Professional autonomy in nursing means making independent decisions in accordance with professional basic principles and rules, professional practice standards and legal regulations related to the profession in professional practices, the basis of which is care. Professional autonomy in nursing improves the clinical results of caregivers, ensures the continuity of nursing care and patient safety, and increases the quality of nursing care. Scales can be used to determine the level of autonomous behaviors of nurses. Although there are scales measuring nurses' individual and professional autonomy in the literature, no measurement tool has been found that evaluates nurses' autonomous behaviors regarding their professional roles. The research was conducted in quantitative research design in order to develop the "Nurses' Autonomous Behavior Scale Regarding Professional Roles". The draft scale was created with qualitative research data and literature review by researchers. The research was conducted with 534 nurses works in public, university and private hospital in Istanbul. SPSS 25 package program was used in the analysis of data. The content validity of the 59-item draft scale, which was created with qualitative research data and literature review, was found to be 0.90 after expert opinion. With item analysis, items with item-total correlations below 0.40 were removed. According to the results of the exploratory factor analysis of the scale, whose suitability for factor analysis was evaluated, a structure consisting of 23 items and four dimensions as care, education, research and management was obtained, supported by confirmatory factor analysis and convergent-discriminant validity. Test-retest method was used to determine the reliability of the scale against time, and there was no statistically significant difference between the scale total and sub-dimension mean scores t:0.619, p<0.619 and there was a very strong and significant positive correlation r:0.983, p<0.001 was observed. In the internal consistency analysis, Cronbach's alpha values were found to be 0.932 in the total scale and 0.771 (Care), 0.809 (Education), 0.918 (Research) and 0.896 (Managemet) in its sub-dimensions. It has been observed that the "Nurses' Autonomous Behavior Scale Regarding Professional Roles" is a valid and reliable scale.
Audience Take Away Notes:
• Why the autonomy is important in professional nursing practice
• How can we measure nurses autonomous behavior
• How can we make the validity and reliability of a scale
• What stages does the validity and reliability study of a scale consist of
• What are the autonomous behavior levels of nurses regarding their professional roles in Turkiye