• This record comes from PubMed

Graduating Nursing Students' Empowerment and Related Factors: Comparative Study in Six European Countries

. 2022 Apr 19 ; 10 (5) : . [epub] 20220419

Status PubMed-not-MEDLINE Language English Country Switzerland Media electronic

Document type Journal Article

Grant support
2017_2018 THE FINNISH NURSING EDUCATION FOUNDATION SR

Links

PubMed 35627891
PubMed Central PMC9140337
DOI 10.3390/healthcare10050754
PII: healthcare10050754
Knihovny.cz E-resources

New nurses are needed in healthcare. To meet the role expectations of a registered nurse, nursing students must feel empowered at graduation. However, there are only a few studies focusing on nursing students' empowerment. This study aims to describe and analyze graduating nursing students' level of empowerment in six European countries and potential related factors. A comparative and cross-sectional study was performed in the Czech Republic, Finland, Italy, Portugal, Slovakia, and Spain with graduating nursing students (n = 1746) using the Essential Elements of Nurse Empowerment scale. Potentially related factors included age, gender, a previous degree in health care, work experience in health care, graduation to first-choice profession, intention to leave the nursing profession, level of study achievements, satisfaction with the current nursing programme, clinical practicums, theoretical education, and generic competence measured with the Nurse Competence Scale. The data were analysed statistically. Graduating nursing students' self-assessed level of empowerment was moderate, with statistical differences between countries. Those with high empowerment had no intention to leave the nursing profession, had a higher level of study achievements, and a higher self-assessed generic competence level. The results suggest that empowerment needs to be enhanced during nursing education. Further research is needed to understand the development of empowerment during the early years of a nursing career.

See more in PubMed

World Health Organization State of the World’s Nursing 2020: Investing in Education, Jobs and Leadership. 2020. [(accessed on 24 March 2022)]. Available online: https://www.who.int/publications/i/item/9789240003279.

World Health Organization Health 2020: A European Policy Framework Supporting Action across Government and Society for Health and Well-Being. 2020. [(accessed on 24 March 2022)]. Available online: https://www.euro.who.int/__data/assets/pdf_file/0006/199536/Health2020-Short.pdf.

International Council of Nurses Nurses’ Role in Achieving the Sustainable Development Goals. 2017. [(accessed on 24 March 2022)]. Available online: https://www.icnvoicetolead.com/wp-content/uploads/2017/04/ICN_AVoiceToLead_guidancePack-9.pdf.

World Health Organization Urgent Health Challenges for the Next Decade. 2020. [(accessed on 24 March 2022)]. Available online: https://www.who.int/news-room/photo-story/photo-story-detail/urgent-health-challenges-for-the-next-decade.

European Commission Forces Shaping and Challenging the Resilience of the Health Work Force. 2020. [(accessed on 24 March 2022)]. Available online: https://ec.europa.eu/health/workforce/overview_en.

Scheffler R.M., Arnold D.R. Projecting shortages and surpluses of doctors and nurses in the OECD: What looms ahead. Health Econ. Policy Law. 2019;14:274–290. doi: 10.1017/S174413311700055X. PubMed DOI

Moore S.C., Ward K.S. Nursing student perceptions of structural empowerment. Nurs. Educ. Perspect. 2017;38:32–33. doi: 10.1097/01.NEP.0000000000000096. PubMed DOI

Kennedy S., Hardiker N., Staniland K. Empowerment an essential ingredient in the clinical environment: A review of the literature. Nurse Educ. Today. 2015;35:487–492. doi: 10.1016/j.nedt.2014.11.014. PubMed DOI

Leineweber C., Chungkham H.S., Lindqvist R., Westerlund H., Runesdotter S., Smeds Alenius L., Tishelman C., RN4CAST Consortium Nurses’ practice environment and satisfaction with schedule flexibility is related to intention to leave due to dissatisfaction: A multi-country, multilevel study. Int. J. Nurs. Stud. 2016;58:47–58. doi: 10.1016/j.ijnurstu.2016.02.003. PubMed DOI

Kajander-Unkuri S., Koskinen S., Brugnolli A., Cerezuela Torre M.A., Elonen I., Kiele V., Lehwaldt D., Löyttyniemi E., Nemcová J., Simão de Oliveira C., et al. The level of competence of graduating nursing students in 10 European countries—Comparison between countries. Nurs. Open. 2021;8:1048–1062. doi: 10.1002/nop2.712. PubMed DOI PMC

Sasso L., Bagnasco A., Catania G., Zanini M., Aleo G., Watson R., RN4CAST@IT Working Group Push and pull factors of nurses’ intention to leave. J. Nurs. Manag. 2019;27:946–954. doi: 10.1111/jonm.12745. PubMed DOI

