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The health of nurse work environments has significantly declined since 2018, impacting job satisfaction and nurse retention. Implementing the American Association of Critical-Care Nurses Healthy Work Environment Standards remains crucial for improvement.

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Area of Science:

  • Nursing
  • Healthcare Management
  • Organizational Psychology

Background:

  • Nurse work environment health impacts patient and nurse outcomes.
  • The American Association of Critical-Care Nurses (AACN) established Healthy Work Environment Standards in 2005 and updated them in 2016.
  • The AACN has conducted periodic studies on nurse work environments since 2006, expanding the scope in 2021.

Purpose of the Study:

  • To report findings from the October 2021 nurse work environment study.
  • To compare 2021 results with previous AACN studies.
  • To evaluate the current state of registered nurse work environments and provide recommendations.

Main Methods:

  • An online survey was administered to registered nurses.
  • A total of 9862 nurses responded, with 9335 meeting the study's inclusion criteria.
  • The study focused on registered nurses across all practice areas.

Main Results:

  • A dramatic decline in the health of nurse work environments was observed since the 2018 study.
  • A positive correlation was found between implementing AACN Healthy Work Environment Standards and work environment health.
  • Positive relationships were confirmed between work environment health, job satisfaction, and nurse retention.

Conclusions:

  • Urgent, concerted efforts are needed to create and sustain healthy nurse work environments.
  • Fostering healthy work environments is essential for excellent patient care and optimal outcomes.
  • These efforts benefit patients, nurses, and the entire healthcare team.