The influence of empowerment and incivility on the mental health of new graduate nurses

J Nurs Manag. 2015 Jul;23(5):632-43. doi: 10.1111/jonm.12190. Epub 2013 Nov 28.

Abstract

Aim: To test a model based on Kanter's theory of structural empowerment, which examines the relationships between new graduate nurses' perceptions of structural empowerment, workplace incivility and mental health symptoms.

Background: The initial years of practice can be particularly stressful for new graduate nurses, who may be particularly vulnerable to uncivil behaviour as a result of their status in the work environment. Disempowerment and incivility in the workplace may compound the mental health symptoms experienced by new graduate nurses.

Method: A predictive, non-experimental design was used to examine the relationship between structural empowerment, workplace incivility and mental health symptoms in a sample of new graduate nurses working in hospital settings in Ontario (n = 394).

Result: High levels of structural empowerment were significantly associated with fewer negative mental health symptoms in new graduates. However, co-worker incivility and supervisor incivility partially mediated the effect of structural empowerment on new graduate nurses' mental health symptoms.

Conclusion: The findings suggest that empowering workplaces contribute to lower mental health symptoms in new graduate nurses, an effect that is diminished by incivility.

Implications for nursing management: Strategies that foster empowering work conditions and reduce uncivil behaviour are needed to promote positive mental health in new graduate nurses.

Keywords: Kanter; mental health; new graduate nurses; structural empowerment; workplace incivility.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Bullying
  • Female
  • Humans
  • Interprofessional Relations*
  • Male
  • Nursing Staff, Hospital / psychology*
  • Nursing Theory
  • Ontario
  • Power, Psychological
  • Stress, Psychological*
  • Surveys and Questionnaires
  • Workplace*