Nurse perceptions of the quality of patient care: Confirming the importance of empowerment and job satisfaction.

Abstract:

AIM:This aim of this study was to investigate the interactive effects of psychological empowerment and job satisfaction on the relationship between high-performance work systems (HPWS) and nurses' perceptions of the quality of patient care they provide. BACKGROUND:Studies of high-performing organizations in a variety of industries have consistently reported a positive relationship between HPWS and performance outcomes. Although many of these studies have been conducted in manufacturing, similar findings of a positive correlation between aspects of HPWS and improved patient outcomes have been reported in international health care studies. METHOD:We used regression analysis with tests of mediation and moderation to analyze survey responses collected in March 2008 of 201 nurses in a large regional Australian health service. FINDINGS:Psychological empowerment fully mediated the relationship between HPWS and perceptions of quality of patient care. Job satisfaction moderated the relationship between HPWS and perceptions of quality of patient care. CONCLUSION:Hospital managers should focus on promoting HPWS and ensuring that nurse unit managers have the competencies to empower and to enhance the job satisfaction of their staff.

journal_name

Health Care Manage Rev

authors

Leggat SG,Bartram T,Casimir G,Stanton P

doi

10.1097/HMR.0b013e3181e4ec55

subject

Has Abstract

pub_date

2010-10-01 00:00:00

pages

355-64

issue

4

eissn

0361-6274

issn

1550-5030

pii

00004010-201010000-00008

journal_volume

35

pub_type

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