UNT College of Public Affairs and Community Service
The UNT College of Public Affairs and Community Service works to improve the quality of life in local and global communities through education and community outreach programs, preparing students for vital roles in business, social services, and government positions that address important social issues including aging, disability, and health disparity.
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.
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Chaudhuri, Tanni & Yeatts, Dale E., 1952-.Nurse Aide Decision Making in Nursing Homes: Factors Affecting Empowerment,
article,
March 27, 2013;
[Oxford, United Kingdom].
(https://digital.library.unt.edu/ark:/67531/metadc271489/:
accessed April 25, 2024),
University of North Texas Libraries, UNT Digital Library, https://digital.library.unt.edu;
crediting UNT College of Public Affairs and Community Service.