Caring for the nurse in the hospital environment
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Tanya F. Lott, RN-BC; Elizabeth T. Clerico, RN, CGRN
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- Gamma Omicron at-Large
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Session presented on Saturday, November 7, 2015 and Sunday, November 8, 2015:
Nurses at this Magnet hospital adopted Jean Watson's Theory of Caring as their foundational theory of practice. The Nursing Research Council (NRC) wanted to investigate nurses' perceptions of the hospital environment as caring and the degree to which nurses felt cared for within the hospital environment. The Caring Factor Scale was modified from reflecting patients' perceptions of being cared for by providers to measure nurses' perception of feeling cared for within the hospital work environment. The BSSF Caring Work Environment Survey is administered electronically each year to all RNs in this healthcare system. It consists of 12 questions that measure four domains: physical needs, spiritual needs, intellectual stimulation and authentic relationships. Additional questions related to demographics and caring initiatives that the nurse has participated in vary slightly from year to year. Participation is voluntary and confidential. The overall mean caring score is calculated and item analysis is completed to provide comparison of the domains and comparison of responses among different demographics. Overall, the nurses feel cared for within the work environment. Questions relating to spiritual needs and intellectual stimulation score highest; physical needs score lowest. In 2012, the NRC questioned: Is there a difference in caring scores for nurses who take breaks as compared to those who do not? Two survey questions relating to breaks were added. Nurses who always or usually take breaks had significantly higher mean caring scores than those who take breaks less frequently or never (p<.01). Nurses who take an uninterrupted 30-minute break had significantly higher mean caring scores than those whose break gets interrupted (p<.01). ANA Code of Ethics states that healthcare workers have a moral obligation to care for themselves so they can care for others effectively. Taking breaks, and the benefits of breaks both for the nurse and for the patient, was promoted in 2013. Analysis of the 2013 survey results demonstrated that nurses who take breaks have higher scores and perceive their environment as more caring; those who don't take breaks have lower scores and perceive their work environment as less caring. These results indicated that interventions during 2013 were effective and nurses associate taking breaks with a more caring environment. The research team plans to: Continue to identify: 1 ) barriers to nurses taking breaks; and 2 ) strategies to allow nurses to take breaks. Promote the importance of nurse self-care and care of others on the healthcare team, including breaks, and the subsequent benefits that this will have on patient care and patient outcomes. Re-administer the BSSF Caring Work Environment Survey at annual intervals to evaluate caring initiatives over time that affect the nurses' perception of feeling cared for within the hospital environment. The nurses share a vision of caring and the survey allows them to be engaged in a scientific approach to strengthen caring among nurses with the ultimate goal of improving patient outcomes.
43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.
Items submitted to a conference/event were evaluated/peer-reviewed at the time of abstract submission to the event. No other peer-review was provided prior to submission to the Henderson Repository, unless otherwise noted.
Type | Poster |
Acquisition | Proxy-submission |
Review Type | Abstract Review Only: Reviewed by Event Host |
Format | Text-based Document |
Evidence Level | N/A |
Research Approach | N/A |
Keywords | Magnet Showcase; Caring Work Environment |
Name | 43rd Biennial Convention |
Host | Sigma Theta Tau International |
Location | Las Vegas, Nevada, USA |
Date | 2015 |
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