Stewart Julie G, McNulty Rita, Griffin Mary T Quinn, Fitzpatrick Joyce J
Nursing, Sacred Heart University, Fairfield, Connecticut, USA.
J Am Acad Nurse Pract. 2010 Jan;22(1):27-34. doi: 10.1111/j.1745-7599.2009.00467.x.
Empowering workplaces provide practitioners with access to information, support, resources, and opportunities to learn and grow. Empowerment is also a psychological process, which occurs when one has a sense of motivation in relation to the workplace environment. There is no previous research on the relationship of psychological empowerment and structural empowerment in nurse practitioner (NP) practice.
Structural empowerment was measured using the conditions of work effectiveness questionnaire-II (CWEQ-II), and psychological empowerment was measured using Spreitzer's psychological empowerment scale. The sample consisted of 74 NPs in the state of Connecticut. The correlational scores for the instruments were derived with n = 72 as two subjects had extreme scores on multiple variables and were excluded. There were significant correlations between psychological and structural empowerment for total scores, and within 10 of these tools' subscales.
The NPs who participated in this study scored high on perceptions of structural empowerment and psychological empowerment. The results of the psychological empowerment instrument indicated that the NPs value their work and find meaning in what they do.
The relationships between psychological empowerment and structural empowerment have been linked to work effectiveness, quality patient care, cost-effectiveness, and retention. Study results support an implication that it is of critical importance for the organization or practice setting to facilitate both psychological and structural empowerment to the NP to ensure successful practice.
赋能型工作场所为从业者提供获取信息、支持、资源以及学习和成长机会的途径。赋能也是一个心理过程,当一个人对工作场所环境有动机感时就会发生。之前没有关于执业护士(NP)实践中心理赋能与结构赋能关系的研究。
使用工作效能条件问卷-II(CWEQ-II)来衡量结构赋能,使用斯普雷itzer的心理赋能量表来衡量心理赋能。样本包括康涅狄格州的74名执业护士。由于两名受试者在多个变量上有极端分数而被排除,最终n = 72得出工具的相关分数。心理赋能与结构赋能在总分以及这些工具的10个分量表内均存在显著相关性。
参与本研究的执业护士在结构赋能和心理赋能认知方面得分较高。心理赋能工具的结果表明,执业护士重视他们的工作并从工作中找到意义。
心理赋能与结构赋能之间的关系已与工作效能、优质患者护理、成本效益和留任意愿相关联。研究结果支持这样一种观点,即对于组织或实践环境而言,促进对执业护士的心理赋能和结构赋能对于确保成功实践至关重要。