最新的能力、在多专业合作和联合决策中的专家角色以及开放和赞赏的工作社区，可以增强护士的专业自主性。
护士长可以通过共享领导来增强护士的专业自主性。然而，护士在平等影响多专业工作方面仍存在差距，特别是在患者护理之外。促进护士的自主性需要组织各级领导的承诺和支持。研究结果建议护士长和组织管理层最大限度地发挥护士专业知识的潜力，同时鼓励护士自我领导。
本研究从护士长的角度提供了一种创新的护士角色方法，即通过专业自主性。这些护士长在增强护士的专业自主性方面发挥着重要作用，赋予和支持他们的专业知识，提供必要的高级培训，并维持一个赞赏的工作社区，使所有人都有平等的参与机会。因此，护士长有机会通过领导力加强高质量的多专业团队共同发展患者护理的能力，以实现更好的结果。
无患者或公众贡献。
