The effect of preceptor role effectiveness on newly licensed registered nurses' perceived psychological empowerment and professional autonomy

Watkins, Channell; Hart, Patricia L.; Mareno, Nicole

doi:10.1016/j.nepr.2016.02.003

Cited by 22 publications

(27 citation statements)

References 49 publications

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“…15 Lack of sufficient self-confidence in decision-making is an important barrier to patient independence which causes patients' dissatisfaction. 26 In the present study, nurses had a lower score in the dimension of "Autonomy". Consideration patient autonomy stands on the opposite side of medical paternalism.…”

Section: Discussionsupporting

confidence: 37%

The Relationship between Nurses’ Moral Sensitivity and Patients’ Satisfaction with the Care Received in the Medical Wards

et al. 2019

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Introduction: The quality of care affects patients’ satisfaction. To provide high quality care, nurses face ethical challenges in daily practice. Moral sensitivity is the first phase in moral implementation. This study aimed to determine the relationship between nurses’ moral sensitivity and patients’ satisfaction in medical wards. Methods: In descriptive correlational study 198 nurses and 198 patients in 17 medical wards filled out the Moral Sensitivity Questionnaire (MSQ) and Patient Satisfaction with Nursing Care Quality Questionnaire (PSNCQQ), respectively. Nurses were sampled by the census method. For each nurse, a patient was selected randomly from the same ward. Data were analyzed using SPSS version 13. Results: The highest scores were in the dimensions of “relational orientation” and “following the rules”, and the lowest scores were in the dimensions of “autonomy” and “experiencing moral conflicts”. The highest level of patients’ satisfaction was with “nurses’ professional performance” 3.98 (1.09), and the lowest level was with “nurses’ routine work” 2.69 (1.22). There was no significant relationship between the mean of patient satisfaction and moral sensitivity of nurses. Conclusion: Considering that nurses had a higher score in dimension of “following the rules” and a lower score in dimension of “autonomy”, it seems ethical performance in the real situation is not merely due to the nurses’ moral sensitivity and it seems the complexity of the organization causes nurses face difficulties in making decisions related to clinical practice; therefore, policy makers in the health system should be able to identify barriers.

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Section: Discussionsupporting

confidence: 37%

The Relationship between Nurses’ Moral Sensitivity and Patients’ Satisfaction with the Care Received in the Medical Wards

et al. 2019

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“…One of the activities of a directive function is supervision activities [19]. The optimal implementation of patient safety by students is inseparable from the role of clinical instructors since the role of an effective clinical instructor is related to improving the autonomous ability and psychological mental readiness of the student undergoing the transition process to a professional nurse [23, 24]. Clinical instructors who are able to provide motivation and supervise the students contribute to the optimal implementation of patient safety [10].…”

Section: Discussionmentioning

confidence: 99%

Improving the implementation of patient safety by nursing students using nursing instructors trained in the use of quality circles

2018

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BackgroundIt is recognised worldwide that the skills of nursing students concerning patient safety is still not optimal. The role of clinical instructors is to instil in students the importance of patient safety. Therefore, it is important to have competent clinical instructors. Their experience can be enhanced through the application of quality circles. This study identifies the effect of quality circles on improving the safety of patients of nursing students. Patient safety is inseparable from the quality of nursing education. Existing research shows that patient safety should be emphasised at all levels of the healthcare education system. In hospitals, the ratio between nursing students and clinical instructors is disproportionately low. In Indonesia, incident data relating to patient safety involving students is not well documented, and the incidents often occur in the absence of a clinical instructor.MethodsThis study used a quasi-experimental research design with pre-test and post-test non-equivalent control groups. The aim of the project was to explore the implications of the quality circle on clinical instructors by comparing the students’ knowledge, attitudes, and practices of control and intervention groups. A questionnaire will be conducted to evaluate the implementation of patient safety and the impact of the intervention. The data were statistically analysed using independent t tests. The intervention was the implementation of quality circles that focused on patient safety issues for the use of clinical instructors to assess and guide student nurse behaviour in regard to patient safety. The authors of this study trained the clinical instructors on how to use quality circle methods to solve nursing problems especially with relevance to the patient safety issues of students.ResultsThe results showed a significant increase in the behaviour of nursing students towards patient safety issues (p < 0.001; α = 0.05).ConclusionsThe implementation of quality circles has a significant effect on patient safety. Therefore, it is recommended to implement quality circles as a problem-solving technique to optimize patient safety.

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“…This propagates as an increased efficacy and engagement at the workplace. This logically translates to the organization's success (Watkins, C., Hart, P. L., & Mareno, N. 2016). The medium of action in such cases have been conclusively proven in several instances to be psychological.…”

Section: Literature Reviewmentioning

confidence: 95%

Diversity in Indian Infrastructure Organizations and the Maze of Empowerment

2019

IJITEE

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This paper attempts to examine women empowerment practices and the drivers of successful women empowerment initiatives in Indian infrastructure organizations, so as to aid readers in understanding how these initiatives and practices may be optimized for the benefit of better performance management and employee engagement. We have based this paper on a systematic review of literature which seeks to examine the modern thought process and evidence. Emphasis is drawn specifically on reviewing the HR practices of current employers to empower the women in the workforce. Our paper concludes that ensuring that an initiative is crafted to an organization’s and its employees’ needs makes for efficient empowerment initiatives that leave a sustainable impact on the performance, productivity and engagement levels of its beneficiaries and the organization as a whole

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The effect of preceptor role effectiveness on newly licensed registered nurses' perceived psychological empowerment and professional autonomy

Cited by 22 publications

References 49 publications

The Relationship between Nurses’ Moral Sensitivity and Patients’ Satisfaction with the Care Received in the Medical Wards

The Relationship between Nurses’ Moral Sensitivity and Patients’ Satisfaction with the Care Received in the Medical Wards

Improving the implementation of patient safety by nursing students using nursing instructors trained in the use of quality circles

Diversity in Indian Infrastructure Organizations and the Maze of Empowerment

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