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Situational and dispositional influences on nurses' workplace well-being: the role of empowering unit leadership.
Nurs Res. 2011 Mar-Apr; 60(2):124-31.NR

Abstract

BACKGROUND

Unit-level leadership and structural empowerment play key roles in creating healthy work environments, yet few researchers have examined these contextual effects on nurses' well-being.

OBJECTIVES

The aim of this study was to test a multilevel model of structural empowerment examining the effect of nursing unit leadership quality and structural empowerment on nurses' experiences of burnout and job satisfaction and to examine the effect of a personal dispositional variable, core self-evaluation, on these nurse experiences.

METHODS

Nurses (n = 3,156) from 217 hospital units returned surveys that included measures of leader-member exchange, structural empowerment, burnout, core self-evaluation, and job satisfaction. Multilevel structural equation modeling was used to test the model.

RESULTS

Nurses' shared perceptions of leader-member exchange quality on their units positively influenced their shared perceptions of unit structural empowerment (Level 2), which resulted in significantly higher levels of individual nurse job satisfaction (Level 1). Unit-level leader-member exchange quality also directly influenced individual nurse job satisfaction. Unit leader-member exchange quality and structural empowerment influenced emotional exhaustion and cynicism differentially. Higher unit-level leader-member exchange quality was associated with lower cynicism; higher unit-level structural empowerment was associated with lower emotional exhaustion. At Level 1, higher core self-evaluation was associated with lower levels of both emotional exhaustion and cynicism, both of which were associated with lower job satisfaction.

DISCUSSION

This study provides a theoretical understanding of how unit leadership affects both unit- and individual-level outcomes.

Authors+Show Affiliations

Faculty of Health Sciences, School of Nursing,University of Western Ontario, 1151 Richmond Street, London, Ontario, Canada, Canada. hkl@uwo.ca; alaw1@uwo.caNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

21317827

Citation

Spence Laschinger, Heather K., et al. "Situational and Dispositional Influences On Nurses' Workplace Well-being: the Role of Empowering Unit Leadership." Nursing Research, vol. 60, no. 2, 2011, pp. 124-31.
Spence Laschinger HK, Finegan J, Wilk P. Situational and dispositional influences on nurses' workplace well-being: the role of empowering unit leadership. Nurs Res. 2011;60(2):124-31.
Spence Laschinger, H. K., Finegan, J., & Wilk, P. (2011). Situational and dispositional influences on nurses' workplace well-being: the role of empowering unit leadership. Nursing Research, 60(2), 124-31. https://doi.org/10.1097/NNR.0b013e318209782e
Spence Laschinger HK, Finegan J, Wilk P. Situational and Dispositional Influences On Nurses' Workplace Well-being: the Role of Empowering Unit Leadership. Nurs Res. 2011 Mar-Apr;60(2):124-31. PubMed PMID: 21317827.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Situational and dispositional influences on nurses' workplace well-being: the role of empowering unit leadership. AU - Spence Laschinger,Heather K, AU - Finegan,Joan, AU - Wilk,Piotr, PY - 2011/2/15/entrez PY - 2011/2/15/pubmed PY - 2011/5/4/medline SP - 124 EP - 31 JF - Nursing research JO - Nurs Res VL - 60 IS - 2 N2 - BACKGROUND: Unit-level leadership and structural empowerment play key roles in creating healthy work environments, yet few researchers have examined these contextual effects on nurses' well-being. OBJECTIVES: The aim of this study was to test a multilevel model of structural empowerment examining the effect of nursing unit leadership quality and structural empowerment on nurses' experiences of burnout and job satisfaction and to examine the effect of a personal dispositional variable, core self-evaluation, on these nurse experiences. METHODS: Nurses (n = 3,156) from 217 hospital units returned surveys that included measures of leader-member exchange, structural empowerment, burnout, core self-evaluation, and job satisfaction. Multilevel structural equation modeling was used to test the model. RESULTS: Nurses' shared perceptions of leader-member exchange quality on their units positively influenced their shared perceptions of unit structural empowerment (Level 2), which resulted in significantly higher levels of individual nurse job satisfaction (Level 1). Unit-level leader-member exchange quality also directly influenced individual nurse job satisfaction. Unit leader-member exchange quality and structural empowerment influenced emotional exhaustion and cynicism differentially. Higher unit-level leader-member exchange quality was associated with lower cynicism; higher unit-level structural empowerment was associated with lower emotional exhaustion. At Level 1, higher core self-evaluation was associated with lower levels of both emotional exhaustion and cynicism, both of which were associated with lower job satisfaction. DISCUSSION: This study provides a theoretical understanding of how unit leadership affects both unit- and individual-level outcomes. SN - 1538-9847 UR - https://www.unboundmedicine.com/medline/citation/21317827/Situational_and_dispositional_influences_on_nurses'_workplace_well_being:_the_role_of_empowering_unit_leadership_ L2 - https://doi.org/10.1097/NNR.0b013e318209782e DB - PRIME DP - Unbound Medicine ER -