Perception and Deception in Nurses’ Clinical and Work-Related Professional Autonomy: Case Study for a Hospital in Romania

Marina Bădileanu, Ileana Paula Ionel, Justin Aurelian, Daniel Alin Cristian (), Cornelia Jude, Luminița-Izabell Georgescu and Ivona Răpan ()
Additional contact information
Marina Bădileanu: Center of Industry and Services Economy, “Costin C. Kirițescu” National Institute of Economic Researches, Romanian Academy, Calea 13 Septembrie 13, 050711 Bucharest, Romania
Ileana Paula Ionel: Faculty of Midwifery and Nursing, “Carol Davila” University of Medicine and Pharmacy, Dionisie Lupu 37, 020021 Bucharest, Romania
Justin Aurelian: Faculty of Midwifery and Nursing, “Carol Davila” University of Medicine and Pharmacy, Dionisie Lupu 37, 020021 Bucharest, Romania
Daniel Alin Cristian: Department 10, General Surgery, Faculty of General Surgery, “Carol Davila” University of Medicine and Pharmacy Bucharest, Dionisie Lupu 37, 020021 Bucharest, Romania
Cornelia Jude: Institute of National Economy, Romanian Academy, Calea 13 Septembrie 13, 050711 Bucharest, Romania
Luminița-Izabell Georgescu: Center of Industry and Services Economy, “Costin C. Kirițescu” National Institute of Economic Researches, Romanian Academy, Calea 13 Septembrie 13, 050711 Bucharest, Romania
Ivona Răpan: Institute of National Economy, Romanian Academy, Calea 13 Septembrie 13, 050711 Bucharest, Romania

Sustainability, 2022, vol. 15, issue 1, 1-19

Abstract: The continuous expansion of the nursing scope of practice, the undeniable growth of the nurses’ role in the healthcare crisis, the shortage of labor, especially in rural areas and marginalized urban csommunities, and last but not least, the lack of literature on Romanian nursing autonomy are some of the background factors in this study. This study’s purpose is to assess nurses’ perceptions of their medical care independence. The main hypothesis is that more advanced levels of education generate a greater inclination toward autonomous interventions. The quantitative research is based on a survey using a self-designed questionnaire as a tool (based on a nurse-focused structure and process indicators following the Donabedian model) applied in a Romanian clinical hospital. Based on a literature review, three composite indicators were developed and tested for reliability using the Cronbach alpha coefficient. These indicators reflect autonomy from three perspectives: clinical practice independence, autonomy in relation to work, and autonomy through digitalization. This scientific approach revealed a major impact of the regulatory framework on nurses’ perceptions of their autonomy, below the expectations of use, and the acceptance of digital technologies among nurses. Finally, it was observed that college graduate nurses perceive lower levels of independence than post-secondary ones.

Keywords: nurse; clinical practice autonomy; autonomy in relation to work; full scope-of-practice; nursing-sensitive indicators; healthcare digitalization (search for similar items in EconPapers)
JEL-codes: O13 Q Q0 Q2 Q3 Q5 Q56 (search for similar items in EconPapers)
Date: 2022
References: View references in EconPapers View complete reference list from CitEc
Citations:

Downloads: (external link)
https://www.mdpi.com/2071-1050/15/1/355/pdf (application/pdf)
https://www.mdpi.com/2071-1050/15/1/355/ (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:gam:jsusta:v:15:y:2022:i:1:p:355-:d:1015200

Access Statistics for this article

Sustainability is currently edited by Ms. Alexandra Wu

More articles in Sustainability from MDPI
Bibliographic data for series maintained by MDPI Indexing Manager ().