ORCID Identifier(s)

0009-0004-7523-6023

Graduation Semester and Year

2023

Language

English

Document Type

Dissertation

Degree Name

Doctor of Philosophy in Nursing

Department

Nursing

First Advisor

Jessica G Smith

Abstract

Nurse Professional Development (NPD) practitioners in the acute care hospital setting are often undervalued despite their crucial role. During the COVID-19 pandemic, they demonstrated adaptability by rapidly transitioning to virtual formats for onboarding nursing staff, while also shouldering the responsibility of ensuring staff competency in caring for COVID-19 patients. Additionally, NPD practitioners faced heavy workloads, having to retrain nursing staff who worked in indirect patient care roles, while also filling in during critical staffing shortages. To date, no studies have been found that explored key factors that predict intent to stay in the NPD practitioner population pre- or post-pandemic. Thereby, to address this gap, this study’s purpose was to explore the relationship between NPD practitioners' perception of workplace empowerment and their intent to stay post COVID-19 pandemic. A cross-sectional, descriptive, and correlational design was employed. The study included 313 NPD practitioners from various backgrounds who worked in acute care hospitals across the United States. Employing linear regression analyses, the relationship between empowerment and intent to stay, was examined. Results indicated that NPD practitioners' perception of empowerment as a composite construct was significantly associated with their intent to stay, with higher levels of empowerment associated with a greater intent to stay (β =.32, p < .001). In a multivariate model, formal power (β = .150, p = .043) and access to opportunities (β =.149, p = .015) were most positively, significantly associated with intent to stay. These findings emphasize the importance of empowering NPD practitioners to promote their commitment to the organization. The study aligns with Kanter's theory of empowerment, highlighting that empowering work environments positively impact retention. Further research can explore other variables such as job satisfaction and work engagement. Overall, the study offers valuable implications to retain NPD practitioners and improve patient care outcomes in the evolving healthcare landscape.

Keywords

Structural empowerment, Intent to stay, NPD practitioners, Clinical nurse educators, Hospital setting, COVID-19, Pandemic

Disciplines

Medicine and Health Sciences | Nursing

Comments

Degree granted by The University of Texas at Arlington

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