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Enhancing nurses’ psychological empowerment through NLP: a mixed-methods study
Background
Psychological empowerment is necessary for strengthening autonomy, motivation, and resilience among nurses in high-demand clinical settings. Neuro-linguistic programming (NLP), a behavioral approach that enhances cognitive flexibility and emotional regulation, may offer an effective pathway to internal empowerment. This study aimed to investigate the impact of an NLP-based educational intervention on nurses’ psychological empowerment.
Methods
A convergent mixed-methods, quasi-experimental study was conducted with 70 registered nurses at a private university hospital in Istanbul, Türkiye. Participants were randomly assigned to intervention (
n
= 35) and control (
n
= 35) groups. The intervention group completed a structured NLP program administered in five 3-h sessions over 1 week. Psychological empowerment was measured using the Psychological Empowerment Scale at three time points: pretest, immediate posttest, and 1-month follow-up. Data were analyzed using independent
t
-tests or Mann–Whitney U test for between-group comparisons and Friedman and Wilcoxon tests for within-group comparisons. To assess effect sizes, Cohen’s d was calculated. Qualitative data from pre- and post-intervention focus groups were analyzed via thematic analysis.
Results
The intervention group exhibited considerable improvements in total empowerment and all subdimensions—meaning, competence, self-determination, and impact—at posttest and follow-up (
p
< .001). Effect sizes were very large: meaning d = 2.30, competence d = 3.12, self-determination d = 3.36, impact d = 1.44, and total score d = 1.84. Qualitative themes indicated increased perspective flexibility, role clarity, assertive communication, and goal-directed professional initiative following the training.
Conclusion
A structured NLP-based program substantially improved nurses’ psychological empowerment and related professional behaviors. Integrating NLP-informed strategies into staff development may offer a practical, scalable approach to foster autonomy, emotional self-regulation, and resilience in clinical nursing. Longer follow-up and multi-site trials are warranted.
Trial registration
The study was retrospectively registered in the ISRCTN registry under the number ISRCTN18008877 (Date of registration: July 7, 2025).
Journal Article
The Clinical Effectiveness of Neurolinguistic Programming
Despite widespread use, Neurolinguistic Programming (NLP) is a topic of much debate, often receiving criticism from academic and professional sectors. In this book international academics, researchers and therapists are brought together to examine the current evidence of the clinical efficacy of NLP techniques, considering how NLP can be effective in facilitating change, enrichment and symptom relief.
Lisa Wake and her colleagues provide a critical appraisal of evidence-based research in the area to indicate the benefits of the approach and identify the need for an increase in randomized well-controlled clinical trials. Contributors also explore how NLP has been used to treat various disorders including:
post-traumatic stress disorder
phobias
addictions
anxiety disorders
mild depression.
Illustrated throughout with clinical examples and case studies, this book is key reading for practitioners and researchers interested in NLP, as well as postgraduate students.
eBook
NLP for project managers
Method and process are important in project management, but knowing how to use them is even more so. As a project manager you can increase your effectiveness most by developing your soft skills, recognising that finesse can be more effective than force. Once developed, you will find that these skills are transferable across project types and whole industry sectors. This book illustrates the application of NLP to develop competencies, hence better equipping you to communicate across cultures, reframe problems, manage stakeholder groups, resolve conflicts, motivate teams and become an even better leader.
eBook
Using NLP to enhance behaviour and learning
Elston and Sphorer take the reader through the background theory of NLP and provide a wealth of practical guidance on how to incorporate it into classroom practice. It will help all teachers to improve the lives of their students they teach or support as well as their own. NLPÂ offers a ground-breaking method of communication that helps people master the way they think and feel. Many problems arise in classrooms because of inadequate rapport between student and teacher, and between parent and teacher. NLP can assist all who work in classrooms to master ways of creating excellent rapport and understanding.
eBook
Handbook of NLP
Since its Californian beginnings a generation ago, Neurolinguistic Programming (NLP) has won world-wide recognition as probably the most powerful set of tools available for improving communication, thinking and problem-solving. Derived from the study of leading practitioners in fields as disparate as psychotherapy and selling, NLP is now used extensively in business, management, human resource development and sport. Dr Alder's Handbook brings together in one volume the ideas and skills involved in applying NLP to achieve superior performance at both the personal and the professional level. Part 1 sets out the underlying principles and introduces key concepts such as outcomes, representational systems, anchoring, modelling and reframing, together with the techniques required for putting them to work. Part 2 shows how to use NLP in training, selling, negotiating, interviewing, coaching and presentation. Throughout the text there are examples and exercises designed to help readers profit from, rather than simply understand, the procedures described. Other valuable features include a glossary of terms and a sources and resources section containing an annotated reading list and details of organizations offering NLP training. Anyone seeking a comprehensive guide to NLP theory and practice need look no further.
Harry Alder is an internationally respected business consultant specializing in the science of success. He has worked with a wide range of organizations to help staff maximize their potential. Dr Alder is a popular seminar leader, conference speaker and the author of numerous books on management, NLP and personal excellence, including The Ultimate How to Book (also published by Gower).
Contents: Part 1: Principles and Practices: Introduction; The nature of NLP: Principles and presuppositions; Models for success; Well-formed outcomes; Values and beliefs; Communication outcomes; Pacing, leading and rapport; Representational systems; Submodalities; Levels and parts; Timelines; Making sense of language; Trace without trying; Metaphors; Meta programs; Anchors and anchoring; Strategies; Modelling; Frames and reframing; Change techniques. Part 2: Selected Applications: Introduction; Training; Selling; Negotiating; Interviews and appraisals; Coaching; Speeches and presentation; Glossary; Index.
eBook