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Nurses' attitudes toward control over nursing practice
1Department of Nursing, Temple University, Philadelphia, PA.
Nursing Forum
|January 1, 1992
Summary
Most nurses in Illinois support autonomy and independent practice, but some have reservations. Favorable attitudes correlate with education, licensure year, labor force attachment, and career commitment.
Area of Science:
- Nursing Practice
- Healthcare Policy
Background:
- Understanding nurses' perspectives on practice control is crucial for healthcare system development.
- Nurse autonomy and independent practice are key areas of discussion in healthcare reform.
Purpose of the Study:
- To examine registered nurses' attitudes toward nurse control over nursing practice in Illinois.
- To identify factors associated with nurses' support for autonomy, independent practice, and reimbursement.
Main Methods:
- A random sample of 323 registered nurses in Illinois was surveyed.
- Regression analyses were performed to identify significant predictors of attitudes toward nurse control.
Main Results:
- A majority of nurses supported nurse autonomy, independent practice, and third-party reimbursement.
- A significant minority expressed opposition, particularly regarding independent practice.
- Favorable attitudes were linked to college-based nursing programs, recent licensure, strong labor force attachment, and career commitment.
Conclusions:
- While most Illinois nurses favor greater control over their practice, some concerns remain, especially about independent practice.
- Educational background, career stage, and professional commitment significantly influence nurses' views on practice autonomy.
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