Koç University School of Nursing, Istanbul, Turkey.
Koç University Graduate School of Health Sciences, Istanbul, Turkey.
Int Nurs Rev. 2024 Mar;71(1):189-201. doi: 10.1111/inr.12878. Epub 2023 Aug 19.
This study aims to review available evidence about the relationship between structural and psychological empowerment and burnout among nurses.
Nurses are key healthcare providers, who experience higher levels of burnout due to uncertainty and role conflicts about nursing roles and responsibilities and poor management. Nurse empowerment is an effective approach to reduce nurse burnout and enhance patient care quality.
Positive working conditions along with positive attitudes and perceptions for nurses are crucial in the workplace. Nurse empowerment in the workplace results in quality improvements in work life and the provision of healthcare.
We conducted a systematic review in accordance with the recommendations of the Joanna Briggs Institute and the PRISMA guideline. Relevant studies published between 2007 and 2022 were identified via PubMed, CINAHL, Web of Science, Scopus, Cochrane Library, Ovid MEDLINE (R), Science Direct and Turkish scientific literature databases. Studies that reported correlation coefficients were pooled to conduct a meta-analysis.
Random-effects meta-analyses showed a negative association between structural and psychological empowerment and emotional exhaustion. The overall findings showed a moderate and negative association between the six dimensions of structural empowerment and depersonalization. There was a positive association between structural empowerment and personal accomplishment.
There is a relationship between decreased burnout levels and nurse empowerment. The causal relationship between empowerment and burnout levels needs to be investigated in various healthcare settings in several countries.
The relationship between structural and psychological empowerment and burnout levels emphasizes that empowerment can reduce nurse burnout. Nurse empowerment is a critical management strategy for improving the quality of life for nurses, increasing the quality and effectiveness of patient care and achieving positive outcomes.
The encouragement and empowerment of nurses for prompt decision-making and effective resource utilization, reduces nurse burnout, enhancing nurses' job commitment, productivity, satisfaction and competence along with increased quality of care. The encouragement of nurses as empowered managers at the macro, meso and institutional levels not only improves the overall quality of health services but also helps to find solutions for the issues concerning healthcare service users and the health system environment.
本研究旨在回顾现有证据，探讨护士结构授权和心理授权与倦怠之间的关系。
护士是医疗保健的主要提供者，由于对护理角色和职责的不确定性以及角色冲突和管理不善，他们经历更高水平的倦怠。护士授权是减少护士倦怠和提高患者护理质量的有效方法。
积极的工作条件以及护士积极的态度和认知对工作场所至关重要。护士在工作场所的授权会导致工作生活质量的提高和医疗保健的提供。
我们按照 Joanna Briggs 研究所和 PRISMA 指南的建议进行了系统评价。通过 PubMed、CINAHL、Web of Science、Scopus、Cochrane 图书馆、ovid MEDLINE（R）、Science Direct 和土耳其科学文献数据库，确定了 2007 年至 2022 年期间发表的相关研究。对报告相关系数的研究进行了荟萃分析。
随机效应荟萃分析显示，结构和心理授权与情绪衰竭之间存在负相关。总体结果表明，结构授权的六个维度与去人格化之间存在中度和负相关。结构授权与个人成就感之间存在正相关。
倦怠水平与护士授权之间存在关系。需要在不同国家的各种医疗保健环境中调查授权与倦怠水平之间的因果关系。
结构和心理授权与倦怠水平之间的关系强调，授权可以减少护士的倦怠。护士授权是改善护士生活质量、提高护士护理质量和效果、实现积极结果的关键管理策略。
鼓励和授权护士做出快速决策和有效利用资源，可以减少护士倦怠，增强护士对工作的承诺、生产力、满意度和能力，同时提高护理质量。鼓励护士作为宏观、中观和机构层面的授权管理者，不仅可以提高整体医疗服务质量，还可以帮助找到解决医疗服务使用者和医疗系统环境问题的方法。
