Digital Commons Network^™

Harnessing The Listen-Sort-Empower Framework To Engage The Nursing Workforce In Understanding Their Drivers Of Burnout, Rita L. Aguilar, Scott S. Christensen, Kim Mahoney, Zlata Muhamedagic, Tracey L. Nixon

Creating Healthy Work Environments (CHWE)

Burnout in nursing has become a pandemic in and of itself during the COVID-19 pandemic. This presentation provides an evidence-based strategy for healthcare leaders and teams to identify the upstream drivers of burnout among their nursing workforce, thus empowering nurses and healthcare leaders to develop appropriate and relevant solutions.

Detailed abstract attached.

Let’S Move! Using Exercise Apps To Encourage Nurses’ Physical Activity And Well-Being And Reduce Burnout, Agnes T. Black, Vincent Gosselin-Boucher, Brook Haight, Suzi Nguyen, Eli Puterman

Creating Healthy Work Environments (CHWE)

Nursing leaders collaborated with a university-based health psychologist and his research team on a study to support a healthy nursing workforce by promoting nurses’ physical activity through the use of mobile exercise apps. Preliminary results will be shared.

Detailed abstract attached.

Pediatric Critical Care Nurses’ Recommendations To Mitigate Moral Distress, Sadie Deschenes, Diane Kunyk, Shannon D. Scott

Creating Healthy Work Environments (CHWE)

In this presentation the presenter describes a qualitative description study that aimed to identify intervention attributes that pediatric critical care unit nurses with moral distress histories deem important to develop a future moral distress intervention. Identifying intervention attributes is necessary to develop effective strategies to minimize moral distress.

Detailed abstract attached.

Community Cpr (C-Cpr) Program: An Innovative Hands-On Approach To Teaching [City] Residents Lifesaving Cpr Skills, Meredith A. Ford, John Michael Leger

Creating Healthy Work Environments (CHWE)

The C-CPR Program provides a template for other Schools of Nursing with BSN Community Health courses an opportunity to promote improved outcomes for out-of-hospital cardiac arrest for residents in their local communities while offering students an opportunity to conduct hands-on training on very important lifesaving CPR skills.

Detailed abstract attached.

Shared Governance In An Academic Setting: The Importance Of Faculty And Staff Collaborating As Leaders, Charlotte Swint, Chris Turley

Creating Healthy Work Environments (CHWE)

Oftentimes the body that oversees the implementation of the shared governance model is led by a faculty member. This presentation will describe an innovative approach in which a faculty member and a staff member co-chair the Faculty/Staff Council. This model of co-chairs is used for the standing committees also.

Detailed abstract attached.

Wisdom, Wellbeing, And Peer Support Program: Addressing System-Based And Individual Job Stress, Richard J. Westphal, Margaret Plews-Ogan

Creating Healthy Work Environments (CHWE)

The presented program is an evidenced-based and evidence-informed program to help the health care workforce be their best together. Full health system implementation followed a pilot-test and program evaluation in a high-stress unit. The program is constructed on three pillars that address and integrate individual, team, and organizational factors: (1) Peer support; (2) Resilience; and (3) Optimization of the systems in which people work.

Detailed abstract is attached to this item record.

The Top 10 Ideas To Consider When Revising Your Mission Statement, Charlotte Swint, April Tabor, Eileen Thrower

Creating Healthy Work Environments (CHWE)

This session will discuss ideas to consider when an organization is reviewing its mission statement. Members of a university’s Mission and Philosophy Committee will share lessons learned from a recent experience with reviewing and revising a mission statement.

Detailed abstract attached.

Academic Mentoring Program To Support Mentors, Mentees, And A Healthy Work Environment, Megan E. Lippe, Jacqueline Mcgrath, Laura Sisk, Isabell Stoltz, Cynthia Wall

Creating Healthy Work Environments (CHWE)

The purpose of this presentation is to share an innovative, year-long mentoring program for new faculty implemented at one academic health science center and its impact on mentors, mentees, and fostering a healthy work environment.

Detailed abstract attached.

