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International Journal of Academic Research in Business and Social Sciences

Open Access Journal

ISSN: 2222-6990

Nurses’ Perception of Structural Empowerment in Commitment Towards Quality Improvement Sustainability

Elaine Heng, Beni Widarman Yus Kelana, Saiful Azizi Ismail, Sanil S Hishan

http://dx.doi.org/10.6007/IJARBSS/v11-i8/10682

Open access

The purpose of this study is to examine the level of nurses’ perception on key predictors of structural empowerment that provided at workplace, which could influence the nurses’ commitment towards sustainability activities through QI in healthcare, Malaysia. The researcher has utilized the dominant elements of the Quality Improvement Framework (2016) developed by National Improvement (QI) team and relate to the conceptual links of Kanter’s Structural Theory of Power in Organizations (1977, 1993) to form the conceptual framework to support the current basic quantitative study. A total of 315 nurses from 5 private specialist hospitals in Johor, Malaysia was participated in the current study. Data were analyzed using descriptive statistics and structural equation modelling (SEM) analyses. Through descriptive statistics, results revealed that the nurses perceived themselves to empower with moderate to high level of powers gains through their existing formal and informal QI activities/system, as well as accesses to job-related empowerment structures in the workplace that could enhanced their commitment towards QI sustainability. SEM analysis indicated that a significant effect of job-related empowerment structures and the nurses’ commitment towards sustainable QI practices in local private healthcare sector in Johor, Malaysia. In conclusion, nurses can be empowered for sustainability activities through QI at all levels in the healthcare organization if they are empowering with sufficient and efficient of fundamental keys of job-related empowerment structures in workplace.

