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Effect of Nurses’ Autonomy Levels and Problem-Solving Skills on Job Satisfaction

Year 2023, Volume: 13 Issue: 2, 370 - 375, 15.06.2023
https://doi.org/10.33808/clinexphealthsci.1119340

Abstract

Objective: This study aimed to determine the effect of nurses’ autonomy levels and problem-solving skills on job satisfaction and was conducted in public, private and university hospital between July and September 2021.
Methods: This descriptive and relational – screening study was conducted with 278 nurses. Data were collected through the Socio-demographic Form, the Problem-Solving Inventory, the Sociotrophy-Autonomy Scale, and the Minnesota Job Satisfaction Questionnaire (MJSQ). Data were analyzed using SPSS 26 and AMOS 24 programs using numbers, percentages, minimum/maximum values, means, and standard deviation values.
Results: Modern mediation analysis findings performed using the Bootstrap method showed that the indirect effect of the autonomy score on the overall satisfaction score with the mediation of the problem-solving skills was significant (p< .05).
Conclusion: Problem-solving skills were found to have a partial mediating role in the effect of nurses’ autonomy levels on their job satisfaction.

References

  • Erikmen E, Vatan F. Hemşirelerin bireysel ve mesleki otonomilerinin incelenmesi. Sağlık ve Hemşirelik Yönetimi Dergisi. 2019;2(6):141-52.
  • Langfred CW, Rockmann KW. The push and pull of autonomy: The tension between individual autonomy and organizational control in knowledge work. Group & Organization Management. 2016;41(5):629-57.
  • Asakura K, Satoh M, Watanabe I. The development of the attitude toward professional autonomy scale for nurses in Japan. Psychological reports. 2016;119(3):761-82.
  • Keenan J. A concept analysis of autonomy. Journal of advanced nursing. 1999;29(3):556-62.
  • Meiksins PF, Watson JM. Professional autonomy and organizational constraint: The case of engineers. The Sociological Quarterly. 1989;30(4):561-85.
  • Lewis FM, Batey MV. Clarifying autonomy and accountability in nursing service: Part 2. Journal of Nursing Administration. 1982:10-5.
  • Canli F. Sağlık çalışanlarının ekip çalışmasına ilişkin görüşleri: Sağlık Bilimleri Enstitüsü; 2010.
  • Both-Nwabuwe JMC, Lips-Wiersma M, Dijkstra MTM, Beersma B. Nurses’ experience of individual, group-based, and professional autonomy. Nursing Outlook. 2019;67(6):734-46.
  • Li N, Zhang L, Xiao G, Chen J, Lu Q. The relationship between workplace violence, job satisfaction and turnover intention in emergency nurses. Int Emerg Nurs. 2019;45:50-5.
  • Castaneda GA, Scanlan JM. Job satisfaction in nursing: a concept analysis. Nurs Forum. 2014;49(2):130-8.
  • Aloisio LD, Coughlin M, Squires JE. Individual and organizational factors of nurses' job satisfaction in long-term care: A systematic review. International Journal of Nursing Studies. 2021;123:104073.
  • Athey EK, Leslie MS, Briggs LA, Park J, Falk NL, Pericak A, et al. How important are autonomy and work setting to nurse practitioners’ job satisfaction? Journal of the American Association of Nurse Practitioners. 2016;28(6):320-6.
  • Pron AL. Job satisfaction and perceived autonomy for nurse practitioners working in nurse-managed health centers. Journal of the American Academy of Nurse Practitioners. 2013;25(4):213-21.
  • Lockwood EB, Lehwaldt D, Sweeney MR, Matthews A. ‘An exploration of the levels of clinical autonomy of advanced nurse practitioners’: A narrative literature review. International Journal of Nursing Practice. 2022;28(1):e12978.
  • Özdemİr FK, KaraKaya G. Hemşirelerin bilgisayar ve bilişim teknolojisini kullanma durumları. Tepecik Eğit Hast Derg. 2017;27(2):126-30.
  • Öztürk YE, Kıraç R, editors. Hemşirelerde iş stresi ile iş doyumunun ilişkisi. International Health Sciences and Management Conference: İstanbul; 2019.
  • Heppner PP, Petersen CH. The development and implications of a personal problem-solving inventory. Journal of counseling psychology. 1982;29(1):66.
  • Sahin N, Sahin NH, Heppner PP. Psychometric properties of the problem solving inventory in a group of Turkish university students. Cognitive Therapy and Research. 1993;17(4):379-96.
