Greek Intensive and Emergency Care Nurses' Perception of Their Public Image

Karanikola, Maria; Papathanassoglou, Elizabeth; Nicolaou, Christiana; Koutroubas, Anna; Lemonidou, Chryssoula

doi:10.1097/dcc.0b013e3182052250

Cited by 18 publications

(13 citation statements)

References 30 publications

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“…From the investigators point of view, Although the nursing career and its features are considered, this has not yet resulted in a public image, the public not usually value the skills and competences nurses have acquired through education and innovation and always perceive that nurses are subordination to the medical profession so nurses sometimes experiencing dissatisfaction with their professional status. Similar to the present study result study carried out in Greek, by Karanikola et al (2011) who found that professional nurses reported dissatisfaction because of negative public's image.…”

Section: Discussionsupporting

confidence: 92%

Nursing Profession as Perceived by Staff Nurses and Its Relation to Their Career Commitment at Different Hospitals

Elewa¹,

Abed²

2017

IJND

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Background: Hospitals face increasing pressure to control costs, reduce staff and redesign clinical settings. With these escalating pressures, it is important for hospitals and nursing administrators to understand the concept of nursing profession and career commitment. Aim: The present study aimed to assess nursing profession as perceived by staff nurses and its relation to their career commitment at different hospitals. Setting: This study was conducted at university, health insurance, and private hospitals, Egypt. Research Design: A descriptive correlation design was utilized to achieve the objective of the present study. Sample: All nurses who agreed to participate in the study at time of data collection were included. Tool: The following tools were used I: Nursing profession questionnaire II: Career commitment questionnaire. Results: study revealed that regarding perception of profession, practice domain had the highest mean percent score (268.5%). While the least mean score as perceived by nurses was public image (200%). There was positive correlation between total nurses perception of profession and their total perception of career commitment (r = 0.26, p = 0.00). Conclusion: There was positive significant correlation between total nurses' perception toward profession and total commitment to nursing career. Furthermore, research declared that there was no statistical significant difference between nurses' perception toward profession, commitment to nursing career and hospital by sectors. Recommendations: It's recommended that public awareness program should be started through portraying a positive image of nursing career through mass media to enhance and improve the nursing status in the country and increased support for transition to practice in the workplace to enhance nurses' career commitment.

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Section: Discussionsupporting

confidence: 92%

Nursing Profession as Perceived by Staff Nurses and Its Relation to Their Career Commitment at Different Hospitals

Elewa¹,

Abed²

2017

IJND

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“…For example, in Greece and Germany, the transition of nursing education from technically oriented schools to universities is not yet complete, and this situation may undermine the decisional authority of nurses in these countries. Low clinical decision-making autonomy 16 and diminished perceived public image of ICU nurses 45 34 In conclusion, although rigorous testing is needed to confirm our results, the findings provide insight into the factors that may be associated with the autonomy and moral distress of intensive care nurses in Europe and highlight discrepancies among nurses from different countries.…”

Section: Discussionmentioning

confidence: 56%

Professional Autonomy, Collaboration With Physicians, and Moral Distress Among European Intensive Care Nurses

Papathanassoglou

Karanikola

Kalafati

et al. 2012

American Journal of Critical Care

191

262

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Background Discretionary autonomy is a key factor in enhanced patient outcomes and nurses' work satisfaction. Among nurses, insufficient autonomy can result in moral distress. Objectives To explore levels of autonomy among European critical care nurses and potential associations of autonomy with nurse-physician collaboration, moral distress, and nurses' characteristics. Methods Descriptive correlational study of a convenience sample of 255 delegates attending a major European critical care conference in 2009. Respondents completed a selfadministered questionnaire with validated scales for nurses' autonomy, nurse-physician collaboration, and moral distress. Results The mean autonomy score (84.26; SD, 11.7; range, and the mean composite (frequency and intensity) moral distress score (73.67; SD, 39.19; range, were both moderate. The mean collaboration score was 47.85 (SD, 11.63; range,. Italian and Greek nurses reported significantly lower nurse-physician collaboration than did other nurses (P < .001). Greek and German nurses reported significantly higher moral distress (P < .001). Autonomy scores were associated with nurse-physician collaboration scores (P < .001) and with a higher frequency of moral distress (P = .04). Associations were noted between autonomy and work satisfaction (P = .001). Frequency of moral distress was associated inversely with collaboration (r = -0.339; P < .001) and autonomy (r = -0.210; P = .01) and positively with intention to quit (r = 0.257; P = .004). Autonomy is defined as the freedom to make decisions within the domain of an individual's profession and to act accordingly. 10,11 The ability to make discretionary and autonomous decisions based on comprehensive knowledge, clinical expertise, and evidence-based findings is a hallmark of professionalism. In general, ICU nurses make 1 care decision every 30 seconds 12 and approximately 9 important patient-care decisions per hour, 13 suggesting that exercising judgment is a core nursing activity and influences the quality of care provided. Previous studies 11,[14][15][16] in European ICUs indicated that the levels of nurse autonomy differ between countries and that the decision-making capacity of these clinicians needs to be developed and strengthened. However, factors that may be associated with low autonomy among European ICU nurses have not been systematically studied. Although, presumably, poor nursephysician collaboration may limit a nurse's ability to implement care-and unit-related decisions, associations between these 2 constructs have not been investigated. Evidence of the association between nurse-physician collaboration and ICU nurses' moral distress is likewise scant. Although the design of the study we report here was unsuitable for exploring either causative factors or antecedents of autonomy-and inferences may be limited by differences in responders' context of practice-we wished to address autonomy, nurse-physician collaboration, and moral distress simultaneously in a sample of European ICU nurses to gain preliminary insigh...

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“…Poor collaborative relations between physicians and ICU nurses have been linked with nurses' diminished status and low appreciation of their professional role in the institutional hierarchy in some countries (Karanikola et al . ). Such dynamics might also be present within Italian ICUs, as a paternalistic model of care based on traditional hierarchies may still exist in that country.…”

Section: Discussionmentioning

confidence: 97%

Moral distress, autonomy and nurse-physician collaboration among intensive care unit nurses in Italy

Karanikola

Albarran

Drigo³

et al. 2013

J Nurs Manag

118

137

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Greek Intensive and Emergency Care Nurses' Perception of Their Public Image

Cited by 18 publications

References 30 publications

Nursing Profession as Perceived by Staff Nurses and Its Relation to Their Career Commitment at Different Hospitals

Nursing Profession as Perceived by Staff Nurses and Its Relation to Their Career Commitment at Different Hospitals

Professional Autonomy, Collaboration With Physicians, and Moral Distress Among European Intensive Care Nurses

Moral distress, autonomy and nurse-physician collaboration among intensive care unit nurses in Italy

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