Showing papers on "Empowerment published in 2013"

Authentic leadership, performance, and job satisfaction: the mediating role of empowerment

Abstract: Aim To report a study conducted to test a model linking authentic leadership of managers with nurses' perceptions of structural empowerment, performance, and job satisfaction. Background Authentic leadership has been proposed as the root element of effective leadership needed to build healthier work environments because there is special attention to the development of empowering leader–follower relationships. Although the influence of leadership style and empowerment on job satisfaction is well documented, there are few studies examining the influence of authentic leadership on nurses' empowerment and work outcomes. Design A non-experimental, predictive survey. Method In 2008, a random sample of 600 Registered Nurses working in acute care hospitals across Ontario in Canada was surveyed. The final sample consisted of 280 (48% response rate) nurses. Variables were measured using the Authentic Leadership Questionnaire, Conditions of Work Effectiveness Questionnaire, Global Job Satisfaction Survey, and General Performance scale. The theoretical model was tested using structural equation modelling. Results/outcomes The final model fit the data acceptably. Authentic leadership significantly and positively influenced staff nurses' structural empowerment, which in turn increased job satisfaction and self-rated performance. Conclusion The results suggest that the more managers are seen as authentic, by emphasizing transparency, balanced processing, self-awareness and high ethical standards, the more nurses perceive they have access to workplace empowerment structures, are satisfied with their work, and report higher performance.

A Systematic Review of Web-Based Interventions for Patient Empowerment and Physical Activity in Chronic Diseases: Relevance for Cancer Survivors

Abstract: Background: Patient empowerment reflects the ability of patients to positively influence their health and health behavior such as physical activity. While interactive Web-based interventions are increasingly used in various chronic disease settings to enhance empowerment and physical activity, such interventions are still uncommon for cancer survivors. Objective: The objective of this study was to systematically review the literature regarding interactive Web-based interventions. We focused on interventions aimed at increasing patient empowerment and physical activity for various chronic conditions, and explored their possible relevance for cancer survivors. Methods: Searches were performed in PubMed, Embase, and Scopus to identify peer-reviewed papers reporting on randomized controlled trials that studied the effects of Web-based interventions. These interventions were developed for adults with diabetes, cardiovascular disease, chronic obstructive pulmonary disease, heart failure, or cancer. Intervention characteristics, effects on patient empowerment and physical activity, information on barriers to and facilitators of intervention use, users’ experiences, and methodological quality were assessed. Results were summarized in a qualitative way. We used the recommendations of the Institute of Medicine (IOM) regarding cancer survivorship care to explore the relevance of the interventions for cancer survivors. Results: We included 19 papers reporting on trials with 18 unique studies. Significant, positive effects on patient empowerment were reported by 4 studies and 2 studies reported positive effects on physical activity. The remaining studies yielded mixed results or no significant group differences in these outcomes (ie, no change or improvement for all groups). Although the content, duration, and frequency of interventions varied considerably across studies, commonly used elements included education, self-monitoring, feedback/tailored information, self-management training, personal exercise program, and communication (eg, chat, email) with either health care providers or patients. Limited information was found on barriers, facilitators, and users’ experiences. Methodological quality varied, with 13 studies being of moderate quality. The reported Web-based intervention elements appeared to be highly relevant to address the specific needs of cancer survivors as indicated by the IOM. Conclusions: We identified 7 common elements of interactive, Web-based interventions in chronic disease settings that could possibly be translated into eHealth recommendations for cancer survivors. While further work is needed to determine optimal intervention characteristics, the work performed in other chronic disease settings provides a basis for the design of an interactive eHealth approach to improve patient empowerment and physical activity in cancer survivors. This may subsequently improve their health status and quality of life and reduce their need for supportive care.

Freedom Rising: Human Empowerment and the Quest for Emancipation

Abstract: This book presents a comprehensive theory of why human freedom gave way to increasing oppression since the invention of states - and why this trend began to reverse itself more recently, leading to a rapid expansion of universal freedoms and democracy. Drawing on a massive body of evidence, the author tests various explanations of the rise of freedom, providing convincing support of a well-reasoned theory of emancipation. The study demonstrates multiple trends toward human empowerment, which converge to give people control over their lives. Most important among these trends is the spread of 'emancipative values', which emphasize free choice and equal opportunities. The author identifies the desire for emancipation as the origin of the human empowerment trend and shows when and why this desire grows strong; why it is the source of democracy; and how it vitalizes civil society, feeds humanitarian norms, enhances happiness, and helps redirect modern civilization toward sustainable development.