Duchscher J.E.B. Transition shock: The initial stage of role adaptation for newly graduated registered nurses. J. Adv. Nurs. 2009;65:1103–1113. doi: 10.1111/j.1365-2648.2008.04898.x. PubMed DOI

Labrague L.J., McEnroe-Petitte D.M. Job stress in new nurses during the transition period: An integrative review. Int. Nurs. Rev. 2018;65:491–504. doi: 10.1111/inr.12425. PubMed DOI

Nantsupawat A., Kunaviktikul W., Nantsupawat R., Wichaikhum O.A., Thienthong H., Poghosyan L. Effects of nurse work environment on job dissatisfaction, burnout, intention to leave. Int. Nurs. Rev. 2017;64:91–98. doi: 10.1111/inr.12342. PubMed DOI

Li H., Shi Y., Li Y., Xing Z., Wang S., Ying J., Zhang M., Sun J. Relationship between nurse psychological empowerment and job satisfaction: A systematic review and meta-analysis. J. Adv. Nurs. 2018;74:1264–1277. doi: 10.1111/jan.13549. PubMed DOI

Favaro A., Wong C., Oudshoorn A. Relationships among sex, empowerment, workplace bullying and job turnover intention of new graduate nurses. J. Clin. Nurs. 2021;30:1273–1284. doi: 10.1111/jocn.15671. PubMed DOI

Kuokkanen L., Leino-Kilpi H. Power and empowerment in nursing: Three theoretical approaches. J. Adv. Nurs. 2000;31:235–241. doi: 10.1046/j.1365-2648.2000.01241.x. PubMed DOI

Woodward K.F. Individual nurse empowerment: A concept analysis. Nurs. Forum. 2020;55:136–143. doi: 10.1111/nuf.12407. PubMed DOI

Kuokkanen L., Leino-Kilpi H., Numminen O., Isoaho H., Flinkman M., Meretoja R. Newly graduated nurses’ empowerment regarding professional competence and other work-related factors. BMC Nurs. 2016;15:22. doi: 10.1186/s12912-016-0143-9. PubMed DOI PMC

Regan S., Laschinger H.K., Wong C. The influence of empowerment, authentic leadership, and professional practice environments on nurses’ perceived interprofessional collaboration. J. Nurs. Manag. 2016;24:E54–E61. doi: 10.1111/jonm.12288. PubMed DOI

Fragkos K., Makrykosta P., Frangos C. Structural empowerment is a strong predictor of organizational commitment in nurses: A systematic review and meta-analysis. J. Adv. Nurs. 2020;76:939–962. doi: 10.1111/jan.14289. PubMed DOI

Spreitzer G.M. Psychological empowerment in the workplace: Dimensions, measurement, and validation. Acad. Manag. J. 1995;38:1442–1465. doi: 10.2307/256865. DOI

Kuokkanen L. Ph.D. Thesis. University of Turku; Turku, Finland: Jun 17, 2003. Nurse Empowerment. A Model of Individual and Environmental Factors.

Thomas K.W., Velthouse B.A. Cognitive elements of empowerment: An “interpretive” model of intrinsic task motivation. Acad. Manag. Rev. 1990;15:666–681. doi: 10.2307/258687. DOI

Kuokkanen L., Leino-Kilpi H., Katajisto J. Nurse empowerment, job-related satisfaction, and organizational commitment. J. Nurs. Care Qual. 2003;18:184–192. doi: 10.1097/00001786-200307000-00004. PubMed DOI

Kuokkanen L., Suominen T., Rankinen S., Kukkurainen M.-L., Savikko N., Doran D. Organizational change and work-related empowerment. J. Nurs. Manag. 2007;15:500–507. doi: 10.1111/j.1365-2834.2007.00733.x. PubMed DOI

Tan H.V.D., Conde A.R. Nurse empowerment—Linking demographics, qualities and performance of empowered Filipino nurses. J. Nurs. Manag. 2021;29:1302–1310. doi: 10.1111/jonm.13270. PubMed DOI

Siekkinen M., Kuokkanen L., Kuusisto H., Leino-Kilpi H., Rautava P., Rekunen M., Seppänen L., Stolt M., Walta L., Sulosaari V. Work empowerment among cancer care professionals: A cross-sectional study. BMC Health Serv. Res. 2021;21:502. doi: 10.1186/s12913-021-06528-8. PubMed DOI PMC

Al-Dweik G., Al-Daken L.I., Abu-Snieneh H., Ahmad M.M. Work-related empowerment among nurses: Literature review. Int. J. Prod. Qual. Manag. 2016;19:168–186. doi: 10.1504/IJPQM.2016.10000161. DOI

Ta’an W.F., Alhurani J., Alhalal E., Al-Dwaikat T.N., Al-Faouri I. Nursing empowerment: How job performance is affected by a structurally empowered work environment. J. Nurs. Adm. 2020;50:635–641. doi: 10.1097/NNA.0000000000000951. PubMed DOI

