Empowerment Of Nurses Research Articles

Empoderamento estrutural de enfermeiros nos serviços de emergências: revisão integrativa

Abstract Objective to synthesize and analyze the scientific evidence on the structural empowerment of nurses, specifically in the context of the emergency room. Methods An integrative literature review was carried out using the electronic databases Lilacs, PubMed, Scopus, Web of Science and Embase. 174 articles were identified in the databases, considering the inclusion and exclusion criteria: original studies, in Portuguese, English and Spanish, published from 1996 onwards and whose scope was work on the structural empowerment of nurses working in the various emergency scenarios. After evaluating and refining the studies using the established criteria, a total of six studies were obtained for analysis. Results Two thematic categories were established to synthesize the knowledge: “the dimensions of structural empowerment of emergency nurses” and “the relationship between nurses’ structural empowerment and other variables and their impact in the emergency context”. These thematic categories made it clear that opportunity is fundamental to nurses’ empowerment in this context, as well as the relevance of leadership and the work environment as important components that influence nurses’ empowerment and professional practice. Conclusion Structural empowerment is significant for nurses’ professional practice in the context of emergencies, since having access to the dimensions of empowerment results in autonomy at work, higher levels of self-efficacy and an improvement in the quality and safety of the care provided.

Artificial Intelligence in Obstetrics and Gynecological Nursing: A New Era of Precision Healthcare

The applications of artificial intelligence processes have grown significantly in all medical disciplines during the last few decades. The immense potential of artificial intelligence empowers obstetrical and gynecological nurses, ultimately leading to enhanced women’s safety, improved health outcomes, and a more personalized and efficient healthcare delivery system. Artificial intelligence has great influence in the nursing field by overcoming diagnostic challenges, decreasing bias in patient care, improving treatment modalities, and reducing workload. Therefore, implementation in obstetrics and gynecology is found to have a spellbound development. There are multifaceted applications of artificial intelligence in this field, highlighting its potential to revolutionize clinical practice, enhance patient outcomes, and empower nurses with data-driven insights

Challenges of nurse managers in creating an environment conducive to empowerment of nurses in mining primary healthcare clinics in South Africa

BackgroundNurse managers are expected to create an environment conducive to empowerment of nurses in mining primary healthcare clinics to improve patients’ outcomes. However, in a specific mining primary healthcare clinics there are seldom staff trainings and nurses has overwhelming working schedules. PurposeThe aim of the study was to explore and describe the challenges of nurse managers in creating environment conducive to empowerment of nurses in mining primary healthcare clinics in South Africa. Design and MethodsThis study was underpinned by Winkler’s theoretical framework of leadership roles to create an environment conducive to empowerment. A qualitative, exploratory, descriptive and contextual research design was used to conduct this study in specific mining primary healthcare clinics in South Africa. Individual in-depth interviews were conducted to collect data from ten nurse managers, and Giorgi’s thematic analysis method was employed to analyse data. An independent qualitative coder confirmed the study’s findings. Trustworthiness was maintained, and ethical principles were also applied throughout the study. FindingsThree themes emerged from the analysed data: (1) training budget challenges; (2) training needs in mining primary healthcare clinics; (3) Legislation, training and development. Discussion and conclusionsThere are training budget challenges in mining primary healthcare clinics but nurse managers are not hindered by these challenges in creating an environment conducive to empowerment of nurses.

Structural empowerment of nurses in emergency services: an integrative review

Resumo Objetivo Sintetizar e analisar as evidências científicas acerca do empoderamento estrutural dos enfermeiros, especificamente no contexto da emergência. Métodos Revisão integrativa da literatura realizada nas bases de dados eletrônicas: Lilacs, PubMed, Scopus, Web of Science e Embase. Foram identificados 174 artigos nas bases de dados, considerando-se os critérios de inclusão e exclusão: estudos originais, nos idiomas português, inglês e espanhol, publicados a partir de 1996 e cujo escopo fossem os trabalhos acerca do empoderamento estrutural de enfermeiros atuantes nos diversos cenários da emergência. Após a avaliação e os refinamentos dos trabalhos por intermédio dos critérios estabelecidos, obteve-se um total de seis estudos para análise. Resultados Foram estabelecidas duas categorias temáticas para sintetizar o conhecimento: “as dimensões do empoderamento estrutural dos enfermeiros da emergência” e “a relação do empoderamento estrutural dos enfermeiros com outras variáveis e seu impacto no contexto da emergência”. Essas categorias temáticas permitiram evidenciar que a oportunidade é fundamental para o empoderamento do enfermeiro nesse contexto, além disso, observou-se a relevância da liderança e o ambiente de trabalho como componentes importantes que influenciam no empoderamento e na prática profissional do enfermeiro. Conclusão O empoderamento estrutural é significativo para prática profissional do enfermeiro no contexto da emergência, pois ter acesso às dimensões de empoderamento resulta em autonomia no trabalho, níveis maiores de autoeficácia e melhoria na qualidade e segurança da assistência prestada.

