Towards a comprehensive theory of nurse/patient empowerment: applying Kanter’s empowerment theory to patient care

Laschinger, Heather; Gilbert, Stephanie; Smith, Lesley; Leslie, Kathleen

doi:10.1111/j.1365-2834.2009.01046.x

Cited by 161 publications

(215 citation statements)

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“…Additionally, [36,37] proved that the psychological empowerment has been seen as having the capacity to assume a key role in the professional development, increasing nurses" job satisfaction, giving a better quality for patients and included the sense of meaning, self-determination, competence thus work methods and outcomes could be improved. This outcome conflicting with [38] that studied nurses" psychological empowerment at Menofia Governorate/Egypt and found declined level of psychological empowerment.…”

Section: Discussionmentioning

confidence: 99%

“…Nursing students who had the ability to establish a therapeutic relationship, autonomy over practice, control over the clinical practice environment, and the establishment of collaborative relationships had professional practice behavior [9] . Moreover, [36] proved that the psychological empowerment has been seen as having the potential to assume a key role in the professional upgrading and development, increasing nurses" job satisfaction, providing a better quality for patients and [56] who claimed that empowerment has appeared to positively influence self-efficacy and professional practice behaviors in both students and registered nurses.…”

Section: Discussionmentioning

confidence: 99%

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Psychological Empowerment, Emotional Intelligence and Professional Behavior among Nurse Interns

Mohamed¹

2017

IOSR JNHS

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Psychological Empowerment, Emotional Intelligence and Professional Behavior among Nurse Interns

Mohamed¹

2017

IOSR JNHS

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“…Badania nad upodmiotowieniem strukturalnym w grupie zawodowej pielęgniarek prowadzone są zaledwie od kilku lat, głównie za granicą [1,[5][6][7]. W Polsce badania nad upodmiotowieniem zostały zapoczątkowane bardzo niedawno [8].…”

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“…Dotychczasowe badania, prowadzone głównie przez Laschinger i wsp. [1,6,7,[9][10][11][12], wskazują m.in. na pozytywne związki upodmiotowienia strukturalnego z satysfakcją z pracy i efektywnością wykonywanej pracy oraz negatywne -ze stresem zawodowym, wypaleniem zawodowym i przeciążeniem pracą.…”

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Structural empowerment and work–family fit in nurses

Orłowska

Łaguna

2016

Med Pr

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StreszczenieWstęp: Celem badania było poznanie związku między upodmiotowieniem strukturalnym a dopasowaniem sfery rodzinnej i zawodowej wśród pielęgniarek. Upodmiotowienie strukturalne to strategia zarządzania poprzez dostarczenie pracownikom możliwości, informacji, zasobów i wsparcia niezbędnych do efektywnego wykonywania obowiązków służbowych. Na dopasowanie sfery rodzinnej i zawodowej składają się 2 rodzaje oddziaływania między tymi sferami -konfliktowe (funkcjonowanie w jednej roli utrudnia wypełnianie obowiązków w drugiej roli) i facylitujące (wypełnianie obowiązków związanych z jedną rolą ułatwia/ubogaca wypełnianie drugiej roli). Materiał i metody: Badaniami objęto 159 pielęgniarek zatrudnionych w szpitalach. W badaniu wykorzystano polską wersję Kwestionariusza Warunków Efektywności Pracy oraz Kwestionariusz Dopasowania Pracy i Rodziny. Do analizy wyników wykorzystano hierarchiczną analizę regresji liniowej. Wyniki: Wyniki badań potwierdzają istnienie związku między upodmiotowieniem strukturalnym a dopasowaniem sfery rodzinnej i zawodowej wśród pielęgnia-rek. W środowisku szpitalnym, charakteryzującym się wysokim stopniem upodmiotowienia, pielęgniarki odczuwają niższy poziom konfliktu praca-rodzina i wyższy poziom facylitacji w obu kierunkach. Wnioski: Strategia zarzadzania szpitalem oparta na koncepcji upodmiotowienia strukturalnego pielęgniarek jest związana z łatwiejszym godzeniem ról zawodowych i rodzinnych. Dlatego ważne jest, żeby w szpitalach tworzono odpowiednie warunki pracy, dzięki czemu pielęgniarki będą mogły efektywnie godzić obowiązki w obu sferach. Med. Pr. 2016;67(6):787-800 Słowa kluczowe: pielęgniarki, konflikt praca-rodzina, konflikt rodzina-praca, upodmiotowienie strukturalne, facylitacja praca-rodzina, facylitacja rodzina-praca Abstract Background: The goal of the study was to investigate the relationship between structural empowerment and work-family fit in Polish nurses. Structural empowerment is a strategy for managing by providing the employees with opportunities, information, support and resources essential for the effective performance of work duties. Work-family fit takes 2 forms of relationships between these 2 spheres: conflict (functioning in one role is more difficult because of participation in the other role) and facilitation (fulfilling the duties associated with one role enriches filling up the other role). Material and Methods: A total of 159 nurses employed in hospitals took part in the study. The Polish versions of the Conditions of Work Effectiveness Questionnaire and the Work-Family Fit Questionnaire were used. Hierarchical linear regression analysis was applied for data analysis. Results: The results show statistically signifficant relationships between structural empowerment and work-family fit in nurses. In the hospital environment, characterized by a high degree of empowerment, nurses experience a lower level of work-family conflict and a higher level of facilitation in both directions. Conclusions: Hospital management strategy based on structural empowerment o...

