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Title: Perceptions of critical and emergency department nurses regarding changes in their professional role
Authors: Karanikola, Maria 
Giannakopoulou, Margarita 
Mpouzika, Meropi 
Nicolaou, Christiana 
Tsiaousis, George Z. 
Vouzavali, Foteini 
Koutroubas, Anna 
Papathanassoglou, Elizabeth 
Keywords: Critical care nursing;Decision making;Emergency nursing;Professional autonomy;Professional role
Category: Health Sciences
Field: Medical and Health Sciences
Issue Date: 2017
Publisher: Escola de Enfermagem de Universidade de Sao Paulo
Source: Revista da Escola de Enfermagem, 2017, Volume 51, Article number e03287
Abstract: Objective: Preliminary investigation of the way Greek critical and emergency department nurses conceptualize changes in their professional role. Method: A qualitative focus-group methodology was applied. Following purposeful sampling and informed consent of participants. Results: Participated eight individuals. Th e need for enhancement of nurses' participation in decision-making in order for an actual change in their professional role to be achieved was the central theme of participants' narratives. Perceived advancements in professional role performance regarded: evidence-based practice; technology; education, knowledge; clinical skills; research; heightened nurse-physician collaboration. Perceived reasons why these advancements failed to enhance nurses' professional role were lack of meritocracy; competitive relationships; lack of support among nurses; insufficient managerial support; budget limitations. Conclusion: Despite advancements in clinical practice, participants did not deem that their professional role was enhanced significantly, as participation in decision-making and control over practice remain limited. Interventions targeted to enhance nurses' participation in clinical decision-making, and overall professional autonomy are recommended.
ISSN: 1980-220X
Type: Article
Appears in Collections:Άρθρα/Articles

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