Transforming Home Community Nursing Practice Through Nurse Empowerment: H.O.P.E. Approach to Care

Ageing at home is the expressed wish of the fastest growing older adult population. Life care, not just medical/health care, can holistically address care needs of this population. Receiving care at home provides the best opportunity for care providers to address a person’s care needs within their natural environment- the place they call home. With heightened concerns of COVID-19 transmission, older audits are hesitant to have multiple care providers in the home and staff are overwhelmed with work as several team members are off due to personal and/or medical reasons. Coupled with the current state of the Canadian homecare practice setting at the system level, a change is needed. The pandemic became the catalyst to transform/evolve the way SE Health provides care for the betterment of our clients, staff and organization- thus spearheading the H.O.P.E.- Home, Opportunity, People, Empowerment model of care. This leading organizational model of care provides nurses with optimal autonomy and flexibility to deliver best life, home and community care. Empowerment provides nurses with optimal autonomy and flexibility to deliver excellent life care with clients and their circle of care members. Caseload management and self-directed scheduling are unique home and community care competencies that are fostered and supported by optimization of operational processes. Therefore, operationalization of nursing practice in this model requires both optimization of Service Coordination function and digital enablement. One digital innovation, MySE Life App was created to address this need. The MySE Life App is a bespoke digital application designed by nurses, for nurses that provides access to key information to support holistic care delivery in a single application. The tool empowers informed decision making around planning, coordination, and delivering exceptional quality care by giving nurses access to client information on demand. The components of H.O.P.E. Model of Care brings homecare back to basics and care back to the future. To bring this ambition to life, we employed implementation science to bring rigor to the implementation approach and support the change management of over 8,000 leaders across the organization nationally. As Primary Nursing is the core of this organizational model, first year of implementation has focused on optimizing scope of nursing practice and continuity of care. H.O.P.E. nursing competency development through a Novice to Expert journey was also undertaken. Three key success insights will be shared with real life implementation scenarios: 1) empowering the nurse and the client, 2) implementation science informed execution, and 3) operationalizing nurse practice with enabling technology and redesigned structures, processes, and leadership. Learning insights can inform healthcare organizations in how creating a nurse empowered practice culture impacts client safety, quality care and sustainable business outcomes. As the implementation moves towards sustainability in nursing, the learnings will also be applied to accelerate the implementation across other health care disciplines such as personal support workers and allied health disciplines in the organization. The implementation of H.O.P.E. Model of Care illustrates how home and community care can work better for people and the broader system in a resource constrained environment.

How to Share Information Giving in Underprivileged Communities

Infertility is a global disease and one of the major causes of psychosocial issues within reproductive group. This affects multilayer of socio economy strata including in developing world. Awareness and information of infertility in the community varies depending on the level of education. One of other key challenges in improving quality of reproductive care in infertility is accessibility. This implies to availability of resources and facility infrastructures. Health education generally varies in between socio economy background. Indonesia as example has different demographic layers which is stratified into upper, middle, and lower income. Although the country’s GDP continue to grow, large proportion of the community falls into the category of middle-income market. Their typical education degree are at high school level. Healthcare information are mostly delivered proactively through primary healthcare providers and social media plays significant role in as information source. Government and professional society organizations have important responsibility in how the information is delivered accurately and effectively. Reproductive campaign requires good strategy at public policy and budget associated with it. At the professional level, it is the duty of the providers to share proportional and accurate healthcare information irrespective of the patient’s background. However, to allow patients to make a well-informed decision, it is important that healthcare professionals to have good communication skills. They need to have sufficient time in delivering the message to educate the patients of proposed treatment plan. Theoretically this may not be applicable when supply of counselling time is not available due to lack of healthcare resources. For lengthy reproductive counselling, information can be provided by doctors and nurses. Empowerment of nurses and allied healthcare workers will extend the information shared by the doctors. They may be able to address other non-clinical matters to build trust and will assist patients in making decisions.