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“…The notion of EBP as a disempowering concept with speech pathology is one that, while raised theoretically in the literature (Beecham, 2004), has to date had no evidentiary support. Staff empowerment has been linked to job satisfaction, organisational commitment, and a greater sense of autonomy for healthcare workers (Sabiston & Spence Laschinger, 1995;Spence Laschinger, 2008;Spence Laschinger, Almost, & Tuer-Hodes, 2003), and has been correlated with both a higher perceived quality of patient care (Bonias et al, 2010;Spence Laschinger, 2008) and a facilitation of empowerment (Kuokkanen & Leino-Kilpi, 2000;Spence Laschinger, Gilbert, Smith, & Leslie, 2010) for patients. The potential implications that these influences have on professional identity, staff well-being, and workplace recruitment and retention cannot be ignored.…”

Section: Why Is the Experience Of Disempowerment Important In Relatiomentioning

confidence: 99%

“Communication is taking a back seat”: An exploration of aphasia management in acute hospital settings

Foster¹

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While in the past the focus of speech pathologists working in the acute hospital setting has been service provision to people with communication disorders and their families, their primary role is now in dysphagia. In the limited literature regarding aphasia management in acute hospital settings, there is a lack of consistency regarding the type and amount of intervention being provided to people with aphasia; however, there is consensus that current practice is inconsistent with bestpractice recommendations. Given that aphasia intervention has been identified as being central to improved communicative outcomes, an increased capacity to effectively communicate healthcare needs, a decrease in hospital negative events, and an increased sense of satisfaction for people with aphasia, this is of concern. Little is known about the reasons underlying this evidence-practice gap.The overall aim of this thesis was to provide an understanding of current acute aphasia management practice and the factors that influence it. Specifically, the research aimed to: (a) provide an in-depth understanding of the current aphasia management pathway in the acute hospital setting; (b) explore acute speech-language pathologists' conceptualisation, experiences, and perceptions of post-stroke aphasia management, and provide a greater understanding of the factors that influence their practice; and, (c) understand the factors that influence acute aphasia management from the perspectives of speech pathologists, people with aphasia, and their close others, through a cultural lens.In order to address the research aims, the empirical aspects of this research were conducted in two Phases. Phase One, an interpretative phenomenological investigation, aimed to provide a deep understanding of aphasia management from the perspective of acute speech pathologists. Semistructured, in-depth interviews were undertaken with 15 Australian speech pathologists working with people with aphasia (one of which was later excluded resulting in a total n=14). Interviews were transcribed verbatim, and data were analysed using a thematic analysis. Key themes identified included: role perception; competing priorities; the de-prioritisation of aphasia; and, the sense of disempowerment experienced by speech pathologists as a result of their relationship with evidencebased practice for acute aphasia management. In addition, a qualitative content analysis was undertaken to describe the current aphasia management pathway. Grounded within the guiding construct, First contact with the profession, the findings represented the significant diversity in the ii pathways of care for people with aphasia and their families in the acute hospital setting. Overall, analysis revealed the complex, diverse, and multi-faceted nature of the phenomenon.Phase Two was designed based on the findings of Phase One. It examined the culture of acute aphasia management by speech pathologists in depth, through the use of focused ethnography in a single acute stroke unit. Three participant triads...

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Towards a comprehensive theory of nurse/patient empowerment: applying Kanter’s empowerment theory to patient care

Abstract: We argue that empowered nurses are more likely to empower their patients, which results in better patient and system outcomes. Strategies for managers to empower nurses and for nurses to empower patients are suggested.

Cited by 161 publications

References 36 publications

Psychological Empowerment, Emotional Intelligence and Professional Behavior among Nurse Interns

Psychological Empowerment, Emotional Intelligence and Professional Behavior among Nurse Interns

Structural empowerment and work–family fit in nurses

“Communication is taking a back seat”: An exploration of aphasia management in acute hospital settings

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