An Examination of Nurses' Empowerment and Speaking Up During Postanesthesia Clinical Hand Overs

AORN J. 2021 Jun;113(6):621-634. doi: 10.1002/aorn.13399.

Abstract

Hierarchical relationships can negatively affect nurses' psychological empowerment and interprofessional hand overs. We explored nurses' perceptions of their psychological empowerment, teamwork, and work engagement; relationships between these concepts during interprofessional clinical hand overs; and observed interactive communication behaviors during hand overs. We used surveys and observations of interprofessional clinical hand overs to collect data from 39 nurses in a postanesthesia care unit in Australia. Nurses reported high scores for psychological empowerment and work engagement. Relationships between empowerment and teamwork (r = 0.41, P = .01) and empowerment and work engagement (r = 0.65, P < .001) were positive and significant. Relationships between nurses' observed communication behaviors and perceptions of empowerment, teamwork, and work engagement were nonsignificant. Additional research is needed to better understand how empowerment, teamwork, and work engagement affect nurses' interactive communication behaviors during interprofessional clinical hand overs in the postanesthesia care unit.

Keywords: communication behaviors; interprofessional hand overs; nurse empowerment; teamwork; work engagement.

MeSH terms

  • Australia
  • Empowerment
  • Humans
  • Job Satisfaction
  • Nurses*
  • Nursing Staff, Hospital*
  • Power, Psychological