Autonomy Levels of Nursing Students

Year 2021, Volume: 11 Issue: 2, 265 - 269, 31.08.2021

Şefika Dilek Güven , Aysun Çidem Türkan Ülker , Kevser Özata , Hürmüs Kuzgun Şeyma Adıbelli

Abstract

Autonomy is one of the vocational criteria of the nursing profession and is essential for safe and quality care. Nurses begin to learn the
knowledge, skills, attitudes, and values associated with their professional roles during their school years. Nursing students should primarily
have a high level of autonomy to protect and improve individuals’ health, and enhance their life quality in the future. This descriptive study
was carried out with 285 nursing students to determine their autonomy levels. The study data were collected using a personal information
form and the autonomy subscale (AS) of the Sociotropy-Autonomy Scale. For the analysis of the data, numbers, percentages, mean and
standard deviation values, Mann-Whitney U, and Kruskal Wallis tests were employed, and the significance level was accepted as p <0.05.
The mean total score of the students obtained from AS was 103.65 ± 18.34. Their scores from the subscales of AS were 42.68 ± 8.16 for
“personal achievement”, 40.77 ± 7.70 for “freedom”, and 20.20 ± 4.70 for “enjoying loneliness”. The mean total score of the first-grade
students was found to be higher than that of other grades, but the difference was not statistically significant (p> 0.05). The autonomy level
of the students was found to be above the middle level, and the autonomy level of 1st-grade students was higher than that of the students
in other grades.

Keywords

Autonomy, Autonomy levels, Nursing students, Nursing education

Hemşirelik Öğrencilerinin Otonomi Düzeyleri

Abstract

Otonomi, hemşirelik mesleğinin profesyonellik kriterlerinden biridir ve güvenli, kaliteli bakım için gereklidir. Hemşireler profesyonel rolleriyle ilişkili bilgi, beceri, tutum ve değerleri eğitimleri sırasında öğrenmeye başlarlar. Hemşirelik öğrencilerinin gelecekte bireylerin sağlığını korumak, geliştirmek ve yaşam kalitesini yükseltmek için öncelikle yüksek düzeyde otonomiye sahip olmaları gerekir. Tanımlayıcı olan bu araştırma hemşirelik öğrencilerinin otonomi düzeylerini belirlemek amacıyla, 285 hemşirelik öğrencisiyle yapılmıştır. Araştırmada veriler kişisel bilgi formu ve Sosyotropi-otonomi Ölçeği’nin otonomi alt boyutu (OÖ) ile toplanmıştır. Verilerin analizinde sayı, yüzde, ortalama, standart sapma, Mann Whitney U ve Krukal Wallis kullanılmış, anlamlılık düzeyi p<0.05 olarak kabul edilmiştir. Öğrencilerin OÖ toplam puan ortalamaları 103.65±18.34, OÖ’nin alt boyutlarının puan ortalamaları; “kişisel başarı” 42.68±8.16, “özgürlük” 40.77±7.70, “yalnızlıktan hoşlanma” 20.20±4.70 olarak belirlenmiştir. 1. sınıf öğrencilerinin OÖ toplam puan ortalamalarının diğer sınıflara göre daha yüksek olduğu ancak farkın istatistiksel olarak anlamlı olmadığı saptanmıştır (p>0.05). Öğrencilerin otonomi düzeyleri orta düzeyin üzerindedir ve 1. sınıf öğrencilerin otonomi düzeyleri diğer sınıflardaki öğrencilere göre daha yüksektir.

