Creating Healthy Work Environments brings the world’s top nurses together for self-care, collaboration, and work environment insights and improvement. We are pleased to share six presentations spotlighting how nurse leaders are inspiring collaboration to improve work environments.
Associations of Organizational Culture, Authentic Leadership, and Moral Resilience Among Nurses
Purpose: The purpose of this study is to measure moral resilience among nurses and to determine associations of individual nurse characteristics, authentic leadership, and organizational mission/behavior congruence with moral resilience.
Conclusion: The total sample was 147 nurses. Most were female, direct care nurses, and had more than 10 years of experience. The mean score on the RMRS was 2.97 (SD= .46).
A series of Analysis of variance (ANOVA) tests were conducted to determine differences in resilience among the demographic and workplace characteristics (gender, race, role in the organization, years of experience). There were no significant differences noted among these groups. For age, a Pearson’s correlation was performed and was not significant.
To determine associations among individual and organizational characteristics and resilience, bivariate correlations were conducted. Of the significant correlations, authentic leadership was found to have a significant relationship with organizational mission/behavior congruence (r=.57, p<.001) and resilience was found to have a positive relationship with organizational mission/behavior congruence (r=.21, p<.01).
Authors:
- Katherine C. Brewer, PhD
Department of Nursing, Towson University, Towson, MD, USA
Member of Sigma’s Iota Epsilon Chapter
- Marnie Dodson, MSN, RN
Holy Names Hospital, Paramus, NJ, USA
- Jinhee Nguyen, MSN, RN
Adventist Health Glendale, Glendale, CA, USA
- Sarin Kurdian, MSN, BSN, RN
Adventist Health Glendale, Glendale, CA, USA
A Charge Nurse Development Program: Evaluation of Its Effectiveness Adapting Evidence-Based ADDIE Model
Purpose: Role transition from clinical nurse to charge nurse can be challenging. The purpose of this quasi-experimental study was to evaluate a charge nurse development program, designed to increase nurses’ confidence regarding this role and to create a healthy working environment by using adapted evidence-based ADDIE model.
Conclusion: The study shows that the new ADDIE model of Charge Nurse Training Program was effective and that it boosted staff confidence, created a healthy working environment, and increased the skills and knowledge of the staff to perform job core responsibilities.
Authors:
- Shini Cherian, MSN, RN
Nursing Education and Training Division, Security Forces Hospital Program, Riyadh, Saudi Arabia
- Mary van Eck, RN, BSN
Nursing Education and Training Division, Security Forces Hospital Program, Riyadh, Saudi Arabia
- Deirdre Hawkins, RN, BSN, MSC
Nursing Education and Training Division, Security Forces Hospital Program, Riyadh, Saudi Arabia
- Yamen Hamed, RN, MSN
Nursing Education and Training Division, Security Forces Hospital Program, Riyadh, Saudi Arabia
- Ali Alyasien, RN,MSN
General Nursing Administration, Security Forces Hospital Program, Riyadh, Saudi Arabia
Supports, Strategies, and Self-Care for Interprofessional Frontline Leaders During COVID-19: Implications for Healthy Work Environments
Purpose: This study explored interprofessional first line healthcare leaders’ experiences of leading during the COVID-19 pandemic in various healthcare organizations in Ontario. In particular, the supports and strategies used by leaders to enact their roles during the crisis were explained.
Conclusion: Leaders identified a variety of supports, strategies, and self-care activities as being important to their ability to lead during the COVID-19 pandemic. Support available to leaders included internal organizational support from peer frontline leaders, infection prevention and control staff, and senior leaders; and employee assistance and wellness programs. External support included access to provincial databases and consultations. Strategies used to lead included networking, teamwork and collaborative leadership, advocacy, and flexibility. Leaders described taking time for their own mental, physical, and emotional health as key factors enabling them to continue to lead during the ongoing pandemic. These findings have important implications for establishing healthy work environments where leaders and their staff are supported.
