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1- Students Research Committee, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2- Dept. of Management and Psychiatric Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran , parastooujian@sbmu.ac.ir
3- Dept. of Management and Psychiatric Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
4- Dept. of Pediatric Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Abstract:   (138 Views)
Background & Aim: Achieving autonomy remains a significant challenge within the nursing profession. Nurses must possess moral courage to attain professional autonomy, which should consequently enhance their job self‑efficacy. This study aimed to investigate the relationship between professional autonomy, moral courage, and job self‑efficacy among nursing managers.
Methods & Materials: This descriptive‑correlational study was conducted on 200 nursing managers, including senior nursing managers in organizational positions, middle managers serving as supervisors, and operational managers working as head nurses across eleven teaching hospitals affiliated with Shahid Beheshti University of Medical Sciences in 2024. Data were collected using a demographic and professional characteristics form, Jung's Professional Autonomy Questionnaire, Sadoughi‑Asl's Nurses' Moral Courage Questionnaire, and Riggs' Self‑Efficacy Scale. Data analysis was performed using SPSS version 21 and LISREL version 8, employing Pearson's correlation coefficients and path analysis.
Results: The mean scores were as follows: professional autonomy was 26.92±6.6 (moderate level), moral courage was 422.11±39.52 (high level), and job self‑efficacy was 114.98±11.38 (high level). Professional autonomy demonstrated a direct and significant positive correlation with moral courage (r=0.187, P=0.008), and moral courage showed a significant positive correlation with job self‑efficacy (r=0.41, P<0.001). The structural model analysis revealed that all path coefficients were significant (P<0.001), except for the path from professional autonomy to job self‑efficacy (P=0.635).
Conclusion: The findings of this study suggest that enhancing professional autonomy can improve the moral courage and job self‑efficacy of nursing managers. This important finding can serve as a foundation for designing effective programs and interventions in this field.

 
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Type of Study: Research | Subject: Nursing Care

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