ArticleBMC nursing2025
Still just the nurse? A critical inquiry into nurses' struggles for autonomy in interprofessional hospital teams.
Article in BMC nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
3 citing papers in PubMed.
- How nurses contribute to medical treatment decision-making with physicians: a scoping review.BMJ open · 2026Article
- Reframing workplace safety, wellbeing, and performance among operating room nurses in contemporary healthcare systems.Frontiers in public health · 2026Review
- Living Before Dying: Nursing Practice in Supporting Meaningful Living for Patients Receiving Home Care at End-of-Life.Global qualitative nursing researchArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
aimTo explore how nurses in interprofessional hospital teams experience and negotiate professional autonomy within hierarchical decision-making environments.
backgroundNurse autonomy is essential for safe, patient-centred care, yet it is often constrained by institutional protocols, electronic order-entry systems, and interprofessional hierarchies. While international literature highlights systemic barriers, little is known about the subtle strategies nurses use to reclaim influence within team-based hospital contexts, particularly in Middle Eastern healthcare settings.
designA qualitative hermeneutic phenomenological design was employed, following COREQ guidelines.
methodsSeventeen registered nurses working in polyclinics affiliated with King Faisal University, Al-Ahsa, Saudi Arabia, participated in semi-structured interviews conducted. Data were analysed using reflexive thematic analysis, supported by NVivo 14. Ethical approval was obtained from the King Faisal University Institutional Review Board.
resultsFour interrelated themes emerged: (1) The invisible architecture of (de)autonomy, (2) Teamroom hierarchies and the choreography of voice, (3) Quiet resistance and boundary work, and (4) Conditions that enable nurse autonomy. Nurses described struggling with structural and cultural barriers but also revealed micro-autonomies, alliances, and advocacy practices that protected both patient safety and professional identity.
conclusionsAutonomy is not merely an individual trait but an organisational property shaped by policies, governance, and team dynamics. Leadership strategies that embed nurses' voices into decision-making structures are critical for improving patient outcomes and professional well-being.
trial registrationNot applicable (qualitative study).
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.