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Empowerment in nursing education: concept analysis and application to philosophy, learning and instruction.

The Walker & Avant strategy is used to complete a concept analysis of empowerment. Empowerment is defined as the interpersonal process of providing the proper tools, resources and environment to build, develop and increase the ability and effectiveness of others to set and reach goals for individual and social ends. Empowerment occurs between two or more people: the person who empowers and the person(s) who is (are) empowered. The Murrell-Armstrong Empowerment matrix, with six categories of empowering behaviours, provides the theoretical framework. References from organizational, nursing, educational and sociological literature provide support for the defining attributes, antecedents and consequences of empowerment. A conceptual map depicts these relationships and demonstration cases serve to make the ideas more apparent. The concept of empowerment is applied to philosophy, learning and instruction. Pragmatism reflects the ideas presented on empowerment because both embrace individual and social goals, the student is active in the learning process, learning is lifelong, and the appropriate environment, tools and resources for learning must be present. Kolb's experimental learning model corresponds with empowerment and pragmatism. The works of Dewey, Lewin, Piaget, Rogers and Freire are used as the basis for the model. Kolb describes learning as a four-step process that includes concrete experience, reflective observation, abstract conceptualization and active experimentation. Transformative instruction is based on Freire's critical pedagogy, Belenky et al.'s connected teaching, Schön's reflection-in-action, and activities that allow students to complete the experimental learning cycle. Several strategies that promote transformative instruction are discussed.

Decision Making

Empowerment support with adult female survivors of childhood incest: Part I--Theories and research.

This report is concerned with the concept of empowerment support as a nursing intervention that facilitates the development of mastery, competence, self-worth, and control in the adult female survivor of childhood incest. Empowerment support has been derived from Orem's theory of nursing system. In that theory, empowerment support is encompassed in particular "methods of helping." Theories and research that relate to incest trauma and empowerment support are discussed from an interdisciplinary perspective.

Adult

Empowerment through teaching.

Empowerment through teaching is built on the feminist belief that successful and effective teaching is a cointentional process, emerging from meaningful connections between students and faculty. Empowerment results from teaching characterized by caring, commitment, creativity, interaction, and a recognition of the humanity of both teacher and students. Teaching is conceptualized as a directional process emerging from the energy of both student and teacher. There must be continued, intense, and frequent exchange of these energies. The tools that students and teacher must possess or acquire for empowerment include positive self-concept, creativity, resources, information, and support. This perspective permits a new understanding of teaching that results in empowerment of both parties involved in the process of learning.

Cognition

Health and safety education for worker empowerment.

This article introduces a special issue of the American Journal of Industrial Medicine dedicated to innovative approaches to worker education in health and safety. Contributors to this issue describe applications of an "empowerment approach" in a wide variety of institutions and settings throughout the United States and Canada. In this article, empowerment education is presented and contrasted with other training methodologies. The article offers suggestions on how to implement this approach discusses evaluation issues, and summarizes the articles contained in this issue. Explored are preliminary outcomes of using this methodology and implications for developing educational programs in the future.

Educational Measurement

Empowerment support with adult female survivors of childhood incest: Part II--Application of Orem's methods of helping.

This report addresses the integration and application of empowerment support with Orem's methods of helping, which include (1) providing a developmental environment, (2) psychological support, (3) guiding another, and (4) teaching another. Empowerment support is viewed as basic helping methods (supportive psychotherapy) for the psychiatric nurse to use with adult female survivors of childhood incest.

Adult

Women, HIV infection, and AIDS: tapestries of life, death, and empowerment.

Women, the minority population in the human immunodeficiency virus (HIV) pandemic, are fast becoming one of the highest subgroups to be infected and affected by the disease. In the United States, most of these women are black or Hispanic, poor and urban dwellers, and addicted to drugs. This paper discusses the physical, psychological, and social manifestations of HIV disease in women, such as diminished activity tolerance, neurologic or cognitive changes, occupational and social role imbalance, and stigma and discrimination, and describes the sociocultural aspects of women's lives for assessment and treatment of women with HIV. Health promotion, education, and AIDS prevention and wellness programming are emphasized as strategies toward facilitation of self-empowerment for women with HIV disease. These health promotion and wellness strategies include learning of new and adaptation of current roles; learning strategies for self-care that include care for one's physical, psychosocial, spiritual, and sexual health; and learning and developing action plans toward healthy living and self-empowerment.

