Registered nurses’ perceptions and experiences of autonomy: a descriptive phenomenological study

Abstract Background Professional autonomy is a key concept in understanding nurses’ roles in delivering patient care. Recent research exploring the role of autonomy in the nursing work environment indicated that English and American nurses had differing perceptions of autonomy. This qualitative study aimed to explore the understanding and experiences of autonomy of nurses working in England. Methods A descriptive phenomenological analysis of data from 48 semi-structured interviews with registered nurses from two National Health Service (NHS) hospitals (purposive sample) was used to explore the concept of autonomy. Results Six themes were identified: working independently; working in a team; having professional skills and knowledge; involvement in autonomy; boundaries around autonomy; and developing autonomy requires support. A key finding was that nurses related autonomy to their clinical work and to the immediate work environment of their ward, rather than to a wider professional context. Nurses also perceived that autonomy could be turned off and on rather than comprising an integrated aspect of nursing. Conclusions Findings suggest that nurses in England, as framed by the sample, had a local ward-focused view of autonomy in comparison to nurses in America, who were reported to relate autonomy to a wider involvement in hospital level committees. Findings further indicate that autonomy was practiced occasionally, rather than incorporated into practice. Findings highlight the need for nurses in England to adopt a broader perspective and actively contribute to writing hospital guidelines and policies that recognise the importance of autonomy to nurse training and practice.

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Listening to Bedouin Women Who Were Affected by Intimate Partner Violence and Sought Help From a Doctor

Journal of Interpersonal Violence ◽

10.1177/0886260519881003 ◽

2019 ◽

pp. 088626051988100

Author(s):

Iris Manor-Binyamini ◽

Michal Schreiber-Divon

Keyword(s):

Intimate Partner Violence ◽

Health Care Professionals ◽

Partner Violence ◽

Social Space ◽

Phenomenological Study ◽

Intimate Partner ◽

Structured Interviews ◽

Community Clinic ◽

First Interview

The purpose of this study was to examine how Bedouin women perceived and interpreted seeing a doctor for help in the aftermath of intimate partner violence. In the phenomenological study, 38 semi-structured interviews were conducted at two different points in time. The first interview took place before the first appointment with the doctor, and the second took place about 3 months after seeing the doctor. The findings revealed two main themes: an act of resistance against the prevailing social norms and empowerment out of crisis. The study found that doctors and other professionals working in the field of domestic violence in community clinics provide a reliable first source of support for women within a limiting social space. This brings into focus the centrality of the role of the doctor/health care professionals within the framework of the community clinic and is intended to direct, train, and deepen the insights of the medical staff that work with women affected by intimate partner violence and to create uniformity in the interventions for these women.

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The nursing work environment and quality of care: Content analysis of comments made by registered nurses responding to the Essentials of Magnetism II scale

Nursing Open ◽

10.1002/nop2.268 ◽

2019 ◽

Cited By ~ 3

Author(s):

Titilayo O. Oshodi ◽

Benjamin Bruneau ◽

Rachel Crockett ◽

Francia Kinchington ◽

Shoba Nayar ◽

...

Keyword(s):

Content Analysis ◽

Quality Of Care ◽

Registered Nurses ◽

Work Environment ◽

Nursing Work Environment

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New graduate registered nurses' perceptions of transitioning to professional practice after completion of the new graduate guarantee orientation program

10.32920/ryerson.14653923.v1 ◽

2021 ◽

Author(s):

Jo'Anne Guay

Keyword(s):

Registered Nurses ◽

Professional Practice ◽

Safety Net ◽

Academic Hospital ◽

Structured Interviews ◽

New Graduate ◽

Professional Self ◽

Transition Experiences ◽

Nurses Perceptions

In Canada, the projected shortage of Registered Nurses (RNs) by 2022 is 60,000. This shortage is accentuated as Canadian New Graduate Registered Nurses (NGRNs) experience difficulties transitioning to professional practice. This study sought to explore NGRNs’ transition experiences in the 12 months post New Graduate Guarantee (NGG) orientation informed by Charmaz’s grounded theory methodology. Semi-structured interviews were conducted with ten NGRNs working in one urban, academic hospital in Ontario. The theory’s overarching category Discovering Professional Self highlights the NGRNs’ transition experiences as a progressive process with transitory setbacks. The early part of the process, described as Surviving without a Safety Net, involved Experiencing Fear, Figuring it Out, and Learning on the Job. In the later part of the process, the NGRNs’ experienced a Turning of the Tables as they described Being Trusted, Gaining Confidence, and Feeling Comfortable in their professional role. Recommendations focus on strategies to enhance NGRNs’ transition experienc

