Exploring the Impact of Structural Empowerment in Long-Term Care
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Nurses employed in long-term care settings have the highest rate to leave their positions within a year compared to other healthcare workers. Ensuring workforce stability in long-term care is a growing challenge for healthcare leaders and researchers. The purpose of this doctoral project was to explore the role of empowerment and the impact it has on the retention of long-term care nursing staff. The study was a cross-sectional design with a descriptive approach evaluating the correlation between work empowerment and job satisfaction. Non-randomized, convenience sampling was used. Nurses who met the inclusion criteria received a structured questionnaire which contained the Psychological Empowerment Instrument, the Conditions of Work Effectiveness Questionnaire-II (CWEQ-II), and the Job Descriptive Index (JDI). Thirty nurses met inclusion criteria and agreed to participate. However only 25 nurses completed and returned their questionnaires. Results of this project reveal that structural empowerment plays a mediating effect in relation to psychological empowerment and job satisfaction. Empowered nurses are more productive, experience less burnout and turnover, and commit fewer errors. The cost associated with a single nursing turnover event ranges between $10,098 and $88,000. Safety is compromised when operating budgets are consumed with nurse vacancy costs. Highlighting areas of strength and weakness within the facility gives administration critical knowledge on ways to create a sustainable and thriving work culture.
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