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Hemşirelerin Psikolojik Güçlendirme ve Örgütsel İklime İlişkin Değerlendirmeleri: Tanımlayıcı Korelasyonel Bir Çalışma

Year 2025, Volume: 8 Issue: 2, 360 - 367, 26.08.2025
https://doi.org/10.38108/ouhcd.1381271

Abstract

Amaç: Bu araştırmanın amacı, hemşirelerin örgütsel iklim ve psikolojik güçlendirmeye ilişkin algılarının incelenmesi, örgütsel iklim ve psikolojik güçlendirme arasındaki ilişkinin belirlenmesidir.
Yöntem: Tanımlayıcı, ilişki arayıcı araştırma tasarımı kullanılmıştır. Araştırma, bir ilde bulunan üç Sağlık Bakanlığı ve iki üniversite hastanesinde gerçekleştirilmiştir. Güç analizine dayanarak bu hastanelerde en az altı aydır direkt hasta bakımı veren 237 hemşire rastgele seçilmiştir. Veriler, sosyodemografik form, Örgütsel İklim Ölçeği ve Psikolojik Güçlendirme Ölçeği kullanılarak toplanmıştır. Verilerin analizinde tanımlayıcı istatistikler ve Spearman rho korelasyon katsayıları kullanılmıştır.
Bulgular: Hemşirelerin örgütsel iklim puanları olumsuz etkileşim alt boyutunda en düşük (Med=2,75), hiyerarşi alt boyutunda ise en yüksektir (Med=3,67). Hemşirelerin toplam psikolojik güçlendirme puanı orta düzeyde olup (Med=5,75), en yüksek puan anlam (Med=7,00), en düşük puan ise etki alt boyutundadır (Med=4,33). Örgüt ikliminin takım çalışması, destekleyici iklim, insan ilişkileri, yenilikçi iklim ve iletişim alt boyutları ile toplam psikolojik güçlendirme puanları arasında istatistiksel olarak anlamlı orta düzeyde pozitif korelasyon bulunmuştur (p<0.05).
Sonuç: Bu bulgulara göre ekip çalışmasının desteklenmesi ve olumlu insan ilişkilerinin teşvik edilmesi, merkezi olmayan yönetim uygulamalarının hayata geçirilmesi ve hemşirelerin bilgiye erişebileceği örgütsel yapıların oluşturulması olumlu bir örgüt iklimini besleyecek ve psikolojik güçlendirmeyi güçlendirecektir.

