Nursing Empowerment, Workplace Environment, and Job Satisfaction in Nurses Employed in an Academic Health Science Center

Kretzschmer, Shari; Walker, Mandi; Myers, J.S.; Vogt, Krista; Massouda, Jessica; Gottbrath, Deidra; Pritchett, Melissa; Stikes, Reetta; Logsdon, M. Cynthia

doi:10.1097/nnd.0000000000000363

Cited by 19 publications

(29 citation statements)

References 26 publications

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“…Studies have revealed that nurses with higher perceived power have increased job satisfaction (Kretzschmer et al, 2017;Orgambídezramos et al, 2017). The predictability of job satisfaction is significantly impacted by career achievement when this variable is assessed (Dahinten, Lee, & Macphee, 2016;Riley, Beal, & Lancaster, 2008).…”

Section: Structural Empowermentmentioning

confidence: 99%

Relationships among structural empowerment, innovative behaviour, self‐efficacy, and career success in nursing field in mainland China

Dan

Su-huan

Liu

et al. 2018

Int J of Nursing Practice

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Section: Structural Empowermentmentioning

confidence: 99%

Relationships among structural empowerment, innovative behaviour, self‐efficacy, and career success in nursing field in mainland China

Dan

Su-huan

Liu

et al. 2018

Int J of Nursing Practice

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“…Nurses need to be empowered because despite advances toward equality, they still feel oppressed, overwhelmed, and stressed. Negative nurse work outcomes including turnover have been linked to the work environment . Current literature identifies organizational characteristics, job demands, and lack of control over the practice as components of a negative work environment affecting nurse outcomes, but does not consistently provide a deeper look at the underlying reason for these issues .…”

Section: Contextmentioning

confidence: 99%

“…Workplace violence is a frequently occurring problem that contributes to burnout . Current studies report that 35% to 60% of nurses experience bullying in the workplace .…”

Section: Contextmentioning

confidence: 99%

“…Spreitzer's theory of empowerment uses the term “self‐determination” to express this component of empowerment. While some literature identifies autonomy as an antecedent to empowerment, others show that autonomy is correlated with empowerment . This distinction is important for the concept: does an individual need to either express autonomy or be in a workplace where autonomy is practiced before being empowered?…”

Section: Empowermentmentioning

confidence: 99%

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Individual nurse empowerment: A concept analysis

Woodward

2019

Nurs Forum

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Aim: This concept analysis aims to distinguish the concept of nurse empowerment as an individual professional process rather than a job-related process and to identify ways in which a clarified understanding of individual empowerment can impact the discipline.Background: The history of nursing as a gendered role has led to oppression in the profession as evidenced by lateral violence and attrition. Empowerment initiatives that focus on a nurse within an organization often provide false power.Design: Walker and Avant's method was used for this concept analysis. Data Source: Published literature from 1990 to 2019 was identified from electronic health profession-related databases, and current definitions and uses of empowerment were pulled from empirical works and electronic databases. Review Methods: A review of abstracts and full text from articles relating to nurse empowerment was performed, and empirical studies used to provide an understanding of the concept as used today. Results: True empowerment entails a nurse controlling her practice and career. Elements of individual empowerment can be pulled from existing work on structural and psychological empowerment. Conclusions: Analyzing nurse empowerment from an individual perspective allows us to move beyond the oppressive history of nursing and move the profession forward to impact our communities. K E Y W O R D S concept analysis, professional issues, workforce "What matters is that nurses determine for themselves how to handle their problems and how to improve their situation through meaningful dialog and engagement with nurse leaders concerning their work-life issues." 1 Concept analysis is the process of assessing fundamental components of a concept with the goal of clarifying its applications and giving it greater ability to convey meaning in different contexts. 2 Concept analysis allows us to understand the ways the concept is used in literature and science and how those uses dynamically change over time. The analysis should provide a basis for advancement, refinement, and specification of a concept and provide the foundation for the use of the concept in theory. Walker and Avant's 2 method was chosen for this concept analysis because the deliberate and concrete steps allow us to pinpoint specific uses of individual or professional empowerment and use an iterative process to reinforce the findings. The process dictates a total of eight steps: select a concept, establish aims of analysis, identify uses of the concept, determine defining attributes, identify a model case, identify borderline and illegitimate cases, identify antecedents and consequences, and define empirical referents. 2

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“…There is significant evidence that supports the link between empowerment and the following positive organizational consequences: job satisfaction, intent to leave, retention, patient satisfaction, interprofessional collaboration, adaptive resilience, enhanced work environment, patient‐safety culture, and work engagement . With a looming nursing shortage, the profession must turn to proven strategies for organizational success such as these.…”

Section: Actual Analysismentioning

confidence: 99%

Exploring, defining, and illustrating a concept: Structural and psychological empowerment in the workplace

Abel

Hand

2018

Nurs Forum

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Aim The aim of this concept analysis is to clarify the meaning and relationship of psychological and structural empowerment. Background Empowerment is linked to positive organizational and individual constructs and outcomes. Improving the work environment may assist in sustaining a fragile and essential workforce. Design Walker and Avant’s method was used to guide an analysis of this concept. Data Source Resources published from 1970 to 2018 were identified via electronic databases, empirical works, and modern operational usage of the terms. Review Methods A literature review and search for concept maps were completed and analyzed to identify uses and definitions of the concept: attributes, antecedents, consequences, and empirical referents. It also includes identifying model, borderline, and contrary cases to differentiate empowerment from other related concepts. Results A comprehensive, inclusive review of empowerment must include both constructs, structural and psychological. A conceptual map of these akin constructs illustrates their syndication. Conclusions The concept of examining empowerment from both constructs, structural and psychological, is necessary to develop evidence‐based practice strategies and improve the work environment and workforce.

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Nursing Empowerment, Workplace Environment, and Job Satisfaction in Nurses Employed in an Academic Health Science Center

Abstract: Study results support predicted relationships and can be used to guide interventions for, and development of, nurses.

Cited by 19 publications

References 26 publications

Relationships among structural empowerment, innovative behaviour, self‐efficacy, and career success in nursing field in mainland China

Relationships among structural empowerment, innovative behaviour, self‐efficacy, and career success in nursing field in mainland China

Individual nurse empowerment: A concept analysis

Exploring, defining, and illustrating a concept: Structural and psychological empowerment in the workplace

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