A Health System Approach To Evaluating Nurse Well-Being And Designing Interventions, Lee Galuska, Jessica Phillips, Kelley Anderson

Creating Healthy Work Environments (CHWE)

In the wake of a global pandemic and societal stressors, clinician wellbeing and the threat of burnout are commanding increasing attention. Burnout contributes to nurse turnover and is threatening the ability of health systems to provide safe, high-quality care for patients (Dyrbye et al., 2017). The National Academy of Medicine (NAM) recommends a systems approach to prevent clinician burnout and promote professional wellbeing as healthy professionals are essential for achieving positive health care outcomes (NAM, 2019). Meaning and joy in nursing practice are contributors to professional wellbeing and are part of the solution for achieving the quadruple aim. One of …

Voices Of Emergency Department Nurses And Their Experiences Of Workplace Violence, Emily M. Holland, Elizabeth B. Dowdell

Creating Healthy Work Environments (CHWE)

Background: Nurses in many healthcare facilities frequently feel unsafe and threatened due to workplace violence (WPV) which is a serious and persistent problem across the United States, (American Nurses Association, 2015; Center for Disease Control and Prevention, 2019). While all nurses are at risk for experiencing WPV, the emergency department (ED) is considered an especially high risk unit due to factors such as the acuity of illness, traumatic events, victims of violence, and the 24/7/365 days open door policy, (Emergency Nurses Association, 2020; Morrison & Joy, 2016). Patients with substance use disorders (SUDs) generate unique challenges for ED nurses since …

Interrupted Sleep: Emergency Department Nurses Experiencing Compassion Fatigue, Elizabeth B. Dowdell

Creating Healthy Work Environments (CHWE)

Nurses with compassion fatigue often report poor sleep habits and quality. Factors associated may include technology use like sleep texting. Incorporating appropriate comprehensive assessments that include current sleep habits and experiences with sleep texting are important to obtain, leading to interventions that will promote health and good sleep habits.

Detailed abstract attached.

Managing Bullying: Using Polarity Thinking To Create Constructive Team Synergy And A Healthier Workplace, Scott D. Shaw, Sherea Lacy, Luanne M. Shaw

Creating Healthy Work Environments (CHWE)

Polarity Thinking provides a lens to view and assess the complexities of competing priorities and potential workplace power imbalances leading to bullying. This rapid presentation round will provide discussion of a management tool for healthcare leaders to support both individuals and teams in creating healthy systemic change and workplace environments.

Detailed abstract attached.

Impact Of The Patient Flow Nurse Role In An Acute Care Setting, Esther Rani Devadoss

Creating Healthy Work Environments (CHWE)

Patient throughput is a consistent challenge for healthcare organizations globally, and patient flow delays heavily impact patient safety, quality care, patient satisfaction, and nurses’ job satisfaction. Creating the patient flow nurse role improves patient experience, reduces ED dwell time, and augments nurses’ satisfaction.

Detailed abstract attached.

Take Your "Why" With You: Arts-Based Wellbeing Needs Assessment To Support Safety Net Healthcare Workers, Adrienne S. Martinez-Hollingsworth, Isadora Caffe, Kiersten Edwards, Elissa Fong, Linda Y. Kim, Monika Scherer, Kia Skrine Jeffers

Creating Healthy Work Environments (CHWE)

Background: Burnout is high among healthcare workers in minority-serving, provider shortage areas [1], negatively impacting their health [2], and ability to deliver quality care [3]. Little work has been done to identify unique needs of lower wage workers in these settings, who comprise the administrative backbone and fill the majority of patient-facing roles. Art based assessments have emerged as an effective way to access information about needs and preferences [4], allowing for the development of burnout mitigation strategies to support pandemic recovery.

