On the merits of coherent leadership empowerment behaviors: A mixture regression approach

A longitudinal investigation of structural empowerment profiles among healthcare employees

PURPOSE

Research on structural empowerment has typically adopted a variable-centered perspective, which is not ideal to study the combined effects of structural empowerment components. This person-centered investigation aims to enhance our knowledge about the configurations, or profiles, of healthcare employees' perceptions of the structural empowerment dimensions present in their workplace (opportunity, information, support, and resources). Furthermore, this study considers the replicability and stability of these profiles over a period of 2 years, and their outcomes (perceived quality of care, and positive and negative affect).

DESIGN

Participants completed the same self-reported questionnaires twice, 2 years apart.

METHODS

A sample of 633 healthcare employees (including a majority of nurses and nursing assistants) participated. Latent transition analyses were performed.

RESULTS

Five profiles were identified: Low Empowerment, High Information, Normative, Moderately High Empowerment, and High Empowerment. Membership into the Normative and Moderately High Empowerment profiles demonstrated a high level of stability over time (79.1% to 83.2%). Membership in the other profiles was either moderately stable (43.5% for the High Empowerment profile) or relatively unstable (19.7% to 20.4% for the Low Empowerment and High Information profiles) over time. More desirable outcomes (i.e., higher positive affect and quality of care, and lower negative affect) were observed in the High Empowerment profile.

CONCLUSIONS

These results highlight the benefits of high structural empowerment, in line with prior studies suggesting that structural empowerment can act as a strong organizational resource capable of enhancing the functioning of healthcare professionals. These findings additionally demonstrate that profiles characterized by the highest or lowest levels of structural empowerment were less stable over time than those characterized by more moderate levels.

CLINICAL RELEVANCE

From an intervention perspective, organizations and managers should pay special attention to employees perceiving low levels of structural empowerment, as they experience the worst outcomes. In addition, they should try to maintain high levels of structural empowerment within the High Empowerment profile, as this profile is associated with the most desirable consequences. Such attention should be fruitful, considering the instability of the High Empowerment and Low Empowerment profiles over time.

REGISTRATION

NCT04010773 on ClinicalTrials.gov (4 July, 2019).

Person-Centered Methodologies in the Organizational Sciences

The 2011 Organizational Research Methods Feature Topic on latent class procedures has helped to establish person-centered analyses as a method of choice in the organizational sciences. This establishment has contributed to the generation of substantive-methodological synergies leading to a better understanding of a variety of organizational phenomena and to an improvement in research methodologies. The present Feature Topic aims to provide a user-friendly introduction to these new methodological developments for applied organizational researchers. Organized around a presentation of the typological, prototypical, and methodologically exploratory nature of person-centered analyses, this introductory article introduces seven contributions aiming to: (a) clarify the meaning, advantages, and applications of person-centered analyses; (b) illustrate emerging prototypical and longitudinal cluster analytic approaches; (c) introduce researchers to multilevel person-centered analyses as well as to auxiliary approaches that will drastically increase the scope of application of these methods; and (d) describe the application of these methods for confirmatory purposes.

Putting the “Person” in the Center

This article provides a review and synthesis of person-centered analytic (i.e., clustering) methods in organizational psychology with the aim of (a) placing them into an organizing framework to facilitate analysis and interpretation and (b) constructing a set of practical recommendations to guide future person-centered research. To do so, we first clarify the terminological and conceptual issues that still cloud person-centered approaches. Next, we organize the diverse kinds of person-centered analyses into two major statistical approaches, algorithmic and latent-variable approaches. We then present a literature review that quantifies how these two approaches have been used within our field, identifying trends over time and typical study characteristics. Out of this review, we construct a unifying taxonomy of the five ways in which clusters are differentiated: (1) construct-based patterns, (2) response-style patterns, (3) predictive relations, (4) growth trajectories, and (5) measurement models. We also provide a set of practical guidelines for researchers and highlight a few remaining questions and/or areas in which future work is needed for further advancing person-centered methodologies.