The continuous expansion of the nursing scope of practice, the undeniable growth of the nurses’ role in the healthcare crisis, the shortage of labor, especially in rural areas and marginalized urban csommunities, and last but not least, the lack of literature on Romanian nursing autonomy are some of the background factors in this study. This study’s purpose is to assess nurses’ perceptions of their medical care independence. The main hypothesis is that more advanced levels of education generate a greater inclination toward autonomous interventions. The quantitative research is based on a survey using a self-designed questionnaire as a tool (based on a nurse-focused structure and process indicators following the Donabedian model) applied in a Romanian clinical hospital. Based on a literature review, three composite indicators were developed and tested for reliability using the Cronbach alpha coefficient. These indicators reflect autonomy from three perspectives: clinical practice independence, autonomy in relation to work, and autonomy through digitalization. This scientific approach revealed a major impact of the regulatory framework on nurses’ perceptions of their autonomy, below the expectations of use, and the acceptance of digital technologies among nurses. Finally, it was observed that college graduate nurses perceive lower levels of independence than post-secondary ones.

Recent financial crises, heightened geopolitical instability, sustained financial volatility, and broader global uncertainty have increased the exposure of private sector organizations to emerging and interconnected economic risks. In this context, systematic and sustainable approaches to organizational risk management are becoming increasingly important for maintaining organizational resilience and economic security. Given the persistent instability of markets and the prospect of structural economic changes toward 2030, this study examines how key organizational and risk-related factors influence perceived economic security under crisis conditions. The empirical investigation was conducted on a sample of 205 employees from private sector organizations. Exploratory factor analysis (EFA) was used to validate the structure of the constructs, while structural equation modeling (SEM) was applied to test the relationships among the variables and provide a model-driven assessment of the determinants of perceived economic security. The findings show that all factors included in the proposed model have a significant influence on perceived economic security during periods of crisis. The results highlight the importance of systematic risk identification, assessment, monitoring, and management, as well as organizational learning from previous crises, in responding to a changing and uncertain economic environment. Under conditions of continued global uncertainty, volatility, and structural transformation, the development and continuous improvement of organizational risk management systems can strengthen organizational resilience and support economic security over time.