References

  • Altındis S, and Ozutku H. (2011). Psychological empowerment and factors affecting psychological empowerment: A research in Turkey State Hospitals. Afyon Kocatepe University Journal of Social Sciences, 13, 161-191.
  • Arnold E. (2013). Improving organizational climate for excellence in patient care. The Health Care Manager, 32, 280-286.https://doi.org/10.1097/HCM.0b013e 31829d7898
  • Bahrami MA, Barati O, Ghoroghchian MS, Montazer-Alfaraj R, Ezzatabadi MR. (2016). Role of organizational climate in organizational commitment: The case of teaching hospitals. Osong Public Health and Research Perspectives, 7, 96-100. https://doi.org/10.1016/j.phrp.2015.11.009
  • Baker DP, Gustafson S, Beaubien J, Salas E, Barach P. (2005). Medical teamwork and patient safety: the evidence-based relation. AHRQ Publication, 5, 1-64.
  • Bilir P. (2005). The relationship between orginizational climate employee perception of involvement: A field study in Youth and Sports General Diroctorate. Doctoral Thesis, Cukurova University, Adana.
  • Bronkhorst B, Tummers L, Steijn B, Vijverberg D. (2015). Organizational climate and employee mental health outcomes. Health Care Management Review, 40, 254-271. https://doi.org/10.1097/hmr.00000000 00000026
  • Browning AM. (2013). Moral distress and psychological empowerment in critical care nurses caring for adults at end of life. American Journal of Critical Care, 22, 143-151. https://doi.org/10.4037/ajcc2013437
  • Bry A, Wigert H. (2022). Organizational climate and interpersonal interactions among registered nurses in a neonatal intensive care unit: A qualitative study. Journal of Nursing Management, 30, 2031-2038. https://doi.org/10.1111/jonm.13650
  • Cerit K. (2009). Determining the factors effecting nurses' job satisfaction: organizational climate, sociodemographic and job characteristics. Master Thesis, Dokuz Eylul University, İzmir.
  • Cicolini G, Comparcini, D, & Simonetti V. (2014). Workplace empowerment and nurses' job satisfaction: a systematic literature review. Journal of Nursing Management, 22, 855-871. https://doi.org/10.1111 /jonm.12028
  • Cohen J, Cohen P, West SG, Aiken LS. (2013). Applied multiple regression/correlation analysis for the behavioral sciences. 3rd edition, Newyork, Routledge.
  • Conger JA, Kanungo RN. (1988). The empowerment process: Integrating theory and practice. Academy of Management Review, 13, 471-482.
  • Ehrhart MG, Schneider B, Macey WH. (2014). Organizational Climate and Culture: An Introduction to Theory, Research, and Practice, 1st edition, Newyork, Taylor and Francis.
  • El Salam GA, Ibrahim MM, Mohsen MM, Hassanein SE. (2008). Relationship between organizational climate and empowerment of nurses in Menoufiya hospitals, Egypt. Eastern Mediterranean Health Journal, 14, 1173-1184.
  • Fan Y, Zheng Q, Liu S, Li Q. (2016). Construction of a new model of job engagement, psychological empowerment and perceived work environment among Chinese registered nurses at four large university hospitals: implications for nurse managers seeking to enhance nursing retention and quality of care. Journal of Nursing Management, 24, 646-655. https://doi.org/10.1111/jonm.12369
  • Giorgi G, Mancuso S. Fiz Perez F, Castiello D'Antonio, A, Mucci N, Cupelli V, Arcangeli G. (2016). Bullying among nurses and its relationship with burnout and organizational climate. International Journal of Nursing Practice, 22, 160-168. https://doi.org/10.1111/ijn.12376
  • Li, H., Shi, Y., Li, Y., Xing, Z., Wang, S., Ying, J., ... & Sun, J. (2018). Relationship between nurse psychological empowerment and job satisfaction: A systematic review and meta‐analysis. Journal of advanced nursing, 74(6), 1264-1277. https://doi.org/10.1111/jan.13549
  • Lindell Joseph, M, Huber D. (2021). Leadership and Nursing Care Management. 7th edition, Missouri, Saunders, Elsevier.
  • International Center for Human Resources in Nursing (ICHRN) 2007 Positive Practice Environments. Access Date: 27.11.2017. http://www.wpro.who.int/topics/nursing/ichrn_fact_sheet.pdf
  • Kilic Guner E. (2017). The effect of colleague solidarity on organizational climate among the nurses. Master Thesis, Ataturk University, Erzurum.
  • Lawler EE. (1992). The ultimate advantage: Creating the high involvement organization. 1st edition, USA, Jossey-Bass.
  • Madhura D. (2020). The Impact of Organizational Climate on Organizational Commitment. Asian Journal of Management. 11, 11-20.
  • Mok E, Au-Yeung B. (2002). Relationship between organizational climate and empowerment of nurses in Hong Kong. Journal of Nursing Management, 10, 129-137. Mrayyan MT. (2008). Hospital organizational climates and nurses' intent to stay: differences between units and wards. Contemporary Nurse, 27, 223-236. https://doi.org/10.5555/conu.2008.27.2.223
  • Mullins LJ, Christy G. (2010). Management and Organisational Behaviour. 9th edition, Harlow, Financial Times&Prentice Hall.
  • O’Brien, JL. (2011). Relationships Among Structural Empowerment, Psychological Empowerment, and Burnout in Registered Staff Nurses Working in Outpatient Dialysis Centers. Nephrology Nursing Journal, 38, 475-481.
  • OECD Statistics 2024. Hours worked (indicator). Access Date: 12.05.2024. https://doi.org/10.1787/47be1c78-en
  • Özbaş AA, Tel H. (2016). The effect of a psychological empowerment program based on psychodrama on empowerment perception and burnout levels in oncology nurses: Psychological empowerment in oncology nurses. Palliative & Supportive Care, 14, 393-401. https://doi.org/10.1017/S14789515150011 21
  • Paquet M, Courcy F, Lavoie‐Tremblay M, Gagnon S, Maillet S. (2013). Psychosocial work environment and prediction of quality of care indicators in one Canadian health center. Worldviews on Evidence‐Based Nursing, 10, 82-94. https://doi.org/10.1111/j.1741-6787.2012.00250.x
  • Permarupan PY, Al Mamun A, Samy NK, Saufi RA, Hayat N. (2020). Predicting nurses burnout through quality of work life and psychological empowerment: A study towards sustainable healthcare services in Malaysia. Sustainability, 12, 388. https://doi.org/10.3390/su12010388
  • Rakha E, Dawood W, Abdelrazek F. (2022). Relationship between organizational climate and psychological empowerment of staff nurses at governmental hospitals in Ismailia. Trends in Nursing and Health Care Journal, 5, 49-61.
  • Roch G, Dubois CA, Clarke SP. (2014). Organizational climate and hospital nurses' caring practices: A mixed‐methods study. Research in Nursing & Health, 37, 229-240. https://doi.org/10.1002/nur.21596
  • Seibert SE, Wang G, Courtright SH. (2011). Antecedents and consequences of psychological and team empowerment in organizations: A meta-analytic review. Journal of Applied Psychology, 96, 981-1003. https://doi.org/10.1037/a0022676
  • Spreitzer GM. (1995). Psychological empowerment in the workplace: Dimensions, measurement, and validation. Academy of Management Journal, 38, 1442-1465.
  • Sener, S, Ooksay Sahin, A. (2023) Hemşirelerin Örgütsel Adalet Algıları ile Yapısal ve Psikolojik Güçlendirme Algılarının İncelenmesi. Journal of Hacettepe University Faculty of Nursing 10, 78-86.
  • Trus M, Galdikiene N, Balciunas S, Green P, Helminen, M, Suominen, T. (2019). Connection between organizational culture and climate and empowerment: The perspective of nurse managers. Nursing & health sciences, 21, 54-62. https://doi.org/10.1111/nhs.125 49
  • Uner S, Turan S. (2010). The construct validity and reliability of the Turkish version of Spreitzer's psychological empowerment scale. BMC public health, 10, 1-8. https://doi.org/10.1186/1471-2458-10-117
  • Wang S, Liu Y. (2015). Impact of professional nursing practice environment and psychological empowerment on nurses' work engagement: Test of structural equation modelling. Journal of Nursing Management, 23, 287-296. https://doi.org/10.1111/jonm.12124
  • Yamassake R, Baptista P, Albuquerque V, Rached C. (2021). Job satisfaction vs. organizational climate: a cross-sectional study of Brazilian nursing personnel. Revista Enfermagem Uerj, 29, 1-7. http://dx.doi.org/10.12957/reuerj.2021.62718
  • Ying L, Kunaviktikul W, Tonmukayakal O. (2007). Nursing competency and organizational climate as perceived by staff nurses in a Chinese university hospital. Nursing & Health Sciences, 9, 221-227. https://doi.org/10.1111/j.1442-2018.2007.00324.x

