Volume 21, Issue 6 (September 2023)                   Nursing and Midwifery Journal 2023, 21(6): 454-462 | Back to browse issues page


XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Parizad N, Judi A, Alinejad V, Mohammadpour Y. PROFESSIONAL AUTONOMY AND ITS RELATIONSHIP WITH ORGANIZATIONAL COMMITMENT AMONG NURSES OF INTENSIVE CARE UNITS IN URMIA TEACHING HOSPITALS IN 2022. Nursing and Midwifery Journal 2023; 21 (6) :454-462
URL: http://unmf.umsu.ac.ir/article-1-4948-en.html
1- Assistant Professor of Nursing, Patient Safety Research Center, Clinical Research Institute, Urmia University of Medical Sciences, Urmia, Iran
2- Master's student in critical care nursing, Faculty of Nursing and Midwifery, Urmia University of Medical Sciences, Iran (Corresponding Author) , aysanjudi75@gmail.com
3- Assistant Professor of Biostatistics, Department of Epidemiology and Biostatistics, Faculty of Medicine, Urmia University of Medical Sciences, Urmia, Iran
4- Assistant Professor of Medical Education, School of Medicine, Urmia University of Medical Sciences, Urmia, Iran
Abstract:   (722 Views)
Background & Aim: Autonomy is an important and necessary factor in nursing. Autonomy in the work environment can affect various factors, including nurses' retention and commitment to the job. The present study aimed to determine the professional autonomy and its relationship with the organizational commitment of nurses working in the critical care units of Urmia educational hospitals.
Materials & Methods: This descriptive and cross-sectional correlational study was conducted on 385 nurses working in intensive care units in 2022-2023. Sampling was done by quota method, and data collection was done using demographic questionnaires, Varjus professional autonomy scale, and Porter's organizational commitment questionnaire. Independent t-test and ANOVA were used to examine the relationship between demographic variables and the components of this research, and Pearson's correlation coefficient was used to investigate the relationship between professional autonomy and organizational commitment.
Results: Based on the mean and standard deviation of nurses' professional autonomy (63.57±16.62) and organizational commitment (61.12±12.34), the nurses' professional autonomy and organizational commitment in the intensive care unit were moderate. A significant positive relationship was observed between professional autonomy and organizational commitment (p < 0.05).
Conclusion: By promoting nurses' professional autonomy, their organizational commitment can be improved, increasing the quality of care. Therefore, it is recommended to adopt appropriate strategies and necessary policies to improve nurses' professional autonomy.
Full-Text [PDF 564 kb]   (637 Downloads)    
Type of Study: Research | Subject: پرستاری

References
1. Kuwano N, Fukuda H, Murashima S. Factors affecting professional autonomy of Japanese nurses caring for culturally and linguistically diverse patients in a hospital setting in Japan. J Transcult Nurs 2016;27(6):567-73. [DOI:10.1177/1043659615587588] [PMID]
2. Georgiou E, Papathanassoglou ED, Pavlakis A. Nurse‐physician collaboration and associations with perceived autonomy in Cypriot critical care nurses. Nurs Crit Care 2017;22(1):29-39. [DOI:10.1111/nicc.12126] [PMID]
3. Rouhi-Balasi L, Elahi N, Ebadi A, Jahani S, Hazrati M. Professional autonomy of nurses: A qualitative meta-synthesis study. Iran J Nurs Midwifery Res 2020;25(4):273. [DOI:10.4103/ijnmr.IJNMR_213_19] [PMID] [PMCID]
4. Valizadeh L, Zamanzadeh V, Shohani M. Challenges of autonomy in nursing: an integrative review. 2013. [URL]
5. Enns V, Currie S, Wang J. Professional autonomy and work setting as contributing factors to depression and absenteeism in Canadian nurses. Nurs Outlook 2015;63(3):269-77. [DOI:10.1016/j.outlook.2014.12.014] [PMID]