Examining the Differential Longitudinal Performance of Directive versus Empowering Leadership in Teams

Abstract: This study integrates theories from the leadership and team development literatures to resolve ambiguity regarding the relative benefits of empowering and directive leadership in teams by focusing on their influence on team development processes over time. Empirical results based on longitudinal performance data from 60 teams suggest that teams led by a directive leader initially outperform those led by an empowering leader. However, despite lower early performance, teams led by an empowering leader experience higher performance improvement over time because of higher levels of team learning, coordination, empowerment, and mental model development. Implications for current and future team leadership research are discussed.

Reducing Self-Stigma by Coming Out Proud

Abstract: Self-stigma has a pernicious effect on the lives of people with mental illness. Although a medical perspective might discourage patients from identifying with their illness, public disclosure may promote empowerment and reduce self-stigma.We reviewed the extensive research that supports this assertion and assessed a program that might diminish stigma’s effect by helping some people to disclose to colleagues, neighbors, and others their experiences with mental illness, treatment, and recovery.The program encompasses weighing the costs and benefits of disclosure in deciding whether to come out, considering different strategies for coming out, and obtaining peer support through the disclosure process. This type of program may also pose challenges for public health research.

Authentic leadership, empowerment and burnout: a comparison in new graduates and experienced nurses.

Abstract: Aim To examine the effect of authentic leadership and structural empowerment on the emotional exhaustion and cynicism of new graduates and experienced acute-care nurses. Background Employee empowerment is a fundamental component of healthy work environments that promote nurse health and retention, and nursing leadership is key to creating these environments. Method In a secondary analysis of data from two studies we compared the pattern of relationships among study variables in two Ontario groups: 342 new graduates with <2 years of experience and 273 nurses with more than 2 years of experience. Results A multi-group path analysis using Structural Equation Modelling indicated an acceptable fit of the final model (χ2 = 17.52, df = 2, P < 0.001, CFI = 0.97, IFI = 0.97 and RMSEA = 0.11). Authentic leadership significantly and negatively influenced emotional exhaustion and cynicism through workplace empowerment in both groups. Conclusions The authentic behaviour of nursing leaders was important to nurses’ perceptions of structurally empowering conditions in their work environments, regardless of experience level, and ultimately contributed to lower levels of emotional exhaustion and cynicism. Implications for nursing management Leadership training for nurse managers may help develop the empowering work environments required in today’s health-care organizations in order to attract and retain nurses.

Sport for Development: What game are we playing?

Abstract: Sport is increasingly regarded as a powerful tool in international development. In this comprehensive introduction to the area of ‘sport-for-development’, leading researcher Fred Coalter critically evaluates the strengths and weaknesses and successes and failures of sport-for-development policies and programs. Beginning with an outline of the historical development of policies of sport-for-development, this book explores the objectives that remain central to international sport-for-development initiatives, including issues of defining and measuring impacts, the development of self-efficacy and leadership skills, female empowerment, HIV/AIDS awareness and social capital. Drawing on a wealth of fieldwork experience and empirical data from the most extensive monitoring and evaluation project ever undertaken with sport-for-development organisations, this is an unparalleled and fully integrated assessment of theory, policy and practice in international sport-for-development. Sport-for-development: What game are we playing is essential reading for any student or practitioner with an interest in sport-for-development, sports policy or international development.

Employee Empowerment, Employee Attitudes, and Performance: Testing a Causal Model

Abstract: The last three decades have witnessed the spread of employee empowerment practices throughout the public and private sectors. A growing body of evidence suggests that employee empowerment can be used to improve job satisfaction, organizational commitment, innovativeness, and performance. Nearly all previous empirical studies have analyzed the direct effects of employee empowerment on these outcome variables without taking into account the mediating role of employee attitudes. This article contributes to the growing literature on employee empowerment by proposing and testing a causal model that estimates the direct effect of employee empowerment on performance as well as its indirect effects as mediated by job satisfaction and innovativeness. The empirical analysis relies on three years of data from the Federal Human Capital Survey/Federal Employee Viewpoint Survey and a structural equation modeling approach, including the use of lagged variables. The results support the hypothesized causal structure. Employee empowerment seems to have a direct effect on performance and indirect effects through its influence on job satisfaction and innovativeness, two key causal pathways by which empowerment practices influence behavioral outcomes.

