授权理论在病人健康教育中的应用进展

介绍了授权理论的概念、理论框架、授权的实施步骤、授权教育的特点、授权的内涵及授权健康教育研究现状。     

授权理论在病人健康教育中的应用进展

介绍了授权理论的概念、理论框架、授权的实施步骤、授权教育的特点、授权的内涵及授权健康教育研究现状.     

Psychological empowerment and structural empowerment among nurse practitioners

Abstract
Purpose: Empowering workplaces provide practitioners with access to information, support, resources, and opportunities to learn and grow. Empowerment is also a psychological process, which occurs when one has a sense of motivation in relation to the workplace environment. There is no previous research on the relationship of psychological empowerment and structural empowerment in nurse practitioner (NP) practice.
Data Sources: Structural empowerment was measured using the conditions of work effectiveness questionnaire-II (CWEQ-II), and psychological empowerment was measured using Spreitzer's psychological empowerment scale. The sample consisted of 74 NPs in the state of Connecticut. The correlational scores for the instruments were derived with n = 72 as two subjects had extreme scores on multiple variables and were excluded. There were significant correlations between psychological and structural empowerment for total scores, and within 10 of these tools' subscales.
Conclusions: The NPs who participated in this study scored high on perceptions of structural empowerment and psychological empowerment. The results of the psychological empowerment instrument indicated that the NPs value their work and find meaning in what they do.
Implications for Practice: The relationships between psychological empowerment and structural empowerment have been linked to work effectiveness, quality patient care, cost-effectiveness, and retention. Study results support an implication that it is of critical importance for the organization or practice setting to facilitate both psychological and structural empowerment to the NP to ensure successful practice.     

Patient empowerment

Patient empowerment is defined as helping people to discover and use their own innate ability to gain mastery over their diabetes (Funnell MM, Anderson RM. Diabetes Educ. 1991;17:37-41). While you cannot empower a patient, nurses can use strategies that will assist patients in this process. These include providing education for informed decision-making, assisting patients to weight costs and benefits of various treatment options, setting self-selected behavioral goals, and providing information about the importance of their role in self-management (Funnell et al. Diabetes Educ. 2003;29:454-464). The skills needed by nurses include asking questions in order to understand the patients' fears, concerns, and priorities, listening to responses, and educating and supporting patients for on-going self-management.     

Education and empowerment: securing nursing's future.

If nurses are to make a difference in health care, they must break from the Nightingale tradition of a "good", unquestioning woman. They must become more flexible, more assertive and reflective through education.     

School nurses' perceptions of empowerment and autonomy.

The purpose of this study was to explore Kanter's Theory of Structural Power in Organizations, using school nurses and to answer the research question of whether there is a relationship between empowerment and autonomy in school nurses. This study found a positive relationship between the nurses' perceptions of empowerment and autonomy. The school nurses surveyed perceived themselves to have a high degree of autonomy and a moderate degree of empowerment, and they reported that their access to informal power structures was higher than their access to formal power structures in their school systems. School nurses can benefit by understanding factors that can increase their empowerment in the workplace. They need to understand the organizational structure of their workplace to increase their effectiveness and job satisfaction.