6. Iliopoulou KK, While AE. Professional autonomy and job satisfaction: survey of critical care nurses in mainland Greece. J Adv Nurs 2010;66(11):2520-31. [DOI:10.1111/j.1365-2648.2010.05424.x] [PMID]
7. Bahroodi P, Kh S. Organizational Commitment of Iranian Nurses: A Systematic Review. J Nurs Manag 2022;11(1). [Google Scholar]
8. Azizi qadikolaee a, Jafaraghaee f, Chehrzad mm, Kazemnezhad-Leyli e. Organizational Commitment and its related Factors among Novice Nurses. Iran J Nurs Midwifery Res 2019;14(2):77-85. [Google Scholar]
9. Farahaninia M, Ehyaei P, Ahmadi Z, Haghani H. relationship between nurses' social health and quality of life. J Client-Centered Nurs Care 2019;5(2):131-40. [DOI:10.32598/JCCNC.5.2.131]
10. Yang J, Liu Y, Chen Y, Pan X. The effect of structural empowerment and organizational commitment on Chinese nurses' job satisfaction. Appl Nurs Res 2014;27(3):186-91. [DOI:10.1016/j.apnr.2013.12.001] [PMID]
11. Shirani S, Mohammadi Yousef Nejad Y. The Effectiveness of Cognitive-Behavioral Stress Management Training on Work-Family Conflict, Organizational Commitment and Employees' Perceived Stress. Ind Organ Psychol 2018;5(1):21-36. [Google Scholar]
12. Nassar MA. Human resource management practices and organizational commitment in four-and five-star hotels in Egypt. J Human Resour Hospitality Tourism 2018;17(1):1-21. [DOI:10.1080/15332845.2017.1328258]
13. Azeez RO, Jayeoba F, Adeoye AO. Job satisfaction, turnover intention and organizational commitment. J Manag Res 2016;8(2):102-14. [Google Scholar]
14. Varjus S-L, Suominen T, Leino-Kilpi H. Autonomy among intensive care nurses in Finland. Intensive Crit Care Nurs 2003;19(1):31-40. [DOI:10.1016/S0964-3397(03)00007-7] [PMID]
15. Yeganeh MR, Pouralizadeh M, Ghanbari A. The relationship between professional autonomy and moral distress in ICU nurses of Guilan University of Medical Sciences in 2017. Nurs Pract Today 2019;6(3):133-41. [DOI:10.18502/npt.v6i3.1256]
16. Mowday RT, Steers RM, Porter LW. The measurement of organizational commitment. Journal of vocational behavior. 1979;14(2):224-47. [DOI:10.1016/0001-8791(79)90072-1]
17. Sokhandan HA, Vafa Peivand M, Dibaji Forooshani ZS, Aghajani T, Gachkar L, Abdolmohammadzadeh S. Relationship of Mental Health with Job Satisfaction and Organizational Commitment among Bank Melli Iran Hospital of Medical Staff in 2021. J Modern Fam Med 2021;1(1):100. [Google Scholar]
18. Talukder AMH. Supervisor support and organizational commitment: The role of work-family conflict, job satisfaction, and work-life balance. J Employ Couns 2019;56(3):98-116. [DOI:10.1002/joec.12125]
19. Seyyedmoharrami I, Dehaghi BF, Abbaspour S, Zandi A, Tatari M, Teimori G, et al. The relationship between organizational climate, organizational commitment and job burnout: Case study among employees of the university of medical sciences. Open Public Health J 2019;12(1). [DOI:10.2174/1874944501912010094]
20. Motamed-Jahromi M, Jalali T, Eshghi F, Zaher H, Dehghani L. Evaluation of professional autonomy and the association with individual factors among nurses in the Southeast of Iran. J Nurs Midwifery Sci 2015;2(4):37-42. [DOI:10.18869/acadpub.jnms.2.4.37]
21. Aghamohammadi D, Dadkhah B, Aghamohammadi M. Nurse-physician collaboration and the professional autonomy of intensive care units nurses. Indian journal of critical care medicine: peer-reviewed, official publication of Indian Society of Crit Care Med 2019;23(4):178. [DOI:10.5005/jp-journals-10071-23149] [PMID] [PMCID]
22. Labrague LJ, McEnroe‐Petitte DM, Tsaras K. Predictors and outcomes of nurse professional autonomy: A cross‐sectional study. Int J Nurs Pract 2019;25(1):e12711. [DOI:10.1111/ijn.12711] [PMID]
