Nurses’ autonomy level in teaching hospitals and its relationship with the underlying factors

Authors

  • Kourosh Amini MScN,

    PhD Candidate, Lecturer
    1. School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
    2. School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran
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  • Reza Negarandeh MScN PhD,

    Associate Professor, Corresponding author
    1. Nursing and Midwifery Care Research Center, Tehran University of Medical Sciences, Tehran, Iran
    • Correspondence: Reza Negarandeh, Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Nosrat Street, Tohid Square, Tehran 1419733171, Iran. Email: rnegarandeh@tums.ac.ir

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  • Farhad Ramezani-Badr MScN PhD,

    Assistant Professor
    1. School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran
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  • Mahdi Moosaeifard MScN,

    PhD Student
    1. School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran
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  • Ramezan Fallah MSc

    PhD Student
    1. Biostatistics, School of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran
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  • Funding: This study was funded by the Nursing and Midwifery Care Research Center, Tehran University of Medical Sciences.

Abstract

This study aimed to determine the autonomy level of nurses in hospitals affiliated to Zanjan University of Medical Sciences, Iran. In this descriptive cross-sectional study, 252 subjects were recruited using systematic random sampling method. The data were collected using questionnaire including Dempster Practice Behavior Scale. For data analysis, descriptive statistics and to compare the overall score and its subscales according to the demographic variables, t-test and analysis of variance test were used. The nurses in this study had medium professional autonomy. Statistical tests showed significant differences in the research sample according to age, gender, work experience, working position and place of work. The results of this study revealed that most of the nurses who participated in the study compared with western societies have lower professional autonomy. More studies are needed to determine the factors related to this difference and how we can promote Iranian nurses’ autonomy.

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