护士结构授权与心理授权的关系

Correlation Study on Nurses'Structural Empowerment and Psychological Empowerment

目的调查护士结构授权和心理授权水平,分析两者之间的关系,为护理管理者改善护士工作环境、提高管理效率提供依据。方法采用问卷调查法,对上海市2所综合医院的206名护士的工作效能与心理授权情况进行调查。结果护士结构授权总分为(17.42±3.059)分,处于中等水平;心理授权总分为(3.49±0.583)分,处于中等偏上水平;结构与心理授权呈显著正相关(P<0.01);结构授权中的正式权力、信息和非正式权力是护士心理授权的预测变量(P<0.01)。结论我国护士结构和心理授权水平还有待于进一步提升;本研究建立的心理授权多元线性回归模型基本反映了其与结构授权之间的相互关系;提示护理管理者需注重创造结构性授权环境,注重信息传达与提高护士正式与非正式权力,从而提高护士心理授权水平,稳定护士队伍,提高护士工作效率和护理质量。

Objective To investigate nurses＇ structural empowerment and psychological empowerment,and analyze the correlation between them,with a view to providing evidences for improving nursing settings and management efficiency.Methods A total of 206 nurses from two general hospitals in Shanghai were investigated with questionnaire survey.Results The nurses were observed with a moderate level of overall structural empowerment（17.42±3.059）.The mean score of nurses＇ psychological empowerment was at medium and slightly higher level（3.49±0.583）.There was a significant positive correlation between nurses＇ structural empowerment and psychological empowerment（P0.01）.The predictors of nurses＇ psychological empowerment were formal power,information and informal power in structural empowerment（P0.01）.Conclusion There is room for nurse administrators to improve nurses＇ structural empowerment and psychological empowerment in China.The multiple linear regression model in this study basically reflects the relationship between psychological empowerment and structural empowerment.Nurses＇ administrators must create structural environment that empower to nurses,especially by ensuring nurses having access to the information and obtaining a high degree of formal and informal power,so as to improve nurses＇ psychological empowerment,maintain the stability of nursing team,improve work efficiency and the quality of care.