TY - JOUR
TI - Perceptions of critical and emergency department nurses regarding changes in their professional role
AU - Karanikola, M.N.K.
AU - Giannakopoulou, M.
AU - Mpouzika, M.
AU - Nicolaou, C.
AU - Tsiaousis, G.
AU - Vouzavali, F.
AU - Koutroubas, A.
AU - Papathanassoglou, E.D.E.
JO - Revista da Escola de Enfermagem
PY - 2017
VL - 51
TODO - null
SP - null
PB - Escola de Enfermagem de Universidade de Sao Paulo
SN - null
TODO - 10.1590/S1980-220X2017014403287
TODO - adult;  article;  budget;  clinical article;  clinical decision making;  clinical practice;  doctor nurse relation;  education;  emergency nursing;  emergency ward;  evidence based practice center;  female;  human;  human experiment;  informed consent;  intensive care nursing;  male;  narrative;  perception;  professional practice;  professional standard;  sampling;  skill;  Greece;  health personnel attitude;  hospital emergency service;  middle aged;  nurse attitude;  nursing staff;  pilot study;  psychology, Adult;  Attitude of Health Personnel;  Critical Care Nursing;  Emergency Service, Hospital;  Female;  Greece;  Humans;  Male;  Middle Aged;  Nurse's Role;  Nursing Staff, Hospital;  Pilot Projects
TODO - Objective: Preliminary investigation of the way Greek critical and emergency department nurses conceptualize changes in their professional role. Method: A qualitative focus-group methodology was applied. Following purposeful sampling and informed consent of participants. Results: Participated eight individuals. Th e need for enhancement of nurses' participation in decision-making in order for an actual change in their professional role to be achieved was the central theme of participants' narratives. Perceived advancements in professional role performance regarded: evidence-based practice; technology; education, knowledge; clinical skills; research; heightened nurse-physician collaboration. Perceived reasons why these advancements failed to enhance nurses' professional role were lack of meritocracy; competitive relationships; lack of support among nurses; insufficient managerial support; budget limitations. Conclusion: Despite advancements in clinical practice, participants did not deem that their professional role was enhanced significantly, as participation in decision-making and control over practice remain limited. Interventions targeted to enhance nurses' participation in clinical decision-making, and overall professional autonomy are recommended. © 2017 Escola de Enfermagem de Universidade de Sao Paulo.
ER -