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A unit-based protocol to enhance Jordanian nurses' autonomous decision making.

Majd T Mrayyan1

  • 1The Hashemite University, Faculty of Nursing, Zarqa, Jordan. mmrayyan@hu.edu.jo

Journal of Nursing Management
|June 22, 2006
PubMed
Summary

A new unit-based protocol was developed to improve Jordanian nurses' autonomous decision-making skills. This initiative aims to enhance patient care quality and job satisfaction by empowering nurses in healthcare settings.

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Area of Science:

  • Nursing
  • Healthcare Management
  • Organizational Behavior

Background:

  • Healthcare organizations face escalating changes necessitating enhanced nurse autonomy.
  • Nurse autonomy is linked to accountability, authority, responsibility, and decision-making involvement.
  • Increased autonomy positively impacts nurse job satisfaction, retention, patient satisfaction, and care quality.

Purpose of the Study:

  • To develop a unit-based protocol specifically designed to enhance autonomous decision-making among Jordanian nurses.
  • To create a framework that supports nurses in exercising greater autonomy within their practice settings.

Main Methods:

  • Protocol development involved personal experience, literature review, and feedback from nurses and senior nursing students.
  • Consultation with 26 nurses in a teaching hospital informed the protocol's comprehensiveness and applicability.

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  • Nurses' suggestions were integrated throughout the development and revision phases of the protocol.
  • Main Results:

    • A comprehensive unit-based protocol was successfully developed.
    • The protocol incorporates activities designed to foster autonomy and improve the work environment for nurses.

    Conclusions:

    • The developed protocol aims to significantly enhance nurses' autonomous decision-making capabilities.
    • Implementation is expected to yield positive short, intermediate, and long-term outcomes for patients, nurses, and healthcare organizations.