Visibility, Physical Work Environment, and Stress in ICU Nurses
Yolanda Keys1, Ellen Fineout-Overholt
1Author Affiliations: Research Associate (Dr Keys), The Center for Health Design, Concord, California; National Senior Director (Dr Fineout-Overholt), Evidence-Based Practice and Implementation Science, at Ascension in St. Louis, MO.
High visibility of patients and coworkers in intensive care units (ICUs) can reduce work stress for nurses. Designing ICUs with better visibility may improve the nursing work environment and mitigate job demands.
Area of Science:
- Nursing Science
- Environmental Psychology
- Occupational Health
Background:
- Significant investments are made in ICU construction and renovation.
- There is a lack of understanding regarding the impact of the physical ICU layout on nurse work stress.
Purpose of the Study:
- To explore the relationships between visibility (coworker and patient), reactions to the physical work environment, and work stress in ICU nurses.
- To investigate the role of the built environment in the occupational health of critical care nurses.
Main Methods:
- Cross-sectional, correlational, exploratory, and predictive research design.
- Study conducted on a diverse sample of intensive care unit (ICU) nurses.
Main Results:
- Visibility was found to have a direct effect on work stress (P < 0.01).
- The Visibility, Physical Environment and Stress (ViPES) model effectively explains the relationships among the studied variables.
- High visibility acts as a job resource, while low visibility functions as a job demand for ICU nurses.
Conclusions:
- Design elements that foster a sense of connection are crucial, particularly for less experienced ICU nurses.
- Incorporating features that enhance visibility of both patients and colleagues can help alleviate work stress in the ICU setting.
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