The professional autonomy of nursing in pandemic times

Costa, Rafaela Lira Mendes; Santos, Regina María dos; Costa, Laís de Miranda Crispim

doi:10.1590/1983-1447.2021.20200404

Cited by 13 publications

(14 citation statements)

References 12 publications

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“…Essa percepção mostrou-se mais evidente durante a pandemia da Covid-19, no Brasil, com a possibilidade de uma jornada dupla e até tripla, aumentando ainda mais a sobrecarga de trabalho, ao mesmo tempo em que demonstrou a precarização do trabalho da Enfermagem, evidenciado, sobretudo, pela baixa remuneração (15) . Dessa maneira, a pandemia de Covid-19 impôs aos profissionais de Enfermagem um expressivo desafio, dado o seu protagonismo nas ações de combate e enfrentamento a essa grave crise sanitária, evidenciando a necessidade da atuação autônoma e segura e enfatizando sua importância no enfrentamento pandêmico (16) .…”

Section: Situando O Trabalho Da Enfermagem Assistencial Na Pandemia D...unclassified

Pandemia da Covid-19 e a Enfermagem brasileira: desvelando sentidos do trabalho

Filho

Sousa

Silva

et al. 2022

Rev. esc. enferm. USP

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RESUMO Objetivou-se refletir sobre os sentidos do trabalho da Enfermagem assistencial brasileira no contexto da pandemia da Covid-19. Estudo teórico ancorado na definição de sentidos do trabalho, segundo a perspectiva de Estelle Morin. O trabalho desenvolvido pelos profissionais de Enfermagem ficou ainda mais evidenciado em tempos pandêmicos, vindo à tona as condições precárias dos serviços de saúde no Brasil. Durante a pandemia, a incorporação de sentidos ao trabalho passou a ter importância maior, tendo em vista que a sociedade reconheceu a relevância desses profissionais no enfrentamento da pandemia, e isso possibilitou a discussão acerca do seu reconhecimento social, político e econômico. Os impactos da atuação da Enfermagem durante a pandemia de Covid-19 têm relação com a questão econômica, valores sociais, autonomia no exercício da profissão, reconhecimento e segurança, refletindo na razão de ser do trabalho. Assim, o trabalho que faz sentido para os profissionais de Enfermagem relaciona-se à valorização profissional, especificamente, ao reconhecimento salarial, enquanto o que não faz sentido é aquele que impossibilita avanços do ponto de vista intelectual, cognitivo e financeiro. Dessarte, foram impostas condições que dão rumos para sentidos ambivalentes ao trabalho.

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Section: Situando O Trabalho Da Enfermagem Assistencial Na Pandemia D...unclassified

Pandemia da Covid-19 e a Enfermagem brasileira: desvelando sentidos do trabalho

Filho

Sousa

Silva

et al. 2022

Rev. esc. enferm. USP

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“…For example, the challenges and struggles against the coronavirus in the frontline environment forced nurses to innovate and make fast decisions for the best patient outcomes. Their role as independent professionals was more visible than before the pandemic, and this visibility gave them more power to carry out their clinical work and act autonomously (Costa et al., 2021). Another aspect of nurses' autonomy was also highlighted during the pandemic.…”

Section: Introductionmentioning

confidence: 99%

Professional autonomy among Registered Nurses—Validation of the translation of the Dempster Practice Behaviour Scale and survey results

Pursio,

Kankkunen,

Kvist

2024

Nursing Open

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AimTo test the psychometric properties of the Finnish version of the Dempster Practice Behaviour Scale and explore nurses' professional autonomy along with which characteristics are related to it.DesignAn instrument validation and a descriptive cross‐sectional study.MethodsThe web‐based survey was conducted in September 2021 at two university hospitals in Finland. Exploratory factor analysis (EFA) was used to explore the factor structure of the modified instrument, while Cronbach's α coefficients were calculated to determine the reliability of the scale. Descriptive univariate and multivariate analyses were conducted to examine Registered Nurses' professional autonomy. The study followed STROBE guidelines.ResultsDuring the validation process, the 30 items of the Dempster Practice Behaviour Scale were reduced to 25 items. The S‐CVI/Ave for the translated scale was 0.94. When one additional item was omitted from the EFA, the results supported five factors, which explained 45.9% of the total variance. The mean overall autonomy score was 3.63 out of 5, with readiness and empowerment the subscales with the highest and lowest, respectively, mean values. The linear regression models showed that age, nursing experience, unit type, education, shift, and perceptions of the importance of professional autonomy were related to the subscales describing professional autonomy.ConclusionThe psychometric testing provided evidence that the translated instrument was reliable. Nurses assessed that they are skilled professionals who are accountable for their actions. However, they experienced rather low levels of professional autonomy in empowerment and valuation. Health care organizations should consider this through authentic leadership and, thus, possibly strengthen professional autonomy.

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“…Therefore, the Covid-19 pandemic has imposed a significant challenge to nursing professionals, given their leading role in fighting and coping with this serious health crisis, highlighting the need for autonomous and safe action and emphasizing its importance in dealing with the pandemic ( 16 ) .…”

Section: Introductionmentioning

confidence: 99%

Covid-19 pandemic and Brazilian Nursing: unveiling meanings of work

Filho

Sousa

Silva

et al. 2022

Rev. esc. enferm. USP

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The objective of this study was to reflect on the meanings of the work of Brazilian nursing care in the context of the Covid-19 pandemic. This is a theoretical study anchored in the definition of meanings of work, according to Estelle Morin's perspective. The work developed by nursing professionals became even more evident in pandemic times, with the precarious conditions of health services in Brazil coming to light. During the pandemic, the incorporation of meanings of work became more important, given that the society recognized the relevance of these professionals in dealing with the pandemic, and this allowed the discussion about their social, political, and economic recognition. The impacts of nursing performance during the Covid-19 pandemic are related to the economic issue, social values, autonomy in the exercise of the profession, recognition, and safety, reflecting on the sense of purpose of work. Thus, the work that makes sense for nursing professionals is related to professional appreciation, specifically, to salary recognition, while what makes no sense is what hinders intellectual, cognitive, and financial progress. Thus, conditions were imposed that give directions to ambivalent meanings to work.

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The professional autonomy of nursing in pandemic times

Cited by 13 publications

References 12 publications

Pandemia da Covid-19 e a Enfermagem brasileira: desvelando sentidos do trabalho

Pandemia da Covid-19 e a Enfermagem brasileira: desvelando sentidos do trabalho

Professional autonomy among Registered Nurses—Validation of the translation of the Dempster Practice Behaviour Scale and survey results

Covid-19 pandemic and Brazilian Nursing: unveiling meanings of work

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