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Nurses' and physicians' perceptions of nursing authority.

Journal of Professional Nursing : Official Journal of the American Association of Colleges of Nursing

|July 1, 1989

Summary

Nurses and physicians hold differing views on the decision-making authority of nurses. These perception gaps highlight challenges in professional nursing role enactment and patient care.

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Area of Science:

Healthcare professional perceptions
Nursing and medical authority
Interprofessional collaboration

Background:

Professional nursing roles have expanded, yet the extent of nurses' decision-making authority remains a subject of debate.
Understanding perceptions of nursing authority is crucial for effective interprofessional dynamics and patient care.
Previous research indicates potential discrepancies in how nurses and physicians view nursing roles and responsibilities.

Purpose of the Study:

To compare the perceptions of nurses and physicians regarding the current and ideal decision-making authority of professional nurses.
To identify specific areas of agreement and disagreement between nurses and physicians concerning nursing authority.
To explore the implications of these perceptions for professional nursing practice.

Main Methods:

A quantitative study involving 163 nurses and physicians.
Utilized the Authority in Nursing Roles Inventory (ANRI) with 25 items across two contexts.
Participants rated their agreement or disagreement with statements describing nursing roles, functions, and behaviors.

Main Results:

Statistically significant differences were found in perceptions of nursing authority, both between and within professional groups (nurses and physicians).
Specific areas revealed significant disparities in how nurses and physicians perceive the current and ideal levels of nursing decision-making authority.
Both groups expressed dissatisfaction in certain aspects of nursing authority, indicating internal and external conflicts.

Conclusions:

Despite expanded nursing roles, significant disagreements persist between nurses and physicians regarding the scope of nursing authority.
These perception disparities can act as barriers to the full enactment of professional nursing roles and may impact patient care.
Addressing these conflicts through targeted strategies is essential for improving interprofessional collaboration and optimizing nursing practice.

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