Workforce psychological injury, including post-traumatic stress symptoms, is increasingly measurable across health systems. Yet measurement rarely produces structural redesign. The failure is not informational, but governance-related. This article argues that psychological injury persists when indicators lack decision rights, predefined escalation thresholds, and board-level accountability. Using a Leadership–Structure–Culture governance model, we outline how nurse executives can convert workforce injury signals into mandatory structural responses through a 72–30–90 execution pathway. Metrics matter only when they trigger redesign.
Maria Antuna-Casal (Sun,) studied this question.