Nursing has led the way in bringing awareness of the need for a healthy environment in the work setting. This session provides an overview of the healthy work initiative and a national interprofessional collaborative to promote positive clinical learning environments.
The effect of these behaviors on nurse retention, satisfaction and the patient’s experience has also been documented (Jagatic & Keashly 2003; Laschinger, 2014). Early on, the American Association for Critical Care Nursing (AACN) identified the negative effects an unhealthy work environment has had on both workforce and patient outcomes. In response, they published the AACN Standards for Establishing and Sustaining Health Work Environments (2005). 6 essential standards were identified at that time and include skilled communication, true collaboration, effective decision making, appropriate staffing, meaningful recognition, and authentic leadership.
Physician colleagues have added burnout, depression and suicide as being of critical concern and is on the rise (West, Dyrbye, & Shanafelt, 2018). Effective solutions to addressing these problems among all healthcare professionals needs to focus on an interprofessional approach to creating what the Accreditation Council for Graduate Medical Education (ACGME) calls healthy clinical learning environments (CLEs). In October 2017, the Josiah Macy Jr. foundation and ACGME partnered to host a symposium to identify the key characteristics of an optimal CLE. The characteristics identified are in alignment with AACNs’ healthy work environment. The interprofessional approach, or the National Collaboration for the Improvement of Clinical Learning Environments (NCICLE) provides daily use strategies for multiple professionals to work together in stressful healthcare environments.
This presentation will provide an overview of incivility and its prevalence. Data from a new graduate RN perspective will provide additional evidence that incivility is still of issue in practice settings. Key interprofessional strategies to create a healthy and positive clinical learning environment will be described and participants will be encouraged to identify beginning changes they can make to impact their practice setting.