Relationship between Nurses’ Professional Autonomy and Their Caregiving Roles

Öz

Objective: This study aimed to examine the relationship between nurses’ professional autonomy and their caregiving roles. Materials and Methods: A descriptive cross-sectional design was employed, including 291 nurses who met the inclusion criteria. Data were collected using a Personal Information Form, the Attitude toward Professional Autonomy Scale for Nurses, and the Attitude Scale for Nurses’ Caregiving Roles. Descriptive statistics, comparative analyses, and Spearman’s correlation analysis were performed using SPSS version 22.0. A significance level of p<0.05 was set. Results: The nurses who participated in the study had a mean age of 32.13 ± 6.92 years, and 82.1% were female. The mean the Attitude toward Professional Autonomy Scale for Nurses score was 78.31 ± 10.01, and the mean Attitude Scale for Nurses’ Caregiving Roles score was 70.43 ± 8.72. A moderate positive correlation was identified between professional autonomy and caregiving role attitudes (r = 0.483, p < 0.05). Professional autonomy was significantly associated with educational level, years of experience, and institutional support for autonomy. Gender, educational background, participation in professional development, ability to make autonomous decisions, and institutional support influenced caregiving role attitudes. Conclusions: Nurses in this study exhibited high levels of professional autonomy and positive attitudes towards caregiving roles. Enhanced professional autonomy was associated with stronger caregiving role perceptions. The findings indicate that strengthening nurses’ professional autonomy may enhance the effectiveness of their caregiving roles. It is recommended to improve educational attainment, support professional development, and promote autonomous decision-making skills.

Anahtar Kelimeler

• Nursing
• Professional Autonomy
• Caregiving Roles

Kaynakça

1. 1 Setoodegan E, Gholamzadeh S, Rakhshan M, Peiravi H. Nurses' lived experiences of professional autonomy in Iran. Int J Nurs Sci 2019;6(3):315–21. google scholar
2. 2 Mousavi SR, Amini K, Ramezani-Badr F, Roohani M. Correlation of happiness and professional autonomy in Iranian nurses J Res Nurs 2019;24(8):622–32. google scholar
3. 3 Oshodi TO, Bruneau B, Crockett R, Kinchington F, Nayar S, West E. Registered nurses' perceptions and experiences of autonomy: a descriptive phenomenological study. BMC Nurs 2019;18:51. google scholar
4. 4 Both-Nwabuwe JMC, Lips-Wiersma M, Dijkstra MTM, Beersma B. Understanding the autonomy-meaningful work relationship in nursing: a theoretical framework Nurs Outlook 2020; 68: 104–13. google scholar
5. 5 Rouhi-Balasi L, Elahi N, Ebadi A, Jahani S, Hazrati M. Professional autonomy of nurses: a qualitative meta-synthesis study Iran J Nurs Midwifery Res 2020;25(4):273–81. google scholar
6. 6 Thompson MC. Professional autonomy of occupational health nurses in the United States Workplace Health Saf 2012;60(4):159–65. google scholar
7. 7 Pursio K, Kankkunen P, Sanner-Stiehr E, Kvist T. Professional autonomy in nursing: an integrative review J Nurs Manag 2021;29(6):1565–77. google scholar
8. 8 Labrague LJ, McEnroe-Petitte DM, Tsaras K. Predictors and outcomes of nurse professional autonomy: a cross-sectional study Int J Nurs Pract 2019;25:e12711. google scholar

