Challenges faced by nurses in relation to their professional autonomy: a literature review
DOI:
https://doi.org/10.17267/2317-3378rec.2024.e5581Keywords:
Autonomy, Work, NursingAbstract
OBJECTIVE: To highlight the main challenges faced by nurses in relation to autonomy and leadership in Nursing. METHOD: Integrative literature review based on studies published between 2018 and 2023. The PICO strategy was used, with the following question: “What are the main challenges faced by nurses in relation to decision-making and leadership capacity?”. Data collection took place in the electronic databases BVS, SciELO and PubMed, and the articles that answered the question were in English and Portuguese. The excluded studies were those that did not fit the theme, theses, dissertations, monographs, and studies repeated in the databases. The selected articles totaled 12. RESULTS: After analyzing the studies, it became clear that the main challenges related to leadership and autonomy are linked to subordination to medical work, insufficient technical-scientific knowledge, deficits in understanding the scope of action, administrative errors, work overload and ineffective communication, thus making it difficult for professionals to make decisions. CONCLUSION: Therefore, the scientific evidence from the present study shows that despite the challenges encountered, it is possible for nurses to have autonomy, as long as they are able to overcome the difficulties that will arise.
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(1) Mota DB, Gomes AMT, Silva ACSS, Ramos RS, Nogueira VPF, Belém LS. Social representations of nurses’ autonomy for nursing academics. Rev Cuid. 2018;9(2):2215-32. http://dx.doi.org/10.15649/cuidarte.v9i2.528
(2) Braga MNOS, Sousa HR, Viana JA, Leite CL, Fernandes OS. Nursing and entrepreneurship: a narrative review on the challenges of nursing entrepreneurs. Res Soc Dev. 2021;10(15):e292101523289. https://doi.org/10.33448/rsd-v10i15.23289
(3) Santos IAR, Amestoy SC, Silva GTR, Backes VMS, Varanda PAG, Virgens CDR. Methodological approaches that facilitate the constant learning in nursing leadership. Rev Gaúcha Enferm. 2021;42:e20200175. https://doi.org/10.1590/1983-1447.2021.20200175
(4) Pires MFS, Lopes RS, Caetano CSF, Mota LAN, Ferreira FMPB. Leadership Competencies of the Medical-Surgical Nursing Specialist Nurse. Rev Bras Enferm. 2023;76(6):e20220721. https://doi.org/10.1590/0034-7167-2022-0721pt
(5) Braga BR. Liderança em enfermagem: uma pausa para a reflexão. In: Silva AR, Azevedo SL, Souza SESM. Experiências em Gestão em Saúde na Enfermagem. Ponta Grossa: Atena Editora; 2023. p. 69-74. https://doi.org/10.22533/at.ed.9672327067
(6) Freitas IR, Teixeira RM, Costa MM, Pontes APM. Leadership in nursing in the hospital context: perception of nurse managers. Rev Recien. 2022;12(40):93-102. https://doi.org/10.24276/rrecien2022.12.40.93-102
(7) Marconi MA, Lakatos EM. Metodologia científica. 9a. ed. São Paulo: Atlas; 2021.