  • Barman K, Roy M, Choudhary SS, Naznin W. Knowledge, attitude and practices of contraception among the married women of reproductive age. Religion. 2021;35(40):6.
  • Kangallı P. Sivas ili hastanelerinde çalışan hemşirelerin otonomi düzeyleri ve otonomiyi etkileyen mesleki ve kurumsal faktörlerin incelenmesi. Cumhuriyet Üniversitesi Sağlık Bilimleri Enstitüsü Hemşirelik Anabilim Dalı Yüksek Lisans Tezi, Sivas. 2005.
  • Profetto‐McGrath J. The relationship of critical thinking skills and critical thinking dispositions of baccalaureate nursing students. Journal of advanced nursing. 2003;43(6):569-77.
  • Uyar MG, Güven ŞD. Öğrenci Hemşirelerin Eleştirel Düşünme Eğilimleri Ve Otonomi Düzeyleri Arasındaki İlişkinin İncelenmesi: Nevşehir Hacı Bektaş Veli Üniversitesi; 2019.
  • Sevimli F, İşcan ÖF. Bireysel ve iş ortamina ait etkenler açisindan iş doyumu. Ege Academic Review. 2005;5(1):55-64.
  • Çinar İ, Kavlak O. İzmir ilinde çalışan ambulans ve acil bakım teknikerlerinde iş doyumunun ve buna etki eden faktörlerin incelenmesi. Akademik Acil Tıp Dergisi. 2009;8(3):33-7.
  • Anderson NL, Boyle JS, Davidhizar RE, Newman Giger J, McFarland MR, Papadopoulos I, et al. Chapter 7: Cultural health assessment. Journal of Transcultural Nursing. 2010;21(4_suppl):307S-36S.
  • Gürbüz S. AMOS ile yapısal eşitlik modellemesi. Ankara: Seçkin Yayınevi; 2019.
  • Bayram N. Yapısal eşitlik modellemesine giriş amos uygulamaları. Bursa: Ezgi Kitabevi; 2010.
  • AllahBakhshian M, Alimohammadi N, Taleghani F, Nik AY, Abbasi S, Gholizadeh L. Barriers to intensive care unit nurses' autonomy in Iran: A qualitative study. Nursing Outlook. 2017;65(4):392-9.
  • Uzun LN, Mayda AS. İnvestigation of Burnout Levels in Nurses According to Different Variables: Example of A Universty Hospital. Konuralp Tıp Dergisi. 2020;12(1):137-43.
  • Kaçan CY, Örsal Ö, Köşgeroğlu N. Hemşirelerde İş Doyumu Düzeyinin İncelenmesi. Hemşirelikte Araştırma Geliştirme Dergisi. 2016;18(2-3):1-12.
  • Durmuş S, Günay O. Hemşirelikte Araştırma Geliştirme Dergisi. Erciyes Tıp Dergisi. 2007;29(2):139-46.
  • Aksoy NM. Job satısfactıon and affectıng factors of surgıcal unıt nurses of 3 dıfferent hospıtals in a provınce in medıterranean regıon. Journal of Education and Research in Nursing. 2013;10(2):45-53.
  • Kelleci M, Gölbaşı Z, Doğan S, Ata EE, Koçak E. The relationship of job satisfaction and burnout level with quality of life in hospital nurses. Cumhuriyet Medical Journal. 2011;33:144-52.
  • Çelik Y, Kiliç İ. Hemşirelerde İş Doyumu, Meslekİ Tükenmişlik ve Yaşam Kalitesİ Arasindakİ İlişkiler. Kocatepe Tıp Dergisi. 2019;20:230-8.
  • Aytekin A, Yilmaz Kurt F. Factors affecting the job satisfaction of nurses working in the Neonatal Intensive Care Unit. Journal of Dr Behcet Uz Children's Hospital. 2014;4(1):51-8.
  • Enns V, Currie S, Wang J. Professional autonomy and work setting as contributing factors to depression and absenteeism in Canadian nurses. Nursing Outlook. 2015;63(3):269-77.
  • Demir Barutcu C. Hemşirelik Öğrencilerinde Problem Çözme Becerisinin Klinik Karar Verme Düzeylerine Etkisi. SDÜ Tıp Fakültesi Dergisi. 2019.
  • Erdem E, Efe YS, Başdaş Ö, Bayat M, Korkmaz Z, Uslu N. The Effect Of Concept Mapping On Problem Solving And Critical Thinking Of Nursing Students. Journal of Health Sciences. 2017;26(2):147-52.
  • Lau Y. Factors affecting the social problem-solving ability of baccalaureate nursing students. Nurse Education Today. 2014;34(1):121-6.
  • Lu H, Zhao Y, While A. Job satisfaction among hospital nurses: A literature review. International Journal of Nursing Studies. 2019;94:21-31.
  • Diana, Eliyana A, Mukhtadi, Anwar A. Creating the path for quality of work life: A study on nurse performance. Heliyon. 2022;8(1):e08685.
  • Karem MA, Mahmood YN, Jameel AS, Ahmad AR. The effect of job satisfaction and organizational commitment on nurses’ performance. Humanities and Social Sciences Reviews. 2019;7(6):332-9.
Year 2023, Volume: 13 Issue: 2, 370 - 375, 15.06.2023
https://doi.org/10.33808/clinexphealthsci.1119340

