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Assessment of the Critical Care Work Environment of Intensive Care Unit Nurses in Saudi Arabia
Nurses play a major role in the delivery of complex and challenging critical care in intensive care units (ICUs). Assessment of work environment is essential indicators of hospital management and can be applied to workforce planning and identifying nursing profession needs. The American Association...
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Published in: | Risk management and healthcare policy 2022-01, Vol.15, p.2413-2420 |
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description | Nurses play a major role in the delivery of complex and challenging critical care in intensive care units (ICUs). Assessment of work environment is essential indicators of hospital management and can be applied to workforce planning and identifying nursing profession needs. The American Association of Critical-Care Nurses (AACN) recognized six standards for a healthy work environment and developed the Healthy Work Environment Assessment Tool (HWEAT). The aim of this study was to assess the work environment of ICU nurses in Jazan, Saudi Arabia.
This cross-sectional study was conducted at public and private hospitals. Data were collected using a self-administered questionnaire that included the sociodemographic characteristics and the AACN HWEAT. Data were analyzed to obtain descriptive and inferential statistics. The Mann-Whitney U and Kruskal-Wallis tests were employed to compare demographic data, on the basis of the overall mean HWEAT score.
The study participants were 238 ICU nurses, who were predominantly female (83%). The mean overall HWEAT score was 3.55±1.03, which is within the "good" range, and was higher for male nurses (3.66), nurses aged ≥41 years (3.76), and nurses with postgraduate education (4.04), work experiences of >10 years (3.63), and alternate work shifts (3.6). Nurses in private hospitals had significantly higher overall scores than nurses in public hospitals (3.83 vs 3.19, P |
doi_str_mv | 10.2147/RMHP.S391698 |
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This cross-sectional study was conducted at public and private hospitals. Data were collected using a self-administered questionnaire that included the sociodemographic characteristics and the AACN HWEAT. Data were analyzed to obtain descriptive and inferential statistics. The Mann-Whitney U and Kruskal-Wallis tests were employed to compare demographic data, on the basis of the overall mean HWEAT score.
The study participants were 238 ICU nurses, who were predominantly female (83%). The mean overall HWEAT score was 3.55±1.03, which is within the "good" range, and was higher for male nurses (3.66), nurses aged ≥41 years (3.76), and nurses with postgraduate education (4.04), work experiences of >10 years (3.63), and alternate work shifts (3.6). Nurses in private hospitals had significantly higher overall scores than nurses in public hospitals (3.83 vs 3.19, P<0.001). All HWEAT standards ("effective decision-making", "authentic leadership", "appropriate staffing", "true collaboration", "skilled communication", and "meaningful recognition") were rated as good (mean range, 3.43-3.63).
The study results could assist hospitals in prioritizing the adoption of AACN HWE standards. A target benchmark of "good" was established for both the overall score and each standard, which indicates a good work environment as perceived by ICU nurses. In Addition, interpersonal differences should be considered when developing improvement initiatives.</description><identifier>ISSN: 1179-1594</identifier><identifier>EISSN: 1179-1594</identifier><identifier>DOI: 10.2147/RMHP.S391698</identifier><identifier>PMID: 36582743</identifier><language>eng</language><publisher>England: Dove Medical Press Limited</publisher><subject>Analysis ; Coronaviruses ; COVID-19 ; Decision making ; Environmental assessment ; Evidence-based medicine ; Hospitals ; Intensive care ; Medical care ; Nurses ; Nursing ; nursing practice ; Original Research ; Patient safety ; Quality management ; Saudi Arabia ; Work environment ; Workers ; Working conditions</subject><ispartof>Risk management and healthcare policy, 2022-01, Vol.15, p.2413-2420</ispartof><rights>2022 Ageel and Shbeer.</rights><rights>COPYRIGHT 2022 Dove Medical Press Limited</rights><rights>2022. This work is licensed under https://creativecommons.org/licenses/by-nc/3.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2022 Ageel and Shbeer. 2022 Ageel and Shbeer.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c506t-c25d14bef22a0450013661d25a03c21aa35f3439aa991505f1a85f1803f892bd3</citedby><cites>FETCH-LOGICAL-c506t-c25d14bef22a0450013661d25a03c21aa35f3439aa991505f1a85f1803f892bd3</cites><orcidid>0000-0002-3412-8913</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2766253059/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2766253059?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25753,27924,27925,37012,37013,38516,43895,44590,53791,53793,74412,75126</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36582743$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ageel, Mohammed</creatorcontrib><creatorcontrib>Shbeer, Abdullah</creatorcontrib><title>Assessment of the Critical Care Work Environment of Intensive Care Unit Nurses in Saudi Arabia</title><title>Risk management and healthcare policy</title><addtitle>Risk Manag Healthc Policy</addtitle><description>Nurses play a major role in the delivery of complex and challenging critical care in intensive care units (ICUs). Assessment of work environment is essential indicators of hospital management and can be applied to workforce planning and identifying nursing profession needs. The American Association of Critical-Care Nurses (AACN) recognized six standards for a healthy work environment and developed the Healthy Work Environment Assessment Tool (HWEAT). The aim of this study was to assess the work environment of ICU nurses in Jazan, Saudi Arabia.
