The Nursing Worklife Model: Extending and Refining a New Theory

Manojlovich, Milisa; Laschinger, Heather K. Spence

doi:10.1111/j.1365-2834.2007.00670.x

Cited by 86 publications

(100 citation statements)

References 27 publications

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“…In the same line of Manojlovich & Laschinger [23] and Faulkner & Laschinger [24] studies founded that once nurses are empowered, they use organizational and nursing unit domains more effectively, and resulting in greater job satisfaction. Accordingly Laschinger et al [19] founded that a strong relationship with physicians and nurses with nurse managers, especially facilitate the nurses' feeling of being empowered.…”

Section: Discussionmentioning

confidence: 99%

Nurse's psychological empowerment and perceived autonomy in university and teaching hospitals at Menofia Governorate/Egypt

Ibrahim

Elmagd

Sayed

2014

JNEP

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Background: It is believed that, the greater nurses uncertainty is likely to negative attitude toward their organization and the quality of patient care. Staff nurses can be empowered at all levels of the organization, if management allows them the support, encouragement and rewards them. Empowerment is the process by which a leader shares power with others or enable them to act. Autonomy plays an important part in nurses' job satisfaction and retention. Autonomy is defined as authority and accountability for one's decision and activities.Aim: To study the relationship between psychological empowerment and perceived autonomy of nurses in University and Teaching Hospitals at Menofia Governorate. Design: a descriptive correlational design. Setting: This study was conducted in two selected hospitals namely Menofia University Hospital and Shebine EL-Kom Teaching Hospital. Sample: A convenint sample of 550 nurses was included in the study. Tool: Two tools wereused to collect the data: 1-Psychological Empowerment Instrument. 2-Nurses' autonomy questionnaire.Results: There was a highly statistical significant correlation between total psychological empowerment and perceived autonomy of nurses. A significant relation was founded between the levels of autonomy and nurses' work place. While, there was insignificant relation between both of nurses' psychological empowerment and autonomy according to their age, level of education and years of experiences. Recommendations: Staff development program for nurse managers to integrate staff nurses in decision-making and to deal effectively with new ideas to promote organizational climate and empowerment of nurses.

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Section: Discussionmentioning

confidence: 99%

Nurse's psychological empowerment and perceived autonomy in university and teaching hospitals at Menofia Governorate/Egypt

Ibrahim

Elmagd

Sayed

2014

JNEP

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“…4 Research on workplace empowerment has linked hospital environments that have empowering social structures with better nursing outcomes. 5,6 However, the influence of either magnet-hospital characteristics or workplace empowerment factors in the practice environment on adverse outcomes deemed sensitive to nursing care has not been established.…”

Section: Objectivesmentioning

confidence: 99%

Intensive Care Units, Communication Between Nurses and Physicians, and Patients’ Outcomes

Manojlovich

Antonakos

Ronis

2009

American Journal of Critical Care

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Background Various factors in hospitals can adversely affect patients' outcomes, including faulty communication between nurses and physicians. Whether specific communication elements (timeliness, accuracy, openness, understanding) can influence adverse outcomes is unknown. Objectives To determine the relationships between patients' outcomes and (1) nurses' perceptions of elements of communication between nurses and physicians and (2) characteristics of the practice environment. Methods A cross-sectional survey design was used. Information on ventilator-associated pneumonia, bloodstream infection associated with a central catheter, and pressure ulcers was collected from 25 intensive care units in southeastern Michigan. Simultaneously, 462 nurses in those units (response rate, 53.3%) were anonymously surveyed. The Conditions for Work Effectiveness Questionnaire-II and the Practice Environment Scale of the Nursing Work Index were used to measure characteristics of the practice environment. The Intensive Care Unit Nurse-Physician Questionnaire was used to measure communication between nurses and physicians. Statistical tests included correlation and multiple regression. Analyses were conducted at the unit level. Results Unit response rates varied from 6% to 100%. Together, variability in understanding communication and capacity utilization were predictive of 27% of the variance in ventilator-associated pneumonia. Timeliness of communication was inversely related to pressure ulcers (r = -0.38; P = .06), and workplace empowerment and scores on the Acute Physiology and Chronic Health Evaluation III were positive predictors of ventilator-associated pneumonia (R 2 = 0.36; P = .005). Conclusions Not all elements of communication were related to the selected adverse outcomes. The connection between characteristics of the practice environment at the unit level and adverse outcomes remains elusive.

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“…[5][6][7] Laschinger also has joined with colleagues in testing the Nursing Worklife Model, which links organizational variables to job satisfaction and burnout in nurses. 8,9 The present study was designed to extend the work of Piazza and colleagues, 10 who found differences in empowerment between nationally certified nurses and nurses who were not certified. That small study among nurses employed in a community T he study reported here was initiated by the American Association of Critical-Care Nurses (AACN) and funded by the AACN Certification Corporation.…”

Section: Introductionmentioning

confidence: 99%

Certification, Empowerment, and Intent to Leave Current Position and the Profession Among Critical Care Nurses

Fitzpatrick

Campo

Graham

et al. 2010

American Journal of Critical Care

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Background This study was based on the American Association of Critical-Care Nurses' (AACNs') interest in determining the value and influence of specialty certification. Objectives To examine relationships between AACN specialty certification and empowerment, and, secondarily, to examine these variables as related to intent to leave the current position and the nursing profession. Methods AACN members were asked to participate in a Webbased survey; 6589 AACN members completed the surveys. Results Perceptions of empowerment differed significantly among nurses certified by AACN and nurses without such certification. Additional analyses revealed significant differences in empowerment related to position, education, salary, ethnicity, sex, intent to leave the current position, and intent to leave the profession. Forty-one percent of the participants indicated intent to leave their current position in the next year; only 6.9% indicated their intent to leave the profession in the next year. Intent to leave current position differed significantly according to age, sex, years of experience, ethnicity, educational level, and certification. Conclusions The value of specialty certification and the importance of empowerment among critical care nurses are affirmed. The next step in the continued journey toward increasing retention of critical care nurses, and thereby improving patient care, is to evaluate existing programs focused on retention and identify needed enhancements. (American Journal of Critical Care. 2010;19:218-229) ©2010 American Association of Critical-Care Nurses doi: 10.4037/ajcc2010442Challenges in the Critical Care Workplace C E 1.25 Hours Notice to CE enrollees:A closed-book, multiple-choice examination following this article tests your under standing of the following objectives:1. Determine the relationship between AACN specialty certification and empowerment. 2. Identify the relationship between certification, empowerment, and intent to leave current position and the profession. 3. Evaluate the value of AACN specialty certification and retention of staff.

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The Nursing Worklife Model: Extending and Refining a New Theory

Cited by 86 publications

References 27 publications

Nurse's psychological empowerment and perceived autonomy in university and teaching hospitals at Menofia Governorate/Egypt

Nurse's psychological empowerment and perceived autonomy in university and teaching hospitals at Menofia Governorate/Egypt

Intensive Care Units, Communication Between Nurses and Physicians, and Patients’ Outcomes

Certification, Empowerment, and Intent to Leave Current Position and the Profession Among Critical Care Nurses

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