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Rethinking the critical care environment: luxury or necessity?
1University of Texas Medical Branch, School of Nursing at Galveston, 301 University Blvd., Galveston, TX 77555-1029, USA. pkritek@utmb.edu
AACN Clinical Issues
|January 5, 2002
Summary
Nurses must advocate for healing environments by addressing systemic issues and confronting the collective silencing within the profession. Embracing change and voicing concerns are crucial for improving patient care and nursing practice.
Area of Science:
- Nursing Science
- Healthcare Environments
- Patient Care
Background:
- Florence Nightingale's vision of healing environments requires system-level changes.
- The critical care environment necessitates a return to nursing's intellectual foundations.
- The nurse-patient relationship is integral to patient healing and requires comprehensive understanding.
Purpose of the Study:
- To advocate for changes in the critical care environment.
- To address the "silencing" of nurses and promote their collective voice.
- To explore how nurses can articulate necessary changes for quality nursing care.
Main Methods:
- Conceptual analysis of nursing's role in healing environments.
- Examination of conflict resolution tendencies in nursing (avoidance, accommodation, compromise).
- Argument for confronting systemic issues and advocating for change.
Main Results:
- Rethinking critical care environments can revitalize nursing's intellectual core.
- Nurses are uniquely positioned to define and implement changes for quality care.
- Confronting the "silencing" and changing conflict behaviors are essential for progress.
Conclusions:
- Giving voice to nursing concerns is a call to excellence.
- Systemic changes are necessary to create truly healing environments.
- Excluding those unwilling to change is proposed for progress towards positive outcomes.