(8) Jacob TNO, Rodrigues DP, Alves VH, Reis LC, Ferreira ES, Carneiro MS, et al. The autonomy of obstetric nursing assistance at a Child-Delivery Center. Av Enferm. 2022;40(3):444-56. http://doi.org/10.15446/av.enferm.v40n3.93559
(9) Silva Filho BF, Duque CB, Yarid SD, Souza Júnior EV, Sena ELS, Boery RNSO. Nurse autonomy in caring for people with chronic injuries. Rev Bioét. 2021;29(3):481-6. http://dx.doi.org/10.1590/1983-80422021293484
(10) Soares SGA, Camponogara S, Vargas MAO. What is said and unspoken about the autonomy of a nurse: (dis) continuity in discourses. Rev Bras Enferm. 2020;73(6): e20190401. http://dx.doi.org/10.1590/0034-7167-2019-0401
(11) Pereira JG, Oliveira MAC. Nurses’ autonomy in Primary Care: from collaborative practices to advanced practice. Acta Paul Enferm. 2018;31(6):627-35. http://dx.doi.org/10.1590/1982-0194201800086
(12) Silva GTR, Varanda PAG, Santos NVC, Silva NSB, Salles RS, Amestoy, SC, et al. Gestão e liderança na percepção de enfermeiros: um caminhar à luz da burocracia profissional. Esc Anna Nery. 2022;26:e20210070. https://doi.org/10.1590/2177-9465-EAN-2021-0070
(13) Silva AGI, Silva FJN, Costa F, Alcântara GC, Costa GF. Good nurse leadership practices in the hospital context. Rev Nursing. 2021;24(276):5726-30. https://doi.org/10.36489/nursing.2021v24i276p5726-5735
(14) Setoodegan E, Gholamzadeh S, Rakshshan M, Peiravi H. Nurses' lived experiences of professional autonomy in Iran. Int J Nurs Sci. 2019;6(3):315-21. https://doi.org/10.1016/j.ijnss.2019.05.002
(15) Alssadan N, Salameh B, Reshia FAAE, Alruwaili RF, Alruwaili M, Ali SAA, et al. Impact of Nurse Leaders Behaviors on Nursing Staff Performance: A Systematic Review of Literature. Inquiry. 2023;60. https://doi.org/10.1177/00469580231178528
(16) Petry S, Teixeira Filho CA, Mazera M, Schneider DG, Martini JG. Autonomy of Nursing and its Trajectory in the Construction of a Profession. Hist Enferm Rev Eletronica [Internet]. 2019;10(1):66-75. Available from: https://pesquisa.bvsalud.org/portal/resource/pt/biblio-1120829
(17) Fischborn AF, Cadoná MA. Work and autonomy of health workers: considerations about theoretical and methodological assumptions of health work analysis. Saúde Soc. 2018;27(1):227-37. https://doi.org/10.1590/S0104-12902018170719
(18) Costa RLM, Santos RM, Costa LMC. The professional autonomy of nursing in pandemic times. Rev Gaúcha Enferm. 2021;42(esp):e20200404. https://doi.org/10.1590/1983-1447.2021.20200404
(19) Dezoti AP, Silva GNC, Barbosa MAF, Weissheimer G, Khalaf DK, Mazza VA. Implementation of advanced nursing practice in Latin America. Enferm Foco. 2021;12(suppl 1):35-41. https://doi.org/10.21675/2357-707X.2021.v12.n7.SUPL.1.5187
(20) Presidência da República (Brasil). Lei n° 7.498, de 25 de junho de 1986. Dispõe sobre a regulamentação do exercício da enfermagem, e dá outras providências [Internet]. Diário Oficial da União. 1986 jun. 26. Available from: https://www.planalto.gov.br/ccivil_03/leis/l7498.htm
(21) Fernandes JC, Cordeiro BC. Management of the Primary Care Unit: discussing management competencies with the nurse manager. Rev APS. 2019;22(4):833-48. https://doi.org/10.34019/1809-8363.2019.v22.16479
(22) Galvão JJS, Veloso CMZ, Pinho ECC, Carmo BAG, Abreu JS, Vilhena FDM, et al. Nurses autonomy in the exercise of nursing practices in primary health care. Enferm Foco. 2024;15(suppl 1):e-202415SUPL1. https://doi.org/10.21675/2357-707x.2024.v15.e-202415supl1
(23) Souza DF, Moraes EB, Valente GSC, Silvino ZR, Nassar PRB, Escudeiro CL, et al. Teaching-learning in the nursing management discipline in the hospital context. Enferm. Foco. 2020;11(5):86-91. https://doi.org/10.21675/2357-707X.2020.v11.n5.3314
(24) Lazarini WS, Doriguetto MA, Busatto LS, Marinho GL, Lachtim SAF, Lana FCF, et al. A look at autonomy: nurses’ perceptions about their practices in primary care. Enferm Foco. 2024;15(suppl 1):e-202407SUPL1. https://dx.doi.org/10.21675/2357-707X.2024.v15.e-202407SUPL1
(25) Sardinha AHL, Nascimento KFS, Sales MFS, Sousa SMF, Oliveira AS, Lopes ARS, et al. Assessment of the satisfaction of professional autonomy of oncology nurses. Rev Nursing. 2023;26(298):9453-7. https://doi.org/10.36489/nursing.2023v26i298p9453-9462
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Copyright (c) 2024 Jadson Vinícius Nascimento Oliveira, Ismael da Silva Costa, Linkelly Tavares Batista, Irla Alves de Abreu, Mayconn Douglas Alves dos Santos, Daiane de Matos Silva
This work is licensed under a Creative Commons Attribution 4.0 International License.
This work is licensed under a Creative Commons Attribution 4.0 International License.
