title: Clinical nutrition managers have access to sources of empowerment.
abstract: OBJECTIVE
  To ascertain perceived access of dietitians to power in the workplace.
  
  
  METHODS
  The conceptual framework was Kanter's theory of organizational power. The Conditions for Work Effectiveness Questionnaire was used to measure perceived access to sources of power: information, support, resources, and opportunities. Demographic data were collected to identify factors that may enhance empowerment.
  
  
  METHODS
  The questionnaire was sent to a random sample of 348 dietitians chosen from members of the Clinical Nutrition Management dietetic practice group of the American Dietetic Association. Blank questionnaires were returned by 99 (28.4%) people not working as clinical nutrition managers, which left 249 in the sample.
  
  
  METHODS
  Descriptive statistics were used to organize and summarize data. One-way analysis of variance and t tests were performed to identify differences in responses based on levels of education, work setting, and information technology skills.
  
  
  RESULTS
  Usable questionnaires were received from 178 people (71.5%). On a 5-point scale, scores for access to information (mean +/- standard deviation [SD] = 3.8 +/- 0.7), opportunity (mean +/- SD = 3.6 +/- 0.7), support (mean +/- SD = 3.2 +/- 0.9), and resources (mean +/- SD = 3.1 +/- 0.8) demonstrated that clinical nutrition managers perceived themselves as having substantial access to sources of empowerment. Those having higher levels of education, working in larger hospitals, having better-developed information technology skills, and using information technology more frequently had statistically significant higher empowerment scores (P = < or = .05) than contrasting groups in each category.
  
  
  CONCLUSIONS
  Clinical nutrition managers are empowered and able to assume leadership roles in today's health care settings. Their power may be enhanced by asserting more pressure to gain greater access to sources of power: support, information, resources, and opportunities.
authors.affiliation: Riverside Skilled Nursing Facility, Dayton, Ohio, USA.
authors.forename: J M
authors.initials: JM
authors.lastname: Mislevy
authors.forename: M R
authors.initials: MR
authors.lastname: Schiller
authors.forename: K N
authors.initials: KN
authors.lastname: Wolf
authors.forename: S C
authors.initials: SC
authors.lastname: Finn
mesh_terms: D003197:Computer Literacy; D003199:Computer Systems / Q000600:supply & distribution; D003710:Demography; D004046:Dietetics; D004522:Educational Status; D006801:Humans; D011209:Power, Psychological; D011795:Surveys and Questionnaires; D014481:United States