Job Autonomy As Perceived By Nursing Managers In Governmental Hospitals In The MOH- Gaza Governorates

Khalil Mostafa Shaqfa
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Al-Quds University
Job autonomy plays an important role in nurses’ job satisfaction, retention and quality of patient care. It is argued that for nursing managers, job autonomy and job satisfaction may be interrelated. Thus, the assessment of job autonomy among nursing managers in health organizations is important for policy and administration purposes as well as professional purposes. The overall aim of this study was to assess the job autonomy among nurses as perceived by nursing managers in the governmental hospitals in Gaza governorates in order to promote professionalism in nursing. A descriptive, analytical cross sectional design was used. Subjects of this study were 301 nurses who represented all the formally assigned nursing managers in governmental hospitals. Self-administered questionnaire was used and 238 participants completed the questionnaire with a response rate of 83%. Data were analyzed using the SPSS program. The content validity was validated by ten experts. The reliability test using Cronbach Alpha coefficient was 0.707. The study extracted six dimensions for autonomy which are: general perspective, (m=3.47), managerial style (m=3.82), job description (m=3.69), job satisfaction (m=4.09), nursing career (m=3.69) and work preference (m=3.06). The highest mean score among dimensions is job satisfaction domain and the lowest is work preference domain (m=3.06). The vast majority of nursing managers (94.2%) preferred to be supervised by a person from the same profession, in addition, nursing managers called for allowing the Chief Nursing Manager in the MOH to overall supervise all nurses in the organization (39.0%). The majority of nursing managers who were working in clinical settings (60.9%) believed that they had adequate autonomy within their work arenas. However, 72.6% of nurse managers believed that the current management style at the MOH inversely affects nursing autonomy. The study results also showed that there were no statistically significant differences in reference to the job title and education level (Pvalue = 0.131 and 0.097 respectively). In contrary, results revealed that there are statistical significant differences at 0.05 between males (M = 3.52 out of 5) and females (M = 3.33); in the favor of males (P value = 0.003). Also, the result showed that there are statistical significant differences in perceptions about autonomy in reference to age were younger felt more autonomous than older counterparts (P value = 0.004). It is concluded that there is a great need to enhance job autonomy among nursing managers through having clearer roles and responsibilities, adopting more effective leadership practices, and developing more flexible work system.