Assessing the Impact of Autonomy on Job Satisfaction among Critical Care Nurses

Authors

  • Amna Afifa Lahore School of Nursing, The University of Lahore, Lahore, Punjab, Pakistan.
  • Sadaqat Aftab Lahore School of Nursing, The University of Lahore, Lahore, Punjab, Pakistan.
  • Madiha Mukhtar Lahore School of Nursing, The University of Lahore, Lahore, Punjab, Pakistan.
  • Sheharyar Ahmed Lahore School of Nursing, The University of Lahore, Lahore, Punjab, Pakistan.

DOI:

https://doi.org/10.70749/ijbr.v3i1.498

Keywords:

Job autonomy, Job Satisfaction, Critical Care Nurses

Abstract

Background: Job autonomy and job satisfaction are critical factors influencing the well-being and performance of nurses in critical care settings. Autonomy empowers nurses to make independent decisions, while job satisfaction enhances their motivation and commitment. This study aimed to assess the relationship between job autonomy and job satisfaction among critical care nurses at the University of Lahore Teaching Hospital. Methods: A quantitative, descriptive cross-sectional design was adopted. Data were collected from 36 critical care nurses using a structured questionnaire comprising job autonomy and job satisfaction scales. Demographic characteristics were analyzed using descriptive statistics. Results: The majority of participants were female (77.8%) and aged between 21–25 years (88.9%), with 2–4 years of experience (47.2%). Most respondents reported moderate levels of autonomy (55.6%) and job satisfaction (61.1%), with smaller proportions reporting low or good levels. Conclusion: This study highlights the importance of autonomy as a key predicator of job satisfaction among critical care nurses. Empowering nurses through participatory decision-making, resource availability, and supportive leadership can enhance both autonomy and satisfaction. Interventions targeting these areas could improve nurse retention and patient outcomes. Future research should explore these relationships in larger and more diverse populations to further validate these findings.

Downloads

Download data is not yet available.

References

Byun, E., Kohen, R., Becker, K. J., Kirkness, C. J., Khot, S., & Mitchell, P. H. (2020). Stroke impact symptoms are associated with sleep-related impairment. Heart and Lung, 49(2), 117–122. https://doi.org/10.1016/j.hrtlng.2019.10.010

Chiu, P., Cummings, G. G., Thorne, S., & Schick-Makaroff, K. (2021). Policy Advocacy and Nursing Organizations: A Scoping Review. Policy, Politics, and Nursing Practice, 22(4), 271–291. https://doi.org/10.1177/15271544211050611

Company-Sancho, M. C., Rich-Ruiz, M., Guillen Toledano, M., Cairós-Ventura, L.-M., Gil Perez, J. D., de Pascual y Medina, A. M., Peláez Alba, M. P., Barreno Estévez, A. I., Alonso Poncelas, M. E., Rodríguez Orihuela, C., & Brito-Brito, P. R. (2024). Areas for Improvement and Barriers Identified in Measuring the Quality of Nursing Care: Perceptions of Patients and Professionals. Nursing Reports, 14(4), 2896–2909. https://doi.org/10.3390/nursrep14040211

Garratt, S., Dowling, A., & Manias, E. (2024). Medication administration in aged care facilities: A mixed‐methods systematic review. Journal of Advanced Nursing. https://doi.org/10.1111/jan.16318

Georgakis, S., Dragioti, E., Gouva, M., Papathanakos, G., & Koulouras, V. (2024). The Complex Dynamics of Decision-Making at the End of Life in the Intensive Care Unit: A Systematic Review of Stakeholders’ Views and Influential Factors. Curēus. https://doi.org/10.7759/cureus.52912

Gillani, A. H., Islam, F. M. A., Hayat, K., Atif, N., Yang, C., Chang, J., Qu, Z., & Fang, Y. (2018). Knowledge, attitudes and practices regarding diabetes in the general population: A cross-sectional study from Pakistan. International Journal of Environmental Research and Public Health, 15(9). https://doi.org/10.3390/ijerph15091906

