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Staff Nurses’ Perceptions and Experiences about Structural Empowerment: A Qualitative Phenomenological Study

The aim of the study reported in this article was to investigate staff nurses’ perceptions and experiences about structural empowerment and perceptions regarding the extent to which structural empowerment supports safe quality patient care. To address the complex needs of patients, staff nurse invol...

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Detalles Bibliográficos
Autores principales: Van Bogaert, Peter, Peremans, Lieve, Diltour, Nadine, Van heusden, Danny, Dilles, Tinne, Van Rompaey, Bart, Havens, Donna Sullivan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4818078/
https://www.ncbi.nlm.nih.gov/pubmed/27035457
http://dx.doi.org/10.1371/journal.pone.0152654
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author Van Bogaert, Peter
Peremans, Lieve
Diltour, Nadine
Van heusden, Danny
Dilles, Tinne
Van Rompaey, Bart
Havens, Donna Sullivan
author_facet Van Bogaert, Peter
Peremans, Lieve
Diltour, Nadine
Van heusden, Danny
Dilles, Tinne
Van Rompaey, Bart
Havens, Donna Sullivan
author_sort Van Bogaert, Peter
collection PubMed
description The aim of the study reported in this article was to investigate staff nurses’ perceptions and experiences about structural empowerment and perceptions regarding the extent to which structural empowerment supports safe quality patient care. To address the complex needs of patients, staff nurse involvement in clinical and organizational decision-making processes within interdisciplinary care settings is crucial. A qualitative study was conducted using individual semi-structured interviews of 11 staff nurses assigned to medical or surgical units in a 600-bed university hospital in Belgium. During the study period, the hospital was going through an organizational transformation process to move from a classic hierarchical and departmental organizational structure to one that was flat and interdisciplinary. Staff nurses reported experiencing structural empowerment and they were willing to be involved in decision-making processes primarily about patient care within the context of their practice unit. However, participants were not always fully aware of the challenges and the effect of empowerment on their daily practice, the quality of care and patient safety. Ongoing hospital change initiatives supported staff nurses’ involvement in decision-making processes for certain matters but for some decisions, a classic hierarchical and departmental process still remained. Nurses perceived relatively high work demands and at times viewed empowerment as presenting additional. Staff nurses recognized the opportunities structural empowerment provided within their daily practice. Nurse managers and unit climate were seen as crucial for success while lack of time and perceived work demands were viewed as barriers to empowerment.
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spelling pubmed-48180782016-04-19 Staff Nurses’ Perceptions and Experiences about Structural Empowerment: A Qualitative Phenomenological Study Van Bogaert, Peter Peremans, Lieve Diltour, Nadine Van heusden, Danny Dilles, Tinne Van Rompaey, Bart Havens, Donna Sullivan PLoS One Research Article The aim of the study reported in this article was to investigate staff nurses’ perceptions and experiences about structural empowerment and perceptions regarding the extent to which structural empowerment supports safe quality patient care. To address the complex needs of patients, staff nurse involvement in clinical and organizational decision-making processes within interdisciplinary care settings is crucial. A qualitative study was conducted using individual semi-structured interviews of 11 staff nurses assigned to medical or surgical units in a 600-bed university hospital in Belgium. During the study period, the hospital was going through an organizational transformation process to move from a classic hierarchical and departmental organizational structure to one that was flat and interdisciplinary. Staff nurses reported experiencing structural empowerment and they were willing to be involved in decision-making processes primarily about patient care within the context of their practice unit. However, participants were not always fully aware of the challenges and the effect of empowerment on their daily practice, the quality of care and patient safety. Ongoing hospital change initiatives supported staff nurses’ involvement in decision-making processes for certain matters but for some decisions, a classic hierarchical and departmental process still remained. Nurses perceived relatively high work demands and at times viewed empowerment as presenting additional. Staff nurses recognized the opportunities structural empowerment provided within their daily practice. Nurse managers and unit climate were seen as crucial for success while lack of time and perceived work demands were viewed as barriers to empowerment. Public Library of Science 2016-04-01 /pmc/articles/PMC4818078/ /pubmed/27035457 http://dx.doi.org/10.1371/journal.pone.0152654 Text en © 2016 Van Bogaert et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Van Bogaert, Peter
Peremans, Lieve
Diltour, Nadine
Van heusden, Danny
Dilles, Tinne
Van Rompaey, Bart
Havens, Donna Sullivan
Staff Nurses’ Perceptions and Experiences about Structural Empowerment: A Qualitative Phenomenological Study
title Staff Nurses’ Perceptions and Experiences about Structural Empowerment: A Qualitative Phenomenological Study
title_full Staff Nurses’ Perceptions and Experiences about Structural Empowerment: A Qualitative Phenomenological Study
title_fullStr Staff Nurses’ Perceptions and Experiences about Structural Empowerment: A Qualitative Phenomenological Study
title_full_unstemmed Staff Nurses’ Perceptions and Experiences about Structural Empowerment: A Qualitative Phenomenological Study
title_short Staff Nurses’ Perceptions and Experiences about Structural Empowerment: A Qualitative Phenomenological Study
title_sort staff nurses’ perceptions and experiences about structural empowerment: a qualitative phenomenological study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4818078/
https://www.ncbi.nlm.nih.gov/pubmed/27035457
http://dx.doi.org/10.1371/journal.pone.0152654
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