ArticleBMC health services research2024
Individual and unit level insights from hospital staff ratings on structural empowerment, leadership-management performance, well-being, and quality of care.
Article in BMC health services research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
7 citing papers in PubMed.
- Job resources, job demands, and their relationships with thriving, burnout, and work-life conflict among Swedish nursing staff.BMC nursing · 2026Article
- The Mediating Role of Psychological Capital in the Relationship Between Professional Nursing Governance, Nurses' Perceived Care Quality and Job Satisfaction.Journal of nursing management · 2026Article
- Article
- Current status of career adaptability among Chinese cardiovascular specialist nurses: a latent profile analysis.BMC nursing · 2025Article
- Alarm fatigue mitigation through nurse empowerment: a pre-post intervention study in two intensive care units.BMC nursing · 2025Article
- First-line managers' experiences of and reflections on structural conditions for management practice in hospital settings.Leadership in health services (Bradford, England) · 2024Article
- Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLeadership and access to structural empowerment are known to influence the work life experiences of staff and quality of care. Knowledge about relationships between specific factors of structural empowerment, leadership and management, staff well-being and quality of care at both an individual and unit level is scarce.
aimTo study the relationship between staff-rated access to empowering structures, leadership and management performance, well-being, and quality of care in hospital settings measured at the individual level and aggregated at the unit level.
methodsA cross-sectional correlative design was applied. Questionnaire data from 331 randomized hospital nursing staff working at 38 units in 25 hospitals in Sweden were analyzed using bivariate correlations and general estimation equation (GEE) models.
resultsResults from the bivariate analysis of relationships confirmed earlier research. In the GEE models, some unexpected results were found and differences between the individual and unit levels. Adding management and leadership as independent factors in the second model showed few relationships of significance to the outcome variables.
conclusionResults confirm the importance of staff access to empowering structures in relation to well-being and quality of care. Differences and similarities were shown when studying these relationships at both the individual and unit level. The findings feature implications for hospital management to promote staff access to empowering structures. The findings provide information on how these structures relate to the individual and the unit; information that could be useful when planning or implementing strategies with the aim to promote staff well-being and care quality. The non-significant results for leadership and management in relation to staff outcomes in the GEE-models, raise questions for further research where a shift from individual to organizational focused performances within the field of leadership is implied.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.