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Testing a work empowerment-work relationship model to explain expertise in experienced acute care nurses
Joan Roche1, Deborah Morsi, Genevieve E Chandler
1School of Nursing, University of Massachusetts-Amherst, MA 01003, USA. jproche@nursing.umass.edu
The Journal of Nursing Administration
|July 11, 2009
Summary
Positive work relationships are key predictors of nursing expertise in acute care settings, explaining more variance than specialty experience. Work empowerment also plays an indirect role.
Area of Science:
- Nursing Science
- Healthcare Management
- Organizational Psychology
Background:
- Expert nurses are crucial for positive patient outcomes in acute care.
- High patient acuity and dynamic healthcare environments necessitate experienced nursing staff.
- The role of specific workplace factors in developing nursing expertise requires further investigation.
Purpose of the Study:
- To determine if work relationships and work empowerment can predict nursing expertise.
- To examine the predictive power of these factors in experienced acute care nurses.
- To understand the relationship between workplace dynamics and the development of expert nursing practice.
Main Methods:
- Exploratory, predictive correlational study design.
- Stratified random sample of 115 staff nurses from a tertiary care center.
- Data collected on work empowerment, work relationships, and self-reported nursing expertise.
Main Results:
- A modified study model was supported, explaining 26% of the variance in reported nursing expertise (R = 0.258, P = .000).
- Work relationships were the strongest predictor, accounting for 16% of the variance.
- Specialty experience accounted for 9% of the variance, with an indirect link observed for work empowerment.
Conclusions:
- Work relationships significantly predict nursing expertise in acute care nurses.
- While work empowerment has an indirect effect, strong interpersonal dynamics within the workplace are vital for expertise development.
- Findings highlight the importance of fostering positive work environments to enhance nursing expertise and patient care.
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