Keywords

Acute care hospitals, Critical care, Evidence-based leadership, Healthy work environment, Intermediate care

 

Authors

  1. Nayback-Beebe, Ann M. PhD, FNP-BC
  2. Forsythe, Tanya ADN, RN
  3. Funari, Tamara MSN, ACNS-BC
  4. Mayfield, Marie MSN, RN, CCRN
  5. Thoms, William Jr. BSN, MSHS, RN, CCRN, NE-BC
  6. Smith, Kimberly K. MSN, RN
  7. Bradstreet, Harry ACNP, RN
  8. Scott, Pamela MSN, MBA, RN

Abstract

In an effort to create a healthy nursing work environment in a military hospital Intermediate Care Unit (IMCU), a facility-level Evidence Based Practice working group composed of nursing.

 

Stakeholders brainstormed and piloted several unit-level evidence-based leadership initiatives to improve the IMCU nursing work environment. These initiatives were guided by the American Association of Critical Care Nurses Standards for Establishing and Sustaining Healthy Work Environments which encompass: (1) skilled communication, (2) true collaboration, (3) effective decision making, (4) appropriate staffing, (5) meaningful recognition, and (6) authentic leadership. Interim findings suggest implementation of these six evidence-based, relationship-centered principals, when combined with IMCU nurses' clinical expertise, management experience, and personal values and preferences, improved staff morale, decreased staff absenteeism, promoted a healthy nursing work environment, and improved patient care.