Generational Differences in Empowerment, Professional
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University of Tennessee, Knoxville TRACE: Tennessee Research and Creative Exchange Doctoral Dissertations Graduate School 5-2013 Generational Differences in Empowerment, Professional Practice Environment, Incivility, Authentic Leadership, Job Satisfaction, Engagement and Intent to Leave in Acute Care Nurses Lisa Marie Haddad University of Tennessee - Knoxville, [email protected] Follow this and additional works at: https://trace.tennessee.edu/utk_graddiss Part of the Nursing Administration Commons Recommended Citation Haddad, Lisa Marie, "Generational Differences in Empowerment, Professional Practice Environment, Incivility, Authentic Leadership, Job Satisfaction, Engagement and Intent to Leave in Acute Care Nurses. " PhD diss., University of Tennessee, 2013. https://trace.tennessee.edu/utk_graddiss/1728 This Dissertation is brought to you for free and open access by the Graduate School at TRACE: Tennessee Research and Creative Exchange. It has been accepted for inclusion in Doctoral Dissertations by an authorized administrator of TRACE: Tennessee Research and Creative Exchange. For more information, please contact [email protected]. To the Graduate Council: I am submitting herewith a dissertation written by Lisa Marie Haddad entitled "Generational Differences in Empowerment, Professional Practice Environment, Incivility, Authentic Leadership, Job Satisfaction, Engagement and Intent to Leave in Acute Care Nurses." I have examined the final electronic copy of this dissertation for form and content and recommend that it be accepted in partial fulfillment of the equirr ements for the degree of Doctor of Philosophy, with a major in Nursing. Kenneth D. Phillips, Major Professor We have read this dissertation and recommend its acceptance: Mary Gunther, Joanne Hall, Ralph Brockett Accepted for the Council: Carolyn R. Hodges Vice Provost and Dean of the Graduate School (Original signatures are on file with official studentecor r ds.) Generational Differences in Empowerment, Professional Practice Environment, Incivility, Authentic Leadership, Job Satisfaction, Engagement and Intent to Leave in Acute Care Nurses A Dissertation Presented for the Doctor of Philosophy Degree University of Tennessee, Knoxville Lisa Marie Haddad May 2013 ii Copyright © 2013 by Lisa Marie Haddad All rights reserved iii Dedication I dedicate my dissertation work to my family and friends who supported me through the process. To my mom and stepdad, Connie and Glenn Halstead, who provided help, encouragement, loving pushes and unwavering belief in my ability to succeed. You have supported me through adverse situations. Mom, you have inspired me through my entire life. Thank you! To Bud Hankins, my big brother. I have always looked up to you and admired you for who you are. Thank you for your support and for always being my friend. To my children, Courtney, Daniel, Emily and Fletcher, who sacrificed time with me to allow me to reach my dream. I hope to inspire each of you to believe in yourself, set goals, and not let anything stop your dreams. With determination you can do anything and become anyone. To Michael McKeehan, you provided inspiration, support and big shoulders. To Dr. Susan Justice, Dr. Michael Bone and Dr. Robert Evans: Your belief in a stranger provided hope and a light through the darkest moments. Through a selfless act you have touched lives forever. iv Acknowledgments My personal and heartfelt gratitude is extended to my committee members who made this dissertation possible. A special appreciation to my committee chair and my friend, Dr. Kenneth Phillips, who supported, encouraged and guided me through, providing patience and expertise. Dr. Mary Gunther, Dr. Joanne Hall, Dr. Ralph Brockett and Dr. Abbas Tavakoli for their willingness to participate, thoughtful responses, and generosity in sharing of their time. v Abstract Aim. The aim of this study was to examine generational differences among acute care nurses on empowerment, professional practice, authentic leadership, incivility, job satisfaction, engagement and intent to leave the current job. Background. Empowerment in nursing is a well-studied subject. Perceptions of professional practice environments, authentic leadership and incivility are related to empowerment. An increase in empowerment has been linked to job satisfaction and the likelihood of leaving one’s job or the profession. The nursing shortage forces attention to job satisfaction and keeping the professionals we currently have in the profession. Generational differences exist within different cohorts of nurses and can affect how they respond within their job and organization. Method . Descriptive and inferential analyses of the demographic and major study variables, along