Graupner, C., Breukink, S. O., Mul, S., Claessens, & D., Slok, A. H. M., & Kimman, M. L. (2021). Patient-reported outcome measures in oncology: a qualitative study of the healthcare professional’s perspective. Supportive Care in Cancer, 29, 5253–5261. https://doi.org/10.1007/s00520-021-06052-9/Published

Gulzar SID, S., Fraser, J. R., Professor Nursing Sue Randall, A., & Professor Primary Health Care, A. (2021). Thesis-Adolescents’ Physical Activity Physical Activity Levels among Young Adolescent Students in Urban Karachi, Pakistan Thesis-Adolescents’ Physical Activity.

Gupta, N., Maliqi, B., França, A., Nyonator, F., Pate, M. A., Sanders, D., Belhadj, H., & Daelmans, B. (2011). Human resources for maternal, newborn and child health: from measurement and planning to performance for improved health outcomes. Human Resources for Health, 9(1). https://doi.org/10.1186/1478-4491-9-16

Hassan, S. S., & Bayomi, S. S. (2024). Knowledge and Reported Practice about Type 1 Diabetes Mellitus among Preparatory Schools Students at Aswan City, Upper Egypt. Deleted Journal, 15(3), 1463–1476. https://doi.org/10.21608/ejhc.2024.399171

Heijkants, C. H., De Wind, A., Van Hooff, M. L. M., Geurts, S. A. E., & Boot, C. R. L. (2024). Sustainable employability of long-term care staff in self-managing teams: A qualitative study. Journal of Advanced Nursing. https://doi.org/10.1111/jan.16161

Hu, L., & Jiang, W. (2024). Assessing perceptions of nursing knowledge, attitudes, and practices in diabetes management within Chinese healthcare settings. Frontiers in Public Health, 12. https://doi.org/10.3389/fpubh.2024.1426339

James, S., Ashley, C., Wasiams, A., Desborough, J., McInnes, S., Calma, K., Mursa, R., Stephen, C., & Halcomb, E. J. (2021). Experiences of Australian primary healthcare nurses in using telehealth during COVID-19: A qualitative study. BMJ Open, 11(8). https://doi.org/10.1136/bmjopen-2021-049095

Janse, C., & Doyer, I. (2024). Investigating the Intersection of Employee Voice and Resilient Healthcare Systems. https://doi.org/10.46254/af05.20240164

Jarden, R., Jarden, A., Bujalka, H., Weiland, T., Brockenshire, N., Taylor, G., & Gerdtz, M. (2024). Community-based health programme for nurses and midwives: A mixed methods evaluation. Journal of Advanced Nursing. https://doi.org/10.1111/jan.16336

Ji, X., Wang, Y., & Saylor, J. (2021). Sleep and type 1 diabetes mellitus management among children, adolescents, and emerging young adults: A systematic review. Journal of Pediatric Nursing, 61, 245–253. https://doi.org/10.1016/j.pedn.2021.06.010

Karimi-Shahanjarini, A., Shakibazadeh, E., Rashidian, A., Hajimiri, K., Glenton, C., Noyes, J., Lewin, S., Laurant, M., & Colvin, C. J. (2019). Barriers and facilitators to the implementation of doctor-nurse substitution strategies in primary care: A qualitative evidence synthesis. Cochrane Database of Systematic Reviews, 4(4). https://doi.org/10.1002/14651858.cd010412.pub2

Koontalay, A., Suksatan, W., Prabsangob, K., & Sadang, J. M. (2021). Healthcare Workers’ Burdens During the COVID-19 Pandemic: A Qualitative Systematic Review. Journal of Multidisciplinary Healthcare, Volume 14(14), 3015–3025. https://doi.org/10.2147/jmdh.s330041

Kwame, A. (2023). Nurse-Patient Interactions in a Ghanaian Hospital Setting: Exploring Patient Rights in Clinical Communications (Doctoral dissertation, University of Saskatchewan). https://harvest.usask.ca/server/api/core/bitstreams/46a878ea-f9db-4d7a-8872-681e3aaa9959/content

