Perceptions of nurses on access to structural empowerment in a hospital in the Western Cape

Exploring the Link Between Structural Empowerment, Workplace Bullying, and Continuance Commitment: The Role of Person-Related and Work-Related Bullying as Mediators and Serial Mediators

Employee empowerment as a management intervention promotes employee engagement: Psychological empowerment is found to influence employee engagement and organizational commitment, but the effect of structural empowerment (SE) is not explored much. SE increases employees' self-esteem, which can encourage a dissatisfied employee to look for other better work options, thus influencing their continuance commitment (CC). Workplace bullying is associated with higher turnover intentions and reduced commitment. This study investigates the mediating effects of person-related bullying (PB) and work-related bullying (WB) on the relationship between SE and CC. The study findings highlight the partial mediation effect of PB and serial mediation of WB and PB on the relationship between SE and CC. This study establishes that in comparison to WB, PB causes more damage to employee relationships with the organization. Moreover, the serial mediation effect of WB and PB is also noticed on the relationship between SE and CC. Organizations should regularly measure their employees' CC, as SE negatively affects CC. Organizations should take adequate measures to curb PB to preserve employee morale and confidence. This study uniquely reports a negative relationship between SE and CC.

Exploring Nurse perceptions of structural empowerment in midwifery practice in Saudi Arabia: A qualitative study

Perceptions and experiences of midwives regarding structural empowerment during practice in Saudi Arabia were explored using a qualitative, constructive, descriptive design. Data was gathered using individual semi-structured interviews with ten midwives employed in delivery rooms, and prenatal and postnatal units of governmental hospitals in Saudi Arabia's eastern province. Data was analyzed with assistance of NVivo software, Version 12. Five themes emerged from our study: the meaning of structural empowerment, ambiguous hospital policies, the insufficient numbers of midwives, midwife-physician dynamics, and continuing education and training. Structural empowerment of midwives in maternity units may be useful in improving midwifery services in Saudi Arabia and worldwide.

Structural Empowerment, Resilience, and Intent to Stay Among Nurses and Midwives in Obstetrics and Gynecology Departments: A Phenomenological Inquiry Study in Saudi Arabia

Introduction

Staff turnover is a major obstacle to the success of Saudi Arabia's health transformation agenda and the realization of Saudi Vision 2030. Nurses' and midwives' intentions to remain with the organization are heavily influenced by their sense of structural empowerment and resilience.

Objectives

To gain insight into the perspectives of nurses and midwives working in the Obstetrics and Gynecology departments of a selection of Saudi Arabian governmental hospitals about structural empowerment, resilience, and intentions to stay in their current positions.

Methods

Qualitative Descriptive Phenomenology. Purposive sampling was used to choose eighteen nurses and midwives working in the OB/GYN department in three government hospitals in the Eastern Province of Saudi Arabia. Semi-structured interviews were conducted to gather the participants' perceptions. Colaizzi's steps were used as a data analysis method.

Results

The narratives of the selected participants generated five major themes: (a) "nurturing physical and physiological," (b) "developing psychological," (c) "managing financial," (e) "restructuring organizational," and (f) "enriching professional and occupational."

Conclusions

The emerging major themes highlighted the perceptive elements of nurses and midwives that keep them empowered, resilient, and determined to stay in their organization. A failure to fulfill any one of these elements will affect the others. To improve organizational outcomes, empowerment and resilience must be obtained.

The Moderating Effect of Flexible Work Option on Structural Empowerment and Generation Z Contextual Performance

Leading and managing Generation Z can be a daunting task due to the distinct expectations, behaviours, and preferences they bring with them compared to prior generations. As such, when managing Gen Z workers, it is essential that leaders are aware of these variations to effectively manage their teams. Hence, this research endeavours to investigate the role of flexible work options on strengthening the relationship between structural empowerment and contextual work performance among Generation Z. This study employed a quantitative approach via an online questionnaire distributed to full- or part-time employed Gen Z workers in Jeddah, Saudi Arabia working within the wholesale and retail sectors. The purpose of this study is, therefore, to determine the impact of the moderating effect of flexible work options on the relationship between structural empowerment and Gen Z employee work performance. The findings suggest that H1, the moderating effect of the flexible work option on the opportunity and contextual work performance relationship, is not supported, while H2 and H3, the moderating effect of the Flexible work option on the relationships of support as well as information and contextual work performance, are both supported. However, it has a negative effect on the relationship between access to support and Gen Z contextual work performance and a positive effect on the relationship between access to information and Gen Z contextual work performance. The study's findings highlight the necessary structural empowerment for enhancing Generation Z's contextual work performance, offering useful information to management, policy makers, and the business as a whole.

Leadership to improve nurse engagement and empowerment: evidences to improve the training of nurses

Aim

The objective of this study was to identify the key dimensions of transformational leadership that influence the promotion of engagement and structural empowerment in a population of nurses from different care settings.

Method

A cross-sectional survey study asking about engagement, leadership style and structural empowerment was used. Descriptive and correlational statistics were applied followed by hierarchical regression. 131 nurses were recruited from a Spanish health organisation using random sampling.

Results

Individualised consideration and intellectual stimulation were predictors of structural empowerment in a hierarchical regression of transformational leadership dimensions controlled by demographic variables (R2=0.467). In addition, intellectual stimulation was a predictor of engagement (R2=0.176).

Conclusion

The results are the starting point for the design of an organisationwide educational intervention to increase the engagement of nurses and staff development.