Measuring Factors Affecting the Autonomy of Nurses Work

Abuseif, Sami; Ayaad, Omar; Al-Haijaa, Eyad Abu

doi:10.6007/ijarbss/v8-i12/5323

Cited by 3 publications

(8 citation statements)

References 26 publications

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“…These results were expected in this Magnet-designated and SG-accredited hospital because these designations encourage and require nurses' roles in teamwork and collaboration, autonomy, quality of care, work life, and the determination of resources and equipment. 6,12,[18][19][20] Nurses who participated in SG councils scored council effectiveness very highly (mean, 4.15 [0.06]), reflecting the high maturity level of SG in this study setting (a quantified high level of professional governance at KHCC was a criterion for formal accreditation in SG). Council participants scored the overall perception of the PPWE significantly higher than nonparticipants.…”

Section: Discussionmentioning

confidence: 99%

The Role of Participation in and Effectiveness of Shared Governance Councils in the Nurses' Perception of a Professional Practice Work Environment

Al-Ruzzieh

Ayaad

Hess

2022

JONA: The Journal of Nursing Administration

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The aims of this study were to identify the differences in nurses' perceptions of their professional practice work environment (PPWE) related to their participation in shared governance (SG) councils and to examine the perception of effectiveness of SG councils among nurses who participate in them. BACKGROUND: Research suggests that adopting SG in nursing can lead to significant, positive outcomes, such as patient and nurse satisfaction and enhanced nurse empowerment, engagement, and a PPWE. METHODS:The study used a cross-sectional design in a Magnet®-designated urban Jordanian cancer care hospital. A convenience sample of 580 direct care nurses was used. The data were collected using self-administered questionnaires, the Council Health (CH) instrument, and the Professional Practice Work Environment Inventory (PPWEI). RESULTS: Results demonstrated a significant difference in the total score of PPWE between the SG council members (4.85) and nonmembers (4.68) (t = 2.906, P = 0.004). The results also indicated small to strong correlations of the total overall council health mean and all domain means of council effectiveness with total overall PPWEI mean and all domain means of PPWE ( P < 0.05) among nurses who participated in SG councils.CONCLUSION: Findings support involving more staff in SG councils and that enhancing the SG councils' effectiveness positively affects the PPWE.

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Section: Discussionmentioning

confidence: 99%

The Role of Participation in and Effectiveness of Shared Governance Councils in the Nurses' Perception of a Professional Practice Work Environment

Al-Ruzzieh

Ayaad

Hess

2022

JONA: The Journal of Nursing Administration

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“…The project was conducted as a proactive risk assessment in a specialized cancer center in Amman, Jordan, using the FMEA methodology to assess and improve the nursing blood sampling process based on many interventions mentioned in previous studies (Abuseif et al, 2018;Ayaad et al, 2018;Ning et al, 2016;Rudrappan, 2019;Sharikh et al, 2020) .…”

Section: Discussionmentioning

confidence: 99%

“…Based on the initial RPN results, many interventions were conducted. Previously conducted studies approved these interventions in enhancing the nursing work environment, quality, and safety of nursing care by using adequate technology such as well-designed electronic medical records, computer-assisted barcode system, automated sample labeling, delta checks, and electronic identification system Ning et al, 2016;Rosenbaum and Baron, 2018;Sharikh et al, 2020); redesigning the process; structured quality and administrative rounds (Ayaad, et al, 2019); proper utilizing of resources; ensuring high nursing autonomy (Abuseif et al, 2018;; adequate staff engagement, education and training; and patient engagement (Ayaad et al, 2019;de Mel et al, 2017;Rudrappan, 2019;Stout and Joseph, 2016).…”

Section: Discussionmentioning

confidence: 99%

“…RPN multiplied the three values (severity x frequency Failure Mode and Effects Analysis in Improving Nursing Blood Sampling were developed to decrease the risk of errors in the blood sampling process. These themes included process and responsibility modifications, resource and information technology utilization, patients and family engagement, safety culture, education, and training; Table 3 summarizes each theme's interventions, knowing that these interventions were selected based on many previous studies that showed significant reduction in errors and contributing risk factors (Abuseif et al, 2018;Ayaad et al, 2019;de Mel et al, 2017;Ning et al, 2016;Rosenbaum and Baron, 2018;Rudrappan, 2019;Sharikh et al, 2020;Stout and Joseph, 2016).…”

