NURSING ETHICS, cilt.0, sa.0, ss.1-10, 2023 (SCI-Expanded)
Background: Professional autonomy, which directly affects the quality of professional nursing in patient
care, and cognitive flexibility, which is an important factor for adaptation to change and developing nursing
roles, are important concepts for nursing.
Research objectives: This research was carried out to determine the effect of cognitive flexibility on
attitudes towards professional autonomy in nurses.
Research design: This was a descriptive study.
Participants and research context: The research was conducted with 415 nurses working in a city
hospital of a province, meeting the inclusion criteria and agreeing to participate in the study. A questionnaire
form, The Cognitive Flexibility Inventory (CFI), and the Attitude Toward Professional Autonomy Scale for
Nurses (APASN) were used to collect data.
Ethical considerations: Ethical approval was obtained from the university ethics committee before starting
the study. Institutional permission was obtained from the city hospital where the study was conducted.
Electronic informed consent was obtained from the nurses included in the study.
Findings: In the study, the mean CFI score was 80.62 ± 11.55 and the mean APASN score was 70.42 ± 18.79.
There was a weak positive correlation (r = 0.270; p < 0.05) between CFI and APASN scores. Moreover, the
effect of the CFI mean score on the APASN mean score was found to be statistically significant (β = 0.278; p <
0.001). Furthermore, CFI explains 7.7% of APASN.
Conclusion: In the study, nurses’ attitudes towards professional autonomy and cognitive flexibility scores
were found to be at a good level. Cognitive flexibility has a positive effect on attitudes towards professional
autonomy. Interventional studies that will increase the level of cognitive flexibility are recommended in the
development of nurses’ attitudes towards professional autonomy.