PROFESSIONAL AUTONOMY, COLLABORATION WITH PHYSICIANS, AND MORAL DISTRESS AMONG EUROPEAN INTENSIVE CARE NURSES
PROFESSIONAL AUTONOMY, COLLABORATION WITH PHYSICIANS, AND MORAL DISTRESS AMONG EUROPEAN INTENSIVE CARE NURSES
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DOI：
10.4037/ajcc2012205
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发表时间：
2012-03-01
影响因子：
2.7
通讯作者：
Albarran, John W.
中科院分区：
文献类型：
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作者：
Papathanassoglou, Elizabeth D. E.;Karanikola, Maria N. K.;Albarran, John W.
背景自主自主是提高患者预后和护士工作满意度的关键因素。目的探讨欧洲重症监护护士的自主性水平以及自主性与护士-医生协作、精神困扰和护士特征之间的潜在关联。方法对255名出席2009年欧洲重症监护会议的代表进行描述性相关研究。结果护士自主性平均得分(84.26；SD，11.7；范围18-108)和综合精神痛苦(频率和强度)平均得分(73.67；SD，39.19；范围0-336)均为中等。协作得分平均为47.85分(SD为11.63；范围为7-70)。意大利和希腊护士报告的护士与医生之间的协作程度显著低于其他护士(P
Background 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 self-administered 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