Association of Structural and Psychological Empowerment with Depersonalization and Personal Accomplishment Among Nurses: a Systematic Review
Keywords:
Depersonalization, Meta-analysis, Nurse, Personal accomplishment, Psychological empowerment, Structural empowerment, Systematic reviewAbstract
Burnout is a significant issue among nurses, and it impacts to the quality of care they provide. This systematic review evaluated the association between structural empowerment, psychological empowerment and two dimensions of burnout, depersonalization and personal accomplishment among nurses in the health care setting. Cross-sectional studies from 1990 to 2018 were searched from data bases of MEDLINE, CINAHL, EBSCO, ScienceDirect, Scopus, Springer Link, and Cochrane library, as well as unpublished studies and 35 eligible studies were found. After critical appraisal of their methodological quality, only 8 were included in the review. Cochran’s Q and I square statistic was used to test the heterogeneity.
Meta-analysis results indicated a negative association between structural empowerment and depersonalization, and a positive association between structural empowerment and personal accomplishment. There was also a negative association between psychological empowerment and depersonalization, and a positive association between psychological empowerment and personal accomplishment. However, only 2-6 studies were combined in the meta-analysis for each outcome and they were of low to very low quality, so more primary studies need to be conducted to increase confidence in results and provide recommendations for policy and practice.
References
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28. Trus M, Razbadauskas A, Doran D, & Suominen T. Workrelated empowerment of nurse managers: A systematic review. Nurs Health Sci. 2012 14: 412–20.
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30. Laschinger HK, Finegan J, Shamian J, Wilk P. Impact of structural and psychological empowerment on job strain in nursing work setting: expanding Kanter›s model. J Nurs Adm. 2001 31(5): 260-72.
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34. Laschinger SHK, Leiter M, Day A, Gilin D. Workplace empowerment, incivility, and burnout: impact on staff nurse recruitment and retention outcomes. J Nurs Manag. 2009 17:302-11. doi: 10.1111/j.1365-2834.2009. 00999.x.
35. Laschinger HK, Grau AL, Finegan J, Wilk P. New graduate nurses› experiences of bullying and burnout in hospital settings. J Adv Nurs. 2010 66(12):2732-42. doi: 10. 1111/j.1365-2648.2010.05420.x.
36. Laschinger HK, Wong CA, Grau AL. Authentic leadership, empowerment and burnout: a comparison in new graduates and experienced nurses. J Nurs Manag. 2013 21(3):541- 52. doi: 10.1111/j.1365-2834.2012.01375.x.
37. Boamah SA, Read EA, Laschinger SHK. Factors influencing new graduate nurse burnout development, job satisfaction and patient care quality: a time-lagged study. J Adv Nurs. 2016 73(5):1182-1195. doi: 10.1111/ jan.13215.
38. Guo J, Chen J, Fu J, Ge X, Chen M, Liu Y. Structural empowerment, job stress and burnout of nurses in China. Appl Nurs Res. 2016 31:41-5. doi: 10.1016/j. apnr.2015.12.007.
39. Hochwälder J. The psychosocial work environment and burnout among Swedish registered and assistant nurses: The main, mediating, and moderating role of empowerment. Nursing and Health Sciences. 2007 9: 205–211.
40. Çavus MF, Demir Y. The Impacts of Structural and Psychological Empowerment on Burnout: A Research on Staff Nurses in Turkish State Hospitals. Canadian Social Science. 2010 6(4): 63-72.
41. Leiter MP, & Maslach C. Areas of worklife: a structured approach to organizational predictors of job burnout. In Research in Occupational Stress and Wellbeing in Perrewe PL, Ganster, D.C. (eds), Emotional and Physiological Processes and Positive Intervention Strategies. Oxford: JAI Press/Elsevier; 2004 pp.91–134.
42. Panagioti M, Geraghty K, Johnson J, Zhou A, Panagopoulou E, Chew-Graham C, et al. Association between physician burnout and patient safety, professionalism, and patient satisfaction: A systematic review and meta-analysis. JAMA Intern Med. 2018 178(10):1317-1330. doi: 10.1001/jamainternmed.2018.3713.
43. Tufanaru C, Munn Z, Stephenson M, Aromataris E. Fixed or random effects meta-analysis? Common methodological issues in systematic reviews of effectiveness.Int J Evid Based Healthc. 2015 13(3):196-207. doi: 10.1097/ XEB.0000000000000065.
44. Gordon H Guyatt, Andrew D Oxman, Regina Kunz, Gunn E Vist, Yngve Falck-Ytter, Holger J Schünemann and for the GRADE Working Group. What is “quality of evidence” and why is it important to clinicians? BMJ 2008 336:995-8 doi:10.1136/bmj.39490.551019.BE
2. Lucas V, Laschinger HK, Wong CA. The impact of emotional intelligent leadership on staff nurse empowerment: the moderating effect of span of control. J Nurs Manage. 2008 16(8): 964-73.
