Other Titles

Supporting Healthy Work Environments

Abstract

Session presented on Sunday, March 19, 2017:

This work describes the efforts at one School of Nursing to create a Healthy Work Environment (HWE) that supports all members of the academic community - students, staff and faculty. The need for healthier work environments 'to improve patient care, teamwork, and nurse retention' is well established in the clinical setting and was codified by the American Association of Critical Care Nurses (AACN) in 2005 and again in 2016. This work describes the progress made in the development of an academic Healthy Work Environment based on the work of Fontaine et al (2012) and calls for the addition of a critical seventh standard - self-care. Foundational to all of the healthy work standards, self-care deserves explicit recognition, especially in light of widespread nursing burnout and compassion fatigue. Academic institutions, which lay the foundation and help establish norms for future nursing practice, have a unique opportunity to encourage and model self-care. Nurses who take care of themselves strengthen their personal and professional resilience, which in turn helps to improve patient care and mitigate burnout and compassion fatigue. Registered Nurse (RN) turnover, an important and widely used measure in analyzing the healthcare workforce, is high for newly licensed RNs. It is estimated that the one-year turnover rate for this group is over 17%; the two-year rate is over 33% (Kovner, Brewer, Fatehi, & Jun, 2014). High turnover is not only expensive in the clinical setting, but can negatively affect teamwork and patient outcomes. More attention to detail and nurturing needs to occur in order to prepare, support and retain our new -- and existing -- nursing workforce. Academic institutions have a unique opportunity to promote awareness and practice of healthy work habits for all. Schools of nursing cansupport the culture of civility and self-care by intentionally guiding employees in strategic ways to support inclusivity and interprofessional education in a healthy work environment. Faculty, staff, and students need empowerment to engage in self-care activities. Resilience and self-care activities are not "frills"; they are integral to a successful transition to, and longevity in, all areas of nursing. For over a decade the ANCC HWE standards have helped clinicians to improve nursing practice and patient care. It is time to add a seventh standard of self-care. Changing a community's culture is hard work and requires commitment by many over time. For change to be sustainable, structural and organizational change is also needed. The future of nursing depends on it. Learning Objectives: Differentiate between clinical and academic standards for achieving a healthy work environment. Identify a least two reasons why healthy work environment standards are needed for the academic setting, discuss the benefits of adding an additional, seventh standard to the existing six HWE standards: the need for the nurse to engage in self-care.

Author Details

Rebecca Bouterie Harmon, RN; Regina M. DeGennaro, RN, CNS, AOCN, CNL; Meg F. Norling, RN

Sigma Membership

Beta Kappa

Lead Author Affiliation

University of Virginia, Charlottesville, Virginia, USA

Type

Presentation

Format Type

Text-based Document

Study Design/Type

N/A

Research Approach

N/A

Keywords:

Self-Care, Healthy Community, Appreciation

Conference Name

Creating Healthy Work Environments 2017

Conference Host

Sigma Theta Tau International

Conference Location

Indianapolis, Indiana, USA

Conference Year

2017

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

Abstract Review Only: Reviewed by Event Host

Acquisition

Proxy-submission

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Creating healthy work environment standards for academia

Indianapolis, Indiana, USA

Session presented on Sunday, March 19, 2017:

This work describes the efforts at one School of Nursing to create a Healthy Work Environment (HWE) that supports all members of the academic community - students, staff and faculty. The need for healthier work environments 'to improve patient care, teamwork, and nurse retention' is well established in the clinical setting and was codified by the American Association of Critical Care Nurses (AACN) in 2005 and again in 2016. This work describes the progress made in the development of an academic Healthy Work Environment based on the work of Fontaine et al (2012) and calls for the addition of a critical seventh standard - self-care. Foundational to all of the healthy work standards, self-care deserves explicit recognition, especially in light of widespread nursing burnout and compassion fatigue. Academic institutions, which lay the foundation and help establish norms for future nursing practice, have a unique opportunity to encourage and model self-care. Nurses who take care of themselves strengthen their personal and professional resilience, which in turn helps to improve patient care and mitigate burnout and compassion fatigue. Registered Nurse (RN) turnover, an important and widely used measure in analyzing the healthcare workforce, is high for newly licensed RNs. It is estimated that the one-year turnover rate for this group is over 17%; the two-year rate is over 33% (Kovner, Brewer, Fatehi, & Jun, 2014). High turnover is not only expensive in the clinical setting, but can negatively affect teamwork and patient outcomes. More attention to detail and nurturing needs to occur in order to prepare, support and retain our new -- and existing -- nursing workforce. Academic institutions have a unique opportunity to promote awareness and practice of healthy work habits for all. Schools of nursing cansupport the culture of civility and self-care by intentionally guiding employees in strategic ways to support inclusivity and interprofessional education in a healthy work environment. Faculty, staff, and students need empowerment to engage in self-care activities. Resilience and self-care activities are not "frills"; they are integral to a successful transition to, and longevity in, all areas of nursing. For over a decade the ANCC HWE standards have helped clinicians to improve nursing practice and patient care. It is time to add a seventh standard of self-care. Changing a community's culture is hard work and requires commitment by many over time. For change to be sustainable, structural and organizational change is also needed. The future of nursing depends on it. Learning Objectives: Differentiate between clinical and academic standards for achieving a healthy work environment. Identify a least two reasons why healthy work environment standards are needed for the academic setting, discuss the benefits of adding an additional, seventh standard to the existing six HWE standards: the need for the nurse to engage in self-care.