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Nurses' supervision and autonomy in hospitals: an Ibero-American multicenter study
Rebecca Maria Oliveira de Góis1, Gilberto Tadeu Reis da Silva2, Maria Lúcia Silva Servo3
1Universidade Federal da Paraíba. João Pessoa, Paraíba, Brazil.
Revista Brasileira De Enfermagem
|July 29, 2026
Summary
Supportive nursing supervision fosters professional autonomy and improves patient care in Ibero-American hospitals. Control-based supervision hinders autonomy, impacting the effectiveness of nursing teams.
Area of Science:
- Healthcare Management
- Nursing Practice
- Professional Development
Background:
- Nursing autonomy is crucial for effective healthcare delivery.
- Understanding supervision's role in developing nursing autonomy is essential.
Purpose of the Study:
- To analyze how nursing supervision influences the professional autonomy of nursing teams in Ibero-American hospitals.
- To identify factors affecting the construction and implementation of regulated professional autonomy.
Main Methods:
- Qualitative, multicenter study in university hospitals (Portugal, Spain, Brazil).
- Semi-structured interviews with clinical nurses and ward managers.
- Content analysis for data interpretation.
Main Results:
- Institutional hierarchy, decision-making, and training impact supervision and autonomy.
- Supportive and development-focused supervision enhances nurses' autonomy.
- Control-oriented practices can restrict professional autonomy.
Conclusions:
- Supervision models promoting development and participation lead to autonomous and effective nursing care.
- Emphasis on supportive supervision is key for advancing nursing autonomy.
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