3. Vahey DC, Aiken LH, Sloane DM, Clarke SP, Vargas D. Nurse burnout and patient satisfaction. Med Care. 2004 42 (2 Suppl): II57-66.
4. Aiken LH, Clarke SP, Sloane DM, Sochalski J, Siber JH. Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. JAMA2002 288:1987-93
5. Boudrias JS, Morin AJ, Brodeur MM. Role of psychological empowerment in the reduction of burnout in Canadian healthcare workers. Nurs Health Sci. 2012 4(1): 8-17.
6. Maslach C, Schaufeli W., Leiter M. Job burnout. Annu Rev Psychol. 2001 521: 397-422.
7. Nogueira LS, Sousa RMC, Guedes ES, Santos MAD, Turrini RNT, Cruz DALMD. Burnout and nursing work environment in public health institutions. Rev Bras Enferm. 2018 71(2):336-342. doi: 10.1590/0034-7167- 2016-0524.
8. Hatcher S, Laschinger HKS. Staff nurses› perceptions of job empowerment and level of burnout: a test of Kanter›s theory of structural power in organizations. Can. J. Nurs. Adm. 1996 9(2): 74-94.
9. Trbojević-Stanković J, Stojimirović B, Soldatović I, Petrović D, Nesić D, Simić S. Work-related factors as predictors of burnout in Serbian nurses working in hemodialysis. Nephrol Nurs J. 2015 42(6):553-61; quiz 562.
10. Neuberg M, Železnik D, Meštrović T, Ribić R, Kozina G. Is the burnout syndrome associated with elder mistreatment in nursing homes: results of a cross-sectional study among nurses. Arh Hig Rada Toksikol. 2017 68(3):190-197. doi: 10.1515/aiht-2017-68-2982.
11. O'Brien JL. Relationships among structural empowerment, psychological empowerment, and burnout in registered staff nurses working in outpatient dialysis centers. Nephrol Nurs J. 2011 38(6):475-81; quiz 482.
12. Laschinger HK, Wong, CA, Greco, P. The impact of staff nurse empowerment on person-job fit and work engagement/ burnout. Nurs Admin. 2006 30(4): 358–67.
13. Bogaert VP, Clarke S, Willems R, Mondelaers M. Nurse practice environment, workload, burnout, job outcomes, and quality of care in psychiatric hospitals: a structural equation model approach. J Adv Nurs. 2013 69(7):1515-24.
14. Halbesleben JRB, Wakefield BJ, Wakefield DS, Cooper LB. Nurse burnout and patient safety outcomes nurse safety perception versus reporting behavior. West J Nurs Res. 2008 305:560-77.
15. Clarke SP,Sloane DM, & Aiken LH. Effects of hospital staffing and organizational climate on needlestick injuries to nurses. Am J Public Health. 2002 92(7): 1115-9.
16. Oxford Learner’s Dictionaries. Empowerment [internet]. Oxford University Press [Cited 2018 Mar 12]. Available from http://www.oxfordlearnersdictionaries.com/ definition/english/empowerment?q=empowerment.
17. Meng L, Jin Y, Guo J. Mediating and/or moderating roles of psychological empowerment. Appl Nurs Res. 2016 30:104–10
18. Kanter RM. Men and Women of the Corporation. New York: Basic Books; 1977
19. Kanter RM. Power failure in management circuits. Harv Bus Rev. 1979 57: 65-75.
20. Spreitzer GM. Psychological empowerment in the workplace: dimensions, measurement, and validation. Acad Manage J, Psychol Rev 38(5): 1442-65.
21. Bandura A. Self-efficacy: towards a unifying theory of behavioral change. Psychol Rev. 1977 84 (2): 191-215.
22. Parola V, Coelho A, Cardoso D, Gea-Sanchez M, BlancoBlanco J, Apo´ stolo J. The prevalence of burnout in health professionals working in palliative care: a systematic review protocol. JBI Database System Rev Implement Rep. 2016: 45-50.
23. Greco P, Laschinger HK, Wong C. Leader empowering behaviours, staff nurse empowerment and work engagement/ burnout. Nurs Leadersh. 2006 9(4): 41-56.
24. Toh SG, Ang E, Devi, MK. Systematic review on the relationship between the nursing shortage and job satisfaction, stress and burnout levels in oncology/haematology settings. Int J Evid Based Healthc. 2012 10:126-141.
25. Sanfilippo F, Noto A, Foresta G, Santonocito C, Palumbo GJ, Arcadipane A, et al. Incidence and factors associated with burnout in anesthesiology: A systematic review. Biomed Res Int. 2017: 1-10.
26. Elbarazi I, Loney T, Yousef S, Elias A. Prevalence of and factors associated with burnout among health care professionals in Arab countries: a systematic review. BMC Health Serv Res. 2017 17: 491.
