Background and Purpose: Autonomy is an essential component of a professional position. Nurses need professional agencies to create and maintain patient safety, improve the quality of patient care, reduce mortality, increase job satisfaction, and maintain jobs. This study aims to provide an overview of the factors associated with nurses' professional autonomy.
Materials and Methods: This study is a narrative review based on PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses) guidelines. The keywords used in this study were "professional autonomy," "nurses," "clinical decision making," "nursing staff," "hospital," and "nurses." The search was conducted in all valid and available English databases, including CINAHL, Scopus, Web of Science, and PubMed. We also searched Persian databases, including Irandoc, Magiran, and SID, from 2010 to 2024. After the qualitative assessment, the required data were extracted and analyzed.
Results: After searching databases and information sources, 906 relevant articles were found. Finally, 18 descriptive quantitative articles that were most relevant to the objectives of the present study were selected and analyzed. According to the results of studies, the most critical factors related to the professional independence of nurses were divided into six groups: individual factors (age, education), organizational factors (management support, policies), collaborative factors (teamwork, interprofessional relationships), professional development factors (further training), psychosocial factors (job satisfaction, emotional well-being, self-efficacy, and empowerment), and external factors (health system structure).
Conclusion: According to the study findings, nursing managers can eliminate the barriers to the professional independence of nurses and support their performance by considering the factors associated with professional autonomy.
Type of Study:
review |
Subject:
Psychiatric Nursing Received: 2025/01/3 | Accepted: 2024/04/1 | Published: 2024/04/1