Nurses’ Assessments of Psychological Empowerment and Organizational Climate: Descriptive Correlational Study

Year 2025, Volume: 8 Issue: 2, 360 - 367, 26.08.2025
https://doi.org/10.38108/ouhcd.1381271

Abstract

Objective: The aim of this study is to investigate the nurses’ perception of organizational climate and psychological empowerment, and to determine the correlations between organizational climate and psychological empowerment.
Methods: A descriptive and correlational design was used. The study was conducted in hospitals in a province, including three Ministry of Health and two university hospitals. Based on a power analysis, 237 bedside nurses from these hospitals working at least six months were randomly selected. The self-reported questionnaires consisted of an Organizational Climate Scale, a Psychological Empowerment Instrument, and demographic questions were used to collect data. Descriptive statistics and Spearman’s rho correlation coefficients were used in data analysis.
Results: The organizational climate scores were the lowest for the negative interaction subscale (Med=2.75) and highest for the hierarchy subscale (Med=3.67). Nurses’ total psychological empowerment score was at a moderate level (Med=5.75), with the highest score on the meaning (Med=7.00) and the lowest on the impact subscale (Med=4.33). There were statistically significant positive-moderate correlations between teamwork, supportive climate, human relations, innovative climate, and communication subscales of organizational climate and total psychological empowerment scores (p<0.05).
Conclusion: According to these findings, supporting teamwork and encouraging positive human relations, implementing decentralized management practices, and creating organizational structures where nurses can access information will nourish a positive organizational climate and strengthen psychological empowerment.

