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

A healthy nurse work environment is a workplace that is safe,empowering,and satisfying.Many research studies were conducted on nurse work environments in the last decade;however,it lacks an overview of these research studies.The purpose of this review is to identify,evaluate,and summarize the major foci of studies about nurse work environments in the United States published between January 2005 and December 2017 and provide strategies to improve nurse work environments.Databases searched included MEDLINE via PubMed,CINAHL,PsycINFO,Nursing and Allied Health,and the Cochrane Library.The literature search followed the PRISMA guideline.Fifty-four articles were reviewed.Five major themes emerged:1)Impacts of healthy work environments on nurses'outcomes such as psychological health,emotional strains,job satisfaction,and retention;2)Associations between healthy work environments and nurse interpersonal relationships at workplaces,job performance,and productivity;3)Effects of healthy work environments on patient care quality;4)Influences of healthy work environments on hospital accidental safety;and 5)Relationships between nurse leadership and healthy work environments.This review shows that nurses,as frontline patient care providers,are the foundation for patient safety and care quality.Promoting nurse empowerment,engagement,and interpersonal relationships at work is rudimental to achieve a healthy work environment and quality patient care.Healthier work environments lead to more satisfied nurses who will result in better job performance and higher quality of patient care,which will subsequently improve healthcare organizations'financial viability.Fostering a healthy work environment is a continuous effort.

Potential effects of the nursing work environment on the work-family conflict in operating room nurses

BACKGROUND The nursing working environment is an important subsystem in the hospital environment.A good working environment could have a positive impact on nurses.However,the work-family conflict and unsatisfactory working environment could significantly reduce their working enthusiasm,efficacy as well as the overall quality of the nursing,increase their fatigue,and thereby compromise their career status.AIM To explore the possible status quo and to analyze the correlation between work environment perception and the work-family conflict among nurses in the operating room.METHODS A total of 312 operating room nurses from two first-class hospitals at Grade 2 and two first-class hospitals at Grade 3 in China from May to September 2017 were included in this research using the cluster sampling method.The data,including the general information questionnaire,the practice environment scale of the nursing work index(PES-NWI),and the work-family conflict scale,were systematically collected.Pearson correlation analysis was applied to analyze the correlation between the two scores,with influencing factors analyzed by hierarchical regression analysis.RESULTS A total of 312 questionnaires were issued,and the response rate and effective questionnaire rate were both 96.15%(300/312).The total scores of the PES-NWI scale and the work-family conflict scale were 3.07±0.43(vs maximum up to 4 points)and 52.32±8.79(vs maximum up to 90 points),respectively.The scores of the PES-NWI scale were negatively correlated with that of work-family conflict scale(all P<0.05).The perception of the nursing work environment and the number of night shifts per month were the major factors contributing to the workfamily conflict(all P<0.05).CONCLUSION The nursing work environment and the work-family conflict among nurses in the operating room were both found at a medium level with a negative correlation between the two.

Assessment tools of nursing work environment in magnet hospitals: A review

In the 1990s,the American Nurses Association established a certification program called the Magnet Recognition Program through the American Nurses Credentialing Centre(ANCC)to complement the quality care provided to patients by hospitals.After the program was recognised,hospitals were identified as magnet hospitals[1].Some studies show that magnet hospitals provide a healthier working environment for nurses,accompanied by higher nurse satisfaction and better patient prognosis than non-magnet hospitals[2e5].The nursing work environment is the sum of various elements that directly or indirectly affect the patient care system[6].Improving the nursing work environment is a focal point and challenge for nursing administrators.Therefore,administrators in magnet hospitals usually apply a variety of assessment tools for effective evaluation of the nursing work environment to maintain and improve the health of the environment.

Impact of work environment on job satisfaction and stress among hemodialysis staff in Klang Valley

Objective:To investigate the factors contributing to satisfaction with the work environment,job satisfaction(JS),and stress among hemodialysis(HD)staff in the central region of Malaysia.Methods:A quantitative cross-sectional study was conducted on 215 HD staff working at private and non-government(NGO)dialysis centers using self-administered questionnaires.The chi-square test was used to determine factors associated with HD staff's JS,stress,and working environment.Results:The scientific proof was apparent that the working environment had an effect on JS and stress among employees at HD centers.Conclusions:This research offers useful insights into the essence and complexities of HD staff's work and will help nurses,dialysis managers,other dialysis personnel,and organizations to better understand the benefits and stresses faced by these workers.

