Hjazeen Anees, Kannan Soha, Al-Maqableh Hindya O, Maitah Samar, Abu-Radwan Maha, Sabbah Malak
Department of Biostatistics, Royal Medical Services, Amman, JOR.
Health Policy and Nursing, Directorate of Royal Medical Services Journal, Amman, JOR.
Cureus. 2024 Apr 14;16(4):e58228. doi: 10.7759/cureus.58228. eCollection 2024 Apr.
Psychological empowerment is a motivational concept that encompasses a person's thoughts and perceptions that give a sense of behavior and commitment to the work. Psychological empowerment is widely acknowledged to be associated with nurses' job satisfaction. However, this relationship has been found to be controversial. Therefore, this systematic review and meta-analysis aimed to investigate the relationship between psychological empowerment and nurses' job satisfaction. The electronic databases CINAHL, PubMed, Web of Science, and Google Scholar were utilized to search for relevant studies published from 2001 to 2024. The correlation coefficients were extracted for each eligible study and transformed into Fisher's Z. Then, the pooled effect size (r coefficient) was computed using Fisher's Z and the corresponding standard error. Moreover, I was used to assess the heterogeneity of studies. Begg's rank and Egger's test were employed to assess the publication bias. Sensitivity analysis was utilized to measure the robustness of study findings using the one-leave-out approach, and a critical appraisal tool for cross-sectional studies was adopted to assess the quality of included studies. A total of 18 studies were selected for analysis with a total sample of 6,353 nurses from different countries. The included studies ranged from moderate to high quality based on the quality assessment checklist. The pooled effect size for the correlation between psychological empowerment and nurses' job satisfaction was 0.512 (95% confidence interval = 0.406-0.604) with mild-to-moderate heterogeneity. Moreover, the majority of the studies confirmed a positive relationship between the two measured concepts. This study presents evidence indicating that psychological empowerment has a sensible relationship with nurses' job satisfaction. Therefore, nurse administrators should implement tailored strategies to trigger nurses' psychological empowerment, aiming to boost job satisfaction and reduce turnover and burnout. However, additional studies are essential to establish a causal relationship.
心理授权是一个动机概念,它涵盖了一个人的思想和认知,这些思想和认知赋予了行为感和对工作的投入感。心理授权被广泛认为与护士的工作满意度相关。然而,人们发现这种关系存在争议。因此,本系统评价和荟萃分析旨在调查心理授权与护士工作满意度之间的关系。利用电子数据库CINAHL、PubMed、科学网和谷歌学术搜索2001年至2024年发表的相关研究。提取每项符合条件的研究的相关系数,并将其转换为费舍尔Z值。然后,使用费舍尔Z值和相应的标准误差计算合并效应量(r系数)。此外,I用于评估研究的异质性。采用Begg秩检验和Egger检验评估发表偏倚。敏感性分析用于使用逐一剔除方法测量研究结果的稳健性,并采用横断面研究的关键评估工具评估纳入研究的质量。总共选择了18项研究进行分析,总样本为来自不同国家的6353名护士。根据质量评估清单,纳入的研究质量从中等到高质量不等。心理授权与护士工作满意度之间相关性的合并效应量为0.512(95%置信区间=0.406 - 0.604),异质性为轻度到中度。此外,大多数研究证实了这两个测量概念之间存在正相关关系。本研究提供的证据表明,心理授权与护士的工作满意度存在显著关系。因此,护士管理人员应实施量身定制的策略来激发护士的心理授权,以提高工作满意度,减少人员流动和倦怠。然而,需要更多的研究来建立因果关系。