Abbasi, K. (2013). Sustainable Health Systems. (Ed.), World Economic Forum, Geneva, Switzerland.
Abdallah, A. (2014). Implementing quality initiatives in healthcare organizations: drivers and challenges, International Journal of Health Care Quality Assurance, 27 (3), pp. 166-181.
Aiken, L. H., Sloane, D. M., Bruyneel, L., Van den Heede, K., Griffiths, P., Busse, R., Diomidous, M., Kinnunen, J., Kózka, M., Lesaffre, E., McHugh, M. D., Moreno-Casbas, M. T., Rafferty, A. M., Schwendimann, R., Scott, P. A., Tishelman, C., van Achterberg, T., Sermeus, W., & RN4CAST consortium (2014). Nurse staffing and education and hospital mortality in nine European countries: a retrospective observational study. Lancet (London, England), 383(9931), 1824–1830. https://doi.org/10.1016/S0140-6736(13)62631-8
Andreasson, J., Eriksson, A., and Dellve, L. (2016). Health care managers ‘views on and approaches toimplementing models for improving care processes’, Journal of Nursing Management, Vol. 24No. 2, pp. 219-227
Chandler, G. (1986). The relationship of nursing work environment to empowerment and powerlessness, [Doctoral dissertation, University of Utah], ProQuest Dissertations and Thesis database.
https://collections.lib.utah.edu/dl_files/09/5c/095c3de8e3e533e69660380b5d7c93808a7a77ad.pdf.
Doyle, C., Howe, C., Woodcock, T., Myron, R., Phekoo, K., McNicholas, C., Saffer, J., & Bell, D. (2013). Making change last: applying the NHS institute for innovation and improvement sustainability model to healthcare improvement. Implementation science : IS, 8, 127. https://doi.org/10.1186/1748-5908-8-127
Ebrahimi, H., Hosseini, M. F., Amirnia, M., Mehraee, A., Jamali, V., Hejazi, S. A. (2012). Factors Influencing Nurses. Participation in Continuing Education Programs in Tabriz University of Medical Sciences, Iranian Journal of Medical Education, 12(7), pp. 518–526.
Frich, J. C., Brewster, A. L., Cherlin, E. J., Bradley, E. H. (2015). Leadership development programs for physicians, J Gen Int Med, 30, pp. 656–74.
Hair, J. F. J., Hult, G. T. M., Ringle, C., & Sarstedt, M. (2014). A Primer on Partial Least Squares Structural Equation Modeling (PLS-SEM). Long Range Planning (Vol. 46). https://doi.org/10.1016/j.lrp.2013.01.002
Homer, C. S. E., Friberg, I. K., Dias, M. A. B., Ten Hoope-Bender, P., Sandall, J., Speciale, A. M., & Bartlett, L. A. (2014). The projected effect of scaling up midwifery. In The Lancet. https://doi.org/10.1016/S0140-6736(14)60790-X
Institute of Medicine. (2015). Measuring the Impact of Interprofessional Education on Collaborative Practice and Patient Outcomes, The National Academies Press, Washington, DC. https://doi.org/10.17226/21726.
Kanter, R. M. (1993). Men and women of the corporation (2nd ed.). Basic Books. A
Laschinger, H. K., Finegan, J., Shamian, J., & Wilk, P. (2001). Impact of structural and psychological empowerment on job strain in nursing work settings: expanding Kanter's model. The Journal of nursing administration, 31(5), 260–272. https://doi.org/10.1097/00005110-200105000-00006
Lewis, S., & McGowan, B. (2015). Newly qualified nurses, experiences of a preceptorship’, British Journal of Nursing, 24(1), pp. 40–43. http://dx.doi.org/10.12968/bjon.2015.24.1.40.
Marshall, E. S. (2011). Transformational Leadership in Nursing: From expert Clinician to influential Leaders, New York, NY: Springer Publishing Company, LLC.
Martensson, G., Engstrom, M., Mamhidir, A.G., & Kristofferzon, M.L. (2012). What are structural conditions of importance to preceptors’ performance? Nurse Education Today, 33(5), pp. 444-449. doi: 10.1016/j.nedt.2012.04.015.
Member of The Perseus Books Group.
Morrell, D. L. (2011). Employee Perceptions and the Motivation of Nonmonetary Incentives, Compensation and Benefits Review, 43 (5), pp. 318–23.
Nilsen, P., Seing, I., Ericsson, C., Birken, S. A., & Schildmeijer, K. (2020). Characteristics of successful changes in health care organizations: an interview study with physicians, registered nurses and assistant nurses. BMC health services research, 20(1), 147. https://doi.org/10.1186/s12913-020-4999-8
Porter-O’Grady T. (2001). Is shared governance still relevant? The Journal of Nursing Administration, 32, pp. 2-97.
Quality Improvement Division. (2018). Report of the review of the application of the Framework for Improving Quality in our Health services: Learning to guide future approaches. https://www.hse.ie/eng/about/who/qid/framework-for-quality-improvement/executive-summary-review-of-the-framework-for improving-quality.pdf
Rajasekhar, P., Rees, C., Nixon, C., East, J., and Brown, S. (2016). Factors influencing change in clinical practice: a qualitative evaluation of the implementation of the QI in colonoscopy study, International Journal of Health Care Quality Assurance, 29 (1), pp. 5-15.
Reader, T. W. (2017). Team decision making In Salas R. R. E., & Passmore J. (Eds.), The Wiley Blackwell handbook of the psychology of team working and collaborative processes, pp. 271–296, West Sussex, UK: Wiley Blackwell.
Torres, Y. M. (2017). Influence of Work Environment Conditions on the Ability of Critical Care Nurses to Provide Efficacious Nursing Care in Puerto Rico, [Doctoral Dissertations, University of Massachusetts Amherst],
ScholarWorks@UMassAmhers.https://scholarworks.umass.edu/dissertations_2/1132
Trede, F., Sutton, K., & Bernoth, M. (2015). Conceptualizations and perceptions of the Nurse preceptor’s role: A scoping review, Nurse Education Today, 36(2016), pp. 268-274. http://dx.doi.org/10.1016/j.nedt.2015.07.032.
Van Oostveen, C., & Vermeulen, H. (2017). Greater nurse autonomy associated with lower mortality and failure to rescue rates. Evidence-based nursing, 20(2), 56. https://doi.org/10.1136/eb-2016-102591

In-Text Citation: (Heng et al., 2021)
To Cite this Article: Heng, E., Kelana, B. W. Y., Ismail, S. A., & Hishan, S. S. (2021). Nurses’ Perception of Structural Empowerment in Commitment Towards Quality Improvement Sustainability. International Journal of Academic Research in Business and Social Sciences, 11(8), 113–124.