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Building empowering work environments that foster civility and organizational trust: testing an intervention

Spence Laschinger, Heather K., Leiter, Michael P., Day, Arla, Gilin-Oore, Debra and Mackinnon, Sean P. 2012, Building empowering work environments that foster civility and organizational trust: testing an intervention, Nursing research, vol. 61, no. 5, pp. 316-325, doi: 10.1097/NNR.0b013e318265a58d.

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Title Building empowering work environments that foster civility and organizational trust: testing an intervention
Author(s) Spence Laschinger, Heather K.
Leiter, Michael P.ORCID iD for Leiter, Michael P. orcid.org/0000-0001-5680-0363
Day, Arla
Gilin-Oore, Debra
Mackinnon, Sean P.
Journal name Nursing research
Volume number 61
Issue number 5
Start page 316
End page 325
Total pages 10
Publisher Lippincott Williams & Wilkins
Place of publication Philadelphia, Pa.
Publication date 2012-09
ISSN 0029-6562
1538-9847
Keyword(s) empowerment
incivility
intervention
Attitude of Health Personnel
Female
Follow-Up Studies
Hospital Units
Humans
Interprofessional Relations
Male
Nursing Evaluation Research
Nursing Methodology Research
Nursing Staff, Hospital
Organizational Culture
Power (Psychology)
Trust
Workplace
Summary BACKGROUND: Creating supportive and empowering workplace conditions is important, not only because these conditions are related to improved nurse health and well-being but also because they are important for retaining top performing nurses. The current nursing shortage emphasizes the need to create such conditions.

OBJECTIVES: The aim of this study was to examine the impact of a workplace intervention (Civility, Respect, and Engagement in the Workplace [CREW]) on nurses' empowerment, experiences of supervisor and coworker incivility, and trust in nursing management.

METHODS: Registered nurses (Time 1, n = 755; Time 2, n = 573) working in 41 units across five hospitals in two provinces completed measures of workplace empowerment, supervisor and coworker incivility, and trust in management before and after a 6-month intervention. Eight units participated in the intervention, and 33 units were control groups. Multilevel modeling was used to test the impact of the intervention.

RESULTS: A significant interaction of time by intervention was found for the access to support and resources empowerment structures, total empowerment, supervisor incivility, and trust in management.

DISCUSSION: Compared with the control group, nurses who experienced the intervention program reported significant improvements in empowerment, supervisor incivility, and trust in management. Despite methodological challenges experienced in this study, the CREW process appears to be a promising intervention approach to enhance quality of nursing work environments, which may contribute to the retention of the nursing workforce.
Language eng
DOI 10.1097/NNR.0b013e318265a58d
Field of Research 111099 Nursing not elsewhere classified
1110 Nursing
Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2012, Lippincott Williams & Wilkins
Persistent URL http://hdl.handle.net/10536/DRO/DU:30089755

Document type: Journal Article
Collections: Faculty of Health
School of Psychology
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