ArticleJournal of advanced nursing2026
Experiences of Nurses With Power-Structures in Hospital Care: A Qualitative Study.
Article in Journal of advanced nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
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Who cites it
3 citing papers in PubMed.
- Against Hierarchy: Organizing Horizontally in Healthcare.Nursing philosophy : an international journal for healthcare professionals · 2026Article
- Workplace Violence, Burnout, and the Mediating Role of Interprofessional Collaboration Among Nurses in Acute Care: A Scoping Review.Journal of multidisciplinary healthcare · 2026Review
- Putting patients first: how risk awareness drives action among healthcare professionals in Slovakia.Frontiers in psychology · 2026Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
aimTo explore nurses' experiences with power structures in hospital care and to develop policy recommendations for transforming disempowering structures.
designA three-phased critical ethnographic design.
methodData were collected in a general teaching hospital in the Netherlands between December 2022 and June 2024 through (1) ethnographic diaries kept by nurses, (2) semi-structured interviews, (3) partial participant observations, (4) one focus group discussion with only nurses and (5) one multistakeholder focus group. Thematic analysis was used to identify themes.
findingsTwenty-eight nurses of thirteen different departments and nine stakeholders participated. Four themes emerged from the analysis: (1) power in cooperation, (2) hierarchical relationships, (3) aggression and (4) insufficient decision-making power in hospital policies. The first theme was experienced as an empowering structural condition, while the last three were identified as disempowering structures.
conclusionJob satisfaction and quality of care among nurses are at risk and elicit feelings of burnout because of nurse-doctor hierarchies, aggression and insufficient decision-making power in hospital policies. Therefore, improving interprofessional cooperation and including nurses in decision-making is crucial to structurally empower nurses. IMPLICATIONS: Hospital administrators need to create empowering conditions for nurses by furthering inclusion in policy making and setting department goals, implementing interprofessional education for effective collaboration, increasing nurse representation throughout hospital management layers and ensuring strong support systems. These interventions are important in addressing aggression, hierarchies, nurse turnover and burnout. REPORTING
methodCOREQ guidelines were used for reporting qualitative studies. PATIENT OR PUBLIC CONTRIBUTION: None.
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