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Critical Care Nurse Work Environments 2018: Findings and Implications.

Beth Ulrich1,2,3,4, Connie Barden5,6,7,8, Linda Cassidy5,6,7,8

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Critical care nurse work environments show improvement but still face challenges like understaffing and well-being issues. Implementing healthy work environment standards positively impacts job satisfaction and nurse retention.

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Area of Science:

  • Nursing
  • Healthcare Management
  • Occupational Health

Background:

  • Critical care nurse work environments significantly influence patient and nurse outcomes.
  • Previous studies have established a link between work environment and outcomes.
  • This study reports on the 2018 Critical Care Nurse Work Environment Study, comparing findings to prior research.

Purpose of the Study:

  • To evaluate the current state of critical care nurse work environments.
  • To identify areas of concern and opportunities for improvement in these environments.
  • To assess the impact of the American Association of Critical-Care Nurses (AACN) Healthy Work Environment standards.

Main Methods:

  • A mixed-methods approach was employed, collecting both quantitative and qualitative data.
  • An online survey was utilized for data collection.
  • The study included responses from 8080 members and constituents of the AACN.

Main Results:

  • While improvements were noted since 2013, critical care nurse work environments still present areas for concern.
  • Over 60% of participants reported inadequate staffing.
  • Significant physical and mental well-being issues were reported, with one-third of nurses intending to leave their positions within a year.

Conclusions:

  • Implementing AACN Healthy Work Environment standards is positively associated with healthier work environments.
  • Healthy work environments correlate with increased job satisfaction among critical care nurses.
  • Job satisfaction is directly linked to nurses' intent to remain in or leave their current positions.