TY - JOUR
T1 - The Association of Nursing Homes’ Organizational Context With Care Aide Empowerment
T2 - A Cross-Sectional Study
AU - Iaconi, Alba
AU - Hoben, Matthias
AU - Berta, Whitney
AU - Duan, Yinfei
AU - Norton, Peter G.
AU - Song, Yuting
AU - Chamberlain, Stephanie A.
AU - Beeber, Anna
AU - Anderson, Ruth A.
AU - Lanham, Holly J.
AU - Perez, Janelle
AU - Wang, Jing
AU - Choroschun, Katharina
AU - Shrestha, Shovana
AU - Cummings, Greta
AU - Estabrooks, Carole A.
N1 - Publisher Copyright:
© The Author(s) 2024.
PY - 2024/6/1
Y1 - 2024/6/1
N2 - Background and Objectives: Organizational context is thought to influence whether care aides feel empowered, but we lack empirical evidence in the nursing home sector. Our objective was to examine the association of features of nursing homes’ unit organizational context with care aides’ psychological empowerment. Research Design and Methods: This cross-sectional study analyzed survey data from 3765 care aides in 91 Western Canadian nursing homes. Random-intercept mixed-effects regressions were used to examine the associations between nursing home unit organizational context and care aides’ psychological empowerment, controlling for care aide, care unit, and nursing home covariates. Results: Organizational (IVs) culture, social capital, and care aides’ perceptions of sufficient time to do their work were positively associated with all four components of psychological empowerment (DVs): competence (0.17 [0.13, 0.21] for culture, 0.18 [0.14, 0.21] for social capital, 0.03 [0.01, 0.05] for time), meaning (0.21 [0.18, 0.25] for culture, 0.19 [0.16, 0.23] for social capital, 0.03 [0.01, 0.05 for time), self-determination (0.38 [0.33, 0.44] for culture, 0.17 [0.12, 0.21] for social capital, 0.08 [0.05, 0.11] for time), and impact (0.26 [0.21, 0.31] for culture, 0.23 [0.19, 0.28] for social capital, 0.04 [0.01, 0.07] for time). Discussion and Implications: In this study, modifiable elements of organizational context (i.e., culture, social capital, and time) were positively associated with care aides’ psychological empowerment. Future interventions might usefully target these modifiable elements of unit level context in the interest of assessing their effects on staff work attitudes and outcomes, including the quality of resident care.
AB - Background and Objectives: Organizational context is thought to influence whether care aides feel empowered, but we lack empirical evidence in the nursing home sector. Our objective was to examine the association of features of nursing homes’ unit organizational context with care aides’ psychological empowerment. Research Design and Methods: This cross-sectional study analyzed survey data from 3765 care aides in 91 Western Canadian nursing homes. Random-intercept mixed-effects regressions were used to examine the associations between nursing home unit organizational context and care aides’ psychological empowerment, controlling for care aide, care unit, and nursing home covariates. Results: Organizational (IVs) culture, social capital, and care aides’ perceptions of sufficient time to do their work were positively associated with all four components of psychological empowerment (DVs): competence (0.17 [0.13, 0.21] for culture, 0.18 [0.14, 0.21] for social capital, 0.03 [0.01, 0.05] for time), meaning (0.21 [0.18, 0.25] for culture, 0.19 [0.16, 0.23] for social capital, 0.03 [0.01, 0.05 for time), self-determination (0.38 [0.33, 0.44] for culture, 0.17 [0.12, 0.21] for social capital, 0.08 [0.05, 0.11] for time), and impact (0.26 [0.21, 0.31] for culture, 0.23 [0.19, 0.28] for social capital, 0.04 [0.01, 0.07] for time). Discussion and Implications: In this study, modifiable elements of organizational context (i.e., culture, social capital, and time) were positively associated with care aides’ psychological empowerment. Future interventions might usefully target these modifiable elements of unit level context in the interest of assessing their effects on staff work attitudes and outcomes, including the quality of resident care.
KW - Long-term care
KW - Organizational context
KW - Psychological empowerment
KW - Work environment
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UR - http://www.scopus.com/inward/citedby.url?scp=85194441960&partnerID=8YFLogxK
U2 - 10.1093/geront/gnae033
DO - 10.1093/geront/gnae033
M3 - Article
C2 - 38695153
AN - SCOPUS:85194441960
SN - 0016-9013
VL - 64
JO - Gerontologist
JF - Gerontologist
IS - 6
M1 - gnae033
ER -