Attitudes toward expanding nurses’ authority

Israel Journal of Health Policy Research

Shoshi Goldberg³  Maya Siman-Tov⁴  Shoshi Phridman¹  Rut Khaikin³  Limor Eizenberg⁵  Dina Van Dijk²  Hana Kerzman⁵ 

[1] Wolfson Medical Center, Holon, Israel;Ben-Gurion University of the Negev, Negev, Israel;Nursing Division, Tel Aviv University, Tel Aviv, Israel;Gertner Institute for Epidemiology and Public Health Policy, Tel-Hashomer, Israel;Nursing Division, Chaim Sheba Medical Center, Tel-Hashomer, Israel

关键词: Inter-professional cooperation;    Professional autonomy;    Burnout;    Workload;    Job satisfaction;    Acute hospital;    Expansion of nurses’ authority;    Attitudes;   

Others  :  1223847
DOI  :  10.1186/s13584-015-0005-z

 received in 2014-09-02, accepted in 2015-02-15,  发布年份 2015

【 摘 要 】

Background

In recent years, an increasing number of care procedures previously under the physician’s authority have been placed in the hands of registered nurses. The purpose of this study was to examine the attitudes of nurses towards expanding nurses’ authority and the relationships between these attitudes and job satisfaction facets, professional characteristics, and demographics.

Method

A cross-sectional study was conducted between 2010 and 2011 in three major medical centers in Israel. Participants included 833 nurses working in 89 departments. Attitudes toward the expansion of nurses’ authority were assessed by self-report questionnaire, as well as job satisfaction facets including perception of professional autonomy, nurse-physician working relations, workload and burnout, perceptions of quality of care, and nursing staff satisfaction at work.

Results

Nurses reported positive attitudes toward the expansion of nurses’ authority and moderate attitudes for interpretation of diagnostic tests in selected situations. The results of multivariate regression analyses demonstrate that the nurses’ satisfaction from professional autonomy and work relations were the most influential factors in explaining their attitudes toward the expansion of nurses’ authority. In addition, professionally young nurses tend to be more positive regarding changes in nurses’ authority.

Conclusions

In the Israeli reality of a nurse’s shortage, we are witnessing professional transitions toward expansion of the scope of nurses’ accountability and decision–making authority. The current research contributes to our understanding of attitudes toward the expansion of nurses’ authority among the nursing staffs. The findings indicate the necessity of redefining the scope of nursing practice within the current professional context.

【 授权许可】

   
2015 Kerzman et al.; licensee BioMed Central.

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