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April 16, 2018International Journal of Nursing SciencesOpen Access

The state of the science of nurse work environments in the United States: A systematic review

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Authors

HWHolly WeiTexas Tech UniversityKSKerry SewellEast Carolina UniversityGWGina WoodyCenters for Disease Control and Prevention

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Implication

Systematic review reveals healthy work environments improve nurse retention and patient care quality, highlighting the central role of leadership and empowerment.

Key Points

  • To synthesize and evaluate research on nurse work environments in the United States published between 2005 and 2017 to determine their impact and identify strategies for improvement.
  • Conducted a systematic review following PRISMA guidelines across MEDLINE via PubMed, CINAHL, PsycINFO, Nursing and Allied Health, and the Cochrane Library.
  • Identified and analyzed 54 articles published between January 2005 and December 2017 focusing on nurse work environments in the United States.
  • Identified five core themes: impacts on nurse outcomes (psychological health, emotional strain, job satisfaction, retention), workplace interpersonal relationships and productivity, patient care quality, hospital accidental safety, and nurse leadership.
  • Qualitatively established that fostering nurse empowerment, engagement, and leadership creates healthier work environments that directly improve nurse retention, clinical performance, patient safety, and healthcare organizational financial viability.

Cite This Study

Wei et al. (2018) studied this question.

synapsesocial.com/papers/69de7e1a6e50a6aba3e93e13https://doi.org/10.1016/j.ijnss.2018.04.010
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement2009 · 65,296 citations
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