Education and competence
Nurse aide decision making in nursing homes: factors affecting empowerment
Article first published online: 27 MAR 2013
© 2013 Blackwell Publishing Ltd
Journal of Clinical Nursing
Volume 22, Issue 17-18, pages 2572–2585, September 2013
How to Cite
Chaudhuri, T., Yeatts, D. E. and Cready, C. M. (2013), Nurse aide decision making in nursing homes: factors affecting empowerment. Journal of Clinical Nursing, 22: 2572–2585. doi: 10.1111/jocn.12118
- Issue published online: 15 JUL 2013
- Article first published online: 27 MAR 2013
- Manuscript Accepted: 2 OCT 2012
- nurse aide;
- nursing homes;
- structural empowerment
Aims and objectives
To evaluate factors affecting structural empowerment among nurse aides in nursing homes.
Structural empowerment can be defined as the actual rather than perceived ability to make autonomous decisions within an organisation. Given the paucity of research on the subject, this study helps to close the gap by identifying factors that affect nurse aide empowerment, that is, decision-making among nurse aides.
The data for the study come from self-administered questionnaires distributed to direct-care workers (nurse aides) in 11 nursing homes in a southern state in the USA. Ordinary least square regression models were estimated to analyse the effects of demographic predictors, personal factors (competency, emotional exhaustion and positive attitude) and structural characteristics (coworker and supervisor support, information availability and shared governance) on nurse aide decision-making.
Findings suggest race among demographic predictors, emotional exhaustion among personal characteristics, and supervisor support, and shared governance among structural factors, significantly affect nurse aide decision-making.
It is important to explore race as one of the central determinants of structural empowerment among nurse aides. In addition, the nature and type of emotional exhaustion that propels decision-making needs to be further examined.
Relevance to clinical practice
The study shows the importance of shared governance and supervisor support for fostering nurse aide empowerment.