Structural empowerment and nurses’ patient identification behaviors: a cross-sectional study

Abstract

Purpose

The purpose of this paper is to identify the relationships between structural empowerment and patient identification behaviors of nurses.

Design/methodology/approach

The present study was a descriptive survey using a self-reported questionnaire, following a quality improvement project at a hospital in South Korea. The participants included 984 registered nurses, who administer medication and transfusions to patients in the hospital. Data were analyzed using the t-test, ANOVA, Scheffé’s test, Pearson correlation coefficients and multiple regression analysis.

Findings

The patient identification behaviors of nurses were significantly correlated with opportunity, support, information, resources, formal power and informal power of structural empowerment. The support, information and informal power of structural empowerment, as well as the age and gender of the participants explained 10.7 percent of the variance in the patient identification behaviors of nurses.

Research limitations/implications

The present study has some limitations. Although the data collected by the cross-sectional survey were analyzed, causal analysis could not have been conducted. Nursing managers can promote safety by creating a work environment that facilitates access to the support, information and resources needed for nurses to perform their duties effectively; providing opportunities for nurses to learn and develop professionally; acknowledging the achievements of nurses; and expanding their duties, so that nurses can demonstrate greater work flexibility. Future studies should investigate structural empowerment in multiple nursing organizations, and particularly the organizational characteristics that affect structural empowerment.

Originality/value

The present study confirms that structural empowerment influences the patient identification behaviors of nurses.

Citation

Kim, Y.M. and Kim, S.Y. (2019), "Structural empowerment and nurses’ patient identification behaviors: a cross-sectional study", International Journal of Health Care Quality Assurance, Vol. 32 No. 5, pp. 832-843. https://doi.org/10.1108/IJHCQA-03-2018-0077