• Yuying Fan, Qiulan Zheng, Shiqing Liu, and Qiujie Li.
• The Second Affiliated Hospital & College of Nursing, Harbin Medical University, Harbin, Heilongjiang Province, China.
• J Nurs Manag. 2016 Jul 1; 24 (5): 646-55.

AimTo explore the relationships among perceived work environment, psychological empowerment and job engagement of clinical nurses in Harbin, China.BackgroundPrevious studies have focused on organisational factors or nurses' personal characteristics contributing to job engagement. Limited studies have examined the effects of perceived work environment and psychological empowerment on job engagement among Chinese nurses.MethodA cross-sectional quantitative survey with 923 registered nurses at four large university hospitals in China was carried out. Research instruments included the Chinese versions of the perceived nurse work environment scale, the psychological empowerment scale and the job engagement scale. The relationships of the variables were tested using structural equation modelling.ResultsStructural equation modelling revealed a good fit of the model, χ(2) /df = 4.46, GFI = 0.936, CFI = 0.957. Perceived work environment was a significant positive direct predictor of psychological empowerment and job engagement. Psychological empowerment was a significant positive direct contributor to job engagement and had a mediating effect on the relationship between perceived work environment and job engagement.ConclusionsPerceived work environment may result in increased job engagement by facilitating the development of psychological empowerment.Implications For Nursing ManagementFor nurse managers wishing to increase nurse engagement and to achieve effective management, both perceived work environment and psychological empowerment are factors that need to be well controlled in the process of nurse administration.© 2016 John Wiley & Sons Ltd.

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