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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
1Beth Ulrich is Professor, Cizik School of Nursing, The University of Texas Health Science Center at Houston, Texas, Editor of the Nephrology Nursing Journal, and a consultant on Healthy Work Environments for the American Association of Critical-Care Nurses, Aliso Viejo, California. bethtulrich@gmail.com.
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.
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.
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