scholarly journals Influence of critical care nurse education and work environment on outcomes of mechanically ventilated older adults

Critical Care ◽  
2013 ◽  
Vol 17 (S2) ◽  
Author(s):  
DM Kelly ◽  
LH Aiken
2014 ◽  
Vol 24 (3-4) ◽  
pp. 486-499 ◽  
Author(s):  
Fenella J Gill ◽  
Gavin D Leslie ◽  
Carol Grech ◽  
Duncan Boldy ◽  
Jos M Latour

2019 ◽  
Vol 32 (4) ◽  
pp. 331-345 ◽  
Author(s):  
Janice Gullick ◽  
Frances Lin ◽  
Debbie Massey ◽  
Lorraine Wilson ◽  
Melanie Greenwood ◽  
...  

2019 ◽  
Vol 39 (2) ◽  
pp. 67-84 ◽  
Author(s):  
Beth Ulrich ◽  
Connie Barden ◽  
Linda Cassidy ◽  
Natasha Varn-Davis

BACKGROUNDThe health of critical care nurse work environments affects patient and nurse outcomes. The results of the 2018 Critical Care Nurse Work Environment Study are reported here with comparisons to previous studies and recommendations for continued improvement.OBJECTIVETo evaluate the current state of critical care nurse work environments.METHODSAn online survey was used to collect quantitative and qualitative data for this mixed-methods study. A total of 8080 American Association of Critical-Care Nurses (AACN) members and constituents responded to the survey.RESULTSThe health of critical care nurse work environments has improved since the previous study in 2013; however, there are still areas of concern and opportunities for improvement. Key findings include documented absence of appropriate staffing by more than 60% of participants; an alarming number of physical and mental well-being issues (198 340 incidents reported by 6017 participants); one-third of the participants expressed intent to leave their current positions in the next 12 months; and evidence of the positive outcomes of implementing the AACN Healthy Work Environment standards.CONCLUSIONEvidence of the relationship between healthy nurse work environments and patient and nurse outcomes continues to increase. The results of this study provide evidence of the positive relationship between implementation of the AACN Healthy Work Environment standards and the health of critical care nurse work environments, between the health of critical care nurse work environments and job satisfaction, and between job satisfaction and the intent of critical care nurses to leave their current positions or stay.


Author(s):  
Fenella J. Gill ◽  
Gavin D. Leslie ◽  
Carol Grech ◽  
Jos M. Latour

2014 ◽  
Vol 34 (4) ◽  
pp. 64-79 ◽  
Author(s):  
Beth T. Ulrich ◽  
Ramón Lavandero ◽  
Dana Woods ◽  
Sean Early

Background The health of critical care nurse work environments has been shown to affect patient care outcomes as well as the job satisfaction and retention of registered nurses. The American Association of Critical-Care Nurses (AACN) Critical Care Nurse Work Environment Survey was first conducted in 2006 following the release of the AACN Standards for Establishing and Sustaining a Healthy Work Environment and was conducted again in 2008. This article reports the results of the third AACN Critical Care Nurse Work Environment Survey conducted in 2013. Objective To evaluate the current state of critical care nurse work environments. Methods A total of 8444 AACN members and constituents responded to an online survey. Results The overall health of critical care nurses’ work environments has declined since 2008, as have nurses’ perceptions of the quality of care. Respondents rated their overall work environment and factors associated with healthy work environments including quality of patient care, staffing, communication and collaboration, respect, physical and mental safety, moral distress, nursing leadership, support for certification and continuing education, meaningful recognition, job satisfaction, and career plans. Although some factors improved, declines in any factors are a concern. Conclusions An increasing body of evidence has shown relationships between healthy nurse work environments and patient outcomes. The results of this 2013 survey identified areas in which the health of critical care nurse work environments needs attention and care, requiring the relentless true collaboration of everyone involved.


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