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国际护理:护士长有多大权力?

International Nursing: How Much Power Do Nurse Managers Have?

作者信息

Trus Marija, Martinkenas Arvydas, Suominen Tarja

机构信息

Faculty of Social Sciences, Health Sciences, Nursing Science, University of Tampere, Tampere, Finland (Ms Trus and Dr Suominen); and Faculty of Health Sciences, Department of Nursing (Ms Trus) and Faculty of Health Sciences, Department of Medical Technologies (Dr Martinkenas), Klaipeda University, Klaipeda, Lithuania.

出版信息

Nurs Adm Q. 2017 Oct/Dec;41(4):337-345. doi: 10.1097/NAQ.0000000000000247.

DOI:10.1097/NAQ.0000000000000247
PMID:28859002
Abstract

This study was conducted to explore issues of nurse managers' power and empowerment. Data were collected from nurse managers by way of a questionnaire consisting of background factors, work-related questions, and power-related questions at the unit and organization levels. The degree of empowerment was evaluated using 2 established instruments (CWEQ-II and Work Empowerment Questionnaire). The overall level of managers' personal power within their own units was relatively high. Nurse managers' perception of their power at an organizational level was found to be at a moderate level. Several factors related to an individual's professional background were correlated to power issues, both at the unit and organizational levels. Structural and psychological empowerment correlated with the overall level of power at a unit level and the overall level of power at an organizational level. Nurse managers self-reported their own general power at a unit level as high, which offers them possibilities to lead the development of nursing care in their units. Organizations may benefit more from nurse managers' leadership by more fully integrating them in the development processes of the entire organization.

摘要

本研究旨在探讨护士长的权力与赋权问题。通过一份包含背景因素、工作相关问题以及单位和组织层面权力相关问题的问卷,收集护士长的数据。使用2种既定工具(CWEQ-II和工作赋权问卷)评估赋权程度。护士长在其所在单位的个人权力总体水平相对较高。研究发现,护士长对其在组织层面权力的认知处于中等水平。与个人专业背景相关的几个因素与单位和组织层面的权力问题相关。结构赋权和心理赋权与单位层面的总体权力水平以及组织层面的总体权力水平相关。护士长自我报告其在单位层面的总体权力较高,这为她们引领所在单位护理工作的发展提供了可能性。组织若能让护士长更充分地融入整个组织的发展进程,可能会从护士长的领导中获得更多益处。

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