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Nurses’ Autonomy and Its Relation to Their Attitude towards Patient's Rights Advocacy

Yaldez k. Zein Eldin, Ahmed Ragab Elwany Saleh, Nora Ahmed Bassieuni

Abstract


Nursing autonomy has been listed as the most important contributing factor to nurses’ job satisfaction. The more nurses have autonomy in decision-making and nursing practices, the more they have the opportunity to advocate patients against any procedure that harms the nursing process and the patient's treatment plan. Aim of the study is to identify the relationship between nurses' autonomy and advocacy of patients' rights. A descriptive correlation design was utilized to conduct this study. Setting: The study was conducted in all in-patient units (n = 17) at Damanhur National Medical Institute in El Behira Governorate. Subjects: included a convenient sample of professional nurses (n= 50) and technical nurses (n=120) who had at least one year experience and provided direct patient care. Tools: The study utilized two tools for data collection namely: Autonomy Scale with two subdimensions, and Attitude toward Patient Advocacy Scale (APAS) with three subscales. Results: revealed statistically significant relation was found between the studied nurses’ autonomy level and their attitude towards patients’ advocacy (P= 0.013). Recommendations: Hospitals administrators should establish policy boundaries for nurses’ independent decisions that support nurses' autonomy and regulate the practice of autonomy to the degree of benefit to the patient. Advocacy of patients' rights should be a part of organization culture. Also, first line nurse managers should provide continuous training programs on scope of nursing autonomy and patient rights.


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