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Clinical nurses in Magnet hospitals confirm productive, healthy unit work environments
Author(s) -
KRAMER MARLENE,
MAGUIRE PAT,
BREWER BARBARA B.
Publication year - 2011
Publication title -
journal of nursing management
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.925
H-Index - 76
eISSN - 1365-2834
pISSN - 0966-0429
DOI - 10.1111/j.1365-2834.2010.01211.x
Subject(s) - nursing management , bachelor , nursing , excellence , work (physics) , unit (ring theory) , quality (philosophy) , medicine , empowerment , psychology , mechanical engineering , philosophy , mathematics education , archaeology , epistemology , political science , law , history , engineering
kramer m., maguire p. & brewer b.b . (2011) Journal of Nursing Management 19, 5–17
Clinical nurses in Magnet hospitals confirm productive, healthy unit work environments Aim To describe extent to which experienced nurses in Magnet hospitals confirm healthy work environments (HWE). Background Differentiating differences in HWE allows managers to focus attention where changes may be needed to improve nurse and patient outcomes. Method The sample was 12 233 experienced nurses from 717 clinical units in 34 Magnet hospitals. Based on Essentials of Magnetism II unit level scores, units were grouped as very healthy work environments (VHWE), HWE or work environments needing improvement. Results VHWE or HWE was confirmed by nurses on 82% of 540 clinical units. The most significant correlates of HWE units occur within individual hospitals. More nurses prepared at the Bachelor of Science in Nursing level or above work on VHWE or HWE units and score higher on seven essential work processes. Nurses’ ratings of quality of patient care directly correlate to quality of work environment. Conclusions Clinical units in 34 Magnet hospitals were markedly skewed toward excellence. Visionary leadership, empowerment and collaboration have an impact on development and maintenance of HWE. Implications for nursing management Implementation of structures that promote interdisciplinary and intradisciplinary collaboration and decision‐making positively affect development of HWE. Gap analysis of the steps/components of the eight work processes/relationships essential to HWE may enable achievement of HWEs on all hospital clinical units.