Intensive Care Unit Healthy Work Environments: A Concept Analysis

Saturday, 16 November 2013

Sharon A. Little-Stoetzel, RN, MS
School of Nursing, University of Phoenix, Tempe, AZ

Learning Objective 1: 1. Describe the attributes, antecedents, and consequences of a healthy work environment based on a sample of recent literature from psychology, nursing, sociology, and business.

Learning Objective 2: 2. Identify current nurse manager and staff nurses' perceptions on attributes, antecedents, and consequences of a healthy work environment in the ICU setting.

Purpose: The purpose of this concept analysis is to develop an empirically based definition of a healthy work environment as conceptualized in the literature and perceived by staff nurses and nurse managers in the ICU clinical setting.  An anticipated benefit of the study is to develop clarification of the concept ICU healthy work environments to provide foundational information for the development of theory in nursing and the development of models for ICU leaders to design work environments that foster recruitment and retention of staff nurses.   Watson’s Human Caring Theory and AACN’s standards for healthy work environments will be used as frameworks for the study.

            Methods: The two-phase study will use Rodgers and Knafl’s evolutionary concept analysis method to clarify the concept of an ICU healthy work environment.  Phase 1 will include data from literature collected from the disciplines psychology, sociology, nursing, and business published during the years from 2008 through 2012. A random sample of 20% of the literature from each discipline will be analyzed for areas of agreement and disagreement on the attributes, antecedents, and consequences of healthy work environments.  Phase 2 will include interviews with ICU nurse managers and staff nurses using an interview guide developed from the themes that emerged from the literature sample.  The data collected from the interviews will be compared with the literature sample, and data from staff nurses will be compared with the perceptions of nurse managers to identify consistent and inconsistent themes as strategies for triangulation.

            Results: The results of the study will be available at the time of the conference.

            Conclusions:  The findings will provide an empirically based definition of the concept for future research as well as assist nurse leaders to create healthy work environments based on perceptions of staff nurses and nurse managers in the ICU setting.