The role of physician oversight on advanced practice nurses’ professional autonomy and empowerment
Background and purpose Little is known about the effects of physician oversight on advanced practice registered nurses (APRNs). Examination of these relationships provides insight into the strength of independent practice. The purpose of this study was to examine whether APRNs’ perceptions of autono...
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| Veröffentlicht in: | Journal of the American Academy of Nurse Practitioners 2017-05, Vol.29 (5), p.272-281 |
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| container_title | Journal of the American Academy of Nurse Practitioners |
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| creator | Petersen, Polly A. Way, Sandra M. |
| description | Background and purpose
Little is known about the effects of physician oversight on advanced practice registered nurses (APRNs). Examination of these relationships provides insight into the strength of independent practice. The purpose of this study was to examine whether APRNs’ perceptions of autonomy and empowerment varied according to type of physician oversight, whether facilitative or restrictive.
Data sources
A cross‐sectional survey design was used to examine whether APRNs’ perceptions of autonomy and empowerment varied according to physician oversight, geographical location, and practice setting. Five hundred questionnaires were mailed in March 2013 with 274 returned. Participants were asked about autonomy, empowerment, demographics, physician oversight, geographical location, and practice setting.
Conclusions
Among surveyed respondents, physician oversight was related to increased empowerment, regardless of whether the oversight was defined in facilitative or restrictive terms; both had similar positive effects on empowerment.
Implications for practice
If APRNs are to be part of the solution to the growing problem of healthcare access, it is important to study factors that contribute to their success. We speculate that increasing opportunities for collaboration and interaction with physicians, and possibly other healthcare professionals, could facilitate APRN empowerment, optimizing their contribution. |
| doi_str_mv | 10.1002/2327-6924.12444 |
| format | Article |
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Little is known about the effects of physician oversight on advanced practice registered nurses (APRNs). Examination of these relationships provides insight into the strength of independent practice. The purpose of this study was to examine whether APRNs’ perceptions of autonomy and empowerment varied according to type of physician oversight, whether facilitative or restrictive.
Data sources
A cross‐sectional survey design was used to examine whether APRNs’ perceptions of autonomy and empowerment varied according to physician oversight, geographical location, and practice setting. Five hundred questionnaires were mailed in March 2013 with 274 returned. Participants were asked about autonomy, empowerment, demographics, physician oversight, geographical location, and practice setting.
Conclusions
Among surveyed respondents, physician oversight was related to increased empowerment, regardless of whether the oversight was defined in facilitative or restrictive terms; both had similar positive effects on empowerment.
Implications for practice
If APRNs are to be part of the solution to the growing problem of healthcare access, it is important to study factors that contribute to their success. We speculate that increasing opportunities for collaboration and interaction with physicians, and possibly other healthcare professionals, could facilitate APRN empowerment, optimizing their contribution.</description><identifier>ISSN: 2327-6886</identifier><identifier>ISSN: 2327-6924</identifier><identifier>EISSN: 2327-6924</identifier><identifier>DOI: 10.1002/2327-6924.12444</identifier><identifier>PMID: 28220626</identifier><language>eng</language><publisher>United States: Lippincott Williams & Wilkins Ovid Technologies</publisher><subject>Adult ; advanced practice nurse (APN) ; Advanced Practice Nursing - manpower ; Advanced Practice Nursing - methods ; Autonomy ; Chi-Square Distribution ; collaboration ; Cooperative Behavior ; Cross-Sectional Studies ; Dempster Practice Behavior Scale ; Empowerment ; Female ; Humans ; Male ; Middle Aged ; Nurse practitioners ; Nurse Practitioners - psychology ; Nursing ; Physicians ; Physicians - standards ; Power (Psychology) ; primary care ; Professional Autonomy ; Professional relationships ; Surveys and Questionnaires</subject><ispartof>Journal of the American Academy of Nurse Practitioners, 2017-05, Vol.29 (5), p.272-281</ispartof><rights>2017 American Association of Nurse Practitioners</rights><rights>2017 American Association of Nurse Practitioners.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4134-aa0e65ff47d91e18e3c43a0358e735cf059ea9f6b24dcc242bf58e7217a1cd9b3</citedby><cites>FETCH-LOGICAL-c4134-aa0e65ff47d91e18e3c43a0358e735cf059ea9f6b24dcc242bf58e7217a1cd9b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2F2327-6924.12444$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2F2327-6924.12444$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1416,27923,27924,45573,45574</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28220626$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Petersen, Polly A.</creatorcontrib><creatorcontrib>Way, Sandra M.</creatorcontrib><title>The role of physician oversight on advanced practice nurses’ professional autonomy and empowerment</title><title>Journal of the American Academy of Nurse Practitioners</title><addtitle>J Am Assoc Nurse Pract</addtitle><description>Background and purpose
Little is known about the effects of physician oversight on advanced practice registered nurses (APRNs). Examination of these relationships provides insight into the strength of independent practice. The purpose of this study was to examine whether APRNs’ perceptions of autonomy and empowerment varied according to type of physician oversight, whether facilitative or restrictive.
