en روان پرستاری Psychiatric Nursing مروری review <div style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:Tahoma;"><span style="line-height:2;"><strong>Background and Objective</strong>: Autonomy is an essential component of a professional. 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&rsquo; professional autonomy.<br> <strong>Materials & Methods</strong>: 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 &ldquo;professional autonomy&rdquo;, &ldquo;nurses&rdquo;, &ldquo;clinical decision making&rdquo;, &ldquo;nursing staff&rdquo;, &ldquo;hospital&rdquo;, and &ldquo;nurses&rdquo;. 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.<br> <strong>Results</strong>: 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).<br> <strong>Conclusion</strong>: 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.&nbsp;</span></span></span></div> Professional autonomy, Nurses, Clinical decision-making, Nursing staff, Hospital 163 172 http://cpr.mazums.ac.ir/browse.php?a_code=A-10-238-1&slc_lang=en&sid=1 Atefe Esmailpour Moalem atefeesmailpour75@gmail.com 10031947532846002360 0009-0007-5102-4415 No Student Research Committee, Nasibeh School of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran. Vida Shafipour vidashafipour@yahoo.com 10031947532846002361 10031947532846002361 No Department of Medical-surgical Nursing, School of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran. Leila Shafipour 10031947532846002362 0009-0004-2794-9491 No Mazandaran University of Medical Sciences, Sari, Iran. Hedayat Jafari hedayat2003@yahoo.com 10031947532846002363 10031947532846002363 Yes Department of Medical Surgical Nursing, Traditional and Complementary Medicine Research Center, School of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran.