Please use this identifier to cite or link to this item:
Title: Professional autonomy, collaboration with physicians, and moral distress among European intensive care nurses
Authors: Papathanassoglou, Elizabeth 
Kalafati, Maria 
Margarita Giannakopoulou 
Chrysoula Lemonidou 
John W. Albarran 
Karanikola, Maria 
Keywords: Nurses;Critical care nursing;Nurse and physician;Job satisfaction;Physicians;Stress (Psychology)
Category: Health Sciences
Field: Medical and Health Sciences
Issue Date: 2012
Publisher: American Association of Critical-Care Nurses
Source: American journal of critical care, 2012, Volume 21, Issue 2, Pages 41-52
Abstract: 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 self-administered questionnaire with validated scales for nurses’ autonomy, nurse-physician collaboration, and moral distress. Results: The mean autonomy score (84.26; SD, 11.7; range, 18–108) and the mean composite (frequency and intensity) moral distress score (73.67; SD, 39.19; range, 0–336) were both moderate. The mean collaboration score was 47.85 (SD, 11.63; range, 7–70). 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 (ρ = −0.339; P < .001) and autonomy (ρ = −0.210; P = .01) and positively with intention to quit (ρ = 0.257; P = .004). Conclusions: In this sample of European intensive care nurses, lower autonomy was associated with increased frequency and intensity of moral distress and lower levels of nurse-physician collaboration
ISSN: 1062-3264
DOI: 10.4037/ajcc2012205
Rights: © 2012 American Association of Critical-Care Nurses
Type: Article
Appears in Collections:Άρθρα/Articles

Show full item record

Citations 50

checked on Dec 14, 2018

Citations 5

Last Week
Last month
checked on Feb 9, 2019

Page view(s) 50

Last Week
Last month
checked on Feb 18, 2019

Google ScholarTM



Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.