Medicine and Health Sciences Commons^™

Transformational Leadership And Structural Empowerment For Nurse Managers To Improve Nursing Job Satisfaction, Engagement, And Retention, Leah M. Gehri

Doctor of Nursing Practice Projects

Problem Description

Low nurse job satisfaction and engagement have historically been associated with high attrition. While it is too soon to fully quantify the impact of Covid-19 on nurse satisfaction, engagement, and turnover, evidence is emerging that high chronic fatigue and persistent feelings of being overwhelmed are causing nurses to either leave the bedside or quit nursing altogether, exacerbating existing nurse staffing challenges caused by a decades long nursing shortage that, pre-pandemic, predicted a national deficit of over one-half million nurses by 2030. The financial impact of competing for experienced nurses, and recruiting, hiring, and training new nurses to replace …

Magnet Hospitals: An Update On The Impact On Nursing Burnout, Jonathan Settle, Michael Davis, Alberto Coustasse

Management Faculty Research

Nurse burnout has been associated with worsened outcomes for nurses, such as increased turnover or quitting and lower job satisfaction. The purpose of this research was to examine Magnet-designation status in U.S. hospitals, specifically shared governance and structural empowerment, and its effects on nurse burnout, nurse turnover, and job satisfaction of nurses. This study utilized a literature review complemented by two semi-structured interviews. The results showed that Magnet hospitals kept lower levels of burnout, better job satisfaction, and less turnover than non-Magnet hospitals, but this was only the case for some studies of Magnet hospitals. Some outcomes could be attributed …

Developing Organizational Support And Leadership Structures For Advanced Practice Nurses In The Hospital Setting, Andrea L. Childress

Doctor of Nursing Practice Projects

Background: Hospitals are increasing utilization of advanced practice nurses (APNs). APNs do not fit within the traditional nursing or medicine department structures. They are often hired by organizations without full evaluation and assessment of management issues and structures to support them.

Problem: APNs are employed to work throughout an acute care hospital. They report to medical leadership but have no voting rights or representation on medical committees. They lack connection to nursing staff and existing structures which impairs their ability to exhibit leadership and advance nursing practice.

Purpose: This project seeks to answer: What organizational support and leadership structures are …

The Influence Of Empowerment On The Development Of Compassion Fatigue In Oncology Nurses, Franklin J. Wynn

Nursing Theses and Dissertations

Compassion fatigue is a growing issue in the oncology nursing population that has implications on outcomes such as job satisfaction and intention to leave a job. With an increased need for nurses nationally, compassion fatigue needs to be further studied to identify solutions that support the retention of the oncology nursing workforce. The concept of empowerment has been favorable in leading to proactive workplace behaviors and attitudes. However, literature showed underrepresentation of this variable in relationship to compassion fatigue. A program of research in connection to these variables is provided. A comparative concept analysis on burnout and compassion fatigue is …

Exploring Mental Health, Physical Health, And Affective Commitment In Acute Care Oncology Nurses In Ontario, Lesley M. Smith

Electronic Thesis and Dissertation Repository

With reports of a steady increase in cancer risk as the present population ages (Canadian Cancer Society’s Advisory Committee on Cancer Statistics, 2017; Statistics Canada, 2017), and little knowledge of a definitive cure, ensuring cancer sufferers and their families are adequately supported is increasingly essential. Oncology nurses must therefore be the focus of current and future research, as their front-line presence in the lives of those afflicted, is quite substantial. Further, oncology nurses report the most physical symptoms and second highest levels of emotional distress among cancer care health professionals (Jones, Wells, Gao, Cassidy, & Davie, 2013; Kash et al., …

Exploring The Relationships Among New Graduate Nurses’ Structural Empowerment, Psychological Empowerment, Work Engagement, And Clinical Nurse Educator Leadership In Acute Care Settings, Carly Blair

Electronic Thesis and Dissertation Repository

Background: This study aimed to examine relationships and to gain further knowledge into the significance of the leadership role of acute care clinical nurse educators and the relationship with structural empowerment, psychological empowerment, and work engagement amongst new graduate nurses working in acute care settings.

