creating and sustaining a healthy work environment

• Healthy work environment

  -increased work satisfaction and retention

  -improved pt outcomes

  -supports meaningful work
• unhealthy work environment

  -Stressful

  -Lack civility and respect

  -hinders interpersonal relationships
• Guidelines for a healthy work environment: ANA

  nurses' bill of rights
• Guidelines for a healthy work environment: AACN

  hallmarks of professional nursing practice
• Guidelines for a healthy work environment: AACN 6 standards

  -leadership

  -communication

  -effective decision making

  -appropriate staffing

  -recognizing staff
• Workplace safety

  a workplace free of risk of physical and psychological harm
• Pt safety and nurse safety are

  linked
• Nurse leaders must ensure a

  safe work environment and address problems (workplace violence, fatigue, improper pt handling)
• Workplace safety: physical harm

  improper pt handling and mobility
• workplace safety: psychological harm

  -workplace violence

  -emotional abuse

  -bullying

  -disrespectful tx
• workplace safety: What are ways to avoid physical harm

  implement safe pt handling programs

  attainment of knowledge and skills
• Nurse fatigue

  Impaired function resulting from physical labor or mental exertion
• Nurse fatigue: causes

  -extended shifts

  -lack of rest breaks (not mandated by fed regulations_
• dangers of nurse fatigue

  -Physical injuries to staff and patients

  -Nurse irritability

  -reduced motivation

  -inability to stay focused

  -diminished reaction time,
• Reducing nurse fatigue

  -seek balance between personal and work life

  -arrive to work well rested

  -adopt countermeasures and strategies to reduce fatigue
• workplace violence

  any act or threat of physical violence, harassment, intimidation, or other threatening disruptive behavior that occurs at the work site
• workplace violence: nonphysical examples

  bullying

  incivility
• types of violence in workplace

  -nurse to nurse

  -third party

  -nurse to patient

  -patient to nurse

  -organizational

  -external

  -sex harassment

  -mass trauma
• types of violence in workplace: nurse to nurse

  -lateral (peer-peer)

  -vertical (higher-lower)
• types of violence in workplace: third party

  witnessed by others and they are psychologically effected
• types of violence in workplace: organizational

  occurs as a result of a changing workplace environment
• types of violence in workplace: external

  random individual coming to workplace and being violent (ig)
• People most at risk for workplace violence

  -females

  -ER workers

  -new nurses
• Consequences of workplace violence on the organization

  -creates a culture of fear and decreases moral

  -impacts pt safety

  -results in disrupted work relationships, miscommunication, and unhealthy work environment

  -results in negative pt and nurse outcomes
• Consequences of workplace violence on individuals

  -May result in physical effects such as frequent headaches and decreased energy

  -Results in psychological effects such as stress, anxiety, and depression, frustration
• Strategies to prevent workplace violence

  -examine

  -increase

  -model and promote

  -support

  -ensure

  -deal
• Strategies to prevent workplace violence: examine

  examine the workplace for the presence of elements of an unhealthy environment
• Strategies to prevent workplace violence: increase

  increase awareness of workplace violence by providing info
• Strategies to prevent workplace violence: model and promote

  model and promote positive and professional behaviors to foster a healthy environment
• Strategies to prevent workplace violence: support

  support the development of organizational zero tolerance of workplace violence programs
• Strategies to prevent workplace violence: ensure

  ensure communication is open, nonbiased, and respectful
• Strategies to prevent workplace violence: deal

  deal directly with all reported incidents of workplace violence
• resources for creating a safe work environment

  -Joint commission (standards for addressing workplace violence)

  -ANA (code of ethics)

  -OSHA (guidelines for preventing workplace violence)
• Security plans

  plan in place for a security breach (stolen infant)
• Emergency response plan

  -internal disaster (active shooter)

  -external disaster (fire)

  -natural disaster (tornados)
• Takeaways

  -speak up and speak out

  -foster respect

  -engagement