Authentic Leadership-Life Support for a Healthy Work Environment

Saturday, April 13, 2013: 1:45 PM

Linda Cassidy, MSN, EdM, APRN-CNS, CCNS, CCRN-CSC
Nursing Department, Holy Cross Hospital, Fort Lauderdale, FL
Nora Triola, PhD, RN, NEA-BC
Catholic Health East, Newtown Square, PA

Learning Objective 1: Describe strategies to operationalize the essential standards of a healthy work environment and measure outcomes.

Learning Objective 2: Describe the role of authentic leadership in implementing necessary components of a healthy work environment and utilization of nursing research to measure the effectiveness.

The health of the work environment plays a critical role in optimal patient outcomes. While much emphasis is placed on the importance of technology, one cannot overlook the influence of human factors on the work environment and the quality of patient care. Effective interpersonal relationships of health care team members directly influence the patient/family experience, avoidance of harm, patient quality and safety, retention of nurses and other health care professionals.  In 2005, AACN released Standards for Establishing and Sustaining Healthy Work Environments: A Journey to Excellence. This is a framework health care organizations may utilize to create, enhance and sustain a healthy work environment which is essential to excellence in nursing care

In this presentation, we will create the case for the importance of authentically addressing the status of the health of the work environment at macrosystem, microsystem, and individual levels. We will demonstrate how innovative strategies were developed utilizing the six standards and how they played a key role in the evolution of our professional practice model which serves as the guiding framework for practice. Specific strategies developed through shared governance structures, empowerment of informal leaders and the resulting organizational impact will be presented. Results from three phases of research that specifically examined RN’s perception of the health of our organization will be shared. Unit and organization level analyses with comparisons to national survey results will be included. Differences in the perceptions between nursing divisions, specifically critical care compared to non-critical care, and RNs’ self-perception of their personal contribution to the health of the work environment will be discussed. Responses highlighted the key role of leadership. Authentic leadership will be addressed as the genesis for assuring that all the standards are analyzed, enculturated and measured for effectiveness. Pivotal structures and processes surrounding nurse involvement will be extensively addressed.