Methods: 83 participants, registered with the College of Nurses of Ontario (CNO), responded to a mail-out survey package containing four instruments corresponding to each study variable, along with a demographic questionnaire. The analysis includes study descriptives, correlations of total and subscales, and moderation analysis of structural empowerment, psychological empowerment and clinical nurse educator leadership

Results: …

Structural Empowerment And Employee Commitment Among Millennial Newly Registered Nurses, Janice Hill

Walden Dissertations and Doctoral Studies

AbstractThe nursing shortage is one of the most challenging issues in global healthcare. While not an all-encompassing solution, labor force retention could alleviate the crisis. The purpose of this study, guided by Kanter’s structural theory of organizational behavior, was to determine the relationships between access to power, opportunity for growth, structural empowerment (SE), and employee commitment among millennial newly registered nurses (NRNs) and to determine if there is a difference in SE between male and female millennial NRNs. Survey data collected from 148 participants were analyzed using Spearman rank-order correlation tests and showed statistically significant correlations between access to power …

Undergraduate Nurse Educators’ Perceived Structural Empowerment, Self-Efficacy For Teaching, And Perceptions Of Uncivil Classroom Behaviours In Academic Settings, Molly A. Hunter

Electronic Thesis and Dissertation Repository

Background: This study examined the relationship among structural empowerment in academia, nurse educators’ self-efficacy for teaching, and their perceptions of the types and frequencies of uncivil classroom behaviours.

Methods: 56 participants, registered with the College of Nurses of Ontario (CNO), responded to a mail-out survey package containing four tools corresponding to each study variable. The analysis includes study descriptives, ANOVA analyses, correlations of total and subscales, and mediation analyses of the major study variables.

Results: A moderate level of structural empowerment and a high level of self-efficacy for teaching was found within the study. A significant indirect relationship was seen …

The Influence Of Transformational Leadership On Nurse-Reported Patient Safety Outcomes, Sheila A. Boamah

Electronic Thesis and Dissertation Repository

Leadership is widely believed to be pivotal to providing high quality patient care and ensuring favourable organizational outcomes. To understand how nursing leadership affects patient outcomes, it is important to explore the mechanisms/ processes through which leaders produce desired patient outcomes. The purpose of this study was to examine how nurse manager use of transformational leadership behaviours creates empowering work environments that foster clinical leadership practices at the bedside, and ultimately, improve nurse and patient safety outcomes.

Bass’s (1985) transformational leadership theory provided the theoretical framework for the research. Transformational leadership behaviour was hypothesized to have positive effects on workplace …

Nurses' Workplace Social Capital: Development And Validation Of A Self-Report Questionnaire, Emily A. Read

Electronic Thesis and Dissertation Repository

Background: Social capital refers to resources created by and embedded in social relationships and has been identified as an important aspect of nurses’ work life. There is limited empirical evidence regarding its role and currently no valid and reliable self-report instruments to measure workplace social capital comprehensively.

Purpose: This study aimed to develop and test a self-report questionnaire to measure nurses’ workplace social capital and examine the nomologicial network of the concept including authentic leadership and structural empowerment as precursors of social capital and team effectiveness and patient care quality as outcomes.

Methods: A cross-sectional survey of 1,000 Registered Nurses …

Moral Distress: A Study Of Personal And Organizational Factors, Kathleen Ledoux

Electronic Thesis and Dissertation Repository

Nursing is a practice grounded in ethics. Every nursing act is measured against requisite moral standards to do no harm, to promote justice, to be accountable, and to provide safe and competent care. However, as nurses attempt to act, there may be obstacles to pursuing the course of care as agreed to with the patient: inadequate staffing, cost-containment strategies, and policy constraints. In attempting to reconcile ideals of practice with what may be an opposing reality, nurses may experience moral distress.

The purpose of this study was to examine how structural empowerment, psychological empowerment, interprofessional collaboration, compassion, and the perception …

Utilization Review Software: The Impact On Productivity And Structural Empowerment In Case Management Nurses In An Acute Care Setting, Kimberly Frazier

Nursing Theses and Capstone Projects

The Center for Medicare and Medicaid (CMS) seeks to achieve cost control by implementing aggressive cost containment mechanisms for an exploding Medicare population. One such mechanism is utilization review, which is employed to limit reimbursement of medical care that is determined to not be medically necessary. The CMS Conditions of Participation mandate that all hospitals determine whether a patient qualifies for an Inpatient or Observation stay. Utilization Review Specialist (UR) nurses were given the Conditions of Work Effectiveness Questionnaire II (CWEQ-II), Organizational Relationship Scale II (ORS-II), and the Job Activity Scale II (JAS II), six months after McKesson InterQual software …