Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/30497
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dc.contributor.authorOshodi, Titilayo Olufunkeen_UK
dc.contributor.authorBruneau, Benjaminen_UK
dc.contributor.authorCrockett, Rachelen_UK
dc.contributor.authorKinchington, Franciaen_UK
dc.contributor.authorNayar, Shobaen_UK
dc.contributor.authorWest, Elizabethen_UK
dc.date.accessioned2019-11-22T17:28:36Z-
dc.date.available2019-11-22T17:28:36Z-
dc.date.issued2019en_UK
dc.identifier.other51en_UK
dc.identifier.urihttp://hdl.handle.net/1893/30497-
dc.description.abstractBackground Professional autonomy is a key concept in understanding nurses’ roles in delivering patient care. Recent research exploring the role of autonomy in the nursing work environment indicated that English and American nurses had differing perceptions of autonomy. This qualitative study aimed to explore the understanding and experiences of autonomy of nurses working in England. Methods A descriptive phenomenological analysis of data from 48 semi-structured interviews with registered nurses from two National Health Service (NHS) hospitals (purposive sample) was used to explore the concept of autonomy. Results Six themes were identified: working independently; working in a team; having professional skills and knowledge; involvement in autonomy; boundaries around autonomy; and developing autonomy requires support. A key finding was that nurses related autonomy to their clinical work and to the immediate work environment of their ward, rather than to a wider professional context. Nurses also perceived that autonomy could be turned off and on rather than comprising an integrated aspect of nursing. Conclusions Findings suggest that nurses in England, as framed by the sample, had a local ward-focused view of autonomy in comparison to nurses in America, who were reported to relate autonomy to a wider involvement in hospital level committees. Findings further indicate that autonomy was practiced occasionally, rather than incorporated into practice. Findings highlight the need for nurses in England to adopt a broader perspective and actively contribute to writing hospital guidelines and policies that recognise the importance of autonomy to nurse training and practice.en_UK
dc.language.isoenen_UK
dc.publisherSpringer Science and Business Media LLCen_UK
dc.rightsThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.en_UK
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en_UK
dc.subjectHospitalen_UK
dc.subjectNurseen_UK
dc.subjectAutonomyen_UK
dc.subjectAutonomous practiceen_UK
dc.subjectDescriptive phenomenologyen_UK
dc.subjectQualitativeen_UK
dc.titleRegistered nurses' perceptions and experiences of autonomy: a descriptive phenomenological studyen_UK
dc.typeJournal Articleen_UK
dc.identifier.doi10.1186/s12912-019-0378-3en_UK
dc.identifier.pmid31695577en_UK
dc.citation.jtitleBMC Nursingen_UK
dc.citation.issn1472-6955en_UK
dc.citation.volume18en_UK
dc.citation.issue1en_UK
dc.citation.publicationstatusPublisheden_UK
dc.citation.peerreviewedRefereeden_UK
dc.type.statusVoR - Version of Recorden_UK
dc.contributor.funderUniversity of Greenwichen_UK
dc.citation.date01/11/2019en_UK
dc.contributor.affiliationAnglia Ruskin Universityen_UK
dc.contributor.affiliationUniversity of Greenwichen_UK
dc.contributor.affiliationPsychologyen_UK
dc.contributor.affiliationUniversity of Greenwichen_UK
dc.contributor.affiliationUniversity of Greenwichen_UK
dc.contributor.affiliationUniversity of Greenwichen_UK
dc.identifier.isiWOS:000494794400001en_UK
dc.identifier.scopusid2-s2.0-85074521086en_UK
dc.identifier.wtid1486104en_UK
dc.contributor.orcid0000-0002-7959-0247en_UK
dc.contributor.orcid0000-0002-3239-461Xen_UK
dc.date.accepted2019-10-17en_UK
dc.description.refREF Compliant by Deposit in Stirling's Repositoryen_UK
dc.date.filedepositdate2019-11-22en_UK
Appears in Collections:Psychology Journal Articles

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