Beth Ulrich is a professor, Cizik School of Nursing, University of Texas Health Science Center at Houston, Texas, and the Editor-in-Chief of the Nephrology Nursing Journal and a consultant on healthy work environments for the American Association of Critical-Care Nurses (AACN).
Linda Cassidy is the Manager of the Strategic Advocacy Team, AACN, Aliso Viejo, California.
Crit Care Nurse. 2022 Oct 1;42(5):58-70. doi: 10.4037/ccn2022798.
The health of nurse work environments has been shown to affect both patient and nurse outcomes. In 2005, the American Association of Critical-Care Nurses published the AACN Standards for Establishing and Sustaining Healthy Work Environments: A Journey to Excellence, and a second edition was published in 2016. The American Association of Critical-Care Nurses conducted critical care nurse work environment studies in 2006, 2008, 2013, 2018, and, most recently, October 2021, which was expanded to include registered nurses in all areas of practice.
To report the results of the October 2021 study with comparisons to previous studies and recommendations for continued improvement and to evaluate the current state of nurse work environments.
An online survey was used. A total of 9862 registered nurses responded to the survey; 9335 met the study criteria of currently practicing as a registered nurse.
The health of nurse work environments has declined dramatically since the 2018 study. However, as in 2018, evidence of a positive relationship exists between implementation of the American Association of Critical-Care Nurses Healthy Work Environment Standards and the health of nurse work environments, between the health of nurse work environments and job satisfaction, and between job satisfaction and the intent of nurses to leave their current positions or to stay.
It is time for bold, intentional, and relentless efforts to create and sustain healthy work environments that foster excellence in patient care and optimal outcomes for patients, nurses, and other members of the health care team.
护士工作环境的健康状况已被证明会影响患者和护士的结果。2005 年，美国危重病护理护士协会发布了《建立和维持健康工作环境的 AACN 标准：卓越之旅》，并于 2016 年发布了第二版。美国危重病护理护士协会在 2006 年、2008 年、2013 年、2018 年以及最近的 2021 年 10 月进行了危重病护理护士工作环境研究，其中包括扩大到所有实践领域的注册护士。
报告 2021 年 10 月的研究结果，并与以往的研究进行比较，为持续改进提出建议，并评估当前护士工作环境的状况。
使用在线调查。共有 9862 名注册护士对该调查做出了回应；其中 9335 名符合当前作为注册护士执业的研究标准。
自 2018 年的研究以来，护士工作环境的健康状况已经大幅下降。然而，与 2018 年一样，实施美国危重病护理护士协会健康工作环境标准与护士工作环境的健康状况之间存在着积极的关系，护士工作环境的健康状况与工作满意度之间存在着积极的关系，工作满意度与护士离开当前职位或继续留任的意愿之间存在着积极的关系。
现在是时候进行大胆、有目的和不懈的努力，创造和维持健康的工作环境，促进病人护理的卓越和病人、护士和其他医疗团队成员的最佳结果。