Purpose: To explore safety net healthcare worker sense of purpose (their "why") inspiring their on-going work during pandemic …

Relational Coordination: Exploring Teamwork Across Hospital Units Among Healthcare Professionals In An Army Hospital, Sherita L. House, Hebatallah N. Ali, Christopher Stucky

Creating Healthy Work Environments (CHWE)

Introduction: High-quality communication and relationships among healthcare professionals are associated with better work environments and quality of care.^1-2 Workflow differences across hospital units can impede communication and relationships among healthcare professionals.³ Researchers have used relational coordination (RC), a process of communication supported by shared goals, shared knowledge, and mutual respect, to understand healthcare professionals' communication and relationships with each other in civilian hospitals.^4-6 However, RC has not been explored in military hospitals. The aim of our study was to determine if RC among military and civilian nurses and physicians differs between hospital units in an Army hospital. …

Meaningful Recognition To Nurses: A Contemporary Perspective To Support A Healthy Work Environment, Rebecca Wiseman, Cynthia D. Sweeney

Creating Healthy Work Environments (CHWE)

Meaningful Recognition is one of 6 components of a healthy work environment and one of the easiest to leverage for nursing leaders (AACN,2022). With the impacts of the pandemic over the past two years and especially the exacerbation of nursing shortages it is important to identify and understand what is truly meaningful to nurses when they are recognized. Using the American Association of Critical-Care Nurses (AACN) Healthy Work Environment (HWE) as the theoretical framework, the researchers wanted to understand what meaningful recognition means to nurses in differing settings given the effects of the pandemic on an already stressed workforce. Members …

Sharing Insights About Organizational Civility After Four Consecutive Years Of Clark's Healthy Work Environment Inventories, R. Oscar Bernard, Kimberly Brown, Allyson Duffy, Maikelyn Lopez, Shar Smith

Creating Healthy Work Environments (CHWE)

After four years of working within a college of nursing to improve the work environment through organizational civility initiatives, the members of this civility team are eager to share lessons learned, challenges faced, and insights gained that can help other organizations enhance civility. The team has been inspired by a commitment for collaboration within the college's nursing faculty, supporting staff, and administration. A pair of themes surfaced as the fourth year of data was collected: courage and curiosity combined with patience and perseverance. The primary role of this civility team is to establish actions items based on the data analysis …

Cultivating A Culture Of Civility In Healthcare, Clayton Edward Collins, John Michael Leger

Creating Healthy Work Environments (CHWE)

Promoting civility in healthcare is necessary to provide safe, reliable, and effective patient care (Frankel et al., 2017). The consequences of incivility especially affect many aspects of care provision and are detrimental to a healthy work environment. The lasting effects of the COVID-19 pandemic have contributed to an increase of incivility in the workplace, and additional efforts to promote a culture of civility are paramount to enhancing patient care quality and staff psychological safety (El Ghaziri et al., 2022). Assessment of the work environment can reveal opportunities for improvement and more effective interventions to meet organizational needs (Harris et al., …

Recommendations For Creating A Healthy Work Environment: A Systematic Review, Patricia Hodson, Caitlin Campbell, Lozay Foots, Wendy Hamilton, Sherita L. House, Mariyam Javed, Jonathan David Levenson, Mary Mccarthy, Judy Ann Orina, Patricia Patrician, Katherine Robins, Pauline Swiger, Kathy Williams

Creating Healthy Work Environments (CHWE)

Better, healthy work environments (HWEs) are associated with improved nurse outcomes (e.g., higher job satisfaction and retention) and patient outcomes (e.g., quality of care and patient satisfaction) (Brooks Carthon, 2021; Lake et al., 2019; Ulrich et al., 2019; Wei et al., 2018). However, creating HWEs can be challenging in both military and civilian health care settings. As part of the development of the Joint Professional Practice Model collaboration among nurses in the Army, Navy, and Air Force of the United States military, we aimed to identify evidence-based strategies to improve HWEs in a unique population of civilian and military nurses …

Influence Of Leadership Styles Upon Staff Well-Being: Strategies To Create A Healthy Work Environment, Alice Kohler, Kenn M. Kirksey, Stacie Marion

Creating Healthy Work Environments (CHWE)

Background: Nurses comprise the largest segment of healthcare and are essential to the mission of creating a healthy work environment (Haddah, Annamaraju, & Toney-Butler, 2022). Global shortages have endangered nursing care delivery effectiveness and exacerbated nurses' stress, burnout and intent to leave their jobs (Tamata, Mohammadnezhad, & Tamani, 2021). Contributing factors include: 1) staff shortages; 2) workload; 3) no advancement opportunities; 4) physical and psychological job-associated risks; and 5) lack of leadership support (Tamata, Mohammadnezhad, & Tamani, 2021). Exploitive leadership styles often result in psychological detachment among direct reports (Majeed & Fatima, 2020). Researchers have inferred that management styles have …