9. 9 Barazzetti G, Radaelli S, Sala R. Autonomy, responsibility and the Italian Code of Deontology for Nurses. Nurs Ethics 2007;14(1):83–98. google scholar
10. 10 Valizadeh L, Zamanzadeh V, Habibzadeh H, Alilu L, Gillespie M, Shakibi A. Threats to nurses' dignity and intent to leave the profession. Nurs Ethics 2018;25(4):520– 31. google scholar
11. 11 Pentecost C, Frost J, Sugg HVR, Hilli A, Goodwin VA, Richards DA. Patients' and nurses' experiences of fundamental nursing care: a systematic review and qualitative synthesis. J Clin Nurs 2020;29(11–12):1858–82. google scholar
12. 12 Yıldırım D, Genç Z, Özdemir FA, Can G. Evaluation of the caregiving roles and attitudes of nurses during the COVID-19 pandemic Nurs Forum 2022;57(4):530–5. google scholar
13. 13 Yılmaz DU, Dilemek H, Yılmaz D, Korhan EA, Çelik E, Rastgel H. Hemşirelerin bakım verici rollerine ilişkin tutumları ve ilişkili faktörler. Uluslararası Hakemli Hemşirelik Araştırmaları Dergisi 2017;10:83–100. google scholar
14. 14 Aydemir Gedük E. Hemşirelik mesleğinin gelişen rolleri. Sağlık Bilimleri ve Meslekleri Dergisi 2018;5(2):253–8. google scholar
15. 15 Koçak C, Albayrak SA, Büyükkayacı Duman N. Developing an attitude scale for nurses in caregiving roles: validity and reliability tests J Educ Res Nurs 2014;11(3):16–22. google scholar
16. 16 Karaahmetoğlu UG, Ecevit Alpar Ş. Hemşirelik Bakım Rolü Oryantasyon Ölçeği’nin Türkçe geçerlik ve güvenirliği. Cumhuriyet Hemşirelik Dergisi 2017;6(1):1–7. google scholar
17. 17 Castellan C, Sluga S, Spina E, Sanson G. Nursing diagnoses, outcomes and interventions as measures of patient complexity and nursing care requirement in the intensive care unit J Adv Nurs 2016;72(6):1273–86. google scholar
18. 18 Alharbi J, Wilson R, Woods C, Usher K. The factors ifluencing burnout and job satisfaction among critical care nurses: a study of Saudi critical care nurses J Nurs Manag 2016;24(6):708–17. google scholar
19. 19 Rungta N, Zirpe KG, Dixit SB, Mehta Y, Chaudhry D, Govil D et al. Indian Society of Critical Care Medicine Experts Committee Consensus Statement on ICU Planning and Designing, 2020. Indian J Crit Care Med 2020;24(Suppl 1):S43–60. google scholar
20. 20 Kılıç Z, Uzdil N, Günaydın Y. The effect of cognitive flexibility in nurses on attitudes to professional autonomy. Nurs Ethics 2023;0(0):1–9. google scholar
21. 21 Alruwaili MM, Abuadas FH. Professional autonomy among nurses in Saudi Arabian critical care units. BMC Nurs 2023;22(1):224. google scholar
22. 22 Boamah SA, Spence Laschinger HK, Wong C, Clarke S. Effect of transformational leadership on job satisfaction and patient safety outcomes Nurs Outlook 2018;66(2):180–9. google scholar
23. 23 Rao AD, Kumar A, McHugh M. Better nurse autonomy decreases the odds of 30-day mortality and failure to rescue. J Nurs Scholarsh 2017;49(1):73–9. google scholar
24. 24 AllahBakhshian M, Alimohammadi N, Taleghani F, Nik AY, Abbasi S, Gholizadeh L. Barriers to intensive care unit nurses’ autonomy in Iran: a qualitative study Nurs Outlook 2017;65(4):392–9. google scholar
25. 25 Giles M, Parker V, Mitchell R, Conway J. How do nurse consultant job characteristics impact on job satisfaction? An Australian quantitative study. BMC Nurs 2017;16:51. google scholar
26. 26 Baykara ZG, Şahinoğlu S. An evaluation of nurses’ professional autonomy in Turkey Nurs Ethics 2014;21(4):447–60. google scholar
