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Perception and Deception in Nurses’ Clinical and Work-Related Professional Autonomy: Case Study for a Hospital in Romania

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  • Marina Bădileanu

    (Center of Industry and Services Economy, “Costin C. Kirițescu” National Institute of Economic Researches, Romanian Academy, Calea 13 Septembrie 13, 050711 Bucharest, Romania
    Faculty of Midwifery and Nursing, “Carol Davila” University of Medicine and Pharmacy, Dionisie Lupu 37, 020021 Bucharest, Romania)

  • Ileana Paula Ionel

    (Faculty of Midwifery and Nursing, “Carol Davila” University of Medicine and Pharmacy, Dionisie Lupu 37, 020021 Bucharest, Romania
    Clinical Hospital “Prof. Dr. Th. Burghele”, Șoseaua Panduri 20, 061344 Bucharest, Romania)

  • Justin Aurelian

    (Faculty of Midwifery and Nursing, “Carol Davila” University of Medicine and Pharmacy, Dionisie Lupu 37, 020021 Bucharest, Romania
    Clinical Hospital “Prof. Dr. Th. Burghele”, Șoseaua Panduri 20, 061344 Bucharest, Romania)

  • Daniel Alin Cristian

    (Department 10, General Surgery, Faculty of General Surgery, “Carol Davila” University of Medicine and Pharmacy Bucharest, Dionisie Lupu 37, 020021 Bucharest, Romania
    Clinical Hospital “Colțea”, Blvd. Ion C. Brătianu 1, 030167 Bucharest, Romania)

  • Cornelia Jude

    (Institute of National Economy, Romanian Academy, Calea 13 Septembrie 13, 050711 Bucharest, Romania)

  • Luminița-Izabell Georgescu

    (Center of Industry and Services Economy, “Costin C. Kirițescu” National Institute of Economic Researches, Romanian Academy, Calea 13 Septembrie 13, 050711 Bucharest, Romania)

  • Ivona Răpan

    (Institute of National Economy, Romanian Academy, Calea 13 Septembrie 13, 050711 Bucharest, Romania)

Abstract

The continuous expansion of the nursing scope of practice, the undeniable growth of the nurses’ role in the healthcare crisis, the shortage of labor, especially in rural areas and marginalized urban csommunities, and last but not least, the lack of literature on Romanian nursing autonomy are some of the background factors in this study. This study’s purpose is to assess nurses’ perceptions of their medical care independence. The main hypothesis is that more advanced levels of education generate a greater inclination toward autonomous interventions. The quantitative research is based on a survey using a self-designed questionnaire as a tool (based on a nurse-focused structure and process indicators following the Donabedian model) applied in a Romanian clinical hospital. Based on a literature review, three composite indicators were developed and tested for reliability using the Cronbach alpha coefficient. These indicators reflect autonomy from three perspectives: clinical practice independence, autonomy in relation to work, and autonomy through digitalization. This scientific approach revealed a major impact of the regulatory framework on nurses’ perceptions of their autonomy, below the expectations of use, and the acceptance of digital technologies among nurses. Finally, it was observed that college graduate nurses perceive lower levels of independence than post-secondary ones.

Suggested Citation

  • Marina Bădileanu & Ileana Paula Ionel & Justin Aurelian & Daniel Alin Cristian & Cornelia Jude & Luminița-Izabell Georgescu & Ivona Răpan, 2022. "Perception and Deception in Nurses’ Clinical and Work-Related Professional Autonomy: Case Study for a Hospital in Romania," Sustainability, MDPI, vol. 15(1), pages 1-19, December.
    • Handle: RePEc:gam:jsusta:v:15:y:2022:i:1:p:355-:d:1015200
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    References listed on IDEAS

    as
    1. Christine W. Nibbelink & Barbara B. Brewer, 2018. "Decision‐making in nursing practice: An integrative literature review," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(5-6), pages 917-928, March.
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    3. Yukari Hara & Kyoko Asakura & Takashi Asakura, 2020. "The Impact of Changes in Professional Autonomy and Occupational Commitment on Nurses’ Intention to Leave: A Two-Wave Longitudinal Study in Japan," IJERPH, MDPI, vol. 17(17), pages 1-14, August.
    4. Chiara Barchielli & Anne Marie Rafferty & Milena Vainieri, 2022. "Integrating Key Nursing Measures into a Comprehensive Healthcare Performance Management System: A Tuscan Experience," IJERPH, MDPI, vol. 19(3), pages 1-14, January.
    5. Juneffer Villamen Navales & Amadou Wurry Jallow & Chien Yu Lai & Chieh Yu Liu & Shu Wen Chen, 2021. "Relationship between Quality of Nursing Work Life and Uniformed Nurses’ Attitudes and Practices Related to COVID-19 in the Philippines: A Cross-Sectional Study," IJERPH, MDPI, vol. 18(19), pages 1-13, September.
    6. Mojtaba Vaismoradi & Flores Vizcaya-Moreno & Sue Jordan & Ingjerd Gåre Kymre & Mari Kangasniemi, 2020. "Disclosing and Reporting Practice Errors by Nurses in Residential Long-Term Care Settings: A Systematic Review," Sustainability, MDPI, vol. 12(7), pages 1-14, March.
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