References

  • Altındis S, and Ozutku H. (2011). Psychological empowerment and factors affecting psychological empowerment: A research in Turkey State Hospitals. Afyon Kocatepe University Journal of Social Sciences, 13, 161-191.
  • Arnold E. (2013). Improving organizational climate for excellence in patient care. The Health Care Manager, 32, 280-286.https://doi.org/10.1097/HCM.0b013e 31829d7898
  • Bahrami MA, Barati O, Ghoroghchian MS, Montazer-Alfaraj R, Ezzatabadi MR. (2016). Role of organizational climate in organizational commitment: The case of teaching hospitals. Osong Public Health and Research Perspectives, 7, 96-100. https://doi.org/10.1016/j.phrp.2015.11.009
  • Baker DP, Gustafson S, Beaubien J, Salas E, Barach P. (2005). Medical teamwork and patient safety: the evidence-based relation. AHRQ Publication, 5, 1-64.
  • Bilir P. (2005). The relationship between orginizational climate employee perception of involvement: A field study in Youth and Sports General Diroctorate. Doctoral Thesis, Cukurova University, Adana.
  • Bronkhorst B, Tummers L, Steijn B, Vijverberg D. (2015). Organizational climate and employee mental health outcomes. Health Care Management Review, 40, 254-271. https://doi.org/10.1097/hmr.00000000 00000026
  • Browning AM. (2013). Moral distress and psychological empowerment in critical care nurses caring for adults at end of life. American Journal of Critical Care, 22, 143-151. https://doi.org/10.4037/ajcc2013437
  • Bry A, Wigert H. (2022). Organizational climate and interpersonal interactions among registered nurses in a neonatal intensive care unit: A qualitative study. Journal of Nursing Management, 30, 2031-2038. https://doi.org/10.1111/jonm.13650
  • Cerit K. (2009). Determining the factors effecting nurses' job satisfaction: organizational climate, sociodemographic and job characteristics. Master Thesis, Dokuz Eylul University, İzmir.
  • Cicolini G, Comparcini, D, & Simonetti V. (2014). Workplace empowerment and nurses' job satisfaction: a systematic literature review. Journal of Nursing Management, 22, 855-871. https://doi.org/10.1111 /jonm.12028
  • Cohen J, Cohen P, West SG, Aiken LS. (2013). Applied multiple regression/correlation analysis for the behavioral sciences. 3rd edition, Newyork, Routledge.
  • Conger JA, Kanungo RN. (1988). The empowerment process: Integrating theory and practice. Academy of Management Review, 13, 471-482.
  • Ehrhart MG, Schneider B, Macey WH. (2014). Organizational Climate and Culture: An Introduction to Theory, Research, and Practice, 1st edition, Newyork, Taylor and Francis.
  • El Salam GA, Ibrahim MM, Mohsen MM, Hassanein SE. (2008). Relationship between organizational climate and empowerment of nurses in Menoufiya hospitals, Egypt. Eastern Mediterranean Health Journal, 14, 1173-1184.
  • Fan Y, Zheng Q, Liu S, Li Q. (2016). Construction of a new model of job engagement, psychological empowerment and perceived work environment among Chinese registered nurses at four large university hospitals: implications for nurse managers seeking to enhance nursing retention and quality of care. Journal of Nursing Management, 24, 646-655. https://doi.org/10.1111/jonm.12369
  • Giorgi G, Mancuso S. Fiz Perez F, Castiello D'Antonio, A, Mucci N, Cupelli V, Arcangeli G. (2016). Bullying among nurses and its relationship with burnout and organizational climate. International Journal of Nursing Practice, 22, 160-168. https://doi.org/10.1111/ijn.12376
  • Li, H., Shi, Y., Li, Y., Xing, Z., Wang, S., Ying, J., ... & Sun, J. (2018). Relationship between nurse psychological empowerment and job satisfaction: A systematic review and meta‐analysis. Journal of advanced nursing, 74(6), 1264-1277. https://doi.org/10.1111/jan.13549
  • Lindell Joseph, M, Huber D. (2021). Leadership and Nursing Care Management. 7th edition, Missouri, Saunders, Elsevier.
  • International Center for Human Resources in Nursing (ICHRN) 2007 Positive Practice Environments. Access Date: 27.11.2017. http://www.wpro.who.int/topics/nursing/ichrn_fact_sheet.pdf
  • Kilic Guner E. (2017). The effect of colleague solidarity on organizational climate among the nurses. Master Thesis, Ataturk University, Erzurum.