Keywords

Otonomi, Otonomi düzeyi, Hemşirelik öğrencisi, Hemşirelik eğitimi

References

• Adams, D., & Miller, B.K. (2001). Professionalism in nursing behaviors of nurse practitioners. Journal of Professional Nursing, 17(4), 203-210. https://doi.org/10.1053/jpnu.2001.25913.
• Arabacı, L.B., Taş, G., Kavaslar, İ., Dikmen, M., & Teke, C. (2017). Relationship between sociotropy autonomy personality traits, interpersonal sensitivity and facebook addiction in nursing students. Journal of Dependence, 18(3): 69-79.
• Atalay, E., Karadağ, A., & Göçmen, Z. (2005). Sociotropy-autonomy levels of –Gazi University School of Nursing students. IV. National Nursing Students Congress, Ordu, Turkey, 5– 6 May 2003; Congress Abstract Book: 30.
• Best, M.F., & Thurston, N.E. (2006). Canadian public health nurses' job satisfaction. Public Health Nursing, 23(3), 250–255. https://doi.org/10.1111/j.1525-1446.2006.230307.x.
• Büyükbayram, A., Baysan Arabacı, L., Taş, G., & Varol, D. (2016). The Relationship between the Emotional Intelligence and Sociotropy-Autonomy Personality Traits of Nursing Students and Their Resilience. İzmir Kâtip Çelebi University Faculty of Health Sciences Journal, 1(3), 29-37.
• Didişen, N. A., Gerçeker, G. Ö., Bolışık, Z. B., Zümrüt Başbakkal, D., & Gürkan, A. (2015). The relation between pediatric nurses’ sociotropy-autonomy personality features and their depression levels. Journal of Behçet Uz Childeren’s Hospital, 5(1), 14-21. https://doi.org/10.5222/buchd.2015.014.
• Iliopoulou, K.K., & While, A.E. (2010). Professional autonomy and job satisfaction: Survey of critical care nurses in mainland Greece. Journal of Advanced Nursing, 66(11), 2520–2531. https://doi.org/10.1111/j.1365-2648.2010.05424.x.
• Karagozoglu, S. (2008). Level of autonomy of Turkish students in the final year of university baccalaureate degree in health related fields. Nursing Outlook, 56 (2), 70–77. https://doi.org/10.1016/j.outlook.2007.11.002.
• Karagözoğlu, Ş. (2009). Nursing students’ level of autonomy: A study from Turkey. Nurse Education Today, 29(2), 176-187. https://doi.org/10.1016/j.nedt.2008.08.002.
• Karagözoğlu, Ş., Türk, G., & Özden, D. (2015). Autonomy levels of final year baccalaureate nursing students attending different curricula: Cross-sectional survey. Cumhuriyet Medical Journal, 37(2), 87-101. https://doi.org/10.7197/cmj.v37i2.5000071061.
• Kaya, N., Aştı, T., Acaroğlu, R., Kaya, H., & Şendir, M. (2006). Determination of sociotropic /autonomic personality characteristics and related factors among nursing students. Journal of Cumhuriyet University School of Nursing, 10(3), 1-11.
• Kramer, M., & Schmalenberg, C. (2008). The practice of clinical autonomy in hospitals: 20,000 nurses tell their story. Crit Care Nurse, 28(6), 58–71, http://ccn.aacnjournals.org/content/28/6/58.full.pdfþhtml (Accessed 5 May 2019).
• Külekçi, E., Özlü, Z. K., & Nadiye, Ö. (2015). Determining of Sociotrophy and Autonomy Personality Characteristics of the Nurses Working at Surgery Clinics. Journal of Anatolia Nursing and Health Sciences, 18(2), 79-86.
• MacDonald, C. (2002). Nurse autonomy as relational. Nursing Ethics, 9(2), 194-201. https://doi.org/10.1191/0969733002ne498oa.
• Marañón, A.A., & Pera, M.P.I. (2019). Confusion about professional autonomy among final-year nursing students in Spain. Journal of Professional Nursing, 35(2), 147-152. https://doi.org/10.1016/j.profnurs.2018.07.008.
• Paganini, M.C., & Bousso, R.S. (2015). Nurses’ autonomy in end-of-life situations in intensive care units. Nursing Ethics, 22(7), 803-814. https://doi.org/10.1177/0969733014547970.
• Panunto, M., & Guirardello, E. (2013). Professional nursing practice: Environment and emotional exhaustion among intensive care nurses. Revista Latino-Americana de Enfermagem, 21(3), 765–772. https://doi.org/10.1590/S0104-11692013000300016.
• Salhani, D., & Coulter, I. (2009). The politics of interprofessional working and the struggle for professional autonomy in nursing. Social Science & Medicine, 68(7), 1221-1228. https://doi.org/10.1016/j.socscimed.2009.01.041.
• Sarkoohijabalbarezi, Z., Ghodousi, A., & Davaridolatabadi, E. (2017). The relationship between professional autonomy and moral distress among nurses working in children's units and pediatric intensive care wards. International Journal of Nursing Sciences, 4(2), 117-121. https://doi.org/10.1016/j.ijnss.2017.01.007.
• Skar, R. (2010). The meaning of autonomy in nursing practice. Journal of Clinical Nursing, 19(15–16), 2226–2234. https://doi.org/10.1111/j.1365-2702.2009.02804.x.
• Şahin, N., Ulusoy, N., & Şahin, N. (1993). Exploring the sociotropy-autonomy dimensions in a sample of Turkish psychiatric inpatients. J Clin Psychol., 49(6), 751-763. https://doi.org/10.1002/1097-4679(199311)49:6<751::AID-JCLP2270490602>3.0.CO;2-V.
• Şenturan, L., Köse, S., Sabuncu, N., Özhan, F., & Göktaş, S. (2016). Nursing students’ of autonomy and submissive behaviours: four-year follow up. Journal of Anatolia Nursing and Health Sciences, 19(3), 175-181.
• Tarhan, M., & Doğan, P. (2018). The relationship between nursing students' individual innovative behaviors and autonomy levels. Journal of Health Science and Profession, 5(1), 51-58. https://doi.org/10.17681/hsp.339991.
• Varjus, S. L., Leino-Kilpi, H., & Suominen, T. (2011). Professional autonomy of nurses in hospital settings–a review of the literature. Scandinavian Journal of Caring Sciences, 25(1), 201-207. https://doi.org/10.1111/j.1471-6712.2010.00819.x.
• Wade, G.H. (1999). Professional nurse autonomy: concept analysis and application to nursing education. Journal of Advanced Nursing, 30(2), 310-318.
• Wynd, C.A. (2003). Current factors contributing to professionalism in nursing. Journal of Professional Nursing, 19(5), 251-261. https://doi.org/10.1016/S8755-7223(03)00104-2.
• Yıldırak, Ö., & Bulut, D. (2003). Determination of sociotropy and autonomy levels of Muğla University Muğla School of Health nursing students. II. National Nursing Students Congress, İzmir, Turkey, 8 – 9 May 2003; Congress Abstract Book: 101.
• Yılmaz, D., Dikmen, Y., Tunç, G.Ç., Erol, F., & Karaman, D. (2017). Determination of sociotropy and autonomy levels of freshman and senior nursing students. The Online Journal of Quality in Higher Education, 4(4), 6-10.