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Title: Perceptions of critical and emergency department nurses regarding changes in their professional role
Other Titles: Percepção dos enfermeiros dos serviços críticos e de emergência em relação a mudanças no seu papel profissional
Percepciones de enfermeros en el departamento crítico y de emergencia en lo que se refiere a cambios en su papel profesional
Authors: Karanikola, Maria 
Giannakopoulou, Margarita 
Mpouzika, Meropi 
Nicolaou, Christiana 
Tsiaousis, George Z. 
Vouzavali, Foteini 
Zafiropoulou-Koutrouba, Anna 
Papathanassoglou, Elizabeth 
Major Field of Science: Medical and Health Sciences
Field Category: Health Sciences
Keywords: Critical care nursing;Decision making;Emergency nursing;Professional autonomy;Professional role
Issue Date: 2017
Source: Revista da Escola de Enfermagem, 2017, vol. 51
Volume: 51
Journal: Revista da Escola de Enfermagem da USP 
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: 0080-6234
DOI: 10.1590/S1980-220X2017014403287
Rights: This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Type: Article
Affiliation : Cyprus University of Technology 
National andKapodistrian University of Athens 
Technological Educational Institute of Athens 
University of Alberta 
Appears in Collections:Άρθρα/Articles

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