Power and empowerment in nursing: a fourth theoretical approach

Bradbury‐Jones, Caroline; Sambrook, Sally; Irvine, Fiona

doi:10.1111/j.1365-2648.2008.04598.x

Cited by 102 publications

(89 citation statements)

References 49 publications

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“…Post-structuralism, emphasising the numerous works of Michel Foucault in particular, has become widely used within literature on empowerment across a number of disciplines (Bradbury Jones et al, 2007). Foucault's conceptualisation of power rejects top-down and zero-sum approaches which imply a finite quantity of power to be possessed by individuals and exercised from above.…”

Section: Thinking About Empowermentmentioning

confidence: 99%

Dimensions of Family Empowerment in Work with So-Called ‘Troubled’ Families

Bond-Taylor¹

2014

Social Policy & Society

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The Troubled Families Programme has provided an impetus for interventions with families with multiple disadvantages. This article identifies the prevalence of a government discourse of 'empowerment' around such interventions, which fails to reflect the contested nature of the term.Qualitative interviews with families supported by the programme and their keyworkers offer an insight into their experiences and a valuable alternative to government rhetoric. It is argued that government discourses equate 'family empowerment' with responsibilisation, seeking to reduce the resources deployed in supporting families whilst strengthening state power to define acceptable forms of family life. By contrast, family and keyworker discourses of 'empowerment' are founded in the redistribution of resources towards such families, advocacy strategies, psychological support and an understanding of power relations within and beyond families, which enable families to resist specific attempts at the exercise of professional power, albeit remaining subject to a more general exercise of state control.

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Section: Thinking About Empowermentmentioning

confidence: 99%

Dimensions of Family Empowerment in Work with So-Called ‘Troubled’ Families

Bond-Taylor¹

2014

Social Policy & Society

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“…This concept of Empowerment has been more and more used and analyzed in academic literature and has been adapted over time in order to meet the needs of a variety of disciplines (Bartunek e Spreitzer, 2006). Nursing was no exception and, for this discipline, Empowerment is frequently referred (Bradbury-Jones, Sambrook, and Irvine, 2008). "Nursing is going through a state of change, extremely active in defining its theory, its practice, its investigation, its social and critical representation vis-à-vis its current status" (Filipe, 2003) .…”

Section: Introductionmentioning

confidence: 99%

Perception of nurses’ Empowerment in healthcare organization settings

Neves¹,

Ribeiro²

2016

mill

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Introduction: O conceito de Empowerment na Enfermagem tem sido utilizado e analisado na literatura académica, conceito digno de exploração e interesse para os enfermeiros, chefes e gestores das organizações de saúde. A perceção dos Enfermeiros acerca do Empowerment é determinante nos resultados organizacionais, no aumento da autonomia profissional, no ganho do poder individual e coletivo e nos cuidados ao utente. Objetivos: Avaliar a perceção dos Enfermeiros acerca do Empowerment (Psicológico e Estrutural), identificar os fatores que influenciam essa perceção e analisar e refletir sobre as consequências dessa perceção. Métodos: Estudo quantitativo, numa amostra de 269 enfermeiros predominantemente o sexo feminino (76,6%), faixa etária entre os 21 e os 59 anos, cuja média das idades se situa nos 40,36 anos, 68,8% dos participantes licenciados, em exercício de funções num hospital da região da Beira Alta, Portugal. Resultados: Nos enfermeiros, a perceção de Empowerment Psicológico está relacionado com a perceção de empowerment Estrutural. Os enfermeiros com mais idade e maior tempo de exercício profissional revelaram maior competência e menor oportunidade. Os enfermeiros com maior tempo no atual serviço, apresentam maior competência, mas menor oportunidade, informação, suporte e globalmente, Empowerment Estrutural. Na categoria profissional há diferenças na informação, recursos e poder informal dos Enfermeiros Especialistas. Conclusão: Os Enfermeiros revelaram bons níveis de Empowerment Psicológico e baixos níveis de Empowerment Estrutural. Palavras-chaves:Empowerment; perceção dos enfermeiros; organizações de saúde. ABStrACtIntroduction: The concept of Empowerment in nursing has been increasingly used and analyzed in academic literature. It is a concept that nurses, leaders and managers of healthcare institutions should be interested in and should greatly explore. The perception that nurses have of Empowerment plays a decisive role in the organizational results, in the increase in professional autonomy, in collective and individual power increment and in patients' healthcare providing. Objectives: To evaluate nurses' perception of Empowerment (Psychological and Structural); to identify the factors that will influence this kind of perception and to reflect on the consequences of that perception. Methods: Quantitative study, based on a sample composed of 269 nurses, mainly female (76,6%), aged between 21 and 59, with a 40,36 years old average age. 68.8% of the participants have a college degree and are working in a hospital in the Beira Alta region, in Portugal. Results: In nurses, the perception of Psychological Empowerment is associated with the perception of Structural Empowerment. Older nurses and nurses who have a longer nursing career show higher competence and lower opportunity. Nurses who have spent a longer period of time in their current services show higher competence but less opportunity, information, support and, globally, a lower Structural Empowerment. In this professional category, specialist nurses...

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“…All human relationships thus incorporate power relations in different contexts (Bradbury-Jones, Sambrook, & Irvine, 2008; Kuokkanen & Leino- Kilpi, 2000). Global health—like the arts, law, and medicine—is a social arena with specific rules, but one where people hold unequal positions (Shiffman, 2015).…”

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confidence: 99%