Influences of Structural Empowerment and Demographic Factors on Nurses’ Psychological Empowerment

Aim. The objective was to investigate the impact of structural empowerment and demographic factors on the psychological empowerment of nurses. Background. The empowerment of nurses plays a crucial role in improving patient care and achieving successful healthcare outcomes. When nurses feel empowered in their work environment, they tend to remain dedicated to their jobs and experience higher levels of job satisfaction and engagement. Methods. This cross-sectional study utilized a convenience sample of 287 nurses recruited from various hospital units, resulting in a response rate of 94.7%. Data were collected through a paper survey consisting of three sections: structural empowerment, psychological empowerment, and demographics. Results. The first hierarchical regression explains 57.0% variance in nurses’ psychological empowerment (F = 78.52, p < 0.001). Age (β = 0.37, p < 0.01) and structural empowerment (β = 0.69, p < 0.001) have a positive influence on nurses’ psychological empowerment. Conversely, having a bachelor’s degree (β = −0.16, p < 0.01) had a negative impact psychological empowerment. The second hierarchical regression clarifies the specific aspects of structural empowerment that influences positively on nurses’ psychological empowerment: access to opportunities (β = 0.13, p < 0.01), support (β = 0.13, p < 0.01), resources (β = 0.35, p < 0.001), and informal power (β = 0.12, p < 0.01). Conclusion. This study emphasizes the importance of considering demographic variables, such as age and education, in conjunction with structural empowerment to effectively enhance nurses’ psychological empowerment. Implications for Nursing Management. Nursing managers should tailor their empowerment strategies based on the demographic characteristics of their nurses. It is essential to focus on providing nurses with access to opportunities, support, resources, and informal power. These insights provide valuable guidance for nursing managers to enhance nurses’ psychological well-being, job satisfaction, and overall quality of life. Ultimately, this contributes to positive outcomes for patients, nursing staff, and healthcare organizations.

Structural and psychological empowerment and burnout among nurses: A systematic review and meta-analysis.

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, reducesnurse 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.

Two cases of nursing older nursing home residents during COVID-19.

Two ethical challenges of nursing home nurses during the COVID-19 pandemic in Sweden are discussed in this paper. Historically, the nurse's primary concern is for the person who is ill, which is the core of nurses' moral responsibility and identity. In Sweden, person-centered care is generally deemed important in nursing older nursing home residents. To chart moral responsibilities of nursing home nurses in two cases involving older residents during the COVID-19 pandemic in Sweden. We used Margaret Urban Walker's framework for moral responsibilities and the International Council of Nurses (ICN) code of ethics for nurses (2021) for our normative analysis. Written and verbal consent was obtained before the interviews, and information was given that participation was entirely voluntary and possible to cancel at any time before the work was published. The Swedish Ethical Review Agency gave an advisory opinion stating that there were no ethical objections to this research project (Dnr. 2020-05649). Case #1: a palliative older nursing home resident who was coercively tested for COVID-19, and case #2: a COVID-19-infected resident with dementia who was isolated using sedation. The decision that was finally made in the respective case was analyzed in the light of either consequentialist/utilitarian or non-consequentialist/deontological reasons. Empowerment of nurses as moral agents is required for the application of practical wisdom in the balancing of different care relationships (responsibilities), moral identities (professional virtues), and competing moral values. This requires resources and opens possibilities for profound ethical reflection in nursing education and at work. During the COVID-19 pandemic, the moral and professional responsibility of nursing home nurses to deliver person-centered care was sometimes problematically abandoned in favor of a more utilitarian manner of ethical decision-making.

The concept analysis of helplessness in nurses during the COVID-19 pandemic: A hybrid model.