Empowerment and entrepreneurship: a theoretical framework

Abstract: Purpose – The purpose of this paper is to develop an empirically informed conceptual framework to analyse the gendered relationship between empowerment and entrepreneurship contextualised within the lives of displaced Palestinian migrant women operating home-based enterprises in Amman, Jordan. Design/methodology/approach – A longitudinal qualitative study was undertaken during which semi-structured in-depth interviews were regularly conducted with 43 women producing high-quality traditional embroidered goods within home-based enterprises. The empirical material was utilised to inform and illustrate the creation of an empowerment framework. Findings – Entrepreneurship is popularly presented as an individually focused economic undertaking. However, this paper demonstrates it is also a socio-politically situated activity; within this particular context, marginalised subordinated women were empowered through their home-based enterprises. Originality/value – This paper offers a gender informed conceptual frame...

The Worldwide Expansion of “Organization”:

Abstract: We offer an institutional explanation for the contemporary expansion of formal organization—in numbers, internal complexity, social domains, and national contexts. Much expansion lies in areas far beyond the traditional foci on technical production or political power, such as protecting the environment, promoting marginalized groups, or behaving with transparency. We argue that expansion is supported by widespread cultural rationalization in a stateless and liberal global society, characterized by scientism, rights and empowerment discourses, and an explosion of education. These cultural changes are transmitted through legal, accounting, and professionalization principles, driving the creation of new organizations and the elaboration of existing ones. The resulting organizations are constructed to be proper social actors as much as functionally effective entities. They are painted as autonomous and integrated but depend heavily on external definitions to sustain this depiction. So expansion creates organi...

Patient empowerment in long-term conditions: development and preliminary testing of a new measure

Abstract: Patient empowerment is viewed by policy makers and health care practitioners as a mechanism to help patients with long-term conditions better manage their health and achieve better outcomes. However, assessing the role of empowerment is dependent on effective measures of empowerment. Although many measures of empowerment exist, no measure has been developed specifically for patients with long-term conditions in the primary care setting. This study presents preliminary data on the development and validation of such a measure. We conducted two empirical studies. Study one was an interview study to understand empowerment from the perspective of patients living with long-term conditions. Qualitative analysis identified dimensions of empowerment, and the qualitative data were used to generate items relating to these dimensions. Study two was a cross-sectional postal study involving patients with different types of long-term conditions recruited from general practices. The survey was conducted to test and validate our new measure of empowerment. Factor analysis and regression were performed to test scale structure, internal consistency and construct validity. Sixteen predominately elderly patients with different types of long-term conditions described empowerment in terms of 5 dimensions (identity, knowledge and understanding, personal control, personal decision-making, and enabling other patients). One hundred and ninety seven survey responses were received from mainly older white females, with relatively low levels of formal education, with the majority retired from paid work. Almost half of the sample reported cardiovascular, joint or diabetes long-term conditions. Factor analysis identified a three factor solution (positive attitude and sense of control, knowledge and confidence in decision making and enabling others), although the structure lacked clarity. A total empowerment score across all items showed acceptable levels of internal consistency and relationships with other measures were generally supportive of its construct validity. Initial analyses suggest that the new empowerment measure meets basic psychometric criteria. Reasons concerning the failure to confirm the hypothesized factor structure are discussed alongside further developments of the scale.

Women’s empowerment and nutrition: An evidence review

Abstract: Many development programs that aim to alleviate poverty and improve investments in human capital consider women’s empowerment a key pathway by which to achieve impact and often target women as their main beneficiaries. Despite this, women’s empowerment dimensions are often not rigorously measured and are at times merely assumed. This paper starts by reflecting on the concept and measurement of women’s empowerment and then reviews some of the structural interventions that aim to influence underlying gender norms in society and eradicate gender discrimination. It then proceeds to review the evidence of the impact of three types of interventions — cash transfer programs, agricultural interventions, and microfinance programs — on women’s empowerment, nutrition, or both.Qualitative evidence on conditional cash transfer (CCT) programs generally points to positive impacts on women’s empowerment, although quantitative research findings are more heterogenous. CCT programs produce mixed results on long-term nutritional status, and very limited evidence exists of their impacts on micronutrient status. The little evidence available on unconditional cash transfers (UCT) indicates mixed impacts on women’s empowerment and positive impacts on nutrition; however, recent reviews comparing CCT and UCT programs have found little difference in terms of their effects on stunting and they have found that conditionality is less important than other factors, such as access to healthcare and child age and sex. Evidence of cash transfer program impacts depending on the gender of the transfer recipient or on the conditionality is also mixed, although CCTs with non-health conditionalities seem to have negative impacts on nutritional status. The impacts of programs based on the gender of the transfer recipient show mixed results, but almost no experimental evidence exists of testing gender-differentiated impacts of a single program.