This cross-sectional study was conducted at public and private hospitals. Data were collected using a self-administered questionnaire that included the sociodemographic characteristics and the AACN HWEAT. Data were analyzed to obtain descriptive and inferential statistics. The Mann-Whitney U and Kruskal-Wallis tests were employed to compare demographic data, on the basis of the overall mean HWEAT score.
The study participants were 238 ICU nurses, who were predominantly female (83%). The mean overall HWEAT score was 3.55±1.03, which is within the "good" range, and was higher for male nurses (3.66), nurses aged ≥41 years (3.76), and nurses with postgraduate education (4.04), work experiences of >10 years (3.63), and alternate work shifts (3.6). Nurses in private hospitals had significantly higher overall scores than nurses in public hospitals (3.83 vs 3.19, P<0.001). All HWEAT standards ("effective decision-making", "authentic leadership", "appropriate staffing", "true collaboration", "skilled communication", and "meaningful recognition") were rated as good (mean range, 3.43-3.63).
The study results could assist hospitals in prioritizing the adoption of AACN HWE standards. A target benchmark of "good" was established for both the overall score and each standard, which indicates a good work environment as perceived by ICU nurses. In Addition, interpersonal differences should be considered when developing improvement initiatives.</description><subject>Analysis</subject><subject>Coronaviruses</subject><subject>COVID-19</subject><subject>Decision making</subject><subject>Environmental assessment</subject><subject>Evidence-based medicine</subject><subject>Hospitals</subject><subject>Intensive care</subject><subject>Medical care</subject><subject>Nurses</subject><subject>Nursing</subject><subject>nursing practice</subject><subject>Original Research</subject><subject>Patient safety</subject><subject>Quality management</subject><subject>Saudi Arabia</subject><subject>Work environment</subject><subject>Workers</subject><subject>Working conditions</subject><issn>1179-1594</issn><issn>1179-1594</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>COVID</sourceid><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNptkl2LEzEUhgdR3GXdO69lQBAvbM13JjdCKatbWD9wXbwznJlJ2tSZZDeZKfjvTW13bcUEknDynPdwDm9RPMdoSjCTb79-vPwyvaYKC1U9Kk4xlmqCuWKPD94nxXlKa5QXU5Ws5NPihApeEcnoafFjlpJJqTd-KIMth5Up59ENroGunEM05fcQf5YXfuNi8PfUwg_GJ7cxO-TGu6H8NMYsVDpfXsPYunIWoXbwrHhioUvmfH-fFTfvL77NLydXnz8s5rOrScORGCYN4S1mtbGEAGIcIUyFwC3hgGhDMADlljKqAJTCHHGLocpHhaitFKlbelYsdrptgLW-ja6H-EsHcPpPIMSlhpi76oyWUnAMyBJhgeHW1Lm0YE0FtRKCGpS13u20bse6N22Tm47QHYke_3i30suw0UoqKiuRBV7vBWK4G00adO9SY7oOvAlj0kRypbjEVGb05T_oOozR51FlSgjCKeLqL7WE3IDzNuS6zVZUzySlTPBshkxN_0Pl3ZreNcEb63L8KOHVQcLKQDesUujGwQWfjsE3O7CJIaVo7MMwMNJbH-qtD_Xehxl_cTjAB_jedfQ3vtbUbA</recordid><startdate>20220101</startdate><enddate>20220101</enddate><creator>Ageel, Mohammed</creator><creator>Shbeer, Abdullah</creator><general>Dove Medical Press Limited</general><general>Taylor & Francis Ltd</general><general>Dove</general><general>Dove Medical Press</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7XB</scope><scope>88C</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>COVID</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>KB0</scope><scope>M0T</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-3412-8913</orcidid></search><sort><creationdate>20220101</creationdate><title>Assessment of the Critical Care Work Environment of Intensive Care Unit Nurses in Saudi Arabia</title><author>Ageel, Mohammed ; Shbeer, Abdullah</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c506t-c25d14bef22a0450013661d25a03c21aa35f3439aa991505f1a85f1803f892bd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Analysis</topic><topic>Coronaviruses</topic><topic>COVID-19</topic><topic>Decision making</topic><topic>Environmental assessment</topic><topic>Evidence-based medicine</topic><topic>Hospitals</topic><topic>Intensive