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Related Concept Videos

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Nursing organizations play a vital role in representing nurses working in specialized clinical settings, such as the American Association of Critical-Care Nurses (AACN).
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Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...
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IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
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Related Experiment Video

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Monitoring Lung Function with Electrical Impedance Tomography in the Intensive Care Unit
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Implementing AACN's Healthy Work Environment Framework in an Intensive Care Unit.

Kelly Kester1, Heather Pena2, Catherine Shuford3

  • 1Kelly Kester is clinical operations director, Duke University Hospital, Durham, North Carolina.

American Journal of Critical Care : an Official Publication, American Association of Critical-Care Nurses
|November 1, 2021
PubMed
Summary

Implementing the American Association of Critical-Care Nurses (AACN) healthy work environment (HWE) framework improved nurse satisfaction and tenure. This study shows the HWE framework

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Area of Science:

  • Nursing
  • Healthcare Management
  • Organizational Psychology

Background:

  • High bedside nurse turnover (15.9%) in the US is linked to poor work environments.
  • Healthy work environments enhance nurse satisfaction, retention, and patient outcomes.
  • Unhealthy environments negatively impact these critical areas.

Purpose of the Study:

  • Implement the American Association of Critical-Care Nurses (AACN) healthy work environment (HWE) framework.
  • Evaluate staff satisfaction, turnover, and tenure in an intensive care unit (ICU) 2 years post-implementation.
  • Assess the impact of HWE standards on the nursing work environment.

Main Methods:

  • Utilized a pre-post study design in an ICU at a large academic medical facility.
  • Implemented interventions targeting the 6 AACN HWE standards.
  • Measured changes using the AACN HWE assessment survey in 2017 and 2019.

Main Results:

  • Statistically significant improvements were observed across most HWE standards, excluding skilled communication and overall measures.
  • Registered nurse turnover remained stable over the 2-year study period.
  • Average nurse tenure increased by 79 days, indicating improved retention.

Conclusions:

  • Interventions based on HWE standards are associated with enhanced staff satisfaction and retention.
  • The AACN HWE framework demonstrates value in improving nurse retention within ICUs.
  • Addressing HWE standards positively impacts key nursing workforce metrics.