Towards a comprehensive theory of nurse/patient empowerment: applying Kanter’s empowerment theory to patient care

Authors

  • HEATHER K. SPENCE LASCHINGER PhD, RN, FCAHS,

    1. Distinguished University Professor and Research Chair in Human Resource Optimization, Arthur Labatt Family School of Nursing, Faculty of Health Sciences, University of Western Ontario, London, ON, Canada
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  • STEPHANIE GILBERT MSc,

    1. Masters Student, Industrial/Organizational Psychology, Faculty of Science, Saint Mary's University, Halifax, NS, Canada
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  • LESLEY M. SMITH MScN(c), RN,

    1. MScN Student,Arthur Labatt Family School of Nursing, Faculty of Health Sciences, University of Western Ontario, London, ON, Canada
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  • KATE LESLIE BScN, RN, JD

    1. Nursing Doctoral Student, Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, ON, Canada
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Heather K. Spence Laschinger
Arthur Labatt Family School of Nursing
Faculty of Health Sciences
Health Sciences Addition H3A
University of Western Ontario
1151 Richmond Street
London
ON N6A 5C1
Canada
E-mail: hkl@uwo.ca

Abstract

spence laschinger h.k., gilbert s., smith l.m. & leslie k. (2010) Journal of Nursing Management18, 4–13
Towards a comprehensive theory of nurse/patient empowerment: applying Kanter’s empowerment theory to patient care

Aim  The purpose of this theoretical paper is to propose an integrated model of nurse/patient empowerment that could be used as a guide for creating high-quality nursing practice work environments that ensure positive outcomes for both nurses and their patients.

Background  There are few integrated theoretical approaches to nurse and patient empowerment in the literature, although nurse empowerment is assumed to positively affect patient outcomes.

Evaluation  The constructs described in Kanter’s (1993) work empowerment theory are conceptually consistent with the nursing care process and can be logically extended to nurses’ interactions with their patients and the outcomes of nursing care.

Key issues  We propose a model of nurse/patient empowerment derived from Kanter’s theory that suggests that empowering working conditions increase feelings of psychological empowerment in nurses, resulting in greater use of patient empowerment strategies by nurses, and, ultimately, greater patient empowerment and better health outcomes.

Conclusions  Empirical testing of the model is recommended prior to use of the model in clinical practice.

Implications for Nursing Management  We argue that empowered nurses are more likely to empower their patients, which results in better patient and system outcomes. Strategies for managers to empower nurses and for nurses to empower patients are suggested.

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