care</topic><topic>Medical care</topic><topic>Nurses</topic><topic>Nursing</topic><topic>nursing practice</topic><topic>Original Research</topic><topic>Patient safety</topic><topic>Quality management</topic><topic>Saudi Arabia</topic><topic>Work environment</topic><topic>Workers</topic><topic>Working conditions</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ageel, Mohammed</creatorcontrib><creatorcontrib>Shbeer, Abdullah</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Coronavirus Research Database</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>ProQuest research library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>Publicly Available Content Database (Proquest) (PQ_SDU_P3)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Risk management and healthcare policy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ageel, Mohammed</au><au>Shbeer, Abdullah</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Assessment of the Critical Care Work Environment of Intensive Care Unit Nurses in Saudi Arabia</atitle><jtitle>Risk management and healthcare policy</jtitle><addtitle>Risk Manag Healthc Policy</addtitle><date>2022-01-01</date><risdate>2022</risdate><volume>15</volume><spage>2413</spage><epage>2420</epage><pages>2413-2420</pages><issn>1179-1594</issn><eissn>1179-1594</eissn><abstract>Nurses play a major role in the delivery of complex and challenging critical care in intensive care units (ICUs). Assessment of work environment is essential indicators of hospital management and can be applied to workforce planning and identifying nursing profession needs. The American Association of Critical-Care Nurses (AACN) recognized six standards for a healthy work environment and developed the Healthy Work Environment Assessment Tool (HWEAT). The aim of this study was to assess the work environment of ICU nurses in Jazan, Saudi Arabia.
This cross-sectional study was conducted at public and private hospitals. Data were collected using a self-administered questionnaire that included the sociodemographic characteristics and the AACN HWEAT. Data were analyzed to obtain descriptive and inferential statistics. The Mann-Whitney U and Kruskal-Wallis tests were employed to compare demographic data, on the basis of the overall mean HWEAT score.
The study participants were 238 ICU nurses, who were predominantly female (83%). The mean overall HWEAT score was 3.55±1.03, which is within the "good" range, and was higher for male nurses (3.66), nurses aged ≥41 years (3.76), and nurses with postgraduate education (4.04), work experiences of >10 years (3.63), and alternate work shifts (3.6). Nurses in private hospitals had significantly higher overall scores than nurses in public hospitals (3.83 vs 3.19, P<0.001). All HWEAT standards ("effective decision-making", "authentic leadership", "appropriate staffing", "true collaboration", "skilled communication", and "meaningful recognition") were rated as good (mean range, 3.43-3.63).
The study results could assist hospitals in prioritizing the adoption of AACN HWE standards. A target benchmark of "good" was established for both the overall score and each standard, which indicates a good work environment as perceived by ICU nurses. In Addition, interpersonal differences should be considered when developing improvement initiatives.</abstract><cop>England</cop><pub>Dove Medical Press Limited</pub><pmid>36582743</pmid><doi>10.2147/RMHP.S391698</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-3412-8913</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Analysis Coronaviruses COVID-19 Decision making Environmental assessment Evidence-based medicine Hospitals Intensive care Medical care Nurses Nursing nursing practice Original Research Patient safety Quality management Saudi Arabia Work environment Workers Working conditions |
title | Assessment of the Critical Care Work Environment of Intensive Care Unit Nurses in Saudi Arabia |
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