Implementing AACN’s Healthy Work Environment Framework in an Intensive Care Unit

Background Bedside nurse turnover in the United States is 15.9%, representing a national challenge that has been attributed to poor work environments. Healthy work environments are associated with improved nurse satisfaction and retention as well as positive patient outcomes; unhealthy work environments have the opposite effects. Objectives To implement the American Association of Critical-Care Nurses (AACN) healthy work environment (HWE) framework in an intensive care unit and to evaluate staff satisfaction, turnover, and tenure 2 years later. Methods A pre-post study design was used to evaluate implementation of the HWE framework in an intensive care unit in a large academic medical facility. Interventions for each of the 6 HWE standards were performed. The AACN HWE assessment survey was used to measure skilled communication, true collaboration, effective decision-making, appropriate staffing, meaningful recognition, and authentic leadership in 2017 and in 2019. Results Nurse cohorts (n = 165 in 2017; n = 176 in 2019) had a mean age of 31 (median, 27; range, 23-63) years, were predominantly female (76%), and had a mean of 5 (median, 3) years of intensive care unit nursing experience. Statistically significant improvements were found in all standards except the skilled communication and overall measures. Registered nurse turnover remained stable and tenure increased by 79 days in this 2-year period. Conclusions Findings from this study suggest that interventions addressing the HWE standards are associated with improved staff satisfaction, turnover, and average tenure, further demonstrating the value of the HWE framework in improving retention.

INFLUENCE ANALYSIS OF REWARDS & MOTIVATION, COMMUNICATION, DEVELOPMENT, SUPPORT SYSTEM, EMPLOYEE SELECTION, EMPLOYEE RECRUITMENT, AND HEALTHY WORK ENVIRONMENT ON INTERNAL MARKETING (CASE STUDY AT PORT DIVISION BONTANG COAL TERMINAL PT INDOMINCO MANDIRI)

Internal Marketing is the important aspect at the organization to measure business performance. The job of internal marketing is to recruit, train and motivate employees who can serve customers well. Without being actively promoted, internal marketing can have a negative impact on service quality, which can lead to decreased customer satisfaction and profitability. This study is focused on the services division especially in port division Bontang Coal Terminal PT IMM. Researchers took research data through a Google Form questionnaire. There are 84 respondents were recorded as filling in the questionnaire to test all the hypotheses. There are 7 indicators used to assess internal marketing. The data analysis used PASW Statistics 18 to test the level of validity and reliability, to test the results of the hypothesis, the researcher used SEM PLS to determine the relationship between variables. The findings of this study are that the Rewards and Motivation, Communication, Development, Support System, Employee Selection, Employee Recruitment, and Healthy Work Environment have positive significant on Internal Marketing

Moral suffering in health professionals: portrait of the work environment in times of COVID-19

ABSTRACT Objective: To analyze potential triggers of moral suffering experiences of health professionals, reported in the media, during the COVID-19 pandemic and to propose a theoretical construct of analysis. Methods: Study with qualitative approach whose data source were 50 reports published online, collected passively and actively, submitted to Content Analysis with the help of ATLAS.ti software. Results: The potential moral problems that trigger moral suffering are related to the threat to moral integrity, infrastructure/logistics and teamwork problems, and emotional aspects, revealing their articulation with damage to the foundations of a healthy work environment, which generated the proposal of a construct. Final considerations: The articulation between the experiences of moral suffering and the commitment of the fundamentals of a healthy work environment has brought important contributions to the adoption of strategies to protect and stimulate moral deliberation by professionals in favor of practice and society.

Creating a healthy work environment for the well-being of a cognitive behavioural psychotherapist

The work of a cognitive behavioural therapist is associated with a number of factors contributing to the feeling of satisfaction as well as many concerns. Studies show that psychotherapists are vulnerable to the effects of distress which, if left unattended, lead to burnout and serious professional impairments. Even though it has been emphasised that self-care of a psychotherapist is more of an imperative than an option, all too often professionals ignore their needs. Among the most common self-care myths cognitive behavioural therapists believe in, one may find the assumptions that self-care is optional, the knowledge how to look after oneself is equivalent to managing it, and coping is identical to being a therapist. Responsibility for oneself is usually an optional topic during education and supervision processes. Even though articles on that subject are widely available, it is important to analyse the problem of self-care, and to propose ways for creating a healthy work environment for cognitive behavioural therapists. In the article, the core ideas concerning the cognitive behavioural model of therapy are presented, and the cognitive behavioural model of burnout is described. In addition, the role of self-care in professional activity among cognitive behavioural psychotherapists is examined. The data on the role of awareness, balance, flexibility, and health in increasing self-care practices among psychotherapists is presented, and the importance of a proactive approach to self-care is highlighted. Furthermore, the main ideas that should be incorporated in training courses and supervision are given, together with the description of the role of supervision in psychotherapeutic work.

Leadership for a healthy work environment – a question about who, what and how

Purpose Recruiting and retaining staff to work with elderly people in social care is a global issue. The quality of leadership is considered important because it influences employees’ job satisfaction, job turnover and health. This paper aims to identify leadership that employees in residential elderly care facilities in Sweden consider as contributing towards a healthy work environment. Design/methodology/approach The authors interviewed 14 persons employed in facilities organized in different ways. The data from these interviews was analysed using qualitative content analysis.. Findings The results showed that the employees felt that their health partly depended on the attributes that leaders possessed, what leaders do and how leaders do it. This study confirms that leadership influences the perception of a healthy workplace. It also shows that questions about leadership are complex. Originality/value Research about factors that increase health risks is wide-ranging; however, research that examines factors that promote health, especially how leadership influences employees’ well-being, is not as comprehensive.