On Norms and Agency: Conversations about Gender Equality with Women and Men in 20 Countries

Abstract: This report provides tremendous insight on gender norms an area that has been resistant to change, and that constrains achievement of gender equality across many diverse cultures. The report synthesizes data collected from more than 4,000 women and men in 97 communities across 20 countries. It is the largest dataset ever collected on the topic of gender and development, providing an unprecedented opportunity to examine potential patterns across communities on social norms and gender roles, pathways of empowerment, and factors that drive acute inequalities. The analysis raises the profile of persistent social norms and their impact on agency, and catalyzes discourse on the many pathways that create opportunities for women and men to negotiate transformative change. The report is underpinned by the fact that arguably the single most important contribution to development is to unleash the full power of half the people on the planet women. It underscores how crucial making investments in learning, supporting innovations that reduce the time costs of women’s mobility, and developing a critical mass of women and men pushing the boundaries of entrenched social norms are in enhancing women’s agency and capacity to aspire.

A Self-Care Framework for Social Workers: Building a Strong Foundation for Practice:

Abstract: Self-care is widely recognized as critical to social work practice, yet little empirical support or practical guidance exists in the literature to steer social workers in its implementation. Self-care may not only be crucial in preventing secondary traumatic stress, burnout, and high staff turnover, but it can serve as a means of empowerment that enables practitioners to proactively and intentionally negotiate their overall health, well-being, and resilience. The purpose of this article is threefold: (a) to explore current conceptualizations of self-care; (b) to provide a clear conceptual definition of and an applied framework for self-care; and (c) to explicate the utility of this framework for social work practitioners, students, educators, and social service agencies& supervisors and administrators.

Empowerment, Organizational Commitment, and Voice Behavior in the Hospitality Industry: Evidence from a Multinational Sample

Abstract: Employee empowerment is widely viewed as a promising approach to improve operating efficiency and customer service. But the most effective way to empower the staff is not always clear to hospitality managers, both in terms of what to do and what to avoid. Using data from 640 frontline service employees and their supervisors working in sixteen different properties of a multinational hotel chain in the Middle East and the Asia Pacific region, this study tested a model of the relationships between empowering leadership, psychological empowerment, organizational commitment, and voice behavior. Results suggest that psychological empowerment mediates the relationship between empowering leadership and both organizational commitment and voice behavior (defined as identifying problems and suggesting improvements). The study also found a particular pitfall for empowerment in high power distance cultures, in that the effects are much weaker for high power distance cultures. As the value of empowering leadership seem...

The power of music in the lives of older adults

Abstract: A compelling body of research demonstrates that music continues to offer powerful potential for enhancing health and well-being in old age. Active music-making has been found to provide a source of enhanced social cohesion, enjoyment, personal development, and empowerment, and to contribute to recovery from depression and maintenance of personal well-being throughout these latter stages of adult life. Within a context where life expectancy at age 65 years is rising rapidly and yet where increasing numbers of older people are reported to be living in isolation or suffering from depression, this body of research has important implications for understanding how access to active music-making may enhance the lives of older people. This article reviews a body of literature relating to specific benefits of active participation in music-making amongst older people. A case study is presented, illustrating some of the key points from the literature. Some barriers to participation are identified and implications for older people and their carers are discussed.

Community mobilization, empowerment and HIV prevention among female sex workers in south India

Abstract: While community mobilization has been widely endorsed as an important component of HIV prevention among vulnerable populations such as female sex workers (FSWs), there is uncertainty as to the mechanism through which it impacts upon HIV risk. We explored the hypothesis that individual and collective empowerment of FSW is an outcome of community mobilization, and we examined the means through which HIV risk and vulnerability reduction as well as personal and social transformation are achieved.