Abstract

References

  • Erikmen E, Vatan F. Hemşirelerin bireysel ve mesleki otonomilerinin incelenmesi. Sağlık ve Hemşirelik Yönetimi Dergisi. 2019;2(6):141-52.
  • Langfred CW, Rockmann KW. The push and pull of autonomy: The tension between individual autonomy and organizational control in knowledge work. Group & Organization Management. 2016;41(5):629-57.
  • Asakura K, Satoh M, Watanabe I. The development of the attitude toward professional autonomy scale for nurses in Japan. Psychological reports. 2016;119(3):761-82.
  • Keenan J. A concept analysis of autonomy. Journal of advanced nursing. 1999;29(3):556-62.
  • Meiksins PF, Watson JM. Professional autonomy and organizational constraint: The case of engineers. The Sociological Quarterly. 1989;30(4):561-85.
  • Lewis FM, Batey MV. Clarifying autonomy and accountability in nursing service: Part 2. Journal of Nursing Administration. 1982:10-5.
  • Canli F. Sağlık çalışanlarının ekip çalışmasına ilişkin görüşleri: Sağlık Bilimleri Enstitüsü; 2010.
  • Both-Nwabuwe JMC, Lips-Wiersma M, Dijkstra MTM, Beersma B. Nurses’ experience of individual, group-based, and professional autonomy. Nursing Outlook. 2019;67(6):734-46.
  • Li N, Zhang L, Xiao G, Chen J, Lu Q. The relationship between workplace violence, job satisfaction and turnover intention in emergency nurses. Int Emerg Nurs. 2019;45:50-5.
  • Castaneda GA, Scanlan JM. Job satisfaction in nursing: a concept analysis. Nurs Forum. 2014;49(2):130-8.
  • Aloisio LD, Coughlin M, Squires JE. Individual and organizational factors of nurses' job satisfaction in long-term care: A systematic review. International Journal of Nursing Studies. 2021;123:104073.
  • Athey EK, Leslie MS, Briggs LA, Park J, Falk NL, Pericak A, et al. How important are autonomy and work setting to nurse practitioners’ job satisfaction? Journal of the American Association of Nurse Practitioners. 2016;28(6):320-6.
  • Pron AL. Job satisfaction and perceived autonomy for nurse practitioners working in nurse-managed health centers. Journal of the American Academy of Nurse Practitioners. 2013;25(4):213-21.
  • Lockwood EB, Lehwaldt D, Sweeney MR, Matthews A. ‘An exploration of the levels of clinical autonomy of advanced nurse practitioners’: A narrative literature review. International Journal of Nursing Practice. 2022;28(1):e12978.
  • Özdemİr FK, KaraKaya G. Hemşirelerin bilgisayar ve bilişim teknolojisini kullanma durumları. Tepecik Eğit Hast Derg. 2017;27(2):126-30.
  • Öztürk YE, Kıraç R, editors. Hemşirelerde iş stresi ile iş doyumunun ilişkisi. International Health Sciences and Management Conference: İstanbul; 2019.
  • Heppner PP, Petersen CH. The development and implications of a personal problem-solving inventory. Journal of counseling psychology. 1982;29(1):66.
  • Sahin N, Sahin NH, Heppner PP. Psychometric properties of the problem solving inventory in a group of Turkish university students. Cognitive Therapy and Research. 1993;17(4):379-96.
  • Barman K, Roy M, Choudhary SS, Naznin W. Knowledge, attitude and practices of contraception among the married women of reproductive age. Religion. 2021;35(40):6.
  • Kangallı P. Sivas ili hastanelerinde çalışan hemşirelerin otonomi düzeyleri ve otonomiyi etkileyen mesleki ve kurumsal faktörlerin incelenmesi. Cumhuriyet Üniversitesi Sağlık Bilimleri Enstitüsü Hemşirelik Anabilim Dalı Yüksek Lisans Tezi, Sivas. 2005.
  • Profetto‐McGrath J. The relationship of critical thinking skills and critical thinking dispositions of baccalaureate nursing students. Journal of advanced nursing. 2003;43(6):569-77.
