What is an autonomy supportive environment in geriatric care units? Focus group interviews with healthcare professionals

Abstract

Objectives Grounded in Self‐Determination Theory (SDT), the aim of the study was to define an autonomy supportive environment through the perceptions of different healthcare professionals in three geriatric care units within French public and private hospitals. Study design Four focus groups were conducted with healthcare professionals. Each focus group was videotaped and audio‐recorded and transcribed verbatim. Methods An inductive approach was used, and data analysis was carried out using NVivo 10 software for Mac‐QSR International. Results Three themes were highlighted (a) building a relationship of trust with older people; (b) encouraging them to express themselves and (c) promoting progress. Conclusion The present study provides some information and a reflection for healthcare professionals who might be interested in using a more autonomy‐supportive motivating style in their practice.

Nurses’ views on hospital organizational characteristics

“…The overall mean of the hospital organizational characteristics indicates a low level of nurses’ views on hospital organizational characteristics. This indicates poor work environments as marked by low nurse professional autonomy, consistent with other studies; low nurse satisfaction and high nurse turnover, similar to Kutney‐Lee et al; low quality of work, consistent with Olds et al and Wei et al; and, in turn, low patient satisfaction, similar to Olds et al and Wei et al…”

“…Blake, 1 Shirey, 2 Copanitsanou et al, 4 Aiken and Patrician, 6 Sönmez and Yıldırım, 9 Souesme and Ferrand, 10 Cortelyou-Ward et al, 11 Kutney-Lee et al, 12 and Olds et al 13 Descriptive studies Positive organizational characteristics are essential for healthy work environments and positive various outcomes.…”

“…In nursing, positive hospital organizational characteristics are essential for attractive work environments. These characteristics include, but are not limited to, empowering nurse professional autonomy and collaborative relationships with physicians . Positive hospital organizational characteristics and work environments promote nurse satisfaction and decrease nurse turnover, enhance patient satisfaction and quality of work, and decrease inpatient mortality …”

“…These characteristics include, but are not limited to, empowering nurse professional autonomy and collaborative relationships with physicians. 6,[9][10][11] Positive hospital organizational characteristics and work environments promote nurse satisfaction and decrease nurse turnover, 3,6,12,13 enhance patient satisfaction and quality of work, and decrease inpatient mortality. 3,6,12,13 The healthcare system in Jordan has experienced rapid growth.…”

Ambulance clinicians’ attitudes to older patients’ self‐determination when the patient has impaired decision‐making ability: A Delphi study

“…Older persons need to feel safe in relationships, be able to influence decisions, and feel involved (Ekelund et al, 2014). Building trustful relationships over time is important in environments supporting older people's self-determination (Souesme & Ferrand, 2019).…”