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Passé or a time to pause? A phenomenological study of family physicians’ experiences of physical examination

British Journal of General Practice ◽

10.3399/bjgp18x696797 ◽

2018 ◽

Vol 68 (suppl 1) ◽

pp. bjgp18X696797

Author(s):

Martina Kelly ◽

Lisa Freeman

Keyword(s):

Physical Examination ◽

Family Practice ◽

Phenomenological Study ◽

Essential Element ◽

Family Physicians ◽

The Body ◽

Evidence Based ◽

Structured Interviews ◽

Qualitative Phenomenological

BackgroundOnce the cornerstone of clinical family practice, the role of physical examination is changing. Patients and physicians alike express concern that emphasis on evidence-based medicine and increasing reliance of technology has relegated the role of physical examination in clinical practice.AimTo understand the role of physical examination in contemporary family practice.MethodQualitative phenomenological study, interpreted through the writings of Merleau-Ponty. Semi-structured interviews were conducted with a purposive sample of sixteen family physicians; men, women, recent graduates and experienced physician working in urban, rural and academic practices. Interviews were recorded, transcribed and examined using template analysis, complimented with researcher reflexivity.ResultsStudy participants described physical examination as core to practice, to diagnose, to communicate, and to validate patient and practitioner concerns. Performance of physical examination became routine over time but a disruption to the expected caused physicians to pause. Participants described this as a slowing of time where they became conscious of the body of the patient and their own body, intertwined in a moment. Physicians experienced affective, intellectual, and physical phenomena, which integrated to guide their behaviour, diagnosis, and management of the patient. The role of physical examination was to not only diagnosis as an evidence-based medical expert, but was experienced as a form of embodied, nonverbal communication, which expressed care.ConclusionPhysical examination plays an important role to reassure and communicate trust in the doctor–patient relationship, enacted through the body of the physician. Complimenting diagnosis, the laying on of hands remains an essential element of patient care.

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A labour of love: Reward and satisfaction for nurses: Findings from a grounded theory study in dementia care

Dementia ◽

10.1177/1471301220965557 ◽

2020 ◽

pp. 147130122096555

Author(s):

Julia Gilbert ◽

Louise Ward ◽

Ruby Walter

Keyword(s):

Grounded Theory ◽

Registered Nurses ◽

Nursing Care ◽

Essential Element ◽

Aged Care ◽

Residential Aged Care ◽

Structured Interviews ◽

Grounded Theory Study ◽

Nurses Perceptions ◽

Specific Care

Aim To understand nurses’ perceptions of quality nursing care in the dementia-specific care unit. As the world’s population ages, the incidence of dementia is projected to rise in tandem. The requirement for skilled, dementia-trained registered nurses who can provide quality nursing care will need to increase accordingly to meet the needs of these individuals. Extensive research has been completed on dementia nursing care in a variety of settings; however, little research has been undertaken into nurses’ perceptions of quality nursing care in the dementia-specific care unit. Understanding how registered nurses perceive quality nursing care in the dementia-specific care unit is important and provides valuable information about nursing practice in this environment for nurses and decision-makers. Gaining a better understanding of quality nursing care in this care unit may result in better nurse education and an improved patient experience. It may also assist nursing organisations, residential aged-care facilities, government bodies and nongovernment agencies that support, manage, and oversee dementia-specific care units. Method A grounded theory study was conducted to understand nurses’ perceptions of quality nursing care in dementia-specific care units. The study involved interviewing nine registered nurses working in two dementia-specific care units on the Gold Coast, Queensland. Data were collected during semi-structured interviews and analysed using both constant comparison and thematic analysis. Findings Three themes emerged from this study— Caring at the Coalface, Labour of love and the Business of Dementia Healthcare. The largest theme, Labour of love, represents the personal reward and feeling of satisfaction six nurses said they experienced when interacting with individuals living in the dementia-specific care unit. They identified and repeatedly discussed the joy and fulfilment they experienced when caring for them, and considered this to be an essential element of quality nursing care. It was evident from the data that the nurses cared very deeply about these individuals, and despite increased risks to personal safety at work, they did not want to work anywhere else. This article reports on the largest and key theme identified in the study Labour of Love.

