Empowerment and performance of managers and subordinates in elderly care: A longitudinal and multilevel study

Hagerman, Heidi; Högberg, Hans; Skytt, Bernice; Wadensten, Barbro; Engström, Maria

doi:10.1111/jonm.12504

Cited by 24 publications

(32 citation statements)

References 32 publications

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“…Access to support should be through feedback, guidance, emotional support, helpful advice or hands-on assistance, as well as problem-solving advice, which can all be very beneficial to nurses (Hagerman et al 2017 :2). Some respondents in this study did receive support through problem-solving advice on improving performance; however, problem-solving advice could include emotional support, helpful advice or hands-on assistance in becoming empowered (Bish, Kenny & Nay 2012 :3).…”

Section: Discussionmentioning

confidence: 99%

Perceptions of nurses on access to structural empowerment in a hospital in the Western Cape

Roji

Jooste

2020

Curationis

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Background: Structural empowerment is an ever-evolving concept interpreted and applied in many different ways as it focuses on the structures in a healthcare organisation to allow competent nurses to manage empowering opportunities in a professional manner. At a public hospital in the Western Cape, nurses complained about a lack of access to structural empowerment in a hospital, including structures of power, such as clear information, to partake in important decisions.Objectives: The purpose of this study was to describe how nurse managers could support nurses in accessing structural empowerment through power resources.Method: A quantitative design was followed with a survey. The accessible population in this study was different categories of nurses of professional, enrolled and assistant nurses (N = 200), which were on duty at the time of data gathering. The sample was selected by means of probability sampling (n = 110). An existing instrument based on a five-point Likert scale was distributed that took 45 minutes to complete. Descriptive and inferential statistics were calculated, and the chi-square was used to indicate statistical significance differences among the nursing categories on the items (p 0.05).Results: The general results indicated that the majority of nurses had challenges to access structural empowerment through power sources (information, support and resources). Significant differences were found between nurse categories for having the necessary supplies for the job (p = 0.043) and rewards for unusual job performance (p = 0.023). Those aspects on which no significant differences were found are of utmost importance, as they indicate the urgency of addressing limitations in power sources for all categories of nurses.Conclusion: Empowerment can be achieved by enabling access to structural empowerment through power sources (i.e. opportunities, information, resources and support) at different levels for all categories of nurses.

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Section: Discussionmentioning

confidence: 99%

Perceptions of nurses on access to structural empowerment in a hospital in the Western Cape

Roji

Jooste

2020

Curationis

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“…Thus, it has been challenging to achieve a combination of efficient and high-quality services, a good work situation and an innovative friendly atmosphere in care of older people. Structural empowerment, with an opportunity to grow, adequate information, support and resources, has been suggested as an aid to improve the situation for managers and staff (Hagerman, Högberg, Skytt, Wadensten, & Engström, 2017).…”

Section: Backg Rou N Dmentioning

confidence: 99%

Working with national quality registries in older people care: A qualitative study of perceived impact on assistant nurses’ work situation

et al. 2020

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Aim The aim was to investigate assistant nurses’ perceptions of how working with national quality registries affected their work situation in care of older people. Design Qualitative interview study. Methods Sixteen semi‐structured interviews were conducted at four special housing units in Sweden, and a conventional content analysis, with elements of thematic analysis, was applied. Results The introduction of national quality registries contributed to role clarifications and the development of new formal work procedures in terms of documentation and arenas and routines for communication. The increased systematics and effectiveness gained from these changes had a perceived positive effect on the work situation, workload, work satisfaction, staff interactions and learning and reflection.

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“… Arnold, 2017 ; Keisu et al , 2018 ). Furthermore, leadership in this particular sector influences employees’ job satisfaction ( Westerberg and Tafvelin, 2014 ), job turnover ( Jeon et al , 2010 ), perception of empowerment ( Hagerman et al , 2017 ) and health ( Ljungblad et al , 2014 ). Although it is clear that leadership can help minimize sick leave for employees ( Clausen et al , 2012 ), there are no clear theories that explain and identify what constitutes this kind of leadership.…”

Section: Introductionmentioning

confidence: 99%

Leadership for a healthy work environment – a question about who, what and how

Vidman

Strömberg

2020

LHS

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Purpose Recruiting and retaining staff to work with elderly people in social care is a global issue. The quality of leadership is considered important because it influences employees’ job satisfaction, job turnover and health. This paper aims to identify leadership that employees in residential elderly care facilities in Sweden consider as contributing towards a healthy work environment. Design/methodology/approach The authors interviewed 14 persons employed in facilities organized in different ways. The data from these interviews was analysed using qualitative content analysis.. Findings The results showed that the employees felt that their health partly depended on the attributes that leaders possessed, what leaders do and how leaders do it. This study confirms that leadership influences the perception of a healthy workplace. It also shows that questions about leadership are complex. Originality/value Research about factors that increase health risks is wide-ranging; however, research that examines factors that promote health, especially how leadership influences employees’ well-being, is not as comprehensive.

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Empowerment and performance of managers and subordinates in elderly care: A longitudinal and multilevel study

Cited by 24 publications

References 32 publications

Perceptions of nurses on access to structural empowerment in a hospital in the Western Cape

Perceptions of nurses on access to structural empowerment in a hospital in the Western Cape

Working with national quality registries in older people care: A qualitative study of perceived impact on assistant nurses’ work situation

Leadership for a healthy work environment – a question about who, what and how

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