The impact of nurses’organizational commitment on their perceptions of the work environment:Strong mediating effect of the psychological contract

Objective:The objective is to assess the direct and indirect effects of nurses’organizational commitment(OC)on their work environment perceptions(WEP)and the role of the psychological contr act(PC).Methods:A cross‑sectional quantitative study of 3047 registered nurses in four Chinese hospitals was conducted.The Essentials of Magnetism II(Chinese version),OC,and PC scales were used in the study,and the structural equation modeling was used to assess the connections among variables.Results:The results showed that OC was positively correlated with WEP(r=0.561,P<0.001),and PC was negatively correlated with the WEP(r=−0.717,P<0.001),and OC(r=−0.739,P<0.001).Nurses’PC played a strong mediating role between OC and WEP,accounting for 87.64%of the total effect.Besides,PC played an important role in creating a healthy work environment.Conclusions:The exploration of the relationships among WEP,PC,and OC provides new insights for hospital managers to build a better work environment for nurses,which is conducive to maintaining a stable nurse team and providing high‑quality nursing services for patients.

Humanizing the Culture of Technology Teams: Strategies for Creating Healthier and More Productive Work Environments

With the advancement of technology, companies are increasingly dependent on technology teams to stay competitive. However, members of these teams often work in stressful and unhealthy environments, which can undermine their productivity and well-being. The humanization of the culture of technology teams is an approach that aims to create healthier and more productive work environments for team members, promoting balance between personal and professional life. Despite the importance of a healthy and productive work environment, many companies do not invest in strategies to humanize the culture of their technology teams. This can lead to high levels of stress, staff turnover and low productivity. The objective of this project is to identify effective strategies to humanize the culture of technology teams and create healthier and more productive work environments in digital companies. For this, factors such as management styles, psychological safety, human-centered development, individual beliefs and time and energy management will be analyzed. The project’s methodology will include a literature review on the subject and qualitative data analysis will be performed using a content analysis approach. This project will contribute to the advancement of knowledge about the humanization of the culture of technology teams in digital companies. The results can be applied to companies that want to create healthier and more productive work environments for their team members.

Investigation of transient and heterogeneous micro-climate around a human body in an enclosed personalized work environment

Heterogeneous distribution of indoor environmental quality is known to have a great impact on human health,comfort,and productivity.A personalized work environment,that creates a localized and independent environ-ment with capsules or partitions,is being developed worldwide to provide workers with a space that enables undisturbed concentration on studying and working.However,the minimized interior space of a personalized work environment can immediately cause adverse health impacts for occupant if the air quality and thermal en-vironment in the personalized work environment is not controlled appropriately.Particularly,constant breathing can sharply increase the CO 2 concentrations in an interior space with an insufficient ventilation rate.In order to design a healthy and comfortable indoor environment,especially in a personalized work environment,it is important to predict precisely and comprehensively the transient and heterogeneous structure of the indoor envi-ronment formed around a human body.With this background,we have developed an in silico human model that integrates a computational human model(virtual manikin combined with thermoregulation models)and respi-ratory model(virtual airway)for estimating indoor environmental quality,targeting the microclimate around a human body and breathing zone with high accuracy.In this study,we report the applicability of a comprehensive in silico human model to estimate the environ-mental quality in a personalized work environment.A coupled analysis of heat and contaminant transfer with computational fluid dynamics was conducted targeting the space around the in silico human model installed in a virtual personalized work environment.The informative data including human thermal comfort and breathing air quality were obtained,potentially forming the basis for the development of a digital twin of the personalized work environment and contributing to the design of a healthy,comfortable,and productive personalized work environment.

Study and Application of Cooperative Work Environment

The concept of Cooperative Work Environment (CWE) is introduced. Three key elements of CWE, information integration, process integration, and organization integration, are analysed. An application framework of CWE is proposed, and with this framework a CE CWE based on Lotus Notes/Domino and Intel Proshare used in a large enterprise is introduced.

Labor Motivation and Its Influence on Workers’Productivity-A Secondary Publication

The productivity of an institution is achieved,in large part,by creating a harmonious environment that reflects the satisfaction,empowerment,and collaborative spirit of each employee.From this perspective,management will consider upgrades using all tactics that allow for the achievement of these goals,including direct effort and the involvement of all stakeholders.The objective of this study was to examine the relationship between work motivation and the productivity of workers in the communal board of the Barrio Sur corregimiento in the province of Colón.Using the questionnaire as an instrument,as well as the descriptive method,allowed for the report and evaluation of the characteristics of the workers,indicating interpersonal deficits and distancing in the motivations that drive administrative action.By incorporating different approaches previously analyzed and developed by different authors familiar with the subject,it was possible to achieve substantial results,such as the need to implement administrative strategies that harmoniously incorporate workers,showing that,despite motivation problems,the work environment where one works is very important in the performance of their duties.Managing to motivate the direct participation of the workers selected as part of the sample,who showed full satisfaction with the results framed within the framework of individual improvement and,above all,the commitment to the institution to improve its work.

