Leadership Practices as Perceived by Emergency Nurses During the COVID-19 Pandemic: The Role of Structural and Psychological Empowerment

Khrais, Huthaifah; Nashwan, Abdulqadir J.

doi:10.1016/j.jen.2022.10.003

Cited by 15 publications

(12 citation statements)

References 33 publications

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“…Managers could use the scale to compare their hospital's scores with the reference values, targeting speci c aspects of their nurses' practice environment that need improvement [1]. Empowerment also plays an important role in crises, such as pandemics [45]. The authors believe that the results of the present study can serve as an important and normative reference for future studies.…”

Section: Discussionmentioning

confidence: 91%

Relationship between Nursing Practice Environment and Psychological Empowerment for Nurses: A Cross-Sectional Study

Taketomi,

Ogata,

Sasaki

et al. 2024

Preprint

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The nursing practice environment is essential for improving the quality of nursing practice and patient service. This study investigated whether a better, healthier work environment could enhance nurses’ psychological empowerment using data from the work environment for hospital nurses in Japan (WENS-J) study. A total of 7,849 staff nurses from 23 participating general hospitals with over 200 beds in municipalities with a population of 200,000 or more were sent a self-administered questionnaire in 2014. The questionnaire recorded participating nurses’ demographic characteristics and utilized two scales: the Practice Environment Scale of the Nursing Work Index (PES-NWI) and the Psychological Empowerment Instrument (PEI), which identified adequate work environments and measured the internalization of organizational goals and objectives, respectively. The valid response rate was 31.1% (n = 2,438), the mean age was 33.7 years, and 93.7% of nurses were female. The total PEI score was significantly correlated to the PES-NWI composite score and all subscales after adjusting for nurses’ demographic characteristics, such as age (β coefficient 0.22–0.33, all p < .001). Nurses who perceive their work environment as positive may be more psychologically empowered. These findings could provide insight into creating healthier work environments; previous studies have shown that psychological empowerment is related to reduced burnout and low turnover among nurses.

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Section: Discussionmentioning

confidence: 91%

Relationship between Nursing Practice Environment and Psychological Empowerment for Nurses: A Cross-Sectional Study

Taketomi,

Ogata,

Sasaki

et al. 2024

Preprint

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“…Moreover, the intention to turnover among nurses was higher when compared with before COVID-19 pandemic [ 25 ]. This higher turnover intention can be attributed to factors related to their unique working environment, such as dealing with critical patients and encountering challenges with low understanding [ 8 , 16 ]. ED nurses were directly involved in the management of the COVID-19 pandemic, their pandemic-related job demand and fear of COVID-19 were higher than nurses in other departments [ 16 , 31 ].…”

Section: Discussionmentioning

confidence: 99%

“…Motivated nurses who feel empowered and supported by their organization are more likely to be engaged and committed to their work. They are driven to provide high-quality care and achieve positive patient outcomes [ 16 ].…”

Section: Discussionmentioning

confidence: 99%

“…As nurses provide direct care and are in frequent contact with patients, their increased exposure to contagion in the workplace may contribute to psychological challenges. [ 14 – 16 ]. Emergency nurses are additionally exposed to an elevated likelihood of emotional stress, unfavorable work conditions, and concern about infection due to their direct care for patients prior to diagnosis.…”

Section: Introductionmentioning

confidence: 99%

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Impact of the COVID-19 pandemic crisis on turnover intention among nurses in emergency departments in Thailand: a cross sectional study

Sungbun,

Naknoi,

Somboon

et al. 2023

BMC Nurs

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Background During the COVID-19 pandemic in Thailand, a large volume of COVID-19 patients were referred to hospital emergency departments (EDs). This increased job demand and job strain among ED nurses, resulting in a high risk of intention to leave their organization. Aims To investigate turnover intention during the COVID-19 pandemic among ED nurses and examine the effect of organizational resources, maladaptive regulation, and job burnout on nurses’ turnover intention. Method This cross-sectional study investigated 322 ED nurses. We divided participants into two groups: dark-red zone areas (pandemic crisis areas) and non-red zone areas (non-pandemic crisis areas). Descriptive statistics, Pearson’s correlation analysis, and multiple linear regression (forward stepwise method) were used to analyze factors that predicted turnover intention. Results Most participants were female and the mean age was 34.54 years. During COVID-19 pandemic crisis, 72.8% of ED nurses in dark-red zone areas desired to leave their organization. The factors of motivation, exhaustion, and cognitive impairment positively influenced turnover intention among ED nurses in dark-red zone areas. Low availability of organizational resources was associated with an increase in the turnover intention rate. Maladaptive regulation, exhaustion, and cognitive impairment positively influenced turnover intention among ED nurses in non-red zone areas. Conclusion Exhaustion and cognitive impairment stand as significant facets of burnout linked to the intention of turnover among ED nurses. To address this, we recommend fostering secure workplace settings and implementing interventions that alleviate job demands and strains for ED nurses, potentially reducing turnover intentions.

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“…In the same situation, the COVID-19 pandemic has caused significant clinical and social changes in healthcare systems. According to a study conducted in Jordan, survival nurses in healthcare systems have high to moderate levels of psychological empowerment [ 32 ]. The process of analyzing potential power factors in order to improve individual self-efficacy is defined as empowerment [ 33 ].…”

Section: Introductionmentioning

confidence: 99%

Burnout, resilience, and empowerment among COVID-19 survivor nurses in Indonesia

Lee,

Hsu,

Efendi

et al. 2023

PLoS ONE

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The primary frontline healthcare providers who have frequent contact with COVID-19 patients are nurses. Many nurses have been infected with COVID-19 and have experienced severe emotional exhaustion and burnout. It is essential to assess nurses’ psychological health during the COVID-19 pandemic. This study aimed to analyze the factors associated with burnout, resilience, and empowerment among Indonesian COVID-19 nurse survivors. In this cross-sectional study, 182 COVID-19 survivor nurses participated from September to November 2022 with convenience sampling. An online survey using the Copenhagen Burnout Inventory (CBI), the Connor-Davidson Resilience Scale (CD-RISC), and the Psychological Empowerment Scale (PES) were used to collect data. The data were analyzed using descriptive and binary logistic regression analyses. The majority of the nurses were aged between 30–45 years (61.6%), and females (67.4%) experienced burnout. Higher resilience was found among nurses contracting COVID-19 (83.1%). In the multivariate logistic regression analysis, the absence of psychological impact (OR = 0.44, 95% CI = 0.21–0.93) is significantly related to higher burnout experience. In addition, workplace, especially in hospital (OR = 4.32, 95% CI = 1.09–17.09) was associated with resilience, and a gap time after receiving negative COVID-19 result (OR = 3.90, 95% CI = 1.27–12.03) was correlated with psychological empowerment, in our results 4–6 month after had a negative result was at higher risk. To maintain a positive psychological aspect for COVID-19 nurse survivors, it needs to implement psychological support in the workplace and ensure an appropriate workload of nurse professionals.

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Leadership Practices as Perceived by Emergency Nurses During the COVID-19 Pandemic: The Role of Structural and Psychological Empowerment

Cited by 15 publications

References 33 publications

Relationship between Nursing Practice Environment and Psychological Empowerment for Nurses: A Cross-Sectional Study

Relationship between Nursing Practice Environment and Psychological Empowerment for Nurses: A Cross-Sectional Study

Impact of the COVID-19 pandemic crisis on turnover intention among nurses in emergency departments in Thailand: a cross sectional study

Burnout, resilience, and empowerment among COVID-19 survivor nurses in Indonesia

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