  • Uyar MG, Güven ŞD. Öğrenci Hemşirelerin Eleştirel Düşünme Eğilimleri Ve Otonomi Düzeyleri Arasındaki İlişkinin İncelenmesi: Nevşehir Hacı Bektaş Veli Üniversitesi; 2019.
  • Sevimli F, İşcan ÖF. Bireysel ve iş ortamina ait etkenler açisindan iş doyumu. Ege Academic Review. 2005;5(1):55-64.
  • Çinar İ, Kavlak O. İzmir ilinde çalışan ambulans ve acil bakım teknikerlerinde iş doyumunun ve buna etki eden faktörlerin incelenmesi. Akademik Acil Tıp Dergisi. 2009;8(3):33-7.
  • Anderson NL, Boyle JS, Davidhizar RE, Newman Giger J, McFarland MR, Papadopoulos I, et al. Chapter 7: Cultural health assessment. Journal of Transcultural Nursing. 2010;21(4_suppl):307S-36S.
  • Gürbüz S. AMOS ile yapısal eşitlik modellemesi. Ankara: Seçkin Yayınevi; 2019.
  • Bayram N. Yapısal eşitlik modellemesine giriş amos uygulamaları. Bursa: Ezgi Kitabevi; 2010.
  • AllahBakhshian M, Alimohammadi N, Taleghani F, Nik AY, Abbasi S, Gholizadeh L. Barriers to intensive care unit nurses' autonomy in Iran: A qualitative study. Nursing Outlook. 2017;65(4):392-9.
  • Uzun LN, Mayda AS. İnvestigation of Burnout Levels in Nurses According to Different Variables: Example of A Universty Hospital. Konuralp Tıp Dergisi. 2020;12(1):137-43.
  • Kaçan CY, Örsal Ö, Köşgeroğlu N. Hemşirelerde İş Doyumu Düzeyinin İncelenmesi. Hemşirelikte Araştırma Geliştirme Dergisi. 2016;18(2-3):1-12.
  • Durmuş S, Günay O. Hemşirelikte Araştırma Geliştirme Dergisi. Erciyes Tıp Dergisi. 2007;29(2):139-46.
  • Aksoy NM. Job satısfactıon and affectıng factors of surgıcal unıt nurses of 3 dıfferent hospıtals in a provınce in medıterranean regıon. Journal of Education and Research in Nursing. 2013;10(2):45-53.
  • Kelleci M, Gölbaşı Z, Doğan S, Ata EE, Koçak E. The relationship of job satisfaction and burnout level with quality of life in hospital nurses. Cumhuriyet Medical Journal. 2011;33:144-52.
  • Çelik Y, Kiliç İ. Hemşirelerde İş Doyumu, Meslekİ Tükenmişlik ve Yaşam Kalitesİ Arasindakİ İlişkiler. Kocatepe Tıp Dergisi. 2019;20:230-8.
  • Aytekin A, Yilmaz Kurt F. Factors affecting the job satisfaction of nurses working in the Neonatal Intensive Care Unit. Journal of Dr Behcet Uz Children's Hospital. 2014;4(1):51-8.
  • Enns V, Currie S, Wang J. Professional autonomy and work setting as contributing factors to depression and absenteeism in Canadian nurses. Nursing Outlook. 2015;63(3):269-77.
  • Demir Barutcu C. Hemşirelik Öğrencilerinde Problem Çözme Becerisinin Klinik Karar Verme Düzeylerine Etkisi. SDÜ Tıp Fakültesi Dergisi. 2019.
  • Erdem E, Efe YS, Başdaş Ö, Bayat M, Korkmaz Z, Uslu N. The Effect Of Concept Mapping On Problem Solving And Critical Thinking Of Nursing Students. Journal of Health Sciences. 2017;26(2):147-52.
  • Lau Y. Factors affecting the social problem-solving ability of baccalaureate nursing students. Nurse Education Today. 2014;34(1):121-6.
  • Lu H, Zhao Y, While A. Job satisfaction among hospital nurses: A literature review. International Journal of Nursing Studies. 2019;94:21-31.
  • Diana, Eliyana A, Mukhtadi, Anwar A. Creating the path for quality of work life: A study on nurse performance. Heliyon. 2022;8(1):e08685.
  • Karem MA, Mahmood YN, Jameel AS, Ahmad AR. The effect of job satisfaction and organizational commitment on nurses’ performance. Humanities and Social Sciences Reviews. 2019;7(6):332-9.
There are 42 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Articles
Authors