THE EFFECT OF ENVIRONMENT WORK ON EFFECTIVE SEGREGATION COEFFICIENT OF SOLUTE AT SOLID／LIQUID INTERFACE

The model of effective segregation coefficient(Keff) of solute atoms has been developed by considering the effect of environment work on barrier potential of atom motion at solid/liquid interface.It was found that not only the amount but also the type of environ ment work strongly affected the Keff in addition to the growth velocity R.

Effect of working time on environmental pressures:empirical evidence from EU-15,1970-2010

There is growing interest in the correlation between working time and environmental pressures,but prior empirical studies mostly focused on static methodologies.This article used dynamic panel regression approaches to examine and compare the relationship among western,southern,and northern European countries over the period 1970-2010,and proved the existence of strongly significant relationships in all models.Furthermore,this article detected the relationship between working hours and environmental indicators(carbon emission and energy use) at different phases.We contribute to a further understanding of the environmental effects of the working time reduction policy by comparing the differences among various periods and country groups in a system generalized method of moments(GMM) dynamic framework.

Environmental Health Graduates’ Work Skills Competencies: Perspectives from the Employers and the Graduates

Introduction: Environmental health is a rapidly evolving field, and professionals working in this field have to deal with increasingly complex environmental and public health concerns. Consequently, their skill development is a key component in ascertaining their abilities to match work requirements to the satisfaction of their employers. Training and education of these professionals requires involvement of the relevant stakeholders to apt their technical skills in preparation of the role to be undertaken. Thus, the universities and other institutions of higher learning, in their efforts to improve graduate output should understand the labor market. Additionally, due to constant transformation and reorganization of strategies and plans by practitioner organizations, employers’ perspective in assessing graduates’ abilities and performance is necessary. Aim: The purpose of this study was to assess the employers’ perspectives on the graduates’ abilities to handle work demands. Methods: A cross sectional descriptive study design involving employers and graduates of environmental health program of Moi University using mixed methods was carried out. Pretested semi structured paper questionnaires were administered to 45 employers, while online survey was carried out on 227 sampled graduates. In-depth interviews were further subjected to the graduates to corroborate issues raised. Quantitative data analysis was done using statistical package for social scientists (SPSS) version 20 where the data was summarized using frequencies and proportions. Qualitative data was thematically analyzed. Results: The overall employer assessment of the graduates’ abilities to handle work demands was satisfactory with 18 (46.1% 7 of the employers rating them as good). On self-assessment, 116 (61.7%) of the graduates reported not to have faced any skills competency challenge at their work place and only 57 (30.3%) reported adequacy in skills acquired during undergraduate training. From the in-depth interviews, the graduates applauded the current curriculum implementation strategy of Problem Based Learning (PBL) but faulted the infrastructural inadequacies for low competencies and inadequate skills. The in-depth interviews further revealed a picture of graduates struggling with skills’ mismatch in their job placement. Conclusion: The study revealed a good rating by employers on the graduates’ competency skills but a high proportion (69.7%) of graduates reported lack of adequate skills to match their work demands. Recommendations: Institutions of higher learning need to invest in infrastructural elements of curriculum implementation to boost more practical sessions for better skills’ acquisition that matches the industrial needs.

Investigation of the working conditions of nurses in public hospitals on the basis of nurse-friendly hospital criteria

Objective:This descriptive study reveals how nurses working in public hospitals rated their practice environments with respect to nurse-friendly hospital criteria.Methods:This study was conducted on 460 nurses volunteering to participate this study among 735 nurses working in inpatient wards of three public hospitals.Data were collected using a personal information form and the Adapted Nursing Work IndexeRevised.Numbers,percentages,means and standard deviations,t-test and one-way variance analysis were used to evaluate the data.Results:Among the nurse-friendly hospital criteria,‘control of nursing practice’,‘middle management accountability’and‘quality initiatives’had the highest mean scores,and‘competitive wages’had the lowest mean score.The assessments of the nurses presented statistically significant differences with respect to personal and occupational variables.Conclusion:The nurses found most of the nurse-friendly hospital criteria adequate,but they believed that several areas needed improvement.

