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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. Controlling supervision hinders nurse autonomy, impacting effective healthcare delivery in Ibero-American hospitals.
Area of Science:
- Nursing
- Healthcare Management
- Professional Autonomy
Background:
- Nursing supervision plays a critical role in shaping professional practice.
- Understanding its impact on autonomy is crucial for effective healthcare systems.
Purpose of the Study:
- To analyze nursing supervision's influence on the professional autonomy of nursing teams in Ibero-American hospitals.
- To explore how supervision constructs and implements 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 influence supervision and autonomy.
- Supportive supervision enhances nurses' autonomy.
- Controlling supervision practices can limit autonomy.
Conclusions:
- Supervision models emphasizing professional development and participation lead to more autonomous and effective nursing care.
- Promoting supportive supervision is key to advancing nursing autonomy and care quality.
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