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Relationship Between Control Over Nursing Practice and Job Satisfaction and Quality of Patient Care

Al-Hamdan, Zaid PhD, RN; Smadi, Eman MSN, RN; Ahmad, Muayyad PhD, RN; Bawadi, Hala PhD, RN, RM; Mitchell, Ann M. PhD, RN, FAAN

doi: 10.1097/NCQ.0000000000000390

Background: Control over nursing practice (CONP) in the work setting is associated with several positive consequences such as increased job satisfaction, support of teamwork, decreased patient mortality, and improved quality of care.

Purpose: The purpose of this study was to examine the level of perceived CONP among Jordanian registered nurses (RNs) and determine its relationship with their job satisfaction and quality of patient care.

Method: A descriptive, cross-sectional correlational design was used. A convenience sample of 230 RNs was recruited from 4 hospitals.

Result: The RNs had a moderate level of perceived CONP. This control was positively correlated with their work satisfaction and perception of the quality of patient care that they delivered.

Conclusion: Nurse managers should be encouraged to take into consideration nurses' perceived CONP to improve working conditions for nurses.

Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan (Dr Al-Hamdan and Ms Smadi); King Husain Hospital, Amman, Jordan (Ms Smadi); Clinical Nursing Department (Dr Ahmad) and Maternal and Child Health Nursing Department (Dr Bawadi), School of Nursing, The University of Jordan, Amman, Jordan; and School of Nursing, University of Pittsburgh, Pittsburgh, Pennsylvania (Dr Mitchell).

Correspondence: Zaid Al-Hamdan, PhD, RN, Faculty of Nursing, Jordan University of Science and Technology, PO Box 3030, Irbid 22110, Jordan (;

The authors declare no conflicts of interest.

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Accepted for publication: January 14, 2019

Published ahead of print: February 25, 2019

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