Özaras Öz Gözde, Onarici Müjgan
Cankiri Karatekin University, Faculty of Health Sciences, Nursing Department, Cankiri, Türkiye.
Cankiri Karatekin University, Faculty of Health Sciences, Nursing Department, Cankiri, Türkiye.
Pain Manag Nurs. 2025 Apr;26(2):222-229. doi: 10.1016/j.pmn.2024.10.011. Epub 2024 Dec 10.
The aim was to examine nurses' experiences and opinions regarding using their professional autonomy in nonpharmacologic pain management.
A qualitative descriptive approach was used in the study.
The study was conducted in the acute care services of a public hospital between December 10, 2022, and March 2023. It was completed with 29 nurses using the purposive sampling method. Data were collected using an ``Interview Guide'' consisting of semi-structured open-ended questions and analyzed using the content analysis method.
Four main categories emerged. (1) Individual qualities behind independent actions, (2) physician influence in professional autonomy, (3) establishing a positive therapeutic relationship in professional autonomy, and (4) recognizing barriers to professional autonomy. Nurses perceive that they enhance their professional autonomy in nonpharmacologic pain management by making independent decisions and selecting the nonpharmacologic intervention that will optimally benefit the patient. This is achieved by making the most beneficial nonpharmacologic application for the patient, having professional competencies, and realizing physician-nurse collaboration.
Nurses can improve their professional autonomy in nonpharmacologic pain management by gaining knowledge, skills, expertise, and leadership skills, participating in joint decision-making processes with physicians, and considering patient preferences and needs. Discussions regarding complete professional autonomy among nurses were limited by the patients' conditions, physicians' opinions, and management's decisions. Nurse managers can use their experience to offer additional details on care, protocols and practices.
Nurse managers can support nurses in their units and use their expertise to develop care, practices, and processes. At the organizational level, they can create a working environment in which nurses can better participate in multiprofessional working groups. Supportive management can have a significant positive impact on nurses' professional autonomy. It creates a work culture in the organization where there is an opportunity for shared decision-making and development of daily work without hierarchy and where employees feel trusted and valued.
本研究旨在探讨护士在非药物性疼痛管理中运用专业自主权的经验和看法。
本研究采用质性描述性研究方法。
本研究于2022年12月10日至2023年3月在一家公立医院的急性护理服务部门进行。采用目的抽样法，共纳入29名护士。使用由半结构化开放式问题组成的“访谈指南”收集数据，并采用内容分析法进行分析。
出现了四个主要类别。（1）独立行动背后的个人品质，（2）医生对专业自主权的影响，（3）在专业自主权中建立积极的治疗关系，（4）认识到专业自主权的障碍。护士们认为，通过做出独立决策并选择对患者最有益的非药物性干预措施，他们在非药物性疼痛管理中增强了自己的专业自主权。这可以通过为患者提供最有益的非药物性应用、具备专业能力以及实现医护协作来实现。
护士可以通过获取知识、技能、专业知识和领导能力，与医生参与联合决策过程，并考虑患者的偏好和需求，来提高他们在非药物性疼痛管理中的专业自主权。护士之间关于完全专业自主权的讨论受到患者病情、医生意见和管理层决策的限制。护士长可以利用他们的经验提供有关护理、方案和实践的更多细节。
护士长可以支持其所在科室的护士，并利用他们的专业知识来制定护理、实践和流程。在组织层面，他们可以营造一个工作环境，使护士能够更好地参与多专业工作组。支持性的管理对护士的专业自主权有显著的积极影响。它在组织中营造了一种工作文化，在这种文化中，有机会进行共享决策和日常工作的发展，没有等级制度，员工感到被信任和重视。
