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Sustainability
Volume 15
Issue 1
10.3390/su15010355
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Article

Perception and Deception in Nurses’ Clinical and Work-Related Professional Autonomy: Case Study for a Hospital in Romania

by
Marina Bădileanu
1,2,
Ileana Paula Ionel
2,3,
Justin Aurelian
2,3,
Daniel Alin Cristian
4,5,*,
Cornelia Jude
6,
Luminița-Izabell Georgescu
1 and
Ivona Răpan
6,*
1
Center of Industry and Services Economy, “Costin C. Kirițescu” National Institute of Economic Researches, Romanian Academy, Calea 13 Septembrie 13, 050711 Bucharest, Romania
2
Faculty of Midwifery and Nursing, “Carol Davila” University of Medicine and Pharmacy, Dionisie Lupu 37, 020021 Bucharest, Romania
3
Clinical Hospital “Prof. Dr. Th. Burghele”, Șoseaua Panduri 20, 061344 Bucharest, Romania
4
Department 10, General Surgery, Faculty of General Surgery, “Carol Davila” University of Medicine and Pharmacy Bucharest, Dionisie Lupu 37, 020021 Bucharest, Romania
5
Clinical Hospital “Colțea”, Blvd. Ion C. Brătianu 1, 030167 Bucharest, Romania
6
Institute of National Economy, Romanian Academy, Calea 13 Septembrie 13, 050711 Bucharest, Romania
*
Authors to whom correspondence should be addressed.
Sustainability 2023, 15(1), 355; https://doi.org/10.3390/su15010355
Submission received: 14 November 2022 / Revised: 11 December 2022 / Accepted: 13 December 2022 / Published: 26 December 2022
(This article belongs to the Special Issue Public Health and Healthcare Services Technologies and Development in Post-COVID 19 Era)
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Abstract

The continuous expansion of the nursing scope of practice, the undeniable growth of the nurses’ role in the healthcare crisis, the shortage of labor, especially in rural areas and marginalized urban csommunities, and last but not least, the lack of literature on Romanian nursing autonomy are some of the background factors in this study. This study’s purpose is to assess nurses’ perceptions of their medical care independence. The main hypothesis is that more advanced levels of education generate a greater inclination toward autonomous interventions. The quantitative research is based on a survey using a self-designed questionnaire as a tool (based on a nurse-focused structure and process indicators following the Donabedian model) applied in a Romanian clinical hospital. Based on a literature review, three composite indicators were developed and tested for reliability using the Cronbach alpha coefficient. These indicators reflect autonomy from three perspectives: clinical practice independence, autonomy in relation to work, and autonomy through digitalization. This scientific approach revealed a major impact of the regulatory framework on nurses’ perceptions of their autonomy, below the expectations of use, and the acceptance of digital technologies among nurses. Finally, it was observed that college graduate nurses perceive lower levels of independence than post-secondary ones.
Keywords: nurse; clinical practice autonomy; autonomy in relation to work; full scope-of-practice; nursing-sensitive indicators; healthcare digitalization nurse; clinical practice autonomy; autonomy in relation to work; full scope-of-practice; nursing-sensitive indicators; healthcare digitalization

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MDPI and ACS Style

Bădileanu, M.; Ionel, I.P.; Aurelian, J.; Cristian, D.A.; Jude, C.; Georgescu, L.-I.; Răpan, I. Perception and Deception in Nurses’ Clinical and Work-Related Professional Autonomy: Case Study for a Hospital in Romania. Sustainability 2023, 15, 355. https://doi.org/10.3390/su15010355

AMA Style

Bădileanu M, Ionel IP, Aurelian J, Cristian DA, Jude C, Georgescu L-I, Răpan I. Perception and Deception in Nurses’ Clinical and Work-Related Professional Autonomy: Case Study for a Hospital in Romania. Sustainability. 2023; 15(1):355. https://doi.org/10.3390/su15010355

Chicago/Turabian Style

Bădileanu, Marina, Ileana Paula Ionel, Justin Aurelian, Daniel Alin Cristian, Cornelia Jude, Luminița-Izabell Georgescu, and Ivona Răpan. 2023. "Perception and Deception in Nurses’ Clinical and Work-Related Professional Autonomy: Case Study for a Hospital in Romania" Sustainability 15, no. 1: 355. https://doi.org/10.3390/su15010355

APA Style

Bădileanu, M., Ionel, I. P., Aurelian, J., Cristian, D. A., Jude, C., Georgescu, L.-I., & Răpan, I. (2023). Perception and Deception in Nurses’ Clinical and Work-Related Professional Autonomy: Case Study for a Hospital in Romania. Sustainability, 15(1), 355. https://doi.org/10.3390/su15010355

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