Marissa Monroe is a nurse practitioner, Department of Nursing, University of Tennessee Medical Center, Knoxville, Tennessee.
Elizabeth Morse is an assistant professor, Belmont University, Nashville, Tennessee.
Am J Crit Care. 2020 Mar 1;29(2):145-149. doi: 10.4037/ajcc2020406.
Professional quality of life is the quality a person feels in relation to work. For critical care nurses, it is composed of compassion satisfaction and compassion fatigue. Professional quality of life is affected by work environment. The American Association of Critical-Care Nurses (AACN) has identified 6 standards for a healthy work environment.
To explore which of the AACN healthy work environment standards have the strongest impact on professional quality of life in critical care nurses.
In an exploratory, cross-sectional survey of nurses working in 4 adult critical care units of a single health care facility, professional quality of life was assessed using the Professional Quality of Life Scale (ProQOL), and work environment was evaluated using the AACN Healthy Work Environment Assessment Tool.
Participants reported compassion satisfaction and burnout levels as average and secondary traumatic stress levels as high. The composite average for all 6 AACN healthy work environment standards was good. A multiple regression analysis revealed true collaboration, effective decision-making, and authentic leadership as significant predictors of compassion satisfaction. Authentic leadership was the only predictor of burnout. Appropriate staffing, meaningful recognition, and authentic leadership were predictors of secondary traumatic stress.
Authentic leadership is the strongest predictor of compassion satisfaction, burnout, and secondary traumatic stress. Therefore, improving leadership should be a priority in intensive care units seeking to improve nurses' professional quality of life.
职业生活质量是一个人与工作相关的感受质量。对于重症监护护士来说，它由同情心满足感和同情心疲劳感组成。职业生活质量受到工作环境的影响。美国重症监护护士协会（AACN）确定了健康工作环境的 6 项标准。
探讨 AACN 健康工作环境标准中哪些对重症监护护士的职业生活质量有最强的影响。
在对单一医疗保健机构的 4 个成人重症监护病房的护士进行的探索性、横断面调查中，使用专业生活质量量表（ProQOL）评估职业生活质量，使用 AACN 健康工作环境评估工具评估工作环境。
参与者报告的同情心满足感和倦怠水平为中等，二次创伤性应激水平为高。所有 6 项 AACN 健康工作环境标准的综合平均水平良好。多元回归分析显示，真正的协作、有效的决策制定和真实的领导力是同情心满足感的显著预测因素。真实的领导力是倦怠的唯一预测因素。适当的人员配备、有意义的认可和真实的领导力是二次创伤性应激的预测因素。
真实的领导力是同情心满足感、倦怠和二次创伤性应激的最强预测因素。因此，在寻求提高护士职业生活质量的重症监护病房中，改善领导力应该是优先事项。
