Mai Yaseen


Purpose/Aims: To explore the relationships between organizational, nurse, and patient empowerment at a Magnet designated hospital versus a non-Magnet designated hospital. There are three aims to the study. Aim 1 examines the relationship between level of organizational empowerment and individual nurse self-empowerment (Self-efficacy). Aim 2 examines the relationship between individual nurse self-empowerment and patient empowerment. Aim 3 investigates if there are any differences in empowerment levels between a Magnet and non-Magnet designated hospital. Background: Patients must feel empowered to make decisions and participate in their care however; it is the healthcare provider’s role to prepare patients to make these decisions. Nurses spend more time providing care to patients compared to other healthcare providers. Nurse attitudes and behaviors influence patient empowerment and can result in improved patient satisfaction. Nurses must feel empowered in order to empower their patients. When nurses are satisfied with their job, those work environments generally have high levels of organizational empowerment allowing individual psychological empowerment to flourish. An empowered work environment enhances positive outcomes for both nurses and patients.

Methods: A descriptive, correlational design employing a quantitative survey method was used in this study with a sample of 102 nurses and 100 patients from a non-Magnet hospital and 98 nurses and 100 patients from a Magnet hospital. The Conditions of Work Effectiveness Questionnaire (CWE-II) and the General Self-Efficacy scale (GSE) was used in an online survey to explore nurses perception of their organization’s effectiveness, personal nurse empowerment and self efficacy. A separate patient survey using the Patient Perception of Patient-Empowering Nursing Behaviors Scale (PPPNBS) was used to explore patient perception of nurses’ empowering behaviors among Medical/Surgical nurses and patients. Results: Findings of this study revealed a significant relationship between organizational empowerment and nurse self-empowerment. In addition, nurses perceived higher organizational empowerment and self-empowerment at the Magnet hospital compared to the non-Magnet hospital. There was no significant relationship between nurse and patient empowerment at either hospital setting. Patients reported high levels of empowerment and satisfaction at both hospitals possibly indicating professional fidelity of the nurses despite different empowerment levels between Magnet and Non-Magnet nurses.

LLU Discipline





School of Nursing

First Advisor

D'Errico, Ellen

Second Advisor

Mamier, Iris

Third Advisor

Radovich, Patricia

Degree Name

Doctor of Philosophy (PhD)

Degree Level


Year Degree Awarded


Date (Title Page)




Library of Congress/MESH Subject Headings

Nursing - Decision Making; Employee Empowerment; Employee Motivation; Organization effectiveness; Nursing Staff; Hospital; Nurses - Psychology

Subject - Local

Magnet Hospitals; Non-magnet Hospitals; Professional fidelity; Patient satisfaction; Patient empowerment;



Page Count


Digital Format


Digital Publisher

Loma Linda University Libraries

Usage Rights

This title appears here courtesy of the author, who has granted Loma Linda University a limited, non-exclusive right to make this publication available to the public. The author retains all other copyrights.


Loma Linda University Electronic Theses and Dissertations

Collection Website


Loma Linda University. Del E. Webb Memorial Library. University Archives