O'Hara Susan, Melnyk Bernadette Mazurek, Hsieh Andreanna Pavan, Helsabeck Nathan P, Giuliano Karen K, Vital Cidalia
NBBJ, Columbus, Ohio, USA.
COPE2Thrive, LLC, Powell, Ohio, USA.
Worldviews Evid Based Nurs. 2025 Apr;22(2):e70012. doi: 10.1111/wvn.70012.
Staff shortages as well as poor nurse and clinician well-being are currently an epidemic within the health workforce and pose a substantial risk to healthcare quality and safety. Creating a strong wellness culture is one strategy to address the issue, but there is a paucity of research that investigates how other types of organizational cultures are related to nurses' mental health and well-being.
To describe the relationships among innovation culture, wellness culture, evidence-based practice (EBP) culture, and clinician well-being (healthy lifestyle behaviors, burnout, depression, stress, anxiety, and job satisfaction).
A cross-sectional descriptive correlational study design was used with a convenience sample of nurses, physicians, and allied health professionals from a Magnet-recognized health system in the United States. An online wellness survey collected data with the variables of interest using valid and reliable scales. Pearson's r correlations assessed the relationship among innovation culture, wellness culture, and EBP culture. A series of regressions examined if each type of culture was associated with clinician well-being.
The analytic sample included 199 respondents. Innovation culture had a strong and significant correlation (p ≤ 0.0001, r > 0.7) with both clinician well-being and EBP cultures. Wellness and EBP cultures also were correlated (p ≤ 0.0001, r = 0.592). Higher ratings of each type of culture were significantly associated with higher job satisfaction as well as higher ratings of both mental and physical health. Further, higher ratings on each culture scale were significantly associated with reduced stress, anxiety, depression, burnout, and job satisfaction.
This is the first study to establish correlations among innovation culture, EBP culture, and wellness culture as well as to find that these three types of cultures are associated with clinician well-being outcomes and job satisfaction. Since culture strongly impacts the healthcare workforce's mental health and job satisfaction, leaders need to focus on an organizational-wide strategic approach that builds a sustained culture that supports clinician well-being, innovation, and EBP.
员工短缺以及护士和临床医生的健康状况不佳目前在卫生人力队伍中十分普遍，对医疗质量和安全构成重大风险。营造强大的健康文化是解决这一问题的一种策略，但很少有研究调查其他类型的组织文化与护士心理健康和幸福感之间的关系。
描述创新文化、健康文化、循证实践（EBP）文化与临床医生幸福感（健康生活方式行为、职业倦怠、抑郁、压力、焦虑和工作满意度）之间的关系。
采用横断面描述性相关研究设计，对来自美国一家获得磁铁认证的医疗系统的护士、医生和专职医疗人员进行便利抽样。一项在线健康调查使用有效且可靠的量表收集了相关变量的数据。皮尔逊积矩相关系数（Pearson's r）评估创新文化、健康文化和EBP文化之间的关系。一系列回归分析检验了每种文化类型是否与临床医生的幸福感相关。
分析样本包括199名受访者。创新文化与临床医生幸福感和EBP文化均具有强且显著的相关性（p≤0.0001，r>0.7）。健康文化和EBP文化也具有相关性（p≤0.0001，r = 0.592）。每种文化类型的评分越高，与更高的工作满意度以及更高的心理和身体健康评分显著相关。此外，每种文化量表上的评分越高，与压力、焦虑、抑郁、职业倦怠的减轻以及工作满意度显著相关。
这是第一项建立创新文化、EBP文化和健康文化之间相关性的研究，并且发现这三种文化类型与临床医生的幸福感结果和工作满意度相关。由于文化对卫生人力队伍的心理健康和工作满意度有很大影响，领导者需要专注于一种全组织范围的战略方法，构建一种支持临床医生幸福感、创新和EBP的可持续文化。
