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Nurse-friendly work environments

Health Factors: Access to Care Quality of Care
Decision Makers: Employers & Businesses State Government Healthcare Professionals & Advocates
Evidence Rating: Expert Opinion
Population Reach: 100% of WI's population
Impact on Disparities: No impact on disparities likely

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Description

Nurse-friendly work environments support increased nurse control over their practice, foster nurse leadership and nurse-physician collaboration, and include strong organizational support. Such efforts can take place in outpatient and inpatient settings. Magnet hospitals can be one way to support nurse-friendly environments.

Expected Beneficial Outcomes

Increased nurse retention
Improved quality of care
Increased job satisfaction

Evidence of Effectiveness

Nurse-friendly work environments are a suggested strategy to increase nurse retention (CWF-Keenan 2003, Weinberg 2013) and improve quality of care (Weinberg 2013, IOM-Nursing 2010). Available evidence suggests that improvements in nurse work environments can reduce rates of burnout, intent to leave current positions, and levels of job dissatisfaction among nurses (Kutney-Lee 2013). Hospitals with Magnet status are associated with practice environments that support nurses’ job satisfaction (Hastings 2014, Budin 2013, Brewer 2013) and retention (Park 2016b, Budin 2013, Brewer 2013), improve quality of care (Stimpfel 2015), and decrease verbal abuse toward nurses (Budin 2013, Brewer 2013). Strong nursing leadership may also increase job satisfaction (Cummings 2010) and increase retention (CWF-Keenan 2003, Blake 2013). However, additional evidence is needed to confirm effects and determine which efforts are most effective.

Implementation

United States

The American Nurses Credentialing Center’s (ANCC’s) Magnet Recognition Program recognizes hospitals for superior nursing processes and quality of care. As of summer 2016, there are 430 Magnet recognized facilities in the US (ANCC-Magnet).

Wisconsin

 As of summer 2016, there are 10 Magnet recognized facilities in Wisconsin (ANCC-Magnet WI).

Implementation Resources

AACN-HWE - American Association of Critical-Care Nurses (AACN). AACN’s healthy work environments initiative. Accessed on July 13, 2016
ANA-Healthy work - American Nurses Association (ANA). Healthy work environment. Accessed on July 13, 2016

Citations - Evidence

Blake 2013* - Blake N, Leach LS, Robbins W, Pike N, Needleman J. Healthy work environments and staff nurse retention: The relationship between communication, collaboration, and leadership in the pediatric intensive care unit. Nursing Administration Quarterly. 2013;37(4):356–370. Accessed on July 13, 2016
Brewer 2013* - Brewer CS, Kovner CT, Obeidat RF, Budin WC. Positive work environments of early-career registered nurses and the correlation with physician verbal abuse. Nursing Outlook. 2013;61(6):408–416. Accessed on July 13, 2016
Budin 2013* - Budin WC, Brewer CS, Chao YY, Kovner C. Verbal abuse from nurse colleagues and work environment of early career registered nurses. Journal of Nursing Scholarship. 2013;45(3):308–316. Accessed on July 13, 2016
Cummings 2010* - Cummings GG, MacGregor T, Davey M, et al. Leadership styles and outcome patterns for the nursing workforce and work environment: A systematic review. International Journal of Nursing Studies. 2010;47(3):363–385. Accessed on July 13, 2016
CWF-Keenan 2003 - Keenan P, Kennedy JF. The nursing workforce shortage: Causes, consequences, proposed, solutions. New York: The Commonwealth Fund (CWF): 2003: Issue Brief #619. Accessed on July 13, 2016
Hastings 2014 - Hastings SE, Armitage GD, Mallinson S, Jackson K, Suter E. Exploring the relationship between governance mechanisms in healthcare and health workforce outcomes: a systematic review. BMC Health Services Research. 2014;14:479. Accessed on July 13, 2016
IOM-Nursing 2010 - Institute of Medicine (IOM). The future of nursing: Leading change, advancing health. Washington, DC: National Academies Press; 2010. Accessed on August 22, 2016
Kutney-Lee 2013* - Kutney-Lee A, Wu ES, Sloane DM, Aiken LH. Changes in hospital nurse work environments and nurse job outcomes: An analysis of panel data. International Journal of Nursing Studies. 2013;50(2):195–201. Accessed on July 13, 2016
Park 2016b* - Park SH, Gass S, Boyle DK. Comparison of reasons for nurse turnover in Magnet® and non-Magnet hospitals. Journal of Nursing Administration. 2016;46(5):284–290. Accessed on July 13, 2016
Stimpfel 2015* - Stimpfel AW, Rosen JE, McHugh MD. Understanding the role of the professional practice environment on quality of care in Magnet® and non-Magnet hospitals. Journal of Nursing Administration. 2015;45(10 Suppl):S52–S58. Accessed on July 13, 2016
Weinberg 2013 - Weinberg DB, Avgar AC, Sugrue NM, Cooney-Miner D. The importance of a high-performance work environment in hospitals. Health Services Research. 2013;48(1):319-332. Accessed on July 13, 2016

Citations - Implementation

ANCC-Magnet - American Nurses Credentialing Center (ANCC). Magnet Recognition Program. Accessed on July 13, 2016
ANCC-Magnet WI - American Nurses Credentialing Center (ANCC). Magnet Recognition Program: Wisconsin facilities. Accessed on July 13, 2016

Page Last Updated

July 13, 2016

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