Effect of Autonomy Educational Program on Staff Nurses' Organizational Commitment

Habib Mohamed, Eman; Mostafa Shazly, Mona; Farouk Kamel, Fawzia

doi:10.21608/jnsbu.2023.307217

Effect of Autonomy Educational Program on Staff Nurses' Organizational Commitment

Document Type : Scientific peer reviewed journal

Authors

¹ Head of NICU at El- Khazendra General Hospital, Egypt

² Professor of Nursing Administration, Faculty of Nursing - Ain Shams University, Egypt

³ Assistant Professor of Nursing Administration, Faculty of Nursing - Benha University, Egypt

10.21608/jnsbu.2023.307217

Abstract

Background: Autonomy is the main element of professional nursing practice, which leads to
improve patient outcomes, increase job satisfaction and organizational commitment of staff nurses.
Aim of the study: This study aimed to assess the effect of autonomy educational program on staff
nurses’ organizational commitment. Study design: A quasi-experimental design was utilized to meet
the aim of this study. Setting: The study was carried out at El Khezendra General Hospital. Subjects:
Consisted of all staff nurses (45) who worked at internal patient departments. Tools of data collection:
Three different tools were used to collect data: I. Autonomy Knowledge Questionnaire, II. Autonomy
Questionnaire, III. Organizational Commitment Questionnaire. Results: More than half (57.8%) of
staff nurses had unsatisfactory knowledge regarding autonomy at preprogram phase, that improved to
(86.7%) and (82.2%) satisfactory knowledge regarding autonomy at post and follow up of program
phases respectively. Approximate one quarter (24.4%) of staff nurses had a high level of autonomy at
preprogram, that it improved to (71.1%) at post program, while it declined to (68.9%) at follow up of
program but still more than preprogram. One fifth (20%) of staff nurses had high perception of
organizational commitment at preprogram and it improved to (80.0%) at post program and it declined
to (73.3%) at follow up of program but still more than preprogram. conclusion: There was a highly
statistical significant improvement of staff nurses’ knowledge and practice regarding autonomy and
organizational commitment between pre and post program. Recommendations: Conduct In-service
education and training programs must be continuous process for refreshing and increasing nurses'
knowledge and practice regarding autonomy.

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