Nursing Control Over Practice and Teamwork

Abstract

Nurses’ control over practice is essential to nursing care quality and fosters teamwork at the point of care delivery. This article describes a study to measure the impact of nurses’ control over their practice from the perspective of teamwork. The purpose of this study was to measure the relationship of control over practice to the five following dimensions of teamwork: team structure, leadership, situation monitoring, mutual support, and communication. The study method was a secondary analysis of 456 surveys from registered nurses working in a five-hospital system. Study results demonstrated that the global measure of teamwork correlated with control over practice and nursing experience, but not with teamwork training. All five individual dimensions of teamwork were perceived as better for those who had a high level of control over practice compared to those who did not. In the discussion section, we consider situation monitoring since this dimension demonstrated an interaction effect between teamwork training and control over practice. Nursing control over practice demonstrates a positive relationship with teamwork and should be considered in future education, policy, and research efforts. Further study is needed to understand control over practice as a potential moderator or mediator of other predecessors of effective teamwork.

How local, first‐line nurse leaders can positively influence nurse intent to stay and retention: A realist review

“…Schwendimann et al (2016) found no signifiant relationship between nurse job autonomy and job satisfaction in Swiss nursing homes, and Canadian cancer nurses did not see influencing patient care as a key factor for job satisfaction (Bakker et al, 2010). In contrast, Castner et al (2013) found that nurse percieved control of their work improved perceptions of team effectiveness and concluded that leaders should enable this precursor to job satisfaction and ItS. Based on the significant correlations between autonomy, leadership and teamwork, Poghosyan & Liu's (2016) also conclude that poor leadership relationships will negatively influence nurse autonomy and teamwork.…”

“…It's influence on nurse ItS can vary and may not be direct. For instance, Castner et al (2013) found no relationship between years of experience or training and nurse percieved autonomy, whilst Bakker et al (2010) found that more experienced nurses expected more autonomy and recognition than novices. Schwendimann et al (2016) found no signifiant relationship between nurse job autonomy and job satisfaction in Swiss nursing homes, and Canadian cancer nurses did not see influencing patient care as a key factor for job satisfaction (Bakker et al, 2010).…”

“…In contrast, Castner et al (2013) found that nurse percieved control of their work improved perceptions of team effectiveness and concluded that leaders should enable this precursor to job satisfaction and ItS. Based on the significant correlations between autonomy, leadership and teamwork, Poghosyan & Liu's (2016) also conclude that poor leadership relationships will negatively influence nurse autonomy and teamwork.…”

Attitudes of Critical Care Nurses towards Teamwork and Patient Safety in Saudi Arabia: A Descriptive Cross-Sectional Assessment

“…Situation monitoring is different from watching teammates doing their work [ 29 ]. Situation monitoring is described as an awareness of the interconnected team performance and functioning and its environment [ 30 ]. Members of the healthcare team, particularly in the critical care unit, need to see the whole situation and how their other members perform to make necessary adjustments and form an effective healthcare team.…”