Several years ago NDNA received a grant to study work environments that were positive and promoted health for the staff. Key areas that promoted these "ideal" environments were found to be: nursing practice control, nurses accountable for their own practice, the work environment was safe (both for patients and staff), nurses embraced the code of ethics, nurses engaged in methods to reduce errors, and patient care was continually improved. All new staff were provided orientation and a mentor. There were abundant opportunities for professional growth. The leadership not only knew how to manage but encouraged leadership at the bedside. Management was prepared for their position. All staff were encouraged to grow and to continue learning. Wages were fair with performance reviews based on principles of professional development. Staff was recognized for accomplishments and coached rather than punished when they fell short. Staff felt that work and home life was balanced, issues related to workplace stress were addressed, staff had opportunities for debriefing after adverse events. Bullying was not tolerated, in fact there was zero tolerance for violence at the workplace. Management was trustworthy, created an environment of respect, open communication. Leadership training was available for all staff. The facility was committed to evidence based practices, both for patient care and how the facility was operated.
Growing and sustaining the ideal environment was accomplished by communication, teamwork, critical thinking skills, an appropriate staff to patient ratio, recognition for contributions and leadership growth. As you examine your workplace, is this the type of environment in which you find yourself? If not, what can you do to grow a better work place?
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