Please use this identifier to cite or link to this item: https://hdl.handle.net/20.500.14279/3718
DC FieldValueLanguage
dc.contributor.authorPapathanassoglou, Elizabeth-
dc.contributor.authorKalafati, Maria-
dc.contributor.authorGiannakopoulou, Margarita-
dc.contributor.authorLemonidou, Chryssoula-
dc.contributor.authorAlbarran, John W.-
dc.contributor.authorKaranikola, Maria-
dc.date.accessioned2015-02-27T08:15:44Z-
dc.date.accessioned2015-12-09T09:41:04Z-
dc.date.available2015-02-27T08:15:44Z-
dc.date.available2015-12-09T09:41:04Z-
dc.date.issued2012-03-01-
dc.identifier.citationAmerican Journal of Critical Care, 2012, vol.21, no.2, pp.41-e52en_US
dc.identifier.issn1937710X-
dc.identifier.urihttps://hdl.handle.net/20.500.14279/3718-
dc.description.abstractBackground 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 selfadministered 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 (r = -0.339; P < .001) and autonomy (r = -0.210; P = .01) and positively with intention to quit (r = 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.en_US
dc.formatpdfen_US
dc.language.isoenen_US
dc.relation.ispartofAmerican Journal of Critical Careen_US
dc.rights© American Association of Critical-Care Nursesen_US
dc.subjectAdulten_US
dc.subjectAttitude of health personnelen_US
dc.subjectCross-sectional studiesen_US
dc.subjectIntensive careen_US
dc.subjectJob satisfactionen_US
dc.subjectNursing staffen_US
dc.subjectPhysician-nurse relationsen_US
dc.subjectProfessional autonomyen_US
dc.titleProfessional Autonomy, Collaboration With Physicians, and Moral Distress Among European Intensive Care Nursesen_US
dc.typeArticleen_US
dc.collaborationUniversity of the West of Englanden_US
dc.collaborationNational and Kapodistrian University of Athensen_US
dc.collaborationCyprus University of Technologyen_US
dc.subject.categoryHealth Sciencesen_US
dc.journalsSubscriptionen_US
dc.reviewPeer Revieweden
dc.countryUnited Kingdomen_US
dc.countryGreeceen_US
dc.countryCyprusen_US
dc.subject.fieldMedical and Health Sciencesen_US
dc.identifier.doi10.4037/ajcc2012205en_US
dc.dept.handle123456789/118en
dc.relation.issue2en_US
dc.relation.volume21en_US
cut.common.academicyear2011-2012en_US
dc.identifier.spage41en_US
dc.identifier.epage52en_US
item.fulltextNo Fulltext-
item.languageiso639-1en-
item.grantfulltextnone-
item.openairecristypehttp://purl.org/coar/resource_type/c_6501-
item.cerifentitytypePublications-
item.openairetypearticle-
crisitem.journal.journalissn1937-710X-
crisitem.journal.publisherAmerican Association of critical-care nurses-
crisitem.author.deptDepartment of Nursing-
crisitem.author.deptDepartment of Nursing-
crisitem.author.facultyFaculty of Health Sciences-
crisitem.author.facultyFaculty of Health Sciences-
crisitem.author.orcid0000-0002-7439-1492-
crisitem.author.orcid0000-0003-2708-1851-
crisitem.author.parentorgFaculty of Health Sciences-
crisitem.author.parentorgFaculty of Health Sciences-
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