Alhalal E., Alrashidi L.M., Alanazi A.N. Predictors of patient-centered care provision among nurses in acute care setting. J. Nurs. Manag. 2020;28:1400–1409. doi: 10.1111/jonm.13100. PubMed DOI

Kim J.H., Shin H.S. Exploring barriers and facilitators for successful transition in new graduate nurses: A mixed methods study. J. Prof. Nurs. 2020;36:560–568. doi: 10.1016/j.profnurs.2020.08.006. PubMed DOI

Numminen O., Leino-Kilpi H., Isoaho H., Meretoja R. Newly graduated nurses’ competence and individual and organizational factors: A multivariate analysis. J. Nurs. Scholarsh. 2015;47:446–457. doi: 10.1111/jnu.12153. PubMed DOI

Meretoja R., Leino-Kilpi H., Kaira A.M. Comparison of nurse competence in different hospital work environments. J. Nurs. Manag. 2004;12:329–336. doi: 10.1111/j.1365-2834.2004.00422.x. PubMed DOI

Kelley K., Clark B., Brown V., Sitzia J. Good practice in the conduct and reporting of survey research. Int. J. Qual. Health Care. 2003;15:261–266. doi: 10.1093/intqhc/mzg031. PubMed DOI

Polit D.F., Beck C.T. Essentials of Nursing Research: Appraising Evidence for Nursing Practice. 9th ed. Wolters Kluwer Health; Philadelphia, PA, USA: 2018.

Cook C., Heath F., Thompson R.L. A meta-analysis of response rates in web- or internet-based surveys. Educ. Psychol. Meas. 2000;60:821–836. doi: 10.1177/00131640021970934. DOI

Meretoja R., Isoaho H., Leino-Kilpi H. Nurse competence scale: Development and psychometric testing. J. Adv. Nurs. 2004;47:124–133. doi: 10.1111/j.1365-2648.2004.03071.x. PubMed DOI

Flinkman M., Leino-Kilpi H., Numminen O., Jeon Y., Kuokkanen L., Meretoja R. Nurse Competence Scale: A systematic and psychometric review. J. Adv. Nurs. 2017;74:1035–1050. doi: 10.1111/jan.13183. PubMed DOI

Squires A., Aiken L.H., van den Heede K., Sermeus W., Bruyneel L., Lindqvist R., Schoonhoven L., Stromseng I., Busse R., Brzostek T., et al. A systematic survey instrument translation process for multi-country, comparative health workforce studies. Int. J. Nurs. Stud. 2013;50:264–273. doi: 10.1016/j.ijnurstu.2012.02.015. PubMed DOI PMC

All European Academies The European Code of Conduct for Research Integrity. 2017. [(accessed on 24 March 2022)]. Available online: https://allea.org/code-of-conduct/

World Medical Association The World Medical Association Declaration of Helsinki—Ethical Principles for Medical Research Involving Human Subjects. 2013. [(accessed on 24 March 2022)]. Available online: https://www.wma.net/policies-post/wma-declaration-of-helsinki-ethical-principles-for-medical-research-involving-human-subjects/ PubMed

European Commission: Directive 2013/55/EU. [(accessed on 24 March 2022)];2013 Available online: https://www.legislation.gov.uk/eudr/2013/55/contents.

Cusson R.M., Meehan C., Bourgault A., Kelley T. Educating the next generation of nurses to be innovators and change agents. J. Prof. Nurs. 2020;36:13–19. doi: 10.1016/j.profnurs.2019.07.004. PubMed DOI

Almeida S., Montayre J. An integrative review of nurse-led virtual clinics. Nurs. Prax. N. Z. 2019;35:18–28. doi: 10.36951/NgPxNZ.2019.003. DOI

Visiers-Jiménez L., Suikkala A., Salminen L., Leino-Kilpi H., Löyttyniemi E., Henriques M.A., Jiménez-Herrera M., Nemcová J., Pedrotti D., Rua M., et al. Clinical learning environment and graduating nursing students’ competence: A multi-country cross-sectional study. Nurs. Health Sci. 2021;23:398–410. doi: 10.1111/nhs.12819. PubMed DOI

Halter M., Boiko O., Pelone F., Beighton C., Harris R., Gale J., Gourlay S., Drennan V. The determinants and consequences of adult nursing staff turnover: A systematic review of systematic reviews. BMC Health Serv. Res. 2017;17:824. doi: 10.1186/s12913-017-2707-0. PubMed DOI PMC

Glomsås H.S., Tranum T.S., Johannessen A.K. Piloting a practice model in a Norwegian nursing home—A student-managed ward: A way to empower students for the nursing role. Nurse Educ. Pract. 2019;34:161–166. doi: 10.1016/j.nepr.2018.11.017. PubMed DOI

Find record

Citation metrics

Loading data ...

Archiving options

Loading data ...