Nukhet Bayer 0000-0003-3177-0596

Didem Şimşek 0000-0003-0001-2581

Özlem Ülkü Bulut 0000-0003-0810-3381

Zehra Gölbaşı 0000-0002-0410-7433

Publication Date June 15, 2023
Submission Date May 20, 2022
Published in Issue Year 2023 Volume: 13 Issue: 2

Cite

APA Bayer, N., Şimşek, D., Bulut, Ö. Ü., Gölbaşı, Z. (2023). Effect of Nurses’ Autonomy Levels and Problem-Solving Skills on Job Satisfaction. Clinical and Experimental Health Sciences, 13(2), 370-375. https://doi.org/10.33808/clinexphealthsci.1119340
AMA Bayer N, Şimşek D, Bulut ÖÜ, Gölbaşı Z. Effect of Nurses’ Autonomy Levels and Problem-Solving Skills on Job Satisfaction. Clinical and Experimental Health Sciences. June 2023;13(2):370-375. doi:10.33808/clinexphealthsci.1119340
Chicago Bayer, Nukhet, Didem Şimşek, Özlem Ülkü Bulut, and Zehra Gölbaşı. “Effect of Nurses’ Autonomy Levels and Problem-Solving Skills on Job Satisfaction”. Clinical and Experimental Health Sciences 13, no. 2 (June 2023): 370-75. https://doi.org/10.33808/clinexphealthsci.1119340.
EndNote Bayer N, Şimşek D, Bulut ÖÜ, Gölbaşı Z (June 1, 2023) Effect of Nurses’ Autonomy Levels and Problem-Solving Skills on Job Satisfaction. Clinical and Experimental Health Sciences 13 2 370–375.
IEEE N. Bayer, D. Şimşek, Ö. Ü. Bulut, and Z. Gölbaşı, “Effect of Nurses’ Autonomy Levels and Problem-Solving Skills on Job Satisfaction”, Clinical and Experimental Health Sciences, vol. 13, no. 2, pp. 370–375, 2023, doi: 10.33808/clinexphealthsci.1119340.
ISNAD Bayer, Nukhet et al. “Effect of Nurses’ Autonomy Levels and Problem-Solving Skills on Job Satisfaction”. Clinical and Experimental Health Sciences 13/2 (June 2023), 370-375. https://doi.org/10.33808/clinexphealthsci.1119340.
JAMA Bayer N, Şimşek D, Bulut ÖÜ, Gölbaşı Z. Effect of Nurses’ Autonomy Levels and Problem-Solving Skills on Job Satisfaction. Clinical and Experimental Health Sciences. 2023;13:370–375.
MLA Bayer, Nukhet et al. “Effect of Nurses’ Autonomy Levels and Problem-Solving Skills on Job Satisfaction”. Clinical and Experimental Health Sciences, vol. 13, no. 2, 2023, pp. 370-5, doi:10.33808/clinexphealthsci.1119340.
Vancouver Bayer N, Şimşek D, Bulut ÖÜ, Gölbaşı Z. Effect of Nurses’ Autonomy Levels and Problem-Solving Skills on Job Satisfaction. Clinical and Experimental Health Sciences. 2023;13(2):370-5.

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