Nurse Leaders’ Perceptions Of The Benefits Of, And Barriers To, Embedding Nurse Well-Being At Work, Carolyn J. Cumpsty-Fowler, Lynnsey O'Rourke

Creating Healthy Work Environments (CHWE)

PURPOSE: The Future of Nursing 2020-2030 consensus report recommends that: "Nurses attend to their own self-care and help to ensure that nurse well-being is addressed in educational and employment settings through the implementation of evidence-based strategies".¹(p357) We interviewed nurse leaders in our health system to assess knowledge and beliefs about factors influencing nurse well-being, the impact of well-being on practice environments, how leaders influence well-being, awareness and utilization of existing well-being resources, resource gaps, barriers to nurses embedding well-being at work, and their interest in well-being-focused leadership competency development.

METHODS: The first author conducted 53 semi-structured interviews with …

Beyond The Basics: Next Steps To Achieve Work-Life Harmony For Healthcare Professionals, Abby Grammer Horton, Allison M. Curington

Creating Healthy Work Environments (CHWE)

Now, more than ever before, it is important to intentionally create and cultivate healthy work environments to enhance professional well-being within the highly dynamic and demanding field of healthcare. Since the onset of the COVID-19 pandemic, workplace and personal demands have increased. In addition, the prevalence of mental health challenges and symptoms have also increased (Ayar et al., 2022; Chutiyami et al., 2022). One common strategy to achieve healthy work environments and professional well-being centers on work-life balance. Work-life balance simply means striking a healthy balance in prioritizing your personal and professional life. The concept of work-life balance is often …

Global Goals, Local Impact: Advancing Nursing Education Through Sdg Integration, Elise H. Peterson, Melissa Robertson

Global Advocacy

Undergraduate nursing students are future healthcare leaders who not only provide direct patient care but also influence community and global health outcomes. The United Nations Sustainable Development Goals (SDGs) provide a comprehensive framework to address pressing health and social challenges, including reducing inequalities, promoting well-being, ensuring access to quality education, and combating climate-related health threats. Integrating SDGs into nursing education equips students with the knowledge, skills, and advocacy mindset to address these challenges at local, national, and global levels.

Nurses are pivotal in achieving SDG-related outcomes such as health equity, disease prevention, and sustainable community interventions. Currently, nursing curricula often …

Nursing The Future: Advocating For Equitable And Ethical Use Of Robots In Nursing Practice, Aminat A. Adeyemo, Nancy S. Ferrell Jones, Hon Lon Tam

Global Advocacy

Background: Health systems face rising pressures from ageing populations, complex care needs, workforce burnout, and persistent nursing shortages. Robotics and artificial intelligence (AI) are emerging as potential supports; however, without clear policies, preparation, and nurse involvement, deployment risks being unsafe, inequitable, and poorly aligned with real-world care.

Aim: To advocate for the responsible, equitable, and ethical integration of robots in nursing practice by aligning action across policy, education, and research, and by situating this agenda within the UN Sustainable Development Goals (SDGs 3, 4, 8, 9, and 10).

Approach/Actions: Our approach is to align policy, education, research, and partnerships to …

Client And Clinician Priorities For Same-Day Prep And Doxy-Pep Awareness, Uptake, And Persistence In Primary Care, Nathaniel Albright

Dissertations

Approximately 70% of all new human immunodeficiency virus (HIV) infections are among populations of sexual and gender minorities (SGM) and are primarily attributable to sexual contact. Currently, only 26% of the U.S. population who would benefit from HIV preexposure prophylaxis (PrEP) are prescribed this effective biomedical HIV prevention strategy. Biomedical prevention strategies for bacterial sexually transmitted infections (STI) like doxycycline postexposure prophylaxis (doxy-PEP), are a vital component to the successes of ending the HIV epidemic given the well-known association between STIs and risk for HIV infection. In this multiple methods study, we leveraged group concept mapping and conducted focus groups …

Relationship Between Musculoskeletal Disorders And Productivity Loss Among Hospital Nurses: An Analytical Cross-Sectional Study With Secondary Data Analysis, Minkyung Kang, Inah Kim, Chang Park, Ari Min

Individual Articles

Aim: To identify the prevalence of musculoskeletal disorders among hospital nurses and explore their effects on productivity loss.

