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International Nursing Science Conference

August 21-23, 2023 | London, UK

August 21 -23, 2023 | London, UK
Nursing Science 2023

Gizem Acikgoz

Gizem Acikgoz, Speaker at Nursing Science Congress
Istanbul Kent University, Turkey
Title : The development of the nurses' autonomous behavior scale regarding professional roles


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


Gizem Acıkgoz studied Nursing at the Gulhane Military Medical Academy, Ankara, Türkiye and graduated in 2008. She got her master degree on nursing management at Marmara University Institute of Health Science in 2015 and got Phd degree on nursing management at Istanbul University Cerrahpasa Graduate Education Institute in 2023. She worked as a intensive care nurse in cardiovascular surgery intensive care unit of Haydarpasa Educational and Research Hospital, İstanbul from 2008 to 2016. Then she started to work as a intensive care responsible nurse in cardiovascular surgery intensive care unit of Sultan II. Abdülhamid Han Educational and Research Hospital until 2020. Now she works as a assistant professor at İstanbul Kent University, Faculty of Health Science, Nursing Department since June 2020. She study on nursing management, nursing professionalism and autonomy, quality and patient safety in health care. She has two ERASMUS Staff Teaching Mobility experiences at University of Politecnico de Portalegre and University of St. Clement Ohridski of Bitola. She has published on SCI, e-SCI, international and national ındex. She also has more than 30 presentation at international congress and conferences.