with reliability assessments of the study instruments were conducted. Generational differences were determined using general linear modeling. The hypothesized structural model was tested using Structural Equation Modeling (SEM) with Proc CALIS in SAS. Results. A sample of 210 nurses working in the hospital setting in the East Tennessee were included in the study. Significant associations among the variables were observed. There were no differences detected between the generational groups. The hypothesized model did not fit. After review, the final model was improved to acceptable associations among variables. Conclusion. Given the current multi-generational status of nurses and the state of nursing, efforts should be made to support and assist the needs of the various generations. Providing empowering environments, with authentic leaders and a professional practice environment increases job satisfaction, and is likely to provide an environment in which the nurse will want to remain. vi Table of Contents Page Chapter 1: …………………………………………….……………………………………. 1 Introduction………….………………………….………………………………..… 1 Background……………………………………………………………….………... 3 Statement of the Problem………………………………………………….……….. 6 Purpose of the Study…………………………………………………….…………. 6 Specific Aims and Hypotheses……………………………………….…………..... 7 Theoretical Framework……………………………………………….…………..... 8 Conceptual Definitions of Terms…………………………………….………….…. 11 Operational Definitions of Terms………………………………….……………..... 14 Assumptions…………………………………………………………………….….. 15 Limitations………………………………………………….……………………… 15 Delimitations…………………………………………….…………………………. 16 Significance…………………………………………….………………………….. 16 Summary…………………………………………………………………………… 17 Chapter 2:………………………………………………………………………………….. 18 Review of the Literature…………………………………………………………… 18 Method of Literature Search……………………………………………………….. 18 Literature Review………………………………………………………………….. 18 Generational Differences………………………………………………….. 21 Empowerment……………………………………………………………… 23 Empowerment Related to Nursing……………………………………….… 27 Generational Differences and Empowerment……………………………… 30 Professional Practice Environment………………………………………… 30 Incivility …………………………………………………………………… 32 Authentic Leadership………………………………………………………. 33 Job Satisfaction…………………………………………………………….. 34 Engagement in Job…………………………………………………………. 37 Intention of Nurses to Leave Current Position…………………………….. 37 Gap in Literature…………………………………………………………………… 38 Hypothesized Study Model………………………………………………………… 39 Summary…………………………………………………………………………… 39 Chapter 3:.………...……………………………………………...………………………… 40 Method…………………………………………………...………………………… 40 Model………………………………………………………………………………. 40 Design……………………………………………………………………………… 41 Setting……………………………………………………………………………… 42 Population………………………………………………………………………...... 42 Sample………………………………………………………………………………42 Instrumentation…………………………………………………………..………… 43 Independent Variables…………………………………………………….. 43 Generational Differences………………………………………….. 43 vii Empowerment……………………………………………………… 44 Moderating Variables……………………………………………………….46 Professional Practice Environment………………………………… 46 Incivility……………………………………………………….…… 47 Authentic Leadership………………………………………………. 48 Dependent Variables……………………………………………………….. 48 Job Satisfaction…………………………………………………….. 48 Engagement in Job…………………………………………………. 49 Intent to Leave…………………………………………………….. 49 Procedure………………………………………………………………………….. 50 Recruitment and Distribution……………………………………………… 50 Collection………………………………………………………………….. 51 Protection of Human Subjects…………………………………………………….. 51 Data Analysis………………………………………………………………………. 52 Summary…………………………………………………………………………… 53 Chapter 4:…………………………………………….…………………………………….. 54 Results………………………………………….…………………………….…….. 54 Descriptive Statistics………………………………………………………………. 55 Demographic Description………………………………………………………….. 56 Description of Variables…………………………………………………………… 60 Comparison of Variables………………………………………………………….. 64 Correlational Analysis…………………………………………………………….. 66 Entire Group……………………………………………………….………. 66 Baby Boomers Group……………………………………………………… 67 Generation X Group……………………………………………………….. 68 Generation Y Group……………………………………………………….. 69 Model Results……………………………………………………………………… 70 Entire Group……………………………………………………………….. 70 Baby Boomers Group……………………………………………………… 73 Generation X Group……………………………………………………….. 75 Generation Y Group……………………………………………………….. 78 Summary of Overall Findings……………………………………………... 80 Chapter 5:………………………………………………………………………………….. 81 Discussion………………………………………………………………………….. 81 Discussion of Findings……………………………………………………………... 81 Sample………………………………………………………………………82 Generational Groups……………………………………………………….. 83 Empowerment……………………………………………………………… 84 Perception of Professional Practice ……………………………………….. 85 Incivility……………………………………………………………………. 86 Authentic Leadership………………………………………………………. 87 Job Satisfaction…………………………………………………………….