2.50
Hdl Handle:
http://hdl.handle.net/10755/290985
Category:
Abstract
Type:
Presentation
Title:
Improving the Emotional Work Environment for Nurses
Author(s):
Edmondson, Cole
Lead Author STTI Affiliation:
Non-member
Author Details:
Cole Edmondson, DNP, RN, FACHE, NEA-BC, ColeEdmonson@texashealth.org
Abstract:

Session presented on Sunday, April 14, 2013

Creating and sustaining a healthy professional practice environment is the primary work of the nurse executive and leadership. The rapid pace of change in modern healthcare can have significant consequences such as conflict, stress and bullying. These negative changes affect not only the emotional work life of nurses, but also place patients at risk. Meeting the triple aims of better healthcare, better health outcomes at lower cost means remaining vigilant for cost reductions, productivity improvements, and quality improvements, while working toward the vision of IOM Future of Nursing Report.

In 2010, the nursing leadership of a large nonprofit center in the southwest committed to improving the practice environment, creating a healthy work environment, and achieving Magnet re-designation in a time of tumultuous change and internal turmoil. We used a CNO created framework of 4CP (caring + compassionate + competent + courageous = Professional) built on Positive Deviance Methodology, Courage & Renewal philosophy, Nurse Manager Engagement Theory, and moral courage model. The transformation process included intentional work in reflection, respect, recovery and redirection with clinical staff, leadership, the board, and the community.

Nursing leadership selected existing metrics to measure the success of the transformation to provide a baseline for comparison over time. Improvements in National Database of Nursing Quality Improvement nurse engagement scores increased from an overall mean Practice Environment Scale of 3.02 to 3.22, and a Job Enjoyment Scale of 60.06 to 65.96 (from below the 50th percentile to above the 75th).

Nursing leadership, in partnership with the direct care staff, continue working at the microsystem level on establishing a resilient and positive culture in the few remaining "pockets of chaos." This future work includes a nurse-to-nurse collaboration model, cognitive rehearsal program orientation, and ongoing self-care programs.

Keywords:
healthy work environment; emotional environment
Repository Posting Date:
13-May-2013
Date of Publication:
13-May-2013
Conference Date:
2013
Conference Name:
Creating Healthy Work Environments
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
Creating Healthy Work Environments. Held at the JW Marriott, Indianapolis
Note:
This is an abstract-only submission. If the author has submitted a full-text item related to this abstract, you may find it by browsing the repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleImproving the Emotional Work Environment for Nursesen_GB
dc.contributor.authorEdmondson, Coleen_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsCole Edmondson, DNP, RN, FACHE, NEA-BC, ColeEdmonson@texashealth.orgen_GB
dc.identifier.urihttp://hdl.handle.net/10755/290985-
dc.description.abstract<p>Session presented on Sunday, April 14, 2013</p><p align="left" dir="ltr">Creating and sustaining a healthy professional practice environment is the primary work of the nurse executive and leadership. The rapid pace of change in modern healthcare can have significant consequences such as conflict, stress and bullying. These negative changes affect not only the emotional work life of nurses, but also place patients at risk. Meeting the triple aims of better healthcare, better health outcomes at lower cost means remaining vigilant for cost reductions, productivity improvements, and quality improvements, while working toward the vision of IOM Future of Nursing Report. <p>In 2010, the nursing leadership of a large nonprofit center in the southwest committed to improving the practice environment, creating a healthy work environment, and achieving Magnet re-designation in a time of tumultuous change and internal turmoil. We used a CNO created framework of 4CP (caring + compassionate + competent + courageous = Professional) built on Positive Deviance Methodology, Courage &amp; Renewal philosophy, Nurse Manager Engagement Theory, and moral courage model. The transformation process included intentional work in reflection, respect, recovery and redirection with clinical staff, leadership, the board, and the community. <p>Nursing leadership selected existing metrics to measure the success of the transformation to provide a baseline for comparison over time. Improvements in National Database of Nursing Quality Improvement nurse engagement scores increased from an overall mean Practice Environment Scale of 3.02 to 3.22, and a Job Enjoyment Scale of 60.06 to 65.96 (from below the 50<sup>th</sup> percentile to above the 75<sup>th</sup>). <p>Nursing leadership, in partnership with the direct care staff, continue working at the microsystem level on establishing a resilient and positive culture in the few remaining "pockets of chaos." This future work includes a nurse-to-nurse collaboration model, cognitive rehearsal program orientation, and ongoing self-care programs.en_GB
dc.subjecthealthy work environmenten_GB
dc.subjectemotional environmenten_GB
dc.date.available2013-05-13T10:24:09Z-
dc.date.issued2013-05-13-
dc.date.accessioned2013-05-13T10:24:09Z-
dc.conference.date2013en_GB
dc.conference.nameCreating Healthy Work Environmentsen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.descriptionCreating Healthy Work Environments. Held at the JW Marriott, Indianapolisen_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item related to this abstract, you may find it by browsing the repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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