Acquired Immunodeficiency Syndrome

Interagency psychiatric consultation liaison nursing peer review and peer board: quality assurance and empowerment.

This article describes the implementation of an interagency peer review group and formal review board for psychiatric consultation liaison nurses (PCLN) practicing in affiliated institutions. Peer group members enhance their skill levels, assure quality standards of practice, and implement system changes through peer collaboration and member feedback. The model assures quality PCLN practice, fosters member resilience, creates a counterbalance for PCLN role isolation, and provides professional empowerment. The authors also disclose the peer group members' struggle and resolution to implement the mandated task of the annual performance review through the process of the PCLN formal peer review board.

Humans

Institutional ethnography: explicating the social organization of professional health practices intending client empowerment.

Institutional enthnography uses traditional ethnographic procedures grounded in an analytic approach for explicating the social organization of knowledge. I illustrate the theory and method by describing my experience and analysis-to-date in a study of the social organization of knowledge in mental health, day program occupational therapy in Atlantic Canada. I emphasize the research standpoint within everyday experience. From this point, the researcher explicates (through description) how (micro) social relations, i.e. everyday actions, speech and documentation, are embedded in the (macro) practices of "institutions" such as mental health services. I summarize data management procedures including use of ETHNOGRAPH. Analysis-to-date is showing how the organization of mental health day programs both constrains and creates potential for occupational therapists enabling client empowerment.

Canada

From fear to empowerment: the impact of employees AI awareness on workplace well-being - a new insight from the JD-R model.

PURPOSE: The primary purpose of the study was to explore the impact of health workers' awareness of artificial intelligence (AI) on their workplace well-being, addressing a critical gap in the literature. By examining this relationship through the lens of the Job demands-resources (JD-R) model, the study aimed to provide insights into how health workers' perceptions of AI integration in their jobs and careers could influence their informal learning behaviour and, consequently, their overall well-being in the workplace. The study's findings could inform strategies for supporting healthcare workers during technological transformations. DESIGN/METHODOLOGY/APPROACH: The study employed a quantitative research design using a survey methodology to collect data from 420 health workers across 10 hospitals in Ghana that have adopted AI technologies. The study was analysed using OLS and structural equation modelling. FINDINGS: The study findings revealed that health workers' AI awareness positively impacts their informal learning behaviour at the workplace. Again, informal learning behaviour positively impacts health workers' workplace well-being. Moreover, informal learning behaviour mediates the relationship between health workers' AI awareness and workplace wellbeing. Furthermore, employee learning orientation was found to strengthen the effect of AI awareness on informal learning behaviour. RESEARCH LIMITATIONS/IMPLICATIONS: While the study provides valuable insights, it is important to acknowledge its limitations. The study was conducted in a specific context (Ghanaian hospitals adopting AI), which may limit the generalizability of the findings to other healthcare settings or industries. Self-reported data from the questionnaires may be subject to response biases, and the study did not account for potential confounding factors that could influence the relationships between the variables. PRACTICAL IMPLICATIONS: The study offers practical implications for healthcare organizations navigating the digital transformation era. By understanding the positive impact of health workers' AI awareness on their informal learning behaviour and well-being, organizations can prioritize initiatives that foster a learning-oriented culture and provide opportunities for informal learning. This could include implementing mentorship programs, encouraging knowledge-sharing among employees and offering training and development resources to help workers adapt to AI-driven changes. Additionally, the findings highlight the importance of promoting employee learning orientation, which can enhance the effectiveness of such initiatives. ORIGINALITY/VALUE: The study contributes to the existing literature by addressing a relatively unexplored area - the impact of AI awareness on healthcare workers' well-being. While previous research has focused on the potential job displacement effects of AI, this study takes a unique perspective by examining how health workers' perceptions of AI integration can shape their informal learning behaviour and, subsequently, their workplace well-being. By drawing on the JD-R model and incorporating employee learning orientation as a moderator, the study offers a novel theoretical framework for understanding the implications of AI adoption in healthcare organizations.

Humans

Three participatory exercises on empowerment used in health and safety training of trainers course in Connecticut.

In a training-of-trainers course on health and safety sponsored by the Connecticut Council on Occupational Safety and Health and the Division of Worker Education, Workers' Compensation Commission, various participatory exercises have been utilized to train workers who are then expected to train their co-workers. Three of the exercises, including hazard recognition, tackling apathy, and strategies for change are described.

Connecticut