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Establishing the relative importance of structural empowerment dimensions in predicting nursing outcomes
Abbott, Dustin R.
Roesch, ScottGates, Michael
Structural empowerment is a workgroup-level, multidimensional construct which includes opportunity for advancement, access to information, access to support, and access to resources. It has been found to be positively related to desirable outcomes such as job performance, organizational commitment, and psychological empowerment, and negatively related to absenteeism and turnover intentions. Frequently, a question arises with multidimensional measures: which dimensions are most important for the outcomes of interest? This question can be answered by conducting a dominance analysis. The present study explores the relative importance of structural empowerment dimensions in a nursing context using three critical outcome variables. One dominance analysis was a cross-level analysis in which individual-level psychological empowerment was regressed on the four structural empowerment dimensions Two dominance analyses were conducted at the workgroup-level. Workgroup level teamwork was regressed on to workgroup-level structural empowerment. The final dominance analysis regressed workgroup-level adverse events on workgroup-level structural empowerment. Data for this study comes from an archival dataset from 3,059 registered nurses nested in 239 workgroups in 21 hospitals across Ontario, Canada. Ninety-five percent of participants were female with an average age of 42.22 years (SD=10.19) and an average organizational tenure of 16.82 years (SD=10.88). Nurses reported average workgroup tenure of 8.13 years (SD=7.82). The average group size is 12.79 nurses. Results show that dimensions of structural empowerment differ in their predictive ability but that access to support and access to resources are the most important predictors of the nursing outcomes considered in this study.
Master Of Science (M.S.) San Diego State University, 2017
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