Supporting and Empowering Direct‐Care Nurses to Promote EBP: An Example of Evidence‐Based Policy Development, Education, and Practice Change

Wonder, Amy Hagedorn; Martin, Emily K.; Jackson, Kathryn

doi:10.1111/wvn.12239

Cited by 7 publications

(6 citation statements)

References 3 publications

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“…Pre-covid period published researches showed strong importance and support to the direct use of innovative research results in the nursing practice [32], and even have introduced strategies to empower nurse practitioners on evidence-based practices [44,48]. Though this present study found no factors (personal and professional) correlated to research utilization, contrary was found in some others.…”

Section: Discussioncontrasting

confidence: 72%

Nurse Practitioners’ Perception on Research Utilization and Possible Barriers; A Saudi Arabian Experiential Perspective during Covid-19 Pandemic

2022

Int J Nurs Health Care Res

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Background: Research utilization in any professional practice, just like in the nursing profession, is an important component needed by practitioners to be able to incorporate into practice current innovations and best practices as such provided by Evidence-Based Practice (EBP). Most especially so during the current predicament when the world is plunged into a pandemic situation. Aim: The goal of this research endeavor is to know nurse practitioners' perception in the utilization of research in individual practice and possible barriers that prevent its application in a Saudi Arabia context during the Covid-19 Pandemic period. Method: Through a survey research design done on-line, about 303 nurses from different departments participated who were all working currently in one of largest government Medical Cities in Riyadh. Descriptive statistics were used including tests of association and significant differences. Results: Results showed the following basic demographic features: female-dominated aged 31-40 years old, mostly married and non-Saudi. Respondents extended the same level of moderate research utilization, and acknowledging barriers in the same. Additionally, there seemed to have statistical associations found between research barriers concept and in the following demographic characteristics: sex (p=.001), nationality (p=.001), education (p=.05), and years of experience (p=.05). Statistically significant differences in responses were found in the following when computed bivariate on research utilization: nationality (.05), and area of assignment (.05). While there were also more significant differences in responses found on research barriers; sex (p=.001), nationality (p=.001), education (p=.05), and professional role (p=.05). Conclusion: The experience of research utilization found in this Saudi Arabia medical institution was characterized by moderate level utilization with same level of recognized research barriers even during this current pandemic situation. This can imply an acceptable level of research utilization among nurse practitioners with existing comparable barriers that could become for them areas of possible improvement and a venue to improvement on especially during Pandemic situation where innovations happen and much needed in the practice.

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Section: Discussioncontrasting

confidence: 72%

Nurse Practitioners’ Perception on Research Utilization and Possible Barriers; A Saudi Arabian Experiential Perspective during Covid-19 Pandemic

2022

Int J Nurs Health Care Res

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“…The empowerment of NAs might lead to greater participation in planning, decision-making, and interdisciplinary teams, all activities being required of NAs across healthcare settings [ 8 ]. Importantly, NAs who feel empowered tend to perform their duties better, have higher morale and job satisfaction rates, and are less likely to consider leaving their jobs [ 9 – 11 ]. The benefits of an empowered NA workforce are especially important during a crisis in which quickly changing organizational practices related to empowerment are likely to shape the psychological experiences of empowerment; however, little is known about this relationship.…”

Section: Introductionmentioning

confidence: 99%

The influence of empowered work environments on the psychological experiences of nursing assistants during COVID-19: a qualitative study