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New graduate registered nurses' perceptions of transitioning to professional practice after completion of the new graduate guarantee orientation program

10.32920/ryerson.14653923 ◽

2021 ◽

Author(s):

Jo'Anne Guay

Keyword(s):

Registered Nurses ◽

Professional Practice ◽

Safety Net ◽

Academic Hospital ◽

Structured Interviews ◽

New Graduate ◽

Professional Self ◽

Transition Experiences ◽

Nurses Perceptions

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THE ROLE OF MENTOR IN MENTORING FRESH GRADUATED NURSES

Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) ◽

10.32419/jppni.v3i3.154 ◽

2021 ◽

Vol 3 (3) ◽

Author(s):

Cicilia Nony Ayuningsih bratajaya ◽

Ernawati Sitompul

Keyword(s):

Work Environment ◽

Corporate Culture ◽

Nursing Student ◽

Transition Process ◽

Working Life ◽

Philosophical Hermeneutics ◽

Structured Interviews ◽

Interpretive Phenomenology ◽

Novice Nurses

The transition process of fresh graduated nurses from nursing student become nurse, it could be challenging especially in this generation which facing of technology acceleration, in the other hand as a nurse should be humanist. Someone who has good cognitive and technical skills, but without adequate mentoring, it would be difficult to endure adaptation process successfully. Therefore, a mentor would play important role to guide the novice nurses in dealing with situations in the work environment. Objective: This study aims to explore the experience of mentors in hospitals in mentoring beginner nurses. Methods: This qualitative research uses interpretive phenomenology by using Gadamer's philosophical hermeneutics as a methodology. The data collected through semi-structured interviews. The samples of this study were 8 nurses from several unit in a hospital.Results: This study resulted in three themes: mentoring process; mentor roles and functions; and challenges of a mentor. Discussion: One of challenging mentoring is short duration of mentoring due to rush hour in a ward. Unsuccsessful mentoring could contribute the difficulty of fresh graduated nurse to adapt on working life. Conclusion: Mentor commitment in mentoring fresh graduated nurse on the transition and adaptation of working should be supported by positive corporate culture and synergistically with institution policy. Keywords: Mentoring,Challenges of Mentor, Mentor Roles and Functions, Adaptation of fresh graduated nurses

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Impact of Professional Autonomy and Nursing Work Environment on Clinical Decision Making of Clinical Nurses

Korean Journal of Occupational Health Nursing ◽

10.5807/kjohn.2013.22.4.285 ◽

2013 ◽

Vol 22 (4) ◽

pp. 285-294 ◽

Cited By ~ 4

Author(s):

Yongsoon Lee ◽

Moonhee Gang ◽

Mi Sook Jung

Keyword(s):

Decision Making ◽

Work Environment ◽

Clinical Decision Making ◽

Clinical Decision ◽

Professional Autonomy ◽

Clinical Nurses ◽

Nursing Work Environment

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Nurses’ perceptions about the influence of the labor environment in the use of psychoactive substances

Revista Brasileira de Medicina do Trabalho ◽

10.5327/z1679443520200378 ◽

2020 ◽

Vol 18 (1) ◽

pp. 30-36

Author(s):

Alessandro Rolim Scholze ◽

Júlia Trevisan Martins ◽

Maria José Quina Galdino ◽

Aline Aparecida Oliveira Moreira ◽

Vanessa Monique Luiz Costa ◽

...

Keyword(s):

Content Analysis ◽

Qualitative Study ◽

Work Environment ◽

Interpersonal Relationships ◽

Public Hospitals ◽

Psychoactive Substance ◽

Psychoactive Substances ◽

Structured Interviews ◽

Power Struggles ◽

Nurses Perceptions

Background: The work environment of nurses is characterized by physical and mental hazards liable to cause exhaustion and lead them to take psychoactive substances as coping strategy. Objective: To investigate nurses’ perception of the work environment influence on psychoactive substance intake. Methods: Exploratory, descriptive and qualitative study with 14 nurses in two public hospitals. Data were collected through semi-structured interviews and subjected to content analysis. Results: Staff and material shortages, submission, lack of autonomy, conflict in interpersonal relationships and power struggles were the main reasons for nurses to take psychoactive substances. Conclusion: Nurses are exposed to stressors in the workplace, including understaffing, power struggles, interpersonal conflict and lack of autonomy, which may lead them to take legal or illegal drugs.

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