Factors Affecting the Nurses Work Autonomy at King Abdullah Medical City in Makkah

Areej Ahmed Bahattab^1, and Mohamed Shahid²

¹Coronary Care Unit, King Abdullah Medical City, Makkah, Saudi Arabia

²Nursing Research and Evidence Based Practice Department, King Abdullah Medical City, Makkah, Saudi Arabia

Cite this paper:
Areej Ahmed Bahattab and Mohamed Shahid. Factors Affecting the Nurses Work Autonomy at King Abdullah Medical City in Makkah. American Journal of Nursing Research. 2022; 10(3):105-110. doi: 10.12691/ajnr-10-3-5

Abstract

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.

Keywords:
factors nurses work autonomy

This work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References:

[1]	Rouhi-Balasi, L., Elahi, N., Ebadi, A., Jahani, S., Hazrati, M., (2020). Professional Autonomy of Nurses: A Qualitative Meta-Synthesis Study. Iran J Nurs Midwifery Res 25, 273-281.
[2]	Nursing, I. of M. (US) C. on the R.W.J.F.I. on the F. of, Medicine, at the I. of, (2011). Transforming Practice, the Future of Nursing: Leading Change, Advancing Health. National Academies Press (US).
[3]	Lundmark, V.A., (2008). Magnet Environments for Professional Nursing Practice, in: Hughes, R.G. (Ed.), Patient Safety and Quality: An Evidence-Based Handbook for Nurses, Advances in Patient Safety. Agency for Healthcare Research and Quality (US), Rockville (MD).
[4]	Woo, B.F.Y., Lee, J.X.Y., Tam, W.W.S., (2017). The impact of the advanced practice nursing role on quality of care, clinical outcomes, patient satisfaction, and cost in the emergency and critical care settings: a systematic review. Hum Resour Health 15, 63.
[5]	Abuseif, S., Ayaad, O. & Al-Haijaa, E (2018). Measuring Factors Affecting the Autonomy of Nurses work. International Journal of Academic Research in Business and Social Sciences (8), No. 12, 2018, Pg. 1785-1796.
[6]	Labrague, L.J., McEnroe-Petitte, D.M., Tsaras, K., (2019). Predictors and outcomes of nurse professional autonomy: A cross-sectional study. International Journal of Nursing Practice 25, e12711.
[7]	Hendam, D.M., Fakhy, S.F., Mohamed, H.A., (2018). Relationship between Professional Autonomy and Job Satisfaction among Staff Nurses. Port Said Scientific Journal of Nursing 5, 237-256.
[8]	Alaseeri, R., Rajab, A., Banakhar, M., (2021). Do Personal Differences and Organizational Factors Influence Nurses’ Decision Making? A Qualitative Study. Nursing Reports 11, 714-727.
[9]	Mary M. Kennedy, (2016). How Does Professional Development Improve Teaching? [WWWDocument].URL https://journals.sagepub.com/doi/10.3102/0034654315626800.
[10]	Tzeng, H.-M., Ketefian, S., Redman, R.W., (2002). Relationship of nurses’ assessment of organizational culture, job satisfaction, and patient satisfaction with nursing care. International Journal of Nursing Studies 39, 79-84.
[11]	Rafferty, A., Ball, J., Aiken, L., (2001). Are teamwork and professional autonomy compatible, and do they result in improved hospital care? Qual Health Care 10, ii32-ii37.
[12]	Calvo, R.A., Peters, D., (2019). Autonomy in technology design. Proceedings of the Extended Abstracts of the 32nd Annual ACM Conference on Human Factors in Computing Systems - CHI EA ’14, 37-40.
[13]	Ko, Y.K., Jeong, S.H., Yu, S., (2018). Job autonomy, perceptions of organizational policy, and the safety performance of nurses. International Journal of Nursing Practice 24, e12696.
[14]	Skår, R. (2009). The meaning of autonomy in nursing practice. Journal of Clinical Nursing, 19(15‐16), 2226-2234.
[15]	Hwang, H.J., Lee, Y.M., (2017). Effects of Professional Autonomy, Organizational Commitment, and Perceived Patient Safety Culture on Patient Safety Management Activities of Nurses in Medium and Small-Sized Hospitals. Journal of Korean Critical Care Nursing 10, 63-74.
[16]	Poghosyan, L., Liu, J., (2016). Nurse Practitioner Autonomy and Relationships with Leadership Affect Teamwork in Primary Care Practices: A Cross-Sectional Survey. J Gen Intern Med 31, 771-777.
[17]	Mrayyan, M.T., (2004). Nurses’ autonomy: influence of nurse managers’ actions. J Adv Nurs 45, 326-336.
[18]	Menezes, K.R., Novaes, M.R.C.G., (2020). Professional training and autonomy of nursing teachers in the qualification of higher education in nursing. Rev Bras Enferm 73, e20190543.
[19]	Price, S., Reichert, C., (2017). The Importance of Continuing Professional Development to Career Satisfaction and Patient Care: Meeting the Needs of Novice to Mid- to Late-Career Nurses throughout Their Career Span. Administrative Sciences 7, 17.
[20]	Skår, R., (2010). The meaning of autonomy in nursing practice. Journal of Clinical Nursing 19, 2226-2234.
[21]	Oshodi, T.O., Bruneau, B., Crockett, R., Kinchington, F., Nayar, S., West, E., (2019). Registered nurses’ perceptions and experiences of autonomy: a descriptive phenomenological study. BMC Nurs 18, 51.
[22]	Maylone, M.M., Ranieri, L., Quinn Griffin, M.T., McNulty, R., Fitzpatrick, J.J., (2011). Collaboration and autonomy: perceptions among nurse practitioners. J Am Acad Nurse Pract 23, 51-57.