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Πεδίο DCΤιμήΓλώσσα
dc.contributor.authorPapathanassoglou, Elizabeth-
dc.contributor.authorTseroni, Maria-
dc.contributor.authorKarydaki, Athena-
dc.date.accessioned2013-02-13T13:26:57Zen
dc.date.accessioned2013-05-16T08:36:40Z-
dc.date.accessioned2015-12-02T09:38:27Z-
dc.date.available2013-02-13T13:26:57Zen
dc.date.available2013-05-16T08:36:40Z-
dc.date.available2015-12-02T09:38:27Z-
dc.date.issued2005-02-17-
dc.identifier.citationJournal of nursing management, 2005, vol. 13, no. 2, pp. 154-164en_US
dc.identifier.issn13652834-
dc.identifier.urihttps://hdl.handle.net/20.500.14279/1890-
dc.description.abstractBackground: Nursing autonomy has been associated with better patient-outcomes; therefore, it is a priority for critical care nursing management. Low authority has been a persistent complaint of Hellenic intensive care unit nurses; however, issues of nursing autonomy have not been previously addressed empirically in Hellas. Purpose: To investigate: (1) the perceived contribution to clinical decision-making, (2) the degree of autonomy in technical tasks, and (3) factors related to practice autonomy in critical care nurses in Hellas. Additionally, because of the lack of sufficient tools, this study also aimed to construct and to validate a new tool for assessing practice and clinical decision-making autonomy among Hellenic intensive care unit nurses. Materials and methods: A Hellenic intensive care nursing autonomy scale, focused on technical aspects of care, was developed through literature review, a panel of experts and a pilot study in a random sample of 120 respondents. Items were refined by factor analysis, which revealed three major conceptual categories of autonomy: (1) basic technical, (2) advanced technical, and (3) clinical decision. Hellenic intensive care nursing autonomy (Likert 4, range: 38-152), was distributed to all nurses employed in intensive care units in Hellas (n = 807; attrition: 27%). Comparisons, correlation and multivariate regression were employed. Results: The Hellenic intensive care nursing autonomy scale exhibited appropriate reliability (Cronbach's α = 0.86) and validity properties. Autonomy scores were moderate (mean: 105.24 ± 9.58). Highest autonomy was attributed to basic technical tasks, followed by advanced technical tasks and decision-making. Male gender and higher education were predictors of higher overall, advanced technical and decision-making autonomy (P = 0.01). Bachelor degree graduates scored higher in decisional autonomy (P = 0.03). Intensive care unit experience and type of intensive care unit were also important determinants of decisional autonomy (P = 0.02). Conclusions: The results revealed moderate autonomy in technical tasks and low decisional autonomy among Hellenic intensive care unit nurses. Factors related to the educational preparation of nurses, gender issues and institutional characteristics might hinder intensive care unit nurses' autonomy in Hellasen_US
dc.formatpdfen_US
dc.language.isoenen_US
dc.relation.ispartofJournal of Nursing Managementen_US
dc.rights© Blackwellen_US
dc.subjectNursing--Managementen_US
dc.subjectNursesen_US
dc.subjectGreeceen_US
dc.subjectIntensive care unitsen_US
dc.titlePractice and clinical decision-making autonomy among Hellenic critical care nursesen_US
dc.typeArticleen_US
dc.collaborationNational and Kapodistrian University of Athensen_US
dc.countryGreeceen_US
dc.subject.fieldMedical and Health Sciencesen_US
dc.publicationPeer Revieweden_US
dc.identifier.doi10.1111/j.1365-2934.2004.00510.xen_US
dc.dept.handle123456789/54en
dc.relation.issue2en_US
dc.relation.volume13en_US
cut.common.academicyear2005-2006en_US
dc.identifier.spage154en_US
dc.identifier.epage164en_US
item.fulltextNo Fulltext-
item.languageiso639-1en-
item.grantfulltextnone-
item.openairecristypehttp://purl.org/coar/resource_type/c_6501-
item.cerifentitytypePublications-
item.openairetypearticle-
crisitem.journal.journalissn1365-2834-
crisitem.journal.publisherWiley-
crisitem.author.deptDepartment of Nursing-
crisitem.author.facultyFaculty of Health Sciences-
crisitem.author.orcid0000-0002-7439-1492-
crisitem.author.parentorgFaculty of Health Sciences-
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