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Structural Empowerment of Nurses in the Hospital Setting: A Cross-Sectional Study.
Marlene Ribeiro1,2,3, Diana Sanches4, Sónia Barros5,6
1ICBAS, Abel Salazar Institute of Biomedical Sciences, University of Porto, 4050-313 Porto, Portugal.
Nursing Reports (Pavia, Italy)
|December 24, 2025
Summary
Hospital nurses
Area of Science:
- Nursing Research
- Healthcare Management
- Organizational Psychology
Background:
- Structural empowerment is vital for nurses' professional growth and autonomy.
- Understanding nurses' perceptions of workplace empowerment is crucial for healthcare organizations.
- Access to opportunities, information, support, and resources defines structural empowerment.
Purpose of the Study:
- To explore hospital nurses' perceptions of their levels of structural empowerment.
- To identify factors influencing nurses' experiences of structural empowerment in a hospital setting.
Main Methods:
- Cross-sectional study involving 684 nurses in a Portuguese hospital.
- Data collected via demographic questionnaire and the Conditions of Work Effectiveness Questionnaire II.
- Analysis focused on identifying significant differences in empowerment scores based on professional category, shift work, department, and generation.
Main Results:
- The overall mean structural empowerment score was 18.74 (SD = 3.46).
- Significant differences in empowerment were noted between specialist and general nurses, day vs. day-and-night shifts, Medicine vs. Surgery departments, and Generation Z vs. Generation Y nurses.
- Specific p-values highlight statistical significance for these observed differences.
Conclusions:
- Consistent promotion of structural empowerment is essential for all nursing staff.
- Addressing identified disparities among nursing groups is necessary to enhance professional development.
- Improving structural empowerment can positively impact the quality of patient care.
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