Nayback-Beebe Ann M, Forsythe Tanya, Funari Tamara, Mayfield Marie, Thoms William, Smith Kimberly K, Bradstreet Harry, Scott Pamela
Center for Nursing Science and Clinical Inquiry, Brooke Army Medical Center, 3551 Roger Brooke Dr, Ft Sam Houston, TX 78234, USA.
Dimens Crit Care Nurs. 2013 Jul-Aug;32(4):166-73. doi: 10.1097/DCC.0b013e3182998121.
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.
为了在一家军事医院的中级护理病房（IMCU）营造健康的护理工作环境，一个由护理利益相关者组成的机构层面的循证实践工作组进行了头脑风暴，并试点了多项基于单位层面循证的领导举措，以改善IMCU的护理工作环境。这些举措以美国重症护理护士协会建立和维持健康工作环境的标准为指导，该标准包括：（1）熟练的沟通；（2）真正的协作；（3）有效的决策；（4）适当的人员配备；（5）有意义的认可；（6）真正的领导。中期研究结果表明，将这六项基于循证、以关系为中心的原则与IMCU护士的临床专业知识、管理经验以及个人价值观和偏好相结合后，提高了员工士气，减少了员工旷工，促进了健康的护理工作环境，并改善了患者护理。
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