  • Lawler EE. (1992). The ultimate advantage: Creating the high involvement organization. 1st edition, USA, Jossey-Bass.
  • Madhura D. (2020). The Impact of Organizational Climate on Organizational Commitment. Asian Journal of Management. 11, 11-20.
  • Mok E, Au-Yeung B. (2002). Relationship between organizational climate and empowerment of nurses in Hong Kong. Journal of Nursing Management, 10, 129-137. Mrayyan MT. (2008). Hospital organizational climates and nurses' intent to stay: differences between units and wards. Contemporary Nurse, 27, 223-236. https://doi.org/10.5555/conu.2008.27.2.223
  • Mullins LJ, Christy G. (2010). Management and Organisational Behaviour. 9th edition, Harlow, Financial Times&Prentice Hall.
  • O’Brien, JL. (2011). Relationships Among Structural Empowerment, Psychological Empowerment, and Burnout in Registered Staff Nurses Working in Outpatient Dialysis Centers. Nephrology Nursing Journal, 38, 475-481.
  • OECD Statistics 2024. Hours worked (indicator). Access Date: 12.05.2024. https://doi.org/10.1787/47be1c78-en
  • Özbaş AA, Tel H. (2016). The effect of a psychological empowerment program based on psychodrama on empowerment perception and burnout levels in oncology nurses: Psychological empowerment in oncology nurses. Palliative & Supportive Care, 14, 393-401. https://doi.org/10.1017/S14789515150011 21
  • Paquet M, Courcy F, Lavoie‐Tremblay M, Gagnon S, Maillet S. (2013). Psychosocial work environment and prediction of quality of care indicators in one Canadian health center. Worldviews on Evidence‐Based Nursing, 10, 82-94. https://doi.org/10.1111/j.1741-6787.2012.00250.x
  • Permarupan PY, Al Mamun A, Samy NK, Saufi RA, Hayat N. (2020). Predicting nurses burnout through quality of work life and psychological empowerment: A study towards sustainable healthcare services in Malaysia. Sustainability, 12, 388. https://doi.org/10.3390/su12010388
  • Rakha E, Dawood W, Abdelrazek F. (2022). Relationship between organizational climate and psychological empowerment of staff nurses at governmental hospitals in Ismailia. Trends in Nursing and Health Care Journal, 5, 49-61.
  • Roch G, Dubois CA, Clarke SP. (2014). Organizational climate and hospital nurses' caring practices: A mixed‐methods study. Research in Nursing & Health, 37, 229-240. https://doi.org/10.1002/nur.21596
  • Seibert SE, Wang G, Courtright SH. (2011). Antecedents and consequences of psychological and team empowerment in organizations: A meta-analytic review. Journal of Applied Psychology, 96, 981-1003. https://doi.org/10.1037/a0022676
  • Spreitzer GM. (1995). Psychological empowerment in the workplace: Dimensions, measurement, and validation. Academy of Management Journal, 38, 1442-1465.
  • Sener, S, Ooksay Sahin, A. (2023) Hemşirelerin Örgütsel Adalet Algıları ile Yapısal ve Psikolojik Güçlendirme Algılarının İncelenmesi. Journal of Hacettepe University Faculty of Nursing 10, 78-86.
  • Trus M, Galdikiene N, Balciunas S, Green P, Helminen, M, Suominen, T. (2019). Connection between organizational culture and climate and empowerment: The perspective of nurse managers. Nursing & health sciences, 21, 54-62. https://doi.org/10.1111/nhs.125 49
  • Uner S, Turan S. (2010). The construct validity and reliability of the Turkish version of Spreitzer's psychological empowerment scale. BMC public health, 10, 1-8. https://doi.org/10.1186/1471-2458-10-117
  • Wang S, Liu Y. (2015). Impact of professional nursing practice environment and psychological empowerment on nurses' work engagement: Test of structural equation modelling. Journal of Nursing Management, 23, 287-296. https://doi.org/10.1111/jonm.12124
  • Yamassake R, Baptista P, Albuquerque V, Rached C. (2021). Job satisfaction vs. organizational climate: a cross-sectional study of Brazilian nursing personnel. Revista Enfermagem Uerj, 29, 1-7. http://dx.doi.org/10.12957/reuerj.2021.62718
  • Ying L, Kunaviktikul W, Tonmukayakal O. (2007). Nursing competency and organizational climate as perceived by staff nurses in a Chinese university hospital. Nursing & Health Sciences, 9, 221-227. https://doi.org/10.1111/j.1442-2018.2007.00324.x
There are 39 citations in total.

