Areej Ahmed Bahattab^1,, Mohamed Shahid²

Background: Globally, health-care systems have undergone significant changes that have increased the demand for autonomous nursing practice. Autonomy is a critical component of clinical nursing and one of the profession's most important aspects. The autonomy of nurses being influenced by increased workload and patient acuity demands. The ability to make judgments and take action based on professional competence and judgment is referred to as autonomy. Aim: The aim of this research is to examine the factors that influence on the autonomy of nurse's work at King Abdullah Medical City and to examine how much the organization's relationships and cooperation, as well as training and development, are all aspects of culture and climate. are affecting the nurses' perceptions of their work autonomy. Methods: It is a descriptive cross-sectional design. Undertaken in specialized hospital, “Makkah, Saudi Arabia”. The study adopted the following independent variables (organizational culture and climate, relationships and cooperation, and training and development) as independent variables, and autonomy of nurse's work as dependent variables. A self-administered questionnaire was used to collect data from 343 nurses. Results: The findings indicate a significant relationship between nurses' work autonomy and independent variables such as organizational culture and climate, relationships and cooperation, and training and development. The results show that all of the factors have an elevated mean rating, indicating that the participants agree with each statement in the variables. Conclusion: The autonomy of a nurse's job is viewed as a strength and one of the areas that must be considered to deliver maximum patient care while also increasing patient satisfaction on various levels. Moreover, further study is needed, that include all healthcare employees' job autonomy in hospital settings, as well as research that examines autonomy in a wide survey of all Saudi Arabian government hospitals.

factors, nurses, work autonomy