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A Vision for Excellence by Design.

Patricia A Hickey1

  • 1Patricia A. Hickey is vice president and associate chief nurse, Cardiovascular and Critical Care Nursing Patient Services, Boston Children's Hospital, Boston, Massachusetts and assistant professor, Department of Pediatrics, Harvard Medical School, Boston, Massachusetts. patricia.hickey@childrens.harvard.edu.

American Journal of Critical Care : an Official Publication, American Association of Critical-Care Nurses
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PubMed
Summary
This summary is machine-generated.

This research highlights six domains to improve critical care nursing science and practice. Key findings emphasize that employee well-being and healthy work environments are crucial for better patient and staff outcomes.

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Area of Science:

  • Critical care nursing
  • Healthcare systems science
  • Organizational psychology

Background:

  • Generating evidence for care improvement is vital in complex healthcare systems.
  • Employee well-being and team support are essential for leadership success.
  • Patient and staff outcomes are interconnected, necessitating healing and holistic care environments.

Purpose of the Study:

  • To advance the science and practice of critical care nursing.
  • To highlight six key domains for improving critical care.
  • To emphasize the link between staff well-being and patient outcomes.

Main Methods:

  • Review of a 20-year research program focused on critical care nursing.
  • Integration of the American Association of Critical-Care Nurses' Healthy Work Environment framework.
  • Analysis of factors including staffing, certification, and team attributes.

Main Results:

  • The Healthy Work Environment framework empowers staff and optimizes patient and family experiences.
  • Appropriate staffing, considering cognitive workload and nursing complexity, impacts outcomes.
  • Specific nursing characteristics have been shown to improve patient outcomes.

Conclusions:

  • Fostering moral resilience through interventions for moral distress is necessary for critical care nurses.
  • Future challenges include supporting organizational health via reliable processes and clinical innovation.
  • Excellence in healthcare is achieved through systems supporting professional practice, teams, and environments.