Laari, L., & Duma, S. E. (2021). Facilitators of the health advocacy role practice of the nurse in Ghana: A qualitative study. Health Science Reports, 4(1). https://doi.org/10.1002/hsr2.220

Ławnik, A., Pańczuk, A., & Kubińska, Z. (2019). Awareness among nursing students about care for children with type 1 diabetes. Health Problems of Civilization, 13(4), 248–253. https://doi.org/10.5114/hpc.2019.84190

Lee, W., Choi, M. H., Park, E., Park, E., Kang, S., Lee, J., Jang, S. G., Han, H. R., Lee, S. il, & Choi, J. E. (2022). Understanding Physicians’ and Nurses’ Adaption of National-Leading Patient Safety Culture Policy: A Qualitative Study in Tertiary and General Hospitals in Korea. Journal of Korean Medical Science, 37(14). https://doi.org/10.3346/jkms.2022.37.e114

Mahmood, S. (2015). Underestimation of body weight and its associated factors among trainee healthcare professionals: A cross-sectional study in Pakistan (Doctoral dissertation, University of Sheffield). https://etheses.whiterose.ac.uk/10082/

Molina‐mula, J., & Gallo‐estrada, J. (2020). Impact of nurse‐patient relationship on quality of care and patient autonomy in decision‐making. International Journal of Environmental Research and Public Health, 17(3). https://doi.org/10.3390/ijerph17030835

Muhammad Saeed, Madiha Mukhtar, & Muhammad Afzal. (2024a). Professional Autonomy Among Nurses and Its Effect on Quality of Care Among Patients Transferred from Intensive Care Unit to General Unit. Journal of Health and Rehabilitation Research, 4(3), 1–5. https://doi.org/10.61919/jhrr.v4i3.1396

Muhammad Saeed, Madiha Mukhtar, & Muhammad Afzal. (2024b). Professional Autonomy Among Nurses and Its Effect on Quality of Care Among Patients Transferred from Intensive Care Unit to General Unit. Journal of Health and Rehabilitation Research, 4(3), 1–5. https://doi.org/10.61919/jhrr.v4i3.1396

Nazir, T., Umer, M., Najam, M., Nawab, S., Maqsoom, A., Shafi, K., Munir, Y., & Nawaz, I. (2022). Impact role stress on turnover intentions of Pakistan’s healthcare workers: Mediating and moderating role of organizational cynicism and self-efficacy. PLOS ONE, 17(12), e0279075. https://doi.org/10.1371/journal.pone.0279075

Noreen, M., Murad, S., Furqan, M., Sultan, A., & Bloodsworth, P. (2015). Knowledge and awareness about breast cancer and its early symptoms among medical and non-medical students of Southern Punjab, Pakistan. Asian Pacific Journal of Cancer Prevention, 16(3), 979–984. https://doi.org/10.7314/APJCP.2015.16.3.979

Ohando, E. O., Minja, D., & Muna, W. (2024). Health infrastructure and implications on provision of health care services to nurses and medium level bureaucrats in health facilities in Siaya County and nationally, Kenya. J Afr Interdiscipl Stud, 8, 54-74. https://kenyasocialscienceforum.wordpress.com/wp-content/uploads/2024/04/pdf-ohando-e-al-health-infrastructure-and-implications-on-provision-of-health-care-services-in-siaya-kenya-1.pdf

Scholarworks, S., & Rivera, S. (n.d.). Understanding Patient-Centered Care: Perception of Hispanic Understanding Patient-Centered Care: Perception of Hispanic Physicians in Teaching Hospitals of the United States Physicians in Teaching Hospitals of the United States. https://scholarworks.waldenu.edu/dissertations

Downloads

Published

2025-01-17

How to Cite

Assessing the Impact of Autonomy on Job Satisfaction among Critical Care Nurses. (2025). Indus Journal of Bioscience Research, 3(1), 354-361. https://doi.org/10.70749/ijbr.v3i1.498