23. Alruwaili MM, Abuadas FH. Professional autonomy among nurses in Saudi Arabian critical care units. BMC Nurs 2023;22(1):224. [DOI:10.1186/s12912-023-01390-x] [PMID] [PMCID]
24. Fung‐kam L. Job satisfaction and autonomy of Hong Kong registered nurses. J Adv Nurs 1998;27(2):355-63. [DOI:10.1046/j.1365-2648.1998.00527.x] [PMID]
25. Amini K, Negarandeh R, Ramezani‐Badr F, Moosaeifard M, Fallah R. Nurses' autonomy level in teaching hospitals and its relationship with the underlying factors. Int J Nurs Pract 2015;21(1):52-9. [DOI:10.1111/ijn.12210] [PMID]
26. Mrayyan MT. Nurses' autonomy: influence of nurse managers' actions. J Adv Nurs 2004;45(3):326-36. [DOI:10.1046/j.1365-2648.2003.02893.x] [PMID]
27. Adib Hajbaghery M, Salsali M. A model for empowerment of nursing in Iran. BMC Health Serv Res 2005;5(1):1-11. [DOI:10.1186/1472-6963-5-24] [PMID] [PMCID]
28. Farsi z, Dehghan‐Nayeri N, Negarandeh R, Broomand s. Nursing profession in iran: an overview of opportunities and challenges. Jpn J Nurs Sci 2010;7(1):9-18. [DOI:10.1111/j.1742-7924.2010.00137.x] [PMID]
29. Maylone MM, Ranieri L, Griffin MTQ, McNulty R, Fitzpatrick JJ. Collaboration and autonomy: Perceptions among nurse practitioners. J Am Assoc Nurse Pract 2011;23(1):51-7. [DOI:10.1111/j.1745-7599.2010.00576.x] [PMID]
30. Cajulis CB, Fitzpatrick JJ, Kleinpell RM. Levels of autonomy of nurse practitioners in an acute care setting. J Am Assoc Nurse Pract 2007;19(10):500-7. [DOI:10.1111/j.1745-7599.2007.00257.x] [PMID]
31. Labrague LJ, McEnroe-Petitte DM, Tsaras K, Cruz JP, Colet PC, Gloe DS. Organizational commitment and turnover intention among rural nurses in the Philippines: Implications for nursing management. Int J Nurs Sci 2018;5(4):403-8. [DOI:10.1016/j.ijnss.2018.09.001] [PMID] [PMCID]
32. Cherian S, Alkhatib AJ, Aggarwal M, Cherian S. Relationship between organizational commitment and job satisfaction of nurses in Dubai hospital. J Adv Soc Sci Humanit 2018;4(1):36373-400. [URL]
33. Eren H, Hisar F. Quality of work life perceived by nurses and their organizational commitment level. J Hum Sci 2016;13(1):1123-32. [DOI:10.14687/ijhs.v13i1.3440]
34. Gholami M, Saki M, Hossein Pour AH. Nurses' perception of empowerment and its relationship with organizational commitment and trust in teaching hospitals in Iran. J Nurs Manag 2019;27(5):1020-9. [DOI:10.1111/jonm.12766] [PMID]
35. Khodadadei N, Rezaei B, Salehi S. Investigating the relationship of organizational commitment and clinical competence (Case study: Nurses working in Montazeri Hospital, City of Najafabad, Iran, 2015. Health Sci 2016;5(5):308-16. [Google Scholar]
36. Sharifi K. Organizational Commitment of Iranian Nurses: A Systematic Review. Q J Nurs Manag 2022;11(1):21-32. [Google Scholar]
37. Chegini Z, Janati A, Asghari-Jafarabadi M, Khosravizadeh O. Organizational commitment, job satisfaction, organizational justice and self-efficacy among nurses. Nurs Pract Today 2019;6(2):86-93. [DOI:10.18502/npt.v6i2.913]
38. Salem OA, Baddar F, AL-Mugatti HM. Relationship between nurses' job satisfaction and organizational commitment. J Nurs Health Sci 2016;5(1):49-55. [Google Scholar]
39. Kim SY, Kim K-K. Relationship of conflict management style, professional autonomy, role conflict and organizational commitment of nurses in general hospitals. J Korean Acad Nurs Adm 2018;24(5):387-95. [DOI:10.11111/jkana.2018.24.5.387]
40. Hwang h-j, lee y-m. Effects of professional autonomy, organizational commitment, and perceived patient safety culture on patient safety management activities of nurses in medium and small-sized hospitals. J Korean Crit Care Nurs 2017:63-74. [Google Scholar]

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 CC BY-NC 4.0 | Nursing And Midwifery Journal

Designed & Developed by : Yektaweb