Indigenous knowledge and resilience to floods in Muzarabani, Zimbabwe

Abstract: The connection between indigenous knowledge systems and disaster resilience derives from both theory and practice highlighting potential contributions of indigenous knowledge to building resilient communities Using data from interviews and focus group discussions, this paper explores people’s indigenous survival strategies and variations in people’s ability to cope with floods in two flood-prone villages of Muzarabani district, Zimbabwe The findings reveal that indigenous knowledge systems played a significant role in reducing the impact of floods in Muzarabani district However, the extent to which indigenous knowledge enhanced resilience to floods was influenced by geophysical locations, exposure to flooding and socio-economic abilities Communities in an area with low flooding and with a strong socio-economic base such as education and income were more likely to cope with flood impacts compared to those communities in areas with high and sudden flooding and weak socio-economic base The paper shows how indigenous knowledge systems are an indispensable component of disaster resilience building This is because indigenous knowledge systems can, (i) be transferred and adapted to other communities; (ii) encourage participation and empowerment of affected communities, (iii) improve intervention adaptation to local contexts, and (iv) are often beyond formal education about environmental hazards

From Stagnation to Sustained Growth: The Role of Female Empowerment

Abstract: This paper explores the role of gender equality over a long-run economic and demographic development path of industrialized countries. Our unified cliometric growth model of female empowerment suggests that changes in gender relations are a key ingredient of economic development. The economy evolves from a Malthusian regime–with slow technological progress, low income and low fertility–to a Modern Growth regime, with high living standards and low fertility. The rise in technological progress, together with improvements in gender equality, generates a positive feedback loop that engages the process of human capital accumulation (economic transition) and triggers the demographic transition.

The Influence of Participation, Gender and Organizational Sense of Community on Psychological Empowerment: The Moderating Effects of Income

Abstract: This study explored the influence of participation, gender and organizational sense of community (SOC) on both the intrapersonal and interactional components of psychological empowerment (PE). Participants were residents (n = 562) involved in community organizing efforts in five U.S. communities. Measures of participation and SOC were tailored to community organization contexts. SOC assessed three dimensions: (1) connection of members to the organization; (2) perceptions about the organization as a bridge to other groups and organizations in the broader community; and (3) bond or attachment to the community at large. Income (low, middle and high-income) was tested as a moderator of these relationships. Results showed significant moderating effects of income on the relationship between participation, gender and SOC on both components of PE. Participation was positively related with intrapersonal empowerment across income levels, but positively related with interactional empowerment only for low-income individuals. Gender was only associated with intrapersonal empowerment, and only for low-income individuals. SOC, as expressed through bridging to the broader community, was positively related with interactional PE for all income levels, but with intrapersonal PE for only low and middle-income individuals. In contrast, member connection to the organization was not related to interactional empowerment and significantly related to intrapersonal empowerment only for individuals with higher income. The importance of participation, gender and SOC for different types of empowerment and the impact of income on the SOC-empowerment relationship are discussed.

Empowering Women through Microfinance: Evidence from Tanzania

Abstract: Traditionally the position of women in Tanzania has been low compared to men. Women are poorer, have low education and suffer from traditions and customary laws. Thus, empowerment of women is one of the main issues in Tanzania and beyond. Microfinance services are considered as an entry point or a vehicle toward empowering women. However, it is also considered that Microfinance Institutions are extorting money from poor women through high interest rates, causing higher social pressure and in some cases lead to domestic violence. Using the quantitative and qualitative data from three regions of Tanzania, this study shows that women members of microfinance institutions (MFIs) are more empowered compared to non-members in non-program areas. In total 454 women (305 members of MFIs and 149 non-members) participated in the survey and 10 women in the in-depth interviews. The data obtained are analysed using Mann-Whitney U test. The results show a significant difference between the women members of MFIs and non-members in the dependant variables related to women empowerment. Women members of MFIs have more control over savings and income generated from the business, greater role in decision-making, greater self-efficacy and self-esteem, and greater freedom of mobility and increased activities outside home.

Valuing the economic benefits of complex interventions: when maximising health is not sufficient.

Abstract: Complex interventions, involving interlinked packages of care, challenge the application of current methods of economic evaluation that focus on measuring only health gain. Complex interventions may be problematic on two levels. The complexity means the intervention may not fit into one of the current appraisal systems, and/or maximising health is not the only objective. This paper discusses the implications of a programme of work that focused on clinical genetics services, as an example of a complex intervention, and aimed to identify the following: the attributes that comprise both health and non-health aspects of benefits and whether it is possible to evaluate such an intervention using current National Institute for Health and Clinical Excellence appraisal processes. Genetic services and tests are a good example of a complex intervention and have broader objectives than just health gain, which may usefully be measured using the concept related to capability, which we have called 'empowerment'. Further methodological work is required to identify the trade-off between non-health (empowerment) and health benefits for other complex interventions. We do not advocate a move away from QALY maximisation but do suggest that there is a need for a more considered approach that can take account of the perceived value for non-health attributes for some complex interventions.