'Helplessness' is one of the psychological concepts that exploring nurses' helplessness during the COVID-19 pandemic can lead to timely intervention and empowerment of nurses. Concept development. It was carried out using Schwartz-Barcott and Kim's hybrid model. In the literature review, helplessness is characterized by anxiety symptoms (muscle tension, headache, anorexia and insomnia) and, to some extent, depression (loneliness, guilt, apathy and insensitivity). In the fieldwork, five categories were obtained, including antecedents of helplessness (the nature of the disease, professional responsibility, personal lifestyle disruption and social behaviours), attributes of helplessness (inability to do more for the patient, inability to control the situation, feeling of uselessness, frustration, giving up and uncertainty to continue), consequences of helplessness (increase clinical error, physical manifestations and psychological manifestations), strategies to reduce feelings of helplessness and the difference among helplessness, powerlessness and hopelessness. Nurses' helplessness occurs when the nurse has no control over the situation and cannot change it.

Nursing Empowerment in Perinatal Nursing

Nursing Empowerment in Perinatal Nursing

Relationship between workplace structural empowerment and spirit of nurses at work in selected hospitals in Cairo

Background Structural empowerment is the presence of social structures in the workplace that enable employees to accomplish their work in meaningful ways. Aim The study aimed to determine the relationship between workplace structural empowerment and spirit of nurses at work in selected hospitals in Cairo. Design A descriptive correlational design was used. Setting The study was conducted at five hospitals representing different health care sectors. Sample A convenient sample of 470 consenting staff nurses was included in the study. Tools Two data collection tools were used: the Conditions of Work Effectiveness Questionnaire II tool and the Spirit at Work Measurement Scale. Results The findings revealed that nurses in the selected hospitals in Cairo had moderate access to workplace empowerment structures and a high level of spirit at work. Conclusion The result indicated a strong, positive, and statistically significant relationship between workplace empowerment and nurse’s spirit at work. Recommendations Spirit at work in health care settings is still in its embryonic stage and requires much empirical and theoretical research.

Relation between Level of Empowerment and Problem-Solving Abilities of Nurses at Intensive Care Units

Relation between Level of Empowerment and Problem-Solving Abilities of Nurses at Intensive Care Units

Reducing catheter-associated urinary tract infections in the cardiac intensive care unit with a coordinated strategy and nursing staff empowerment

BackgroundCatheter-associated urinary tract infection (CAUTI) is one of the most common hospital-acquired infections. The use of urinary catheters is associated with several complications and increased mortality and morbidity. At the...

Quantitative research on the structural empowerment of nurses and the emotional intelligence of their managers in a Moroccan tertiary hospital

Quantitative research on the structural empowerment of nurses and the emotional intelligence of their managers in a Moroccan tertiary hospital

Relationship between Structural Empowerment and Nurse and Patient-Reported Outcomes: The Mediating Role of Control over Nursing Practices.

Practices that strengthen nurse work environments and enable them to have control over nursing practices have gained importance in recent years as they increase nurses' retention and patient care quality. This study aimed to examine the relationships between structural empowerment and nurse and patient-reported outcomes and the mediating role of control over nursing practices in these relationships. This correlational and cross-sectional study was carried out from September 2018 to May 2019 at two public hospitals in Turkey. We recruited staff nurses (n = 319) working in the inpatient units of these hospitals and their patients (n = 319). Data were collected using self-report measures from staff nurses and patients. It was determined that structural empowerment and control over nursing practices had a positive relationship with job satisfaction and nursing care quality, as well as a negative relationship with intention to turnover; however, there was no relationship with patient-reported outcomes. Control over nursing practices partially mediated the relationship between structural empowerment and outcomes of job satisfaction and nursing care quality. This study indicates that promoting the structural empowerment of nurses and ensuring that they have control over practice will increase job satisfaction and quality of care. Nurse managers can increase nurses' job satisfaction and quality of care by creating supportive work environments and ensuring they have control over nursing practices.

