通过实施AACN的健康工作环境标准,实现文化转型的多模式方法
1Nancy Blake is chief nursing officer at Los Angeles General Medical Center and an associate adjunct professor at the UCLA School of Nursing, Los Angeles, California.
Critical care nurse
|September 30, 2025
概括
实施健康工作环境标准显著减少了护士轮流,改善了患者的治疗结果. 这项质量改善倡议的重点是改善护理工作环境,以提高护理人员的留守率和整体医疗保健质量.
科学领域:
- 护理 护理 护理
- 医疗保健管理的管理
- 组织心理学 组织心理学
背景情况:
- 组织文化和工作环境对于护士的保留和患者的结果至关重要.
- COVID-19大流行加剧了医疗保健部门的挑战,影响了护理人员和组织.
- 洛杉矶综合医疗中心面临着创纪录的20.62%的护理人员流动.
研究的目的:
- 通过改善组织文化,解决高护理人员流动问题.
- 通过质量改进项目,提高护士保留率和其他护士敏感指标.
- 实施美国重症护理护士协会 (AACN) 制定的6项健康工作环境标准.
主要方法:
- 启动了一项质量改进项目,重点关注AACN的6个健康工作环境标准.
- 实施了专业的共享治理,一个新的毕业生过渡计划,以及一个通信移动应用程序.
- 推出了一项以赠款资助的减少倦怠的项目,AACN临床现场调查员学院,领导力发展和新的员工配置系统.
主要成果:
- 改善了患者的治疗结果,并大大减少了护士的流动量.
- 观察到护士认证率的增加和BSN学位或更高的护士比例的增加.
- 报告说,在计划实施后,医疗保健总体成本有所下降.
结论:
- 一个以6个AACN健康工作环境标准为中心的质量改进计划有效地提高了护理工作环境.
- 该计划在改善护士保留,患者护理和运营效率方面取得了成功.
- 专注于沟通,协作,人员配置,领导,认可和共享决策等要素是健康工作环境的关键.
更多相关视频
08:13Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion
Published on: January 20, 2019
7.0K
08:33Three Dimensional Cultures: A Tool To Study Normal Acinar Architecture vs. Malignant Transformation Of Breast Cells
Published on: April 25, 2014
20.3K
相关概念视频
01:30National Nursing Organizations II
1.9K
Nursing organizations play a vital role in representing nurses working in specialized clinical settings, such as the American Association of Critical-Care Nurses (AACN).
The AACN emphasizes a healthy work environment through six standards to achieve an optimal patient outcome. The standards are appropriate staffing, meaningful recognition, collaboration, authentic leadership, effective communication, and decision-making. In addition, AACN provides certification programs, webinars, journals, and...
The AACN emphasizes a healthy work environment through six standards to achieve an optimal patient outcome. The standards are appropriate staffing, meaningful recognition, collaboration, authentic leadership, effective communication, and decision-making. In addition, AACN provides certification programs, webinars, journals, and...
1.9K
01:15Nursing Implementation
5.9K
Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
5.9K
01:23International Nursing Organizations I
2.2K
International Nursing Organization (ICN) is a global union of national nurses' organizations. Individual nurses can be a part of ICN through member organizations. Each member organization strives to ensure quality nursing care, sound health policies, the advancement of nursing knowledge, respect for the profession, and a satisfied and competent nursing workforce.
ICN member organizations work to advance the field of nursing and healthcare via policies, partnerships, lobbying, professional...
ICN member organizations work to advance the field of nursing and healthcare via policies, partnerships, lobbying, professional...
2.2K
01:21Interdisciplinary Care: The Health Care Team-I
2.5K
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care.
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
2.5K
01:29Documentation in Long-Term and Home Healthcare Setting
1.4K
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
1.4K
01:29Aims Of Nursing
15.7K
Nursing involves independent, cooperative, person-centered care for people of all ages, families, groups, and communities. Nurses assist the sick or the well person in all settings. Nursing includes promoting health, preventing illness, and caring for ill, disabled, and dying people. Health promotion encourages people to take responsibility for their health. It focuses on the healthy behavior of individuals, families, and the community and the factors that impact their health. Examples of...
15.7K