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This qualitative study explored perceived barriers to professional autonomy among ICU nurses in Iran. Twenty-eight critical care nurses participated in semi structured in-depth interviews. Recordings were transcribed verbatim and analyzed using content analysis.",{"@graph":63,"@context":118},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":51,"@type":70,"position":76},"https://docshare.wps.com/template/general/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/barriers-to-icu-nurses-autonomy-in-iran-a-qualitative-study/219742/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/barriers-to-icu-nurses-autonomy-in-iran-a-qualitative-study/219742.png","ImageObject",442,249,{"name":88,"@type":89},"Dipper","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/vnd.openxmlformats-officedocument.wordprocessingml.document","2026-09-25","2026-09-08",true,{"@type":98,"interactionType":99,"userInteractionCount":79},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"What was the main objective of the study?","Question",{"text":108,"@type":109},"To explore perceived barriers to the practice of professional autonomy from the perspectives of ICU nurses in Iran.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"How was data collected and analyzed?",{"text":113,"@type":109},"Twenty-eight critical care nurses were interviewed using semi structured in-depth interviews. Interviews were recorded, transcribed verbatim, and analyzed using content analysis.",{"name":115,"@type":106,"acceptedAnswer":116},"What barriers to autonomy were identified?",{"text":117,"@type":109},"Two main themes emerged: profession-related barriers and organizational barriers. Organizational subthemes included role ambiguity, a directive rather than supportive workplace, and lack of motivation.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},219742,1788889339,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":50,"category_name":51,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":79,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":135,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":125,"read_time":140},1374404997633,"https://ap-avatar.wpscdn.com/davatar_a8503ba1806abce46bf441b54a3ca4cd","Barriers to ICU Nurses’ Autonomy in Iran: A qualitative study\nMaryam AllahBakhshian, PhD, Nasrollah Alimohammadi, PhD, Fariba Taleghani, PhD, Ahmadreza Yazdan Nik, PhD, Saeed Abbasi, PhD, Leila Gholizadeh, PhD\nAbstract\nBackground: The acute nature of the ICU environment necessitates that urgent clinical decisions are frequently made by the health care team. Therefore, it is important that critical care nurses have the authority to make decisions about their patient care.\nObjective: To explore perceived barriers to the practice of professional autonomy from the perspectives of ICU nurses in Iran.\nDesign: In this qualitative study, 28 critical care nurses were interviewed using a semi structured in-depth interview method. The interviews were recorded, transcribed verbatim and analyzed using content analysis.\nResults: Data analysis led to identification of 2 main themes and 5 sub themes: 1) the profession-related barriers with two associated subthemes of ‘lack of capacity to exercise autonomy’ and ‘lack of strong professions bodies’; 2) organizational barriers with the associated sub themes of ‘role ambiguity’, ‘a directive rather than supportive workplace’, and ‘lack of motivation’.\nConclusion: ICU nurses in Iran may face many challenges in gaining professional autonomy. The identified inter and intra professional barriers to the exercise of autonomy need to be addressed to promote critical thinking, job satisfaction, and motivation of ICU nurses, which can in turn lead to improved patient outcomes.\nKey words: Nursing autonomy, professionalism, qualitative study, content analysis, ICU\nIntroduction\nAutonomy is a key element in attaining full professional status and career recognition \u0013 ADDIN EN.CITE \u003CEndNote>\u003CCite>\u003CAuthor>Baykara\u003C/Author>\u003CYear>2013\u003C/Year>\u003CRecNum>66\u003C/RecNum>\u003CDisplayText>(Baykara &amp; Şahinoğlu, 2013; Traynor, Boland, &amp; Buus, 2010; Weston, 2010)\u003C/DisplayText>\u003Crecord>\u003Crec-number>66\u003C/rec-number>\u003Cforeign-keys>\u003Ckey app=\"EN\" db-id=\"z2s5wd2f6sea9eezvanv0r5psrav2szxtp52\">66\u003C/key>\u003C/foreign-keys>\u003Cref-type name=\"Journal Article\">17\u003C/ref-type>\u003Ccontributors>\u003Cauthors>\u003Cauthor>Baykara, Zehra Goçmen\u003C/author>\u003Cauthor>Şahinoğlu, Serap\u003C/author>\u003C/authors>\u003C/contributors>\u003Ctitles>\u003Ctitle>An evaluation of nurses’ professional autonomy in Turkey\u003C/title>\u003Csecondary-title>Nursing ethics\u003C/secondary-title>\u003C/titles>\u003Cpages>0969733013505307\u003C/pages>\u003Cdates>\u003Cyear>2013\u003C/year>\u003C/dates>\u003Cisbn>0969-7330\u003C/isbn>\u003Curls>\u003C/urls>\u003C/record>\u003C/Cite>\u003CCite>\u003CAuthor>Traynor\u003C/Author>\u003CYear>2010\u003C/Year>\u003CRecNum>71\u003C/RecNum>\u003Crecord>\u003Crec-number>71\u003C/rec-number>\u003Cforeign-keys>\u003Ckey app=\"EN\" db-id=\"z2s5wd2f6sea9eezvanv0r5psrav2szxtp52\">71\u003C/key>\u003C/foreign-keys>\u003Cref-type name=\"Journal Article\">17\u003C/ref-type>\u003Ccontributors>\u003Cauthors>\u003Cauthor>Traynor, Michael\u003C/author>\u003Cauthor>Boland, Maggie\u003C/author>\u003Cauthor>Buus, Niels\u003C/author>\u003C/authors>\u003C/contributors>\u003Ctitles>\u003Ctitle>Professional autonomy in 21st century healthcare: Nurses’ accounts of clinical decision-making\u003C/title>\u003Csecondary-title>Social Science &amp; Medicine\u003C/secondary-title>\u003C/titles>\u003Cpages>1506-1512\u003C/pages>\u003Cvolume>71\u003C/volume>\u003Cnumber>8\u003C/number>\u003Cdates>\u003Cyear>2010\u003C/year>\u003C/dates>\u003Cisbn>0277-9536\u003C/isbn>\u003Curls>\u003C/urls>\u003C/record>\u003C/Cite>\u003CCite>\u003CAuthor>Weston\u003C/Author>\u003CYear>2010\u003C/Year>\u003CRecNum>68\u003C/RecNum>\u003Crecord>\u003Crec-number>68\u003C/rec-number>\u003Cforeign-keys>\u003Ckey app=\"EN\" db-id=\"z2s5wd2f6sea9eezvanv0r5psrav2szxtp52\">68\u003C/key>\u003C/foreign-keys>\u003Cref-type name=\"Journal Article\">17\u003C/ref-type>\u003Ccontributors>\u003Cauthors>\u003Cauthor>Weston, Marla J\u003C/author>\u003C/authors>\u003C/contributors>\u003Ctitles>\u003Ctitle>Strategies for enhancing autonomy and control over nursing practice\u003C/title>\u003Csecondary-title>Online J Issues Nurs\u003C/secondary-title>\u003C/titles>\u003Cvolume>15\u003C/volume>\u003Cnumber>1\u003C/number>\u003Cdates>\u003Cyear>2010\u003C/year>\u003C/dates>\u003Curls>\u003C/urls>\u003C/record>\u003C/Cite>\u003C/EndNote>\u0014(\u0013 HYPERLINK \\l \"_ENREF_5\" \\o \"Baykara, 2013 #66\" \u0014Baykara & Şahinoğlu, 2013\u0015; \u0013 HYPERLINK \\l \"_ENREF_38\" \\o \"Traynor, 2010 #71\" \u0014Traynor, Boland, & Buus, 2010\u0015; \u0013 HYPERLINK \\l \"_ENREF_41\" \\o \"Weston, 2010 #68\" \u0014Weston, 2010\u0015)\u0015. The degree of ","cbCaihr9wG8A40an","https://ap.wps.com/l/cbCaihr9wG8A40an","docx",100093,23,"English","# Abstract\n## Background\n## Objective\n## Design\n## Results\n## Conclusion\n# Introduction","[{\"question\":\"What was the main objective of the study?\",\"answer\":\"To explore perceived barriers to the practice of professional autonomy from the perspectives of ICU nurses in Iran.\"},{\"question\":\"How was data collected and analyzed?\",\"answer\":\"Twenty-eight critical care nurses were interviewed using semi structured in-depth interviews. Interviews were recorded, transcribed verbatim, and analyzed using content analysis.\"},{\"question\":\"What barriers to autonomy were identified?\",\"answer\":\"Two main themes emerged: profession-related barriers and organizational barriers. Organizational subthemes included role ambiguity, a directive rather than supportive workplace, and lack of motivation.\"}]","Barriers to ICU Nurses’ Autonomy in Iran - A qualitative study | DOCX",8]