Electronic Logbook sebagai Strategi Quality Improvement Model Preceptorship dan Mentorship Perawat

This study aims to identify problems and develop a quality improvement strategy design in the perinatology installation of X Hospital. The method used is a case report using an action research approach. The results showed that the majority level of the preceptor's role was still low (68.2%), but the psychological empowerment and self-efficacy level of preceptor nurses was high (54.5%; 59.1%). The story of commitment to the preceptor's role and the preceptor's perception of benefits and rewards was also low (66.7%; 66.7%), but the preceptor's perception of support was high (66.7%). Evaluation of the implementation of the electronic logbook obtained data that the majority of nurses felt that the role and function of the head of the room in program implementation were good and the technical evaluation of program implementation was also appropriate, but the need for socialization in implementing the program needed to be increased again. In conclusion, nurse managers must strive to educate and improve the motivation and commitment of nurses in supporting the change program, followed by program monitoring and evaluation activities.
 Keywords: Electronic Logbook, Mentorship, Nurse, Preceptorship

Die Rolle der Pflegenden in der pharmazeutischen Versorgung in Deutschland – Eine qualitative Analyse

BackgroundIn 13 European countries, laws have been passed that allow nurses to prescribe medicines, but mostly within a limited framework and with a doctor involved. Germany is not among these countries. Only the prescription of medical aids has already been included into the development of extended nursing competencies. We investigated the views of the health care professions involved (doctors, pharmacists and nurses) regarding the role of nurses in pharmaceutical care. MethodWe conducted 22 semi-structured interviews with 23 members of the three professional groups involved in the European research project DeMoPhaC. These data collected in Germany were analysed using qualitative content analysis. Five main categories were developed. ResultsPharmaceutical care by nurses can be described within the following main categories: 1. Knowledge and competences, 2. Patient care, 3. Communication, 4. Multi-professional team and 5. System. The communication between the professional groups involved and with patients and caregivers is of particular importance. Interaction in the multi-professional team is just as crucial. Pharmaceutical care takes place within the health system which sets the framework and often boundaries as well. The current and ideally conceived roles of nurses are seen differently in the respondents’ respective contexts. Between the professional groups there is both agreement and dissent on the topics addressed. However, the development of nursing roles requires collaborative and transparent processes in teams and organisations. Particularly in the hospital setting, the participants saw a great need for change in order to achieve cooperation at eye level. DiscussionThe results show that nurses play their role in the complex field of pharmaceutical care under very heterogeneous circumstances. The empowerment of nurses, which was called for by some participants, cannot be achieved from within the professional group alone. Cooperation from all the players involved is needed. The development of nursing roles in the medication process with simultaneous expansion of qualifications and competences can contribute to making the nursing role more attractive. Clear role models promote the transparency of processes for all involved. If all players know what they can expect of nurses, tasks can be redistributed in the multiprofessional team. ConclusionThe above-mentioned diversity of perspectives can be a resource for development and individual solutions. However, it can also be interpreted negatively as a sign of uncertainty and less standardised ways of working. In view of the data evaluated here, the prescription of medicines by non-medical professionals remains a distant goal for developments in the German health care system. First of all, structures and processes are required that permanently guarantee safe pharmaceutical care with equal participation of all relevant stakeholders.

The Global Cardiovascular Nursing Leadership Forum: Promoting Optimal Cardiovascular Health Worldwide.

The Global Cardiovascular Nursing Leadership Forum: Promoting Optimal Cardiovascular Health Worldwide.

Violence against Emergency Nurses in Kermanshah-Iran: Prevalence and Associated Factors.

Violence against emergency nurses is a global concern with undesirable physical and psychological consequences. This study was conducted to investigate the characteristics of physical and verbal violence against emergency nurses in Iran. In this cross-sectional study, 150 nurses working in seven hospitals affiliated to Kermanshah University of Medical Sciences were included in the study using the stratified random sampling method. The data collection tools included a personal information form and a researcher-made questionnaire. Violence-related characteristics were assessed using descriptive statistics. Logistic regression was used to identify factors related to physical and verbal violence. The frequency rates of physical and verbal violence during the past 12 months were equal to 62% (n = 93) and 94.7% (n = 142), respectively. In both types of physical violence (49.5%, n = 46) and verbal violence (40.4%, n = 57), the nursing station was the most common place of violence. In both physical (n = 40, 43.0%) and verbal violence (n = 101, 71.1%), the most common perpetrator was the patient's family. Most physical violence (57.0%, n = 53) and verbal violence (35.2%, n = 50) occurred in the night shifts. No statistically significant relationship was found between physical and verbal violence and gender, age, marital status, type of employment, and work experience. Discussion. The results indicate the seriousness of workplace violence against nurses. It is necessary to adopt a global approach along with providing sufficient manpower and psychological empowerment of nurses. Further studies with a forward-looking approach are suggested.