Section: Calculating the Rpnmentioning

confidence: 99%

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Using Failure Mode and Effects Analysis in Improving Nursing Blood Sampling at an International Specialized Cancer Center

Haroun

Ruzzieh

Hussien

et al. 2021

Asian Pac J Cancer Prev

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Background:The process of blood sampling is considered one of the primary and most common nursing invasive procedures carried out daily. Any failure at any point could have a severe negative impact on patient outcomes. Purpose: This project aimed to assess and improve the nursing blood sampling process in a specialized cancer center using failure mode and effect analysis (FMEA). Methods: An observational analytical design of the nursing blood sampling process using FMEA was conducted in King Hussein Cancer Center in Amman, Jordan. Seven steps were conducted, including a review of the blood sampling process, brainstorming potential failures, listing potential effects of each failure mode, assigning a severity rating for each potential effect, assigning a frequency/occurrence rating for each failure mode, assigning a detection rating scale for each failure mode, and calculating the Risk Priority Number (RPN) for each effect. Results: Eight (out of 28) main critical failure modes with more than 200 RPN were identified in the blood sampling process. Accordingly, five themes were developed to guide the corrective actions. These themes included: process and responsibility modifications, resource and information technology utilization, patients and family engagement, safety culture, and education and training after implementation of the corrective actions. This resulted in a 58 % reduction in the RPN of major failure modes. Conclusion: Many factors lead to blood sampling errors. A critical focus should be conducted on the preparation phase due to the possible errors that may occur. Proper identification of patients and blood sample tests are the keys to a significant decrease in blood sampling errors.

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“…Improving health professionals' work autonomy promotes their knowledge and experience 8 . Moreover, a health professional's work autonomy plays a significant role in patients, health professionals, and health institutions in terms of motivation, turnover reduction, and retention mechanisms of employees 8 – 10 .…”

Section: Introductionmentioning

confidence: 99%

Work autonomy and its associated factors among health professionals in public hospitals of North East Ethiopia

Yimer,

Zewdie,

Feleke

et al. 2024

Sci Rep

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A low level of work autonomy is the bottleneck for the health service delivery and the quality of the service. Although work autonomy is the pillar of organizational commitment and a means of employee retention mechanism, information about the magnitude of work autonomy among health professionals is limited in Ethiopia. Therefore, this study aimed to assess work autonomy and its predictors among health professionals working in public hospitals of Northeast Ethiopia. Institution-based cross-sectional study was conducted from March 24 to April 24, 2021, among health professionals using a stratified sampling technique. Variables with a p-value of < 0.25 in bivariable analysis were included in the multivariable analysis and variables with a p-value of < 0.05 in multivariable analysis were regarded as significantly associated factors. The overall good work autonomy in public hospitals (Dessie and Boru Meda Hospital) of North East Ethiopia was 54.5% (95% CI 54.48–54.53). Satisfaction with organizational policy and strategy (AOR 2.34, 95% CI 1.29–4.25), satisfaction with supervisor support (AOR 7.20, 95% CI 3.97–13.07), good health service delivery planning practice (AOR 1.88, 95%CI: 1.13–3.13), being married (AOR 4.26, 95%CI: 2.06–8.82) being pharmacy professionals (AOR 0.44, 95% CI 0.19–0.98), and being anesthesia and radiology professionals (AOR 4.66, 95% CI 1.65–13.19) were significantly associated with work autonomy of health professionals. More than half of the health professionals working in public hospitals in Northeast Ethiopia are autonomous in their work. Satisfaction with organizational policy and strategy, satisfaction with supervisor support, having good health service delivery planning practice, being married, and type of profession were significantly associated factors in public hospitals. Thus, strengthening strategies aimed at shaping poor health service delivery planning practices and dissatisfaction of employees concerning supervisor support and organizational policy might have a substantial contribution to improving the work autonomy of health professionals.

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Measuring Factors Affecting the Autonomy of Nurses Work

Cited by 3 publications

References 26 publications

The Role of Participation in and Effectiveness of Shared Governance Councils in the Nurses' Perception of a Professional Practice Work Environment

The Role of Participation in and Effectiveness of Shared Governance Councils in the Nurses' Perception of a Professional Practice Work Environment

Using Failure Mode and Effects Analysis in Improving Nursing Blood Sampling at an International Specialized Cancer Center

Work autonomy and its associated factors among health professionals in public hospitals of North East Ethiopia

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