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318208

Relationship between Health Care Organizational Culture and Professional Nurses' Autonomy

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Last updated: 28 Dec 2024

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Abstract

Background: In the professional field of health care, organizational culture has been positively associated with elements of organizational performance and professional autonomy of nurses that contribute to the quality of services, such as nursing care, job satisfaction, patient and personnel safety, personnel turnover rate, and change of management process. Aim of the study: Examine the relationship between health care organizational culture and professional nurses' autonomy at Hosh Issa Central hospital, El-Beheira Governorate. Research design: A descriptive correlational research design was used. Setting: all inpatient care units (n=11) at Hosh Issa Central Hospital, El-Beheira Governorate. Subject: All head nurses and their assistants (n=22) and all staff nurses (n=267). Tools: Two tools were utilized Tool I:  Organizational Culture Questionnaire. Tool II:  Professional Nurses' Autonomy Scale .Results and Conclusion  : there was a positive correlation between total autonomy and its dimensions nursing practice environment, patient care management and educational back ground (r=0.934 p=0.000, r=0.975 p=0.000 and r=0.967 p=0,000 respectively), a positive correlation between total organizational culture and its internal and external focus dimensions namely empowerment (r=0.892 p=0.000), team orientation(r=0.937 p=0.000), patient focus (r=0.963  p=0.000),organizational learning  (r=0.954 p=0.000), and finally vision (r=0.818 p=0.000). There was a positive correlation between total organizational cultures, internal and external focus dimensions and total autonomy. Recommendations: hospital administrators should: Build strategy makes staff nurses empowered and integrated which makes them involved in the work, develop system work to team up and collaborate to bring the group's basic ideals to life.

DOI

10.21608/asalexu.2023.318208

Keywords

Health Care, Organizational culture, Professional autonomy, and Staff Nurse

Authors

First Name

Sanaa Shehata

Last Name

Zaki

MiddleName

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Affiliation

Nursing Administration Department, Faculty of Nursing, Damanhour University.

Email

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City

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Orcid

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First Name

Nashwa

Last Name

M. Eldeep

MiddleName

-

Affiliation

Nursing Administration Department, Faculty of Nursing, Damanhour University.

Email

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City

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Orcid

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First Name

Elham

Last Name

El Hanafy

MiddleName

-

Affiliation

Nursing Administration Department, Faculty of Nursing, Damanhour University

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Volume

25

Article Issue

2

Related Issue

43594

Issue Date

2023-06-01

Receive Date

2023-09-21

Publish Date

2023-06-01

Page Start

1

Page End

12

Print ISSN

1687-3858

Article File

ASALEXU_Volume 25_Issue 2_Pages 1-12.pdf

PDF . 376.9kB

Link

https://asalexu.journals.ekb.eg/article_318208.html

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https://asalexu.journals.ekb.eg/service?article_code=318208

Order

318,208

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Research articles

Type Code

2,129

Publication Type

Journal

Publication Title

Alexandria Scientific Nursing Journal

Publication Link

https://asalexu.journals.ekb.eg/

MainTitle

Relationship between Health Care Organizational Culture and Professional Nurses' Autonomy

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Article

Created At

28 Dec 2024