27. Wagner JIJ., Cummings G, Smith DL, Olson J, Anderson L, Warren S. The relationship between structural empowerment and psychological empowerment for nurses: a systematic review. J Nurs Manag. 2010 18: 448–62.
28. Trus M, Razbadauskas A, Doran D, & Suominen T. Workrelated empowerment of nurse managers: A systematic review. Nurs Health Sci. 2012 14: 412–20.
29. Zhang X, Ye H, & Li Y. Correlates of structural empowerment, psychological empowerment and emotional exhaustion among registered nurses: A meta-analysis. Appl Nurs Res. 2018 42: 9-16.
30. Laschinger HK, Finegan J, Shamian J, Wilk P. Impact of structural and psychological empowerment on job strain in nursing work setting: expanding Kanter›s model. J Nurs Adm. 2001 31(5): 260-72.
31. The Joanna Briggs Institute. Joanna Briggs Institute Reviewers' Manual: The Joanna Briggs Institute; 2018 [cited 2018 Oct 2]. Available from: https://wiki.joannabriggs.org/display/ MANUAL/Joanna+Briggs+Institute+Reviewer’s+Manual
32. Hedges, LV, Olkin , I. Statistical methods for metaanalysis. London: Academic Press; 1985.
33. Higgins JPT, Thompson SG, Deeks JJ, & Altman DG. Measuring inconsistency in meta-analyses. BMJ. 2003 327: 557-560.
34. Laschinger SHK, Leiter M, Day A, Gilin D. Workplace empowerment, incivility, and burnout: impact on staff nurse recruitment and retention outcomes. J Nurs Manag. 2009 17:302-11. doi: 10.1111/j.1365-2834.2009. 00999.x.
35. Laschinger HK, Grau AL, Finegan J, Wilk P. New graduate nurses› experiences of bullying and burnout in hospital settings. J Adv Nurs. 2010 66(12):2732-42. doi: 10. 1111/j.1365-2648.2010.05420.x.
36. Laschinger HK, Wong CA, Grau AL. Authentic leadership, empowerment and burnout: a comparison in new graduates and experienced nurses. J Nurs Manag. 2013 21(3):541- 52. doi: 10.1111/j.1365-2834.2012.01375.x.
37. Boamah SA, Read EA, Laschinger SHK. Factors influencing new graduate nurse burnout development, job satisfaction and patient care quality: a time-lagged study. J Adv Nurs. 2016 73(5):1182-1195. doi: 10.1111/ jan.13215.
38. Guo J, Chen J, Fu J, Ge X, Chen M, Liu Y. Structural empowerment, job stress and burnout of nurses in China. Appl Nurs Res. 2016 31:41-5. doi: 10.1016/j. apnr.2015.12.007.
39. Hochwälder J. The psychosocial work environment and burnout among Swedish registered and assistant nurses: The main, mediating, and moderating role of empowerment. Nursing and Health Sciences. 2007 9: 205–211.
40. Çavus MF, Demir Y. The Impacts of Structural and Psychological Empowerment on Burnout: A Research on Staff Nurses in Turkish State Hospitals. Canadian Social Science. 2010 6(4): 63-72.
41. Leiter MP, & Maslach C. Areas of worklife: a structured approach to organizational predictors of job burnout. In Research in Occupational Stress and Wellbeing in Perrewe PL, Ganster, D.C. (eds), Emotional and Physiological Processes and Positive Intervention Strategies. Oxford: JAI Press/Elsevier; 2004 pp.91–134.
42. Panagioti M, Geraghty K, Johnson J, Zhou A, Panagopoulou E, Chew-Graham C, et al. Association between physician burnout and patient safety, professionalism, and patient satisfaction: A systematic review and meta-analysis. JAMA Intern Med. 2018 178(10):1317-1330. doi: 10.1001/jamainternmed.2018.3713.
43. Tufanaru C, Munn Z, Stephenson M, Aromataris E. Fixed or random effects meta-analysis? Common methodological issues in systematic reviews of effectiveness.Int J Evid Based Healthc. 2015 13(3):196-207. doi: 10.1097/ XEB.0000000000000065.
44. Gordon H Guyatt, Andrew D Oxman, Regina Kunz, Gunn E Vist, Yngve Falck-Ytter, Holger J Schünemann and for the GRADE Working Group. What is “quality of evidence” and why is it important to clinicians? BMJ 2008 336:995-8 doi:10.1136/bmj.39490.551019.BE
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2019-09-16
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Abhicharttibutra K, Tungpunkom P. Association of Structural and Psychological Empowerment with Depersonalization and Personal Accomplishment Among Nurses: a Systematic Review. PRIJNR [Internet]. 2019 Sep. 16 [cited 2024 Nov. 22];23(4):398-413. Available from: https://he02.tci-thaijo.org/index.php/PRIJNR/article/view/163536
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