Rosa García-Sierra1,2, Jordi Fernández-Castro3. 1. Consorci Sanitari de Terrassa, Terrassa, Barcelona, Spain. 2. Departament of Nursing, Universitat Autònoma de Barcelona, Barcelona, Spain. 3. Department of Basic Psychology, Stress and Health Research Group, Universitat Autònoma de Barcelona, Barcelona, Spain.
Abstract
AIM: The aim of this study was to analyse the relationships among structural empowerment, the leadership style of managers, and the engagement of nurses in a health organization of Spain. BACKGROUND: Transformational leadership has an impact on patient security and satisfaction as well as the well-being and engagement of healthcare workers. Empowerment is a management practice that is fundamental for professional growth and positively affects the quality of patient care. DESIGN: A cross-sectional study. METHODS: Randomized sample of 131 nurses recruited from 11 health centres with different levels of care was surveyed to assess managers' leadership style, nurse empowerment, and work engagement. The data were analysed by descriptive and correlational statistics and hierarchical mediated regression. RESULTS: The transformational leadership of the nurse manager directly and positively influences the structural empowerment of nurses. The structural empowerment of nurses directly and positively influences engagement. The transformational leadership of managers positively influences nurse engagement through the mediating effect of structural empowerment. CONCLUSION: The structural empowerment of nurses acts as a mediator between the transformational leadership of nurse managers and nurse engagement. PRACTICAL IMPLICATION: The transformational leadership of nurse managers at the unit level has a double impact on staff nurses: first, increasing empowerment and second, increasing the engagement of the nurse staff.
AIM: The aim of this study was to analyse the relationships among structural empowerment, the leadership style of managers, and the engagement of nurses in a health organization of Spain. BACKGROUND: Transformational leadership has an impact on patient security and satisfaction as well as the well-being and engagement of healthcare workers. Empowerment is a management practice that is fundamental for professional growth and positively affects the quality of patient care. DESIGN: A cross-sectional study. METHODS: Randomized sample of 131 nurses recruited from 11 health centres with different levels of care was surveyed to assess managers' leadership style, nurse empowerment, and work engagement. The data were analysed by descriptive and correlational statistics and hierarchical mediated regression. RESULTS: The transformational leadership of the nurse manager directly and positively influences the structural empowerment of nurses. The structural empowerment of nurses directly and positively influences engagement. The transformational leadership of managers positively influences nurse engagement through the mediating effect of structural empowerment. CONCLUSION: The structural empowerment of nurses acts as a mediator between the transformational leadership of nurse managers and nurse engagement. PRACTICAL IMPLICATION: The transformational leadership of nurse managers at the unit level has a double impact on staff nurses: first, increasing empowerment and second, increasing the engagement of the nurse staff.
Authors: Lenize Nunes Moura; Silviamar Camponogara; José Luís Guedes Dos Santos; Renata Cristina Gasparino; Rosângela Marion Da Silva; Etiane De Oliveira Freitas Journal: Rev Lat Am Enfermagem Date: 2020-11-06
Authors: Regina Allande-Cussó; Juan Jesús García-Iglesias; Carlos Ruiz-Frutos; Sara Domínguez-Salas; Carmen Rodríguez-Domínguez; Juan Gómez-Salgado Journal: Healthcare (Basel) Date: 2021-03-01