et al. 2020

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Background Nursing Assistants (NA) who feel empowered tend to perform their duties better, have higher morale and job satisfaction, and are less likely to leave their jobs. Organizational empowerment practices in hospitals likely shape the psychological experiences of empowerment among these personnel; however, little is known about this relationship. Objective We used qualitative inquiry to explore the relationship between organizational empowerment structural components and feelings of psychological empowerment among hospital frontline workers during a public health emergency. Methods Kanter’s Theory of Structural Empowerment and Spreitzer’s Psychological Empowerment in the Workplace Framework were applied to identify the conceptual influences of organizational practices on psychological experiences of empowerment. In-depth interviews were conducted with a convenience sample of NAs, caring for hospitalized COVID-19 patients. Directed content analysis was performed to generate a data matrix consisting of the psychological experiences of meaning, competence, self-determination, and impact embedded under the organizational structural components of information, resources, support, and opportunity. Results Thirteen NAs (mean age = 42 years, 92% female) completed interviews. Information, or lack thereof, provided to the NAs influenced feelings of fear, preparation, and autonomy. Resources (e.g., protocols, equipment, and person-power) made it easier to cope with overwhelming emotions, affected the NAs’ abilities to do their jobs, and when limited, drove NAs to take on new roles. NAs noted that support was mostly provided by nurses and made the NAs feel appreciated, desiring to contribute more. While NAs felt they could consult leadership when needed, several felt leadership showed little appreciation for their roles and contributions. Similar to support, the opportunity to take care of COVID-19 patients yielded a diverse array of emotions, exposed advances and gaps in NA preparation, and challenged NAs to autonomously develop new care practices and processes. Conclusion Management and empowerment of healthcare workers are critical to hospital performance and success. We found many ways in which the NAs’ psychological experiences of empowerment were shaped by the healthcare system’s empowerment-related structural conditions during a public health emergency. To further develop an empowered and committed critical workforce, hospitals must acknowledge the organizational practice influence on the psychological experiences of empowerment among NAs.

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“…8 Importantly, NAs who feel empowered tend to perform their duties better, have higher morale and job satisfaction rates, and are less likely to consider leaving their jobs. [9][10][11] The bene ts of an empowered NA workforce are especially important during a crisis in which quickly changing organizational practices related to empowerment are likely to shape the psychological experiences of empowerment; however, little is known about this relationship.…”

Section: Introductionmentioning

confidence: 99%

The Influence of Empowered Work Environments on the Psychological Experiences of Nursing Assistants During COVID-19: A Qualitative Study

Travers

Schroeder

Norful

et al. 2020

Preprint

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Background: Nursing Assistants (NA) who feel empowered tend to perform their duties better, have higher morale and job satisfaction, and are less likely to leave their jobs. Organizational empowerment practices in hospitals likely shape the psychological experiences of empowerment among these personnel; however, little is known about this relationship.Objective: We used qualitative inquiry to explore the relationship between organizational empowerment structural components and feelings of psychological empowerment among hospital frontline workers during a public health emergency.Methods: Kanter’s Theory of Structural Empowerment and Spreitzer’s Psychological Empowerment in the Workplace Framework were applied to identify the conceptual influences of organizational practices on psychological experiences of empowerment. In-depth interviews were conducted with a convenience sample of NAs, caring for hospitalized COVID-19 patients. Directed content analysis was performed to generate a data matrix consisting of the psychological experiences of meaning, competence, self-determination, and impact embedded under the organizational structural components of information, resources, support, and opportunity.Results: Thirteen NAs (mean age = 42 years, 92% female) completed interviews. Information, or lack thereof, provided to the NAs influenced feelings of fear, preparation, and autonomy. Resources (e.g., protocols, equipment, and person-power) made it easier to cope with overwhelming emotions, affected the NAs’ abilities to do their jobs, and when limited, drove NAs to take on new roles. NAs noted that support was mostly provided by nurses and made the NAs feel appreciated, desiring to contribute more. While NAs felt they could consult leadership when needed, several felt leadership showed little appreciation for their roles and contributions. Similar to support, the opportunity to take care of COVID-19 patients yielded a diverse array of emotions, exposed advances and gaps in NA preparation, and challenged NAs to autonomously develop new care practices and processes.Conclusion: Management and empowerment of healthcare workers are critical to hospital performance and success. We found many ways in which the NAs’ psychological experiences of empowerment were shaped by the healthcare system’s empowerment-related structural conditions during a public health emergency. To further develop an empowered and committed critical workforce, hospitals must acknowledge the organizational practice influence on the psychological experiences of empowerment among NAs.

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Supporting and Empowering Direct‐Care Nurses to Promote EBP: An Example of Evidence‐Based Policy Development, Education, and Practice Change

Cited by 7 publications

References 3 publications

Nurse Practitioners’ Perception on Research Utilization and Possible Barriers; A Saudi Arabian Experiential Perspective during Covid-19 Pandemic

Nurse Practitioners’ Perception on Research Utilization and Possible Barriers; A Saudi Arabian Experiential Perspective during Covid-19 Pandemic

The influence of empowered work environments on the psychological experiences of nursing assistants during COVID-19: a qualitative study

The Influence of Empowered Work Environments on the Psychological Experiences of Nursing Assistants During COVID-19: A Qualitative Study

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