Design: An analytical cross-sectional study with secondary data analysis was conducted.

Methods: Data were collected via an online survey of 607 registered nurses working in general and tertiary hospitals in South Korea. Multivariate logistic regression analysis was performed to examine the association between musculoskeletal disorders and four productivity loss indicators: absenteeism, presenteeism, perceived productivity loss, and work limitations.

Results: Musculoskeletal disorders were highly prevalent among hospital nurses, with 83.9% of participants reporting muscu-loskeletal disorder symptoms in the past week. Lower back complaints …

Nurses' Familiarity With Emergency Preparedness In Four Private Hospitals In Western Indonesia, Marisa Junianti Manik, Ade Lisatria Telaumbanua, Ribka Meinar Harja Gea, Trisno Berkat Damai Telaumbanua

General Submissions: Clinical Settings Materials

Nurses play a vital role in disaster management by helping to reduce the long-term health effects of disasters. Preparedness involves a series of activities to anticipate and lessen losses. Studies from 2014 to 2019 showed that 45.8% to 78.5% of hospital nurses in various Asian countries had less than ideal preparedness for disasters and lacked awareness. The study aimed to describe nurses’ familiarity with emergency preparedness in four private hospitals in western Indonesia in April 2021. It used a quantitative descriptive approach with the translated Emergency Preparedness Information Questionnaire, comprising eight indicators. The sample included nurses from four private hospitals …

Exploring The Experience Of Nursing Students During Their Community Health Nursing Clinical Placement At Schools, Lina Ghosn Nouwayhed

Dissertations

Community health nursing is an exciting, challenging, and evolving field that creatively integrates various areas of nursing practice with public health knowledge (Stanhope & Lancaster, 2016). Learning in practical settings is invaluable for student nurses; that is why clinical placements account for 50% of nursing curriculum requirements (Henderson, 2011). At Makassed University of Beirut, the community nursing practicum takes place in schools, with school nurses serving as mentors during these placements.

This research study aims to:

• Explore the experiences of student nurses during community clinical practice.
• Develop guidelines to enhance learning during community clinical practice.

The study sample consisted of …

Dilemmas And Prospects Of Infectious Disease Prevention In Long-Term Care: A Qualitative Study, Po-Jen Kung, Ching-Min Chen, Nancy Reynolds

International Nursing Research Congress (INRC)

Aim: To explore the experiences of long-term care workers in preventing emerging infectious diseases, the challenges they faced during the pandemic, and how they were addressed.

Design: This study used an exploratory qualitative research design.

Methods: The study involved various long-term care institutions across Taiwan. Twelve interviewees, including four nurses, four nursing assistants, and four managers, were recruited via purposive sampling. All interviewees worked in the sector during the COVID-19 pandemic, were actively involved in clinical care or institutional management, and were proficient in Mandarin. In-depth interviews were conducted face-to-face between July and August 2024, and data …

Pandemic Prevention Competencies Of Long-Term Care Institution Workers: A National Survey In Taiwan, Po-Jen Kung, Ching-Min Chen, Katherine Ornstein

International Nursing Research Congress (INRC)

Aim: To assess the self-perceived pandemic prevention competencies of health and care workers in Taiwan’s long-term care institutions and identified key factors influencing these competencies.

Methods: A cross-sectional online survey was conducted from June to July 2024 using stratified proportional sampling of health and care workers (nursing and nursing assistants) from various types of long-term care institutions (assisted living facilities, residential care homes and nursing homes). Participants were actively employed during the survey, involved in COVID-19 prevention efforts, and proficient in reading traditional Chinese. Data on pandemic prevention competencies were collected, using the Emerging Infectious Disease Prevention Competencies …