27. 27 Tuna R, Sahin S. The effect of professional values of nurses on their attitudes towards caregiving roles. Int J Nurs Pract 2021:27(1);e12879. google scholar
28. 28 Güllü A, Kanadlı KA. Nurses’ perceptions of professional values and ethics: a cross-sectional study in university. Hospital. Journal of Radiology Nursing 2025:44(1);105-110. google scholar
29. 29 Sağlık istatistikleri (2023). https://www.saglik.gov.tr/TR-107086/saglik-istatistikleri-yilligi-2023-yayinlanmistir.html google scholar
30. 30 Danacı E, Alkan SA, Erdoğan TK, Özbudak E, Harbali SM. Hemşirelerin profesyonel otonomi düzeylerinin kanıta dayalı hemşireliğe yönelik tutumları üzerine etkisi. Ege Üniversitesi Hemşirelik Fakültesi Dergisi 2023;39(1):43–54. google scholar
31. 31 Atasoy N, Baykara ZG. Hemşirelerin Mesleki Özerkliğe Yönelik Tutum Ölçeği’nin Türkçeye Uyarlanması: Geçerlilik ve Güvenirlilik Çalışması. Turkiye Klinikleri J Med Ethics 2020;28(2):206–15. google scholar
32. 32 Bulut A, Şengül H, Mumcu Çİ, Mumcu B. Physician-nurse collaboration in the relationship between professional autonomy and practice behaviours. Nurs Ethics 2025;32(1):253–71. google scholar
33. 33 Erikmen E, Vatan F. Hemşirelerin bireysel ve mesleki otonomilerinin incelenmesi. Sağlık ve Hemşirelik Yönetimi Dergisi 2019;2(6):141–52. google scholar
34. 34 Altınbaş Y, İster ED. Hemşirelerin bakım verici rollerine ilişkin tutumları ve bireyselleştirilmiş bakım algıları. Sürekli Tıp Eğitimi Dergisi 2020;29(4):246–54. google scholar
35. 35 Bakır H, Su S. The relationship between nurses’ professional values and their attitudes towards care-giving roles: a structural equation model Clin Exp Health Sci 2022;12(3):765–71. google scholar
36. 36 Akçoban S, Güngör S. Yoğun bakım hemşirelerinin bakım verici rollerine ilişkin tutumları ve iş doyumları. Med J Mustafa Kemal Univ 2022;13(47):332–42. google scholar
37. 37 Gezginci E, Kızılkaya M, Göktaş S. Cerrahi hemşirelerinin bakım verici rollerine ve etik konulara ilişkin tutumlarının incelenmesi: tanımlayıcı çalışma. Turkiye Klinikleri J Nurs Sci 2023;15(3). google scholar
38. 38 Başoğlu S, Aktaş N, Otal Y. Acil servis hemşirelerinde merhamet yorgunluğunun bakım verici rollerine olan etkisi: bir şehir hastanesi anket çalışması. Maltepe Tıp Dergisi 2024;16(3):60–8. google scholar
39. 39 Kaplan E, Aktaş MC, Kaya H. COVID-19 pandemi korkusu ile hemşirelerin bakım verici rolüne ilişkin tutumları arasındaki ilişki. Sağlık Bilimleri Üniversitesi Hemşirelik Dergisi 2021;3(3):135–40. google scholar
40. 40 Yaşar Ö, Adadıoğlu Ö. Hemşirelerin mesleki profesyonellikleri ve etik tutumları arasındaki ilişkinin incelenmesi: tanımlayıcı ve ilişki arayıcı çalışma. Turkiye Klinikleri J Nurs Sci 2024;16(4). google scholar
41. 41 Şahan S, Özdemir C. Determining the relationship between nurses’ attitudes to professional autonomy and job satisfaction. Mediterr Nurs Midwifery 2023;3(2):90–7. google scholar
42. 42 Çakı EF, Sönmez M. Hastanede çalışan hemşirelerin meslekte profesyonel tutum düzeylerinin belirlenmesi. Turk J Sci Health 2020;1(2):58–69. google scholar
43. 43 Dikmen Y, Yılmaz DK, Usta YY. Hemşirelerin otonomi düzeylerinin bazı değişkenler açısından incelenmesi. İmtiaz Sahibi 2016;72:1–10. google scholar
44. 44 Al-Sbehat AM, Eshah NF, Rayan AH, Abu Raddaha AH, Al Omari O, Alhalaiqa F. The Association between Intensive Care Unit Nurses’ Perception of Nursing Professional Autonomy and Nursing Professionalism: A Descriptive Correlational Design SAGE Open Nursing 2024;10:237. google scholar