Suggested Work Modifications for Patients with Environmental and Occupational Risk Factors in Hidradenitis Suppurativa

Hidradenitis suppurativa (HS) is a chronic, inflammatory skin condition characterized by painful nodules, abscesses, and scarring, primarily affecting areas rich in apocrine glands. Environmental and occupational risk factors, including prolonged exposure to heat, friction, and certain chemicals, have been identified as exacerbating conditions for HS. Yet, there remains a lack of tailored recommendations for modifying work environments to alleviate these triggers. This review presents novel suggestions for work modifications to reduce HS flare-ups, such as implementing breathable, friction-reducing workwear, ergonomic adjustments to minimize pressure on affected areas, and introducing low-irritant hygiene protocols in workplaces with chemical exposure. These recommendations are grounded in emerging evidence linking specific occupational exposures to the exacerbation of HS symptoms. The novelty of this approach lies in its proactive stance, shifting from reactive management of HS symptoms to preventative environmental modifications. Future studies should explore the long-term efficacy of these modifications and investigate the potential for personalized work environment adjustments based on individual patient profiles. Targeted workplace interventions may significantly improve the quality of life for HS patients, highlighting the need for multidisciplinary collaboration between dermatologists, occupational health specialists, and employers.

The effects of hazardous working conditions on burnout in Macao nurses

Objective:To examine the effects of various hazardous factors in working environments on burnout in a cohort of clinical nurses in Macao.Methods:A cross-sectional survey was used to examine specific workplace hazards for burnout in qualified nurses(n=424)in Macao.Structural equation modeling(SEM)was used to analyze relationships between specific hazards and manifestations of burnout.Results:In the final model,workplace hazards accounted for 73%of the variance of burnout with a standardized regression weight of 0.85.The measures of the model fit were acceptable.Bodily hazards,threats of violence,and physical environmental hazards were found to significantly contribute to two major determinants of burnout,emotional exhaustion and depersonalization.Conclusions:Workplace environmental hazards increased the risk of burnout amongst clinical nurses in Macao.Better management of these factors may help to protect nursing staff and reduce the risk of burnout and attrition from the nursing profession.

Prevalence of Occupational Stress and Related Risk Factors among Nurses Working in ASEER Region

Background: Over the last century, stress as an interdisciplinary concept has become an area of great interest and has been researched extensively. Although the earliest studies on stress were mostly physiological, psychological models of stress have been developed and established a link between stressors and illness in his model of general adaptation syndrome. Objective: To investigate prevalence and factors associated with occupational stress among nurses working Asser region Hospital. The study included nurses at different age groups working at different departments with assessment of any sources of stress. Methodology: A descriptive cross-sectional study was conducted targeting nurses in the main hospitals in the Asser region, Southern Saudi Arabia. A total of the study samples of 217 nurses were required to estimate the expected average stress rate among nurses. A self-administered pre-structured questionnaire used for data collection. Results: Nurses’ ages ranged 21 to 55 years old with mean age of 30.9 ± 11.7 years old. Majority of the nurses were females 175 (80.6%). The highest mean score (more stress) was reported by nurses in relation to the following stress factors;working very hard (4.3 ± 0.9), followed by being under pressure to work long hours (4.2 ± 0.9), the opportunity given to do something is not real and enough (4.2 ± 1.0). The findings showed a significant relationship between nurses’ stress level, their personal and work-related characteristics (P = 0.001). Recommendations: Interventional programs to detect and alleviate sources and effects of occupational stress should be developed including more training regarding coping strategies, nurses’ support, and better work condition.

Work Organization Model Applied on Smallholder Dairy Farms in Brazil

This research identified difficulties faced by dairy farmers in family farming, describing this diagnosis through ergonomic demand items （EDIs）. The objective was to elaborate an organization model of work related to dairy farming （WRDF）. As a methodology, a descriptive exploratory study was carried out in 14 family dairy farms that were visited and had their activities monitored. As main results, 11 EDIs were identified. The ones grouped in the infrastructure factor showed the highest resolution priority. The WRDF model was composed of three categories： management, public policies management and infrastructure, which were further subdivided into technical and social aspects. From this perspective, it is believed that the implementation of the model can bring organizational improvement, once adjustments are made in the procedures and working conditions. This study sheds light on the conditions that need to be resolved with higher priority so that the farmers will remain in the dairy business.

ICT Workers and Professional Spirit in the E-Business Era

Because of the ubiquity of information and communication technology (ICT) and ICT-based information systems, ICT workers in business organisations have power, both intentional and unintentional, over people's quality of life. On this point, all of them, not only ICT professionals but also non-professionals or end-users, need to accept responsibility to the public and to have professional spirit in order to make and keep the information society and e-business environment safe and reliable. However, an individual ICT worker is not necessarily a strong existence; he or she is in a complex situation filled with stress and pressure and his or her decisions are sometimes affected by it. Therefore, social and organisational measures to prompt ICT workers to behave in professional spirit are necessary to be taken.