Details

Primary Language English
Subjects Nursing Management
Journal Section Araştırma
Authors

Emine Kuruca Özdemir 0000-0002-5216-9196

Süheyla Abaan 0000-0002-9409-9851

Publication Date August 26, 2025
Submission Date October 25, 2023
Acceptance Date August 1, 2024
Published in Issue Year 2025 Volume: 8 Issue: 2

Cite

APA Kuruca Özdemir, E., & Abaan, S. (2025). Nurses’ Assessments of Psychological Empowerment and Organizational Climate: Descriptive Correlational Study. Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi, 8(2), 360-367. https://doi.org/10.38108/ouhcd.1381271
AMA Kuruca Özdemir E, Abaan S. Nurses’ Assessments of Psychological Empowerment and Organizational Climate: Descriptive Correlational Study. Ordu University J Nurs Stud. August 2025;8(2):360-367. doi:10.38108/ouhcd.1381271
Chicago Kuruca Özdemir, Emine, and Süheyla Abaan. “Nurses’ Assessments of Psychological Empowerment and Organizational Climate: Descriptive Correlational Study”. Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi 8, no. 2 (August 2025): 360-67. https://doi.org/10.38108/ouhcd.1381271.
EndNote Kuruca Özdemir E, Abaan S (August 1, 2025) Nurses’ Assessments of Psychological Empowerment and Organizational Climate: Descriptive Correlational Study. Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi 8 2 360–367.
IEEE E. Kuruca Özdemir and S. Abaan, “Nurses’ Assessments of Psychological Empowerment and Organizational Climate: Descriptive Correlational Study”, Ordu University J Nurs Stud, vol. 8, no. 2, pp. 360–367, 2025, doi: 10.38108/ouhcd.1381271.
ISNAD Kuruca Özdemir, Emine - Abaan, Süheyla. “Nurses’ Assessments of Psychological Empowerment and Organizational Climate: Descriptive Correlational Study”. Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi 8/2 (August2025), 360-367. https://doi.org/10.38108/ouhcd.1381271.
JAMA Kuruca Özdemir E, Abaan S. Nurses’ Assessments of Psychological Empowerment and Organizational Climate: Descriptive Correlational Study. Ordu University J Nurs Stud. 2025;8:360–367.
MLA Kuruca Özdemir, Emine and Süheyla Abaan. “Nurses’ Assessments of Psychological Empowerment and Organizational Climate: Descriptive Correlational Study”. Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi, vol. 8, no. 2, 2025, pp. 360-7, doi:10.38108/ouhcd.1381271.
Vancouver Kuruca Özdemir E, Abaan S. Nurses’ Assessments of Psychological Empowerment and Organizational Climate: Descriptive Correlational Study. Ordu University J Nurs Stud. 2025;8(2):360-7.