A Multimodal Approach to Transform Culture by Implementing AACN's Healthy Work Environment Standards.

IF 2 4区 医学 Q3 CRITICAL CARE MEDICINE
Nancy Blake
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引用次数: 0

Abstract

Background: Organizational culture and work environment are important factors in retaining staff members and achieving good patient outcomes. The COVID-19 pandemic exacerbated existing challenges for nurses and the health care organizations employing them.

Local problem: Following the COVID-19 pandemic, the nursing staff turnover rate at Los Angeles General Medical Center in Los Angeles, California, reached 20.62%, an all-time high. A quality improvement project was initiated to improve the organization's culture in order to increase retention and improve other nurse-sensitive indicators.

Methods: The quality improvement project was intended to implement as many as possible of the 6 healthy work environment standards established by the American Association of Critical-Care Nurses (AACN): Effective Communication, True Collaboration, Appropriate Staffing, Authentic Leadership, Meaningful Recognition, and Shared Decision-Making. Key elements of the project were the implementation of professional shared governance, a new graduate transition to practice program, a mobile application to improve communication, a grant-funded project to decrease burnout, the AACN Clinical Scene Investigator Academy, a leadership development program, and a new staffing and scheduling system.

Results: The quality improvement program resulted in improved patient outcomes, reduced nurse turnover, an increased rate of nurse certification, a higher proportion of nurses educated at the bachelor of science in nursing level or higher, and decreased overall costs.

Conclusion: Implementation of a quality improvement program focusing on the 6 AACN healthy work environment standards can improve the nursing work environment.

通过实施AACN的健康工作环境标准,以多种方式转变文化。
背景:组织文化和工作环境是留住员工和获得良好患者预后的重要因素。COVID-19大流行加剧了护士和雇用护士的医疗机构面临的现有挑战。当地问题:新冠肺炎大流行后,加利福尼亚州洛杉矶洛杉矶综合医疗中心的护理人员流失率达到20.62%,创历史新高。开展了一项质量改进项目,以改善该组织的文化,以增加留用率和改善其他对护士敏感的指标。方法:采用美国重症护士协会(AACN)制定的有效沟通、真正协作、适当人员配备、真实领导、有意义的认可和共同决策6项健康工作环境标准,实施质量改进项目。该项目的关键要素是实施专业共享治理,一个新的毕业生向实践项目过渡,一个改善沟通的移动应用程序,一个减少倦怠的拨款资助项目,AACN临床现场调查员学院,一个领导力发展项目,以及一个新的人员配备和调度系统。结果:质量改进方案改善了患者的治疗效果,减少了护士的流失率,提高了护士合格率,提高了护理学士学位或更高学历的护士比例,降低了总成本。结论:实施以AACN健康工作环境6项标准为核心的质量改进方案,可改善护理工作环境。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Critical care nurse
Critical care nurse 医学-护理
CiteScore
2.80
自引率
0.00%
发文量
68
审稿时长
>12 weeks
期刊介绍: Critical Care Nurse (CCN) is an official publication of the American Association of Critical-Care Nurses (AACN). Authors are invited to submit manuscripts for consideration and peer review. Clinical topics must meet the mission of CCN and address nursing practice of acute and critically ill patients.
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