Laschinger Heather K Spence, Wong Carol A, Greco Paula
School of Nursing, Faculty of Health Sciences, University of Western Ontario, London, Ontario, Canada.
Nurs Adm Q. 2006 Oct-Dec;30(4):358-67. doi: 10.1097/00006216-200610000-00008.
Workplace empowerment is an important strategy for creating positive nursing work environments in a time of a severe nursing shortage. The purpose of this study was to test a model linking staff nurse perceptions of empowerment to their perceived fit with 6 areas of work life and work engagement/burnout using Kanter's work empowerment theory. We tested the model in a cross-sectional correlational survey design with a random sample of 322 staff nurses in acute care hospitals across Ontario. Overall, staff nurses perceived their work environment to be only somewhat empowering. Fifty-three percent reported severe levels of burnout. Overall empowerment had an indirect effect on emotional exhaustion (burnout) through nurses' perceived fit in 6 areas of work life. The final model fit statistics revealed a good fit (chi2 = 32.4, df = 13, GFI = 0.97, IFI = 0.97, CFI = 0.97, RMSEA = 0.07). These findings have important implications in the current nursing shortage.
在护理人员严重短缺的时期,工作场所赋权是营造积极护理工作环境的一项重要策略。本研究的目的是使用坎特的工作赋权理论,检验一个将注册护士对赋权的认知与他们在工作生活的6个领域的感知契合度以及工作投入/倦怠联系起来的模型。我们在一项横断面相关调查设计中对安大略省急性护理医院的322名注册护士随机样本进行了该模型测试。总体而言,注册护士认为他们的工作环境仅有一定程度的赋权。53%的人报告有严重的倦怠水平。总体赋权通过护士在工作生活6个领域的感知契合度对情绪耗竭(倦怠)产生间接影响。最终模型拟合统计显示拟合良好(卡方 = 32.4,自由度 = 13,GFI = 0.97,IFI = 0.97,CFI = 0.97,RMSEA = 0.07)。这些发现对当前的护理人员短缺具有重要意义。