Perception of nurses’ Empowerment in healthcare organization settings
Keywords:Empowerment, nurses’ perception, healthcare organizations
Introduction: 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’ opinion about information, resources and informal power is quite different from the one felt by the other nurses.
Conclusion: Nurses show high levels of Psychological Empowerment and low levels of Structural Empowerment.
Amendoeira, J. (2004). Enfermagem em Portugal. Contextos, atores e saberes. Enfermagem, 2(35-36), 13-22.
Bartunek, J. M., E Spreitzer, G. M. (2006). The interdisciplinary career of popular construct used in management: Empowerment in the late 20th century. Journal of Management Inquiry, 15(3), 255–273.
Benner, P. (2001). De iniciado a perito: a excelência e poder na prática clínica de enfermagem. Coimbra: Quarteto. ISBN 972-8535-97-X.
Bradbury-Jones, C., Sambrook, S., E Irvine, F. (2008). Power and Empowerment in nursing: A fourth theoretical approach. Journal of Advanced Nursing, 62(2), 258–266
Brown J.C. E Kanter R.M. (1982). Empowerment: key to effective- ness. Hospital Forum, 25, 6–13.
Carvalho, S. R (2004). Os múltiplos sentidos da categoria “Empowerment” no projeto de promoção à saúde. Cadernos de Saúde Pública, Rio de Janeiro, 20(4), 1088-1095.
Chandler, G. E. (1991). Creating an environment to empower nurses. Nursing Management, 22(8), 20–23.
Cianciarullo, T. (2001). Sistema de assistência de enfermagem: evolução e tendências. (1ª ed.) São Paulo: Ícone. ISBN 85-274-0654-3, p. 304.
Decicco, J.; Laschinger, H.; Kerr, M.l. (2006). Perceptions of empowerment and respect: effect on nurses’ organizational commitment in nursing homes. Journal of Gerontological Nursing, v. 32, n. 5, p. 49-56.
Filipe, N. (2003). Autonomia da profissão: três décadas de crescimento. Nursing. Lisboa: ISSN 0871-6196. nº183 (Dezembro 2003), p.13-15.
Kanter R.M. (1993). Men and Women of the Corporation (2ª ed.) Basic Books, New York.
Knol, J., e Linge, R. v. (2009). Innovative behaviour: The effect of structural and psychological Empowerment on nurses. Journal of Advanced Nursing, 65(2), 359-370.
Kuokkanen L. e Leino-Kilpi H. (2000). Power and Empowerment in nursing: three theoretical approaches. Journal of Advanced Nursing, 31(1), 235–241.
Laschinger H. (2004) Hospital nurses perceptions of respect and organizational justice. Journal of Nursing Administration 34 (7/8), 354–364.
Laschinger, H., e Finegan, J. (2005). Empowering nurses for work engagement and health in hospital settings. The Journal of Nursing Administration, 35(10), 439-49.
Laschinger, U.K., Almost, J., & Tuer-Hodes, D. (2003). Workplace empowerment and magnet hospital characteristics, Journal of Nursing Administration, 33(7-8), p.410-422.
Laschinger, H., Finegan, J., E Shamian, J. (2001). The impact of workplace Empowerment, organizational trust on staff nursesʼwork satisfaction and organizational commitment. Health Care Management Review, 26(3), 7-23.
Laschinger, H., Finegan, J., Shamian, J., E Wilk, P. (2001). Impact of structural and psychological Empowerment on job strain in nursing work settings: expanding Kanterʼs model. The Journal of Nursing Administration, 31(5), 260-72.
Laschinger, H. K. S.; Sabistan, J. e Kutszcher, L. (1997). Empowerment and staff nurse decision involvement in nursing work environments: Testing Kanter’s theory of structural power in organizations. Research in Nursing Health, 20, 341–352.
Laschinger, H. S. (1996). A theoretical approach to studying work Empowerment in nursing: A review of studies testing Kanter’s theory of structural power in organizations. Nursing Administration Quarterly, 20(2), 25-41.
Manojlovich, M. (2007). Power and Empowerment in nursing: Looking backward to inform the future. Online Journal Issues of Nursing, 12(1). Retrieved from http://www.medscape.com/viewarticle/ 553403.
Manriquez, M. R., Ramírez, M. D., e Guerra, J. F. (2004). El Empowerment como predictor del compromiso organizacional en las Pymes. Contaduría y administración, 103-125.
Matthews, S.; Laschinger, H.; Spence, K.; Johnstone, L. (2006). Staff nurse empowerment in line and staff organizational structures for chief nurse executives. Journal of Nursing Administration, v. 36, n. 11, p. 526-533.
Oakley, P.; Clayton, A. (2003). Monitoramento e avaliação do empoderamento (“Empowerment”). São Paulo: Instituto Polis.
Sarmiento, T., Laschinger, H.K.L. e Iwasiw, C. (2004). Nurse educators’ workplace Empowerment, burnout, and job satisfaction: testing Kanter’s theory. Journal of Advanced Nursing, 46, 134–143.
Silva, C. E Martínez, M. L. (2004). Empoderamiento: proceso, nivel y contexto. Psykhe, Santiago/Chile, 13(1).
Sommer, M., Nunes, O., Hipólito, J., Brites, R., Pires, M., E Pires, P. (2010). Empowerment e Percurso Académico: Voltar à escola Depois dos 23 Anos. Actas do VII Simpósio Nacional de Investigação em Psicologia. Minho, 1671-1681.
Spreitzer G. (1995). Psychological Empowerment in the work- place: dimensions, measurement and validation. Academy of Management Journal 38(5), 1442–1462.
Teixeira, A. C. (2012). Emponderamento Profissional em Enfermagem: Tradução, adaptação e validação do “Conditions of Work Effectiveness Questionnaire – II” e do “Psychological Empowerment Instrument”, Dissertação de Mestrado em Ciências de Enfermagem.
Thomas, K. W. e Velthouse, B. A. (1990). “Cognitive Elements of Empowerment: An “Interpretive” Model of Intrinsic Task Motivation”, The Academy of Management Review, 15(4), 666-681.
Vasconcellos, E. M. (2003). O poder que brota da dor e da opressão: Empowerment, sua história, teoria e estratégias. São Paulo: Paulus.
Wagner, J. I., Cummings, G., Smith, D. L., Olson, J., Anderson, L., E Warren, S. (2010). The relationship between structural Empowerment and psychological Empowerment for nurses: A systematic review. Journal of Nursing Management, 18(4), 448-462).
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