Journal of Korean Academy of Fundamentals of Nursing (기본간호학회지)

Korean Academy of Fundamentals of Nursing (기본간호학회)
권호 표지

Professional Autonomy and Clinical Decision Making Ability in Clinical Nurses

임상간호사의 전문직 자율성과 임상적 의사결정능력과의 관계

  • Received : 2010.03.13
  • Accepted : 2010.04.26
  • Published : 2010.05.31
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Abstract

Purpose: The purpose of this study was to identify the correlation between level of professional autonomy and clinical decision making abilities in clinical nurses, and to provide basic information for promoting competency nurses in making independent decisions. Method: Data were collected from July 1 to July 18, 2008, and participants were 202 clinical nurses in general hospitals. Collected data were analyzed using descriptive statistics: frequency and percentage and Pearson correlation coefficients with the SPSS WIN 14.0 program. Results: The professional autonomy index for the nurses was 159.63 points. The clinical decision making ability index was 119.79 points. The most highly ranked factor in clinical decision making was search for information and unbiased assimilation of new information. There was a statistically significant difference in professional autonomy according to age, clinical experience, and type of duty. Relation between level of professional autonomy and clinical decision making showed a positive correlation. Conclusion: As a results show a significant correlation between professional autonomy and clinical decision making in clinical nurses, improvement in professional autonomy of clinical nurses, would be promoted through continuous support and training.

Keywords

References

  1. Ahn, Y. O., Ryu, G. Y., & Park, B. J. (2008). Manual for medical statistics. Seoul: Seoul National University Press.
  2. Baek, M. K. (2005). Relationship between level of autonomy and clinical decision-making in nursing scale of E.T. nurse. Unpublished master's thesis, Yonsei University, Seoul.
  3. Ballou, K. A. (1998). A concept analysis of autonomy. Journal of Professional Nursing, 14(2), 102-110. https://doi.org/10.1016/S8755-7223(98)80038-0
  4. Chi, S. A., & Yoo, H. S. (2001). Concept analysis of professional nurse autonomy. Journal of Korean Academy of Nursing, 31(5), 781-792.
  5. Choi, H. J. (2001). Public health nurses' decision making models and their knowledge structure. Journal of Korean Academy of Nursing, 31(2), 328-339.
  6. Currey, J., Browne, J., & Botti, M. (2006). Haemodynamic instability after cardiac surgery: nurses' perception of clinical decision-making. Journal of Clinical Nursing, 15(9), 1081-1090. https://doi.org/10.1111/j.1365-2702.2006.01392.x
  7. Hanssen, I. (2004). An intercultural nursing perspective on autonomy. Nursing Ethics, 11(1), 28-41. https://doi.org/10.1191/0969733004ne664oa
  8. Han, K. J., Lee, E. O., Park, S. A., Ha, Y. S:, & Kim, K. S. (1994). A research tool for nursing. Seoul: Seoul National University Press Co.
  9. Hughes, K. K., & Young, W. B. (1990). The relationship between task complexity and decision making consistency. Research in Nursing and Health, 13(3), 189-197. https://doi.org/10.1002/nur.4770130308
  10. Jenkins, H. M. (1985). A research tool for measuring perceptions of clinical decision making. Journal of Professional Nursing, 1(4), 221-229. https://doi.org/10.1016/S8755-7223(85)80159-9
  11. Kikuchi, A., & Harada, T. (1997). The relationship between professional autonomy and demographic and psychological variables in nursing. Kango Kenkyu, 30(4), 23-35.
  12. Kim, E. S. (1994). A study on attitudes toward professional autonomy and job satisfaction of clinical nurses. Unpublished master's thesis, Ewha Womans University, Seoul.
  13. Kim, T. S., Cho, M. K., & Lee, M. H. (1997). The relationships of decentralization, expertise and decision-making perceived by clinical nurses. Chungnam Medical Journal, 24(2), 89-100.
  14. Kwon, I. G., & Park, S. M. (2007). Effect of critical reflective inquiry on new graduate nurses' clinical decision-making. Journal of Korean Clinical Nursing Research, 13(2), 39-50.
  15. Moon, H. S. (1999). The relationship among autonomy, job stress, and health status of PACU nurses. Unpublished master's thesis, Ewha Womans University, Seoul.
  16. Park, M. S. (2006). The level of professional autonomy and clinical decision making abilities of advanced practice nurses. Unpublished master's thesis, Ulsan University, Ulsan.
  17. Schutzenhofer, K. K. (1983). The development of autonomy in adult women. Journal of Psychosocical Nursing and Mental Health Services, 21(4), 25-30.
  18. Stewart, J., Stansfield, K., & Tapp, D. (2004). Clinical nurses' understanding of autonomy: Accomplishing patient goals through interdependent practice. Journal of Nursing Administration, 34(10), 443-450. https://doi.org/10.1097/00005110-200410000-00004
  19. Williams, S., & McGowan, S. (1995). Professional autonomy: A pilot study to determine the effects of a professional development program of nurses' attitudes. Journal of Nursing Staff Development, 11(3), 150-155.
  20. Yi, Y. J. (2001). The causal relationships of the variables to decision-making of clinical nurses. Unpublished doctoral dissertation, Hanyang University, Seoul.