Nurse-friendly work environments
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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.
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).
As of summer 2016, there are 10 Magnet recognized facilities in Wisconsin (ANCC-Magnet WI).
- American Association of Critical-Care Nurses (AACN). AACN’s healthy work environments initiative. Accessed on July 13, 2016
- American Nurses Association (ANA). Healthy work environment. Accessed on July 13, 2016
Citations - Evidence
- 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 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 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 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
- 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 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
- Institute of Medicine (IOM). The future of nursing: Leading change, advancing health. Washington, DC: National Academies Press; 2010. Accessed on March 13, 2017
- 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 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 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 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
- American Nurses Credentialing Center (ANCC). Magnet Recognition Program. Accessed on July 13, 2016
- 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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