Nurse Aide Decision Making in Nursing Homes: Factors Affecting Empowerment


Article on nurse aide decision making in nursing homes and the factors affecting empowerment.

Creation Date: March 27, 2013
UNT College of Public Affairs and Community Service
UNT Scholarly Works
Total Uses: 105
Past 30 days: 12
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Creator (Author):
Chaudhuri, Tanni

Texas Woman's University

Creator (Author):
Yeatts, Dale E., 1952-

University of North Texas

Publisher Info:
Publisher Name: Blackwell Publishing Ltd.
Place of Publication: [Oxford, United Kingdom]
  • Creation: March 27, 2013

Article on nurse aide decision making in nursing homes and the factors affecting empowerment.

Department: Sociology

This is the pre-print manuscript of an article published in the Journal of Clinical Nursing. Copyright Blackwell Publishing Ltd., available online:


Abstract: Aims and Objectives: To evaluate factors affecting structural empowerment among nurse aides in nursing homes. Background: Structural empowerment can be defined as the actual rather than perceived ability to make autonomous decisions within an organization. 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. Methods: 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 analyze 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. Results: 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. Conclusion: 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.

Physical Description:

32 p.

Keyword(s): decision-making | nurse aides | nursing homes | structural empowerment
Source: Journal of Clinical Nursing, 2013, Oxford: Blackwell Publishing Ltd., pp. 2572-2585
UNT College of Public Affairs and Community Service
UNT Scholarly Works
  • DOI: 10.1111/jocn.12118 |
  • ARK: ark:/67531/metadc271489
Resource Type: Article
Format: Text
Access: Public
Publication Title: Journal of Clinical Nursing
Volume: 22
Issue: 17-18
Page Start: 2572
Page End: 2585
Peer Reviewed: Yes