Data sources
A cross‐sectional survey design was used to examine whether APRNs’ perceptions of autonomy and empowerment varied according to physician oversight, geographical location, and practice setting. Five hundred questionnaires were mailed in March 2013 with 274 returned. Participants were asked about autonomy, empowerment, demographics, physician oversight, geographical location, and practice setting.
Conclusions
Among surveyed respondents, physician oversight was related to increased empowerment, regardless of whether the oversight was defined in facilitative or restrictive terms; both had similar positive effects on empowerment.
Implications for practice
If APRNs are to be part of the solution to the growing problem of healthcare access, it is important to study factors that contribute to their success. We speculate that increasing opportunities for collaboration and interaction with physicians, and possibly other healthcare professionals, could facilitate APRN empowerment, optimizing their contribution.</description><subject>Adult</subject><subject>advanced practice nurse (APN)</subject><subject>Advanced Practice Nursing - manpower</subject><subject>Advanced Practice Nursing - methods</subject><subject>Autonomy</subject><subject>Chi-Square Distribution</subject><subject>collaboration</subject><subject>Cooperative Behavior</subject><subject>Cross-Sectional Studies</subject><subject>Dempster Practice Behavior Scale</subject><subject>Empowerment</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Nurse practitioners</subject><subject>Nurse Practitioners - psychology</subject><subject>Nursing</subject><subject>Physicians</subject><subject>Physicians - standards</subject><subject>Power (Psychology)</subject><subject>primary care</subject><subject>Professional Autonomy</subject><subject>Professional relationships</subject><subject>Surveys and Questionnaires</subject><issn>2327-6886</issn><issn>2327-6924</issn><issn>2327-6924</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkb1OwzAUhS0EogiY2ZAlFpYW_8WJxwrxqwoWmC3XuaZBiV3sBNSN1-D1eBISCh1YuIuvjj8fXZ-L0BElE0oIO2Oc5WOpmJhQJoTYQnsbZfu3Lwo5QocpPZO-lOCciV00YgVjRDK5h8qHBeAYasDB4eVilSpbGY_DK8RUPS1aHDw25avxFkq8jMa2lQXsu5ggfb5_9FJwkFIVvKmx6drgQ7PCxpcYmmV4g9iAbw_QjjN1gsOfcx89Xl48nF-PZ_dXN-fT2dgKysXYGAIyc07kpaJAC-BWcEN4VkDOM-tIpsAoJ-dMlNYyweZuuGI0N9SWas730enat5_qpYPU6qZKFuraeAhd0rTIiRSZJLJHT_6gz6GL_ScGSmU5UzJXPXW2pmwMKUVwehmrxsSVpkQPO9BDynpIXH_voH9x_OPbzRsoN_xv4j0g18BbVcPqPz99O53erZ2_AI5xknU</recordid><startdate>201705</startdate><enddate>201705</enddate><creator>Petersen, Polly A.</creator><creator>Way, Sandra M.</creator><general>Lippincott Williams & Wilkins Ovid Technologies</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>201705</creationdate><title>The role of physician oversight on advanced practice nurses’ professional autonomy and empowerment</title><author>Petersen, Polly A. ; Way, Sandra M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4134-aa0e65ff47d91e18e3c43a0358e735cf059ea9f6b24dcc242bf58e7217a1cd9b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>advanced practice nurse (APN)</topic><topic>Advanced Practice Nursing - manpower</topic><topic>Advanced Practice Nursing - methods</topic><topic>Autonomy</topic><topic>Chi-Square Distribution</topic><topic>collaboration</topic><topic>Cooperative Behavior</topic><topic>Cross-Sectional Studies</topic><topic>Dempster Practice Behavior Scale</topic><topic>Empowerment</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Nurse practitioners</topic><topic>Nurse Practitioners - psychology</topic><topic>Nursing</topic><topic>Physicians</topic><topic>Physicians - standards</topic><topic>Power (Psychology)</topic><topic>primary care</topic><topic>Professional Autonomy</topic><topic>Professional relationships</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Petersen, Polly A.</creatorcontrib><creatorcontrib>Way, Sandra M.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the American Academy of Nurse Practitioners</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Petersen, Polly A.</au><au>Way, Sandra M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The role of physician oversight on advanced practice nurses’ professional autonomy and empowerment</atitle><jtitle>Journal of the American Academy of Nurse Practitioners</jtitle><addtitle>J Am Assoc Nurse Pract</addtitle><date>2017-05</date><risdate>2017</risdate><volume>29</volume><issue>5</issue><spage>272</spage><epage>281</epage><pages>272-281</pages><issn>2327-6886</issn><issn>2327-6924</issn><eissn>2327-6924</eissn><abstract>Background and purpose
Little is known about the effects of physician oversight on advanced practice registered nurses (APRNs). Examination of these relationships provides insight into the strength of independent practice. The purpose of this study was to examine whether APRNs’ perceptions of autonomy and empowerment varied according to type of physician oversight, whether facilitative or restrictive.
Data sources
A cross‐sectional survey design was used to examine whether APRNs’ perceptions of autonomy and empowerment varied according to physician oversight, geographical location, and practice setting. Five hundred questionnaires were mailed in March 2013 with 274 returned. Participants were asked about autonomy, empowerment, demographics, physician oversight, geographical location, and practice setting.
Conclusions
Among surveyed respondents, physician oversight was related to increased empowerment, regardless of whether the oversight was defined in facilitative or restrictive terms; both had similar positive effects on empowerment.
Implications for practice
If APRNs are to be part of the solution to the growing problem of healthcare access, it is important to study factors that contribute to their success. We speculate that increasing opportunities for collaboration and interaction with physicians, and possibly other healthcare professionals, could facilitate APRN empowerment, optimizing their contribution.</abstract><cop>United States</cop><pub>Lippincott Williams & Wilkins Ovid Technologies</pub><pmid>28220626</pmid><doi>10.1002/2327-6924.12444</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of the American Academy of Nurse Practitioners, 2017-05, Vol.29 (5), p.272-281 |
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| language | eng |
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| source | MEDLINE; Wiley Online Library All Journals |
| subjects | Adult advanced practice nurse (APN) Advanced Practice Nursing - manpower Advanced Practice Nursing - methods Autonomy Chi-Square Distribution collaboration Cooperative Behavior Cross-Sectional Studies Dempster Practice Behavior Scale Empowerment Female Humans Male Middle Aged Nurse practitioners Nurse Practitioners - psychology Nursing Physicians Physicians - standards Power (Psychology) primary care Professional Autonomy Professional relationships Surveys and Questionnaires |
| title | The role of physician oversight on advanced practice nurses’ professional autonomy and empowerment |
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