Authors:
- Sue Bookey-Bassett, PhD, RN
Daphne Cockwell School of Nursing, Ryerson University, Toronto, ON, Canada
Member of Sigma’s Lambda Pi at-Large Chapter
- Donald Rose, PhD, RN
School of Nursing, Ryerson University, Toronto, ON, Canada
Member of Sigma’s Lambda Pi at-Large Chapter
- Nancy Purdy, PhD, RN
Nursing, Ryerson University, Toronto, ON, Canada
Member of Sigma’s Lambda Pi at-Large Chapter
- Melanie Woodside, MN, RN
Ryerson University, Toronto, ON, Canada
- Michelle Belov, RN, BScN
Ryerson University, Toronto, ON, Canada
The influence of engaging authentically in the nurse-patient relationship-creating connections.
Purpose: To develop a healthy nurse-patient relationship is an important aspect of safe and effective care. In a current PhD study, observations of this relationship and the process of engaging authentically were undertaken in an acute medical ward. The findings will be shared to reflect current practice, enablers, and challenges.
Conclusion: As part of this study, an observational phase was conducted using the validated Workplace Culture Critical Analysis Tool Revised (WCCATR) (Wilson et al., 2020) to observe nurse-patient interactions on a 30-bed medical ward, specifically focusing on the process of engaging authentically. The WCCATR (Wilson et al., 2020) links directly to the McCormack and McCance person-centered nursing and practice frameworks (McCance & McCormack, 2017; McCormack & McCance, 2019) and highlights aspects of person-centered practice. Analysis from these ward observations has identified current communications, behaviors, and interactions at the interface of care, as well as enablers and challenges in creating meaningful engagement between nurses and patients in an acute ward.
Authors:
- Helen Pratt, MHLM
School of Nursing, University of Wollongong, Bega, Australia
- Tracey Moroney, PhD
Curtin School of Nursing, Curtin University, Bentley, Perth, Western Australia 6102, Australia
- Rebekkah Middleton, PhD
School of Nursing, University of Wollongong, Wollongong New South Wales 2522, Australia
- Luke Molloy, PhD
School of Nursing, University of Wollongong, Wollongong, New South Wales, 2522, Australia
Promoting Self-Care Among Undergraduate Nursing Students Through the Use of a Behavior Change Project
Purpose: The purpose of this project is to determine if participating in a structured behavior change project will increase self-care among undergraduate nursing students.
Conclusion: The study results demonstrated that student stress was related to their self-care, and behavior change requires over six weeks of structured interventions.
Author:
- Morgan Holcomb, SN
Wilson School of Nursing, Midwestern State University, Wichita Falls, TX, USA
Let’s Move! Using Exercise Apps to Encourage Nurses’ Physical Activity and Well-Being, and Reduce Burnout
Purpose: Creating a healthy work environment begins with supporting a healthy workforce. During global pandemics, healthcare workers (HCWs), including nurses, experience increased negative mental health consequences (Bai et al., 2004; Marjanovic, et al., 2007). Recent international studies have shown an increase in reported depression, anxiety, insomnia, and distress in HCWs who are working with COVID-19 patients (Ahmed et al., 2020; Lai et al., 2020), or when HCWs have been required to undergo quarantine or self-isolation or known someone who contracted or died from the virus (Wu, Styra, & Gold, 2020).
Conclusion: In total, 288 HCW participants were recruited to the study, including 122 nurses (nurse practitioners [n=3], registered nurses [n=101], registered psychiatric nurses [n=11], and licensed practical nurses [n=7]). Results of this study were analyzed between September and December 2022, and preliminary results will be shared in this presentation. Early results suggest the majority of participants randomized to the exercise group maintained a consistent engagement with the apps throughout the study.
Authors:
- Agnes T. Black, MPH, BSN, RN
Professional Practice, Providence Health Care, Vancouver, BC, Canada
Member of Sigma’s Xi Eta at-Large Chapter
- Suzi Nguyen, RN MHLP
OH&S, Providence Health Care, Vancouver, BC, Canada
- Vincent Gosselin-Boucher, MSc PhD
Kinesiology, University of British Columbia, Vancouver, BC, Canada
- Brook Haight, BSc
Department of Kinesiology, University of British Columbia, Vancouver, BC, Canada
- Eli Puterman, PhD
Kinesiology, University of British Columbia, Vancouver, BC, Canada