National Nurse Work Environments-October 2021: A Status Report

Article Psychiatry

The new frontline: exploring the links between moral distress, moral resilience and mental health in healthcare workers during the COVID-19 pandemic

Edward G. Spilg et al.

Summary: Compared to healthcare workers not exposed to COVID-19 patients, those working with COVID-19 patients exhibited more severe moral distress, anxiety, and depression symptoms. Moral resilience moderated the relationship between exposure to potentially morally distressing events and moral distress. Additionally, moral resilience correlated with reduced stress, anxiety, and depression symptoms.

BMC PSYCHIATRY (2022)

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Article Nursing

Nurse Burnout Syndrome and Work Environment Impact Patient Safety Grade

Aoyjai P. Montgomery et al.

Summary: This study examined the relationship between nurse-reported patient safety grade and burnout as well as the nursing work environment. The results showed that both burnout dimensions and work environment were related to patient safety grade, indicating the importance of reducing nurse burnout and improving the work environment for enhancing patient safety.

JOURNAL OF NURSING CARE QUALITY (2022)

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Article Nursing

System-Level Improvements in Work Environments Lead to Lower Nurse Burnout and Higher Patient Satisfaction

J. Margo Brooks Carthon et al.

Summary: This study found that the level of nurse burnout is associated with patient satisfaction, and work environment is a key factor related to these outcomes.

JOURNAL OF NURSING CARE QUALITY (2021)

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Article Environmental Sciences

Leveraging the Work Environment to Minimize the Negative Impact of Nurse Burnout on Patient Outcomes

Amelia E. Schlak et al.

Summary: This study found that hospitals with higher nurse burnout scores had higher odds of patient mortality, failure to rescue, and prolonged length of stay, but a good work environment can attenuate this relationship. Therefore, improving the work environment is a solution for hospitals looking to improve nurse burnout and patient outcomes.

INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH (2021)

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Article Nursing

Nurse work environment and its impact on reasons for missed care, safety climate, and job satisfaction: A cross-sectional study

Carla Klava dos Reis Dutra et al.

Summary: The study aimed to describe the nurse work environment and its relation to reasons for missed nursing care, safety climate, and job satisfaction. The results indicated that a better work environment was associated with higher job satisfaction, better perception of safety climate, and fewer reasons for missed care.

JOURNAL OF ADVANCED NURSING (2021)

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Article Medicine, General & Internal

Effects of nurse-to-patient ratio legislation on nurse staffing and patient mortality, readmissions, and length of stay: a prospective study in a panel of hospitals

Matthew D. McHugh et al.

Summary: The study found that implementing minimum nurse-to-patient ratio policies positively impacted nurse staffing and patient outcomes. After implementation, mortality rates significantly decreased in intervention hospitals, while readmissions increased in comparison hospitals, although the reduction in length of stay was more pronounced in intervention hospitals. Staffing improvements by one patient per nurse also led to reductions in mortality, readmissions, and length of stay.

LANCET (2021)

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Article Critical Care Medicine

COVID-19 and Moral Distress: A Pediatric Critical Care Survey

Tessy A. Thomas et al.

Summary: During the COVID-19 pandemic, pediatric critical care professionals are experiencing moral distress due to various factors that challenge their professional integrity. Despite these challenges, they also exhibit attributes of moral resilience. Organizations have opportunities to cultivate a psychologically safe and healthy work environment to mitigate anticipatory, present, and lingering moral distress.

AMERICAN JOURNAL OF CRITICAL CARE (2021)

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Article Management