A longitudinal investigation of structural empowerment profiles among healthcare employees

Baptiste Cougot (), Nicolas Gillet (), Alexandre Morin, Jules Gauvin, Florian Ollierou, Leïla Moret () and Dominique Tripodi ()
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Baptiste Cougot: QualiPsy - Qualité de vie et Santé psychologique [Tours] - UT - Université de Tours, CHU Nantes - Centre Hospitalier Universitaire de Nantes = Nantes University Hospital, IGEIA - Intervention Formation Recherche en Santé Psychosociale et Santé au Travail
Nicolas Gillet: QualiPsy - Qualité de vie et Santé psychologique [Tours] - UT - Université de Tours, IUF - Institut universitaire de France - M.E.N.E.S.R. - Ministère de l'Education nationale, de l’Enseignement supérieur et de la Recherche
Alexandre Morin: Substantive-Methodological Synergy Research Laboratory
Jules Gauvin: IGEIA - Intervention Formation Recherche en Santé Psychosociale et Santé au Travail, CHU Nantes - Centre Hospitalier Universitaire de Nantes = Nantes University Hospital
Florian Ollierou: CHU Nantes - Centre Hospitalier Universitaire de Nantes = Nantes University Hospital, IGEIA - Intervention Formation Recherche en Santé Psychosociale et Santé au Travail
Leïla Moret: SPHERE - MethodS in Patients-centered outcomes and HEalth ResEarch - UT - Université de Tours - INSERM - Institut National de la Santé et de la Recherche Médicale - Nantes Univ - UFR Pharmacie - Nantes Université - UFR des Sciences Pharmaceutiques et Biologiques - Nantes Université - pôle Santé - Nantes Univ - Nantes Université, CHU Nantes - Centre Hospitalier Universitaire de Nantes = Nantes University Hospital
Dominique Tripodi: LPPL - Laboratoire de Psychologie des Pays de la Loire - UA - Université d'Angers - Nantes Univ - UFR LL - Nantes Université - UFR Lettres et Langages - Nantes Université - pôle Humanités - Nantes Univ - Nantes Université, CHU Nantes - Centre Hospitalier Universitaire de Nantes = Nantes University Hospital

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Abstract: Purpose Research on structural empowerment has typically adopted a variable-centered perspective, which is not ideal to study the combined effects of structural empowerment components. This person-centered investigation aims to enhance our knowledge about the configurations, or profiles, of healthcare employees' perceptions of the structural empowerment dimensions present in their workplace (opportunity, information, support, and resources). Furthermore, this study considers the replicability and stability of these profiles over a period of two years, and their outcomes (perceived quality of care, and positive and negative affect). Design Participants completed the same self-reported questionnaires twice, two years apart. Methods A sample of 633 healthcare employees (including a majority of nurses and nursing assistants) participated. Latent transition analyses were performed. Results Five profiles were identified: Low Empowerment, High Information, Normative, Moderately High Empowerment, and High Empowerment. Membership into the Normative and Moderately High Empowerment profiles demonstrated a high level of stability over time (79.1% to 83.2%). Membership in the other profiles was either moderately stable (43.5% for the High Empowerment profile) or relatively unstable (19.7% to 20.4% for the Low Empowerment and High Information profiles) over time. More desirable outcomes (i.e., higher positive affect and quality of care, and lower negative affect) were observed in the High Empowerment profile. Conclusions These results highlight the benefits of high structural empowerment, in line with prior studies suggesting that structural empowerment can act as a strong organizational resource capable of enhancing the functioning of healthcare professionals. These findings additionally demonstrate that profiles characterized by the highest or lowest levels of structural empowerment were less stable over time than those characterized by more moderate levels. Clinical Relevance From an intervention perspective, organizations and managers should pay special attention to employees perceiving low levels of structural empowerment, as they experience the worst outcomes. In addition, they should try to maintain high levels of structural empowerment within the High Empowerment profile, as this profile is associated with the most desirable consequences. Such attention should be fruitful, considering the instability of the High Empowerment and Low Empowerment profiles over time. Registration: NCT04010773 on ClinicalTrials.gov (04 July, 2019)

Keywords: PREPS-16-681; Structural empowerment; Well-being; Quality of care; Person-centered approach; Profile analysis (search for similar items in EconPapers)
Date: 2024
New Economics Papers: this item is included in nep-inv
Note: View the original document on HAL open archive server: https://hal.science/hal-04349766v1
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Published in Journal of Nursing Scholarship, 2024, 56, pp.417-429. ⟨10.1111/jnu.12950⟩

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Persistent link: https://EconPapers.repec.org/RePEc:hal:journl:hal-04349766

DOI: 10.1111/jnu.12950

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