How Organisational Dynamics Impact Decision Latitude, Social Support, Self-Identity Through Work and Job Insecurity
Isabella Wright1, Anja Vorster2, Eamon Merrick3,4
1School of Clinical Sciences, Auckland University of Technology, Auckland, New Zealand.
Journal of Advanced Nursing
|February 24, 2025
Summary
Nurse practitioners (NPs) in New Zealand have more decision-making autonomy when they receive collegial support. This finding highlights the importance of peer support for NP practice and patient care.
Area of Science:
- Nursing Practice and Healthcare Management
- Health Services Research
Background:
- Nurse practitioners (NPs) play a crucial role in healthcare delivery.
- Understanding the factors influencing NP autonomy is essential for optimizing their scope of practice.
Purpose of the Study:
- To determine if nurse practitioners (NPs) in New Zealand (NZ) possess organizational opportunities for role-related decision-making.
- To investigate the relationship between social support, job demands, and NP decision-making autonomy.
Main Methods:
- A cross-sectional study surveyed 169 NPs across various practice settings in NZ.
- The Job Content Questionnaire assessed self-reported decision-making, social support, and psychosocial demands.
- Linear regression analyses examined the associations between these variables.
Main Results:
- NPs reported greater decision control when supported by colleagues compared to supervisors.
- Collegial support positively influenced NP relationships with healthcare consumers, mediated by decision freedom.
- NPs in rural settings experienced greater job security when feeling valued.
Conclusions:
- Collegial support is a significant determinant of NP decision-making freedom and autonomy in NZ.
- Workforce policy, practice organization, and vocational training can enhance NP autonomy and healthcare access.
- Findings provide novel insights into NP autonomy determinants in NZ, informing global nursing workforce policies.
Keywords:
nurse practitionernurse's rolesorganisational behaviourpsychosocial factorswork environmentMore Related Videos
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