A lack of nurse autonomy impacts population health when compared to physician care: an ecological study
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Date
2023
Authors
You, W.
Cusack, L.
Donnelly, F.
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Scientific Reports, 2023; 13(1):12047-1-12047-9
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Wenpeng You, Lynette Cusack, Frank Donnelly
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Abstract
This study highlights that the contribution of nursing is secondary to physicians in overall population health (indexed with life expectancy at birth, e(0)). Scatter plots, bivariate correlation and partial correlation models were performed to analyse the correlations between e(0) and physician healthcare and nursing healthcare respectively. Afuence, urbanization and obesity were incorporated as the potential confounders. The Fisher’s r-to-z transformation was conducted for comparing the correlations. Multiple linear regression analyses were implemented for modelling that physicians’ contributions to e(0) explain nurses’. Nursing healthcare correlated to e(0) signifcantly less strongly than physician healthcare in simple regressions. Nursing healthcare was in weak or negligible correlation to e(0) when physician healthcare was controlled individually or together with the three confounders. Physician healthcare remains signifcantly correlational to e(0) when nursing healthcare alone was controlled or when the three confounders were controlled. Linear regression revealed that nursing healthcare was a signifcant predictor for e(0) when physician healthcare was “not added” for modelling, but this predicting role became negligible when physician healthcare was “added”. Our study fndings suggested that nurses still work under the direction of physicians due to lack of autonomy. Without correction, health services will continue to transmit the invisibility of nursing healthcare from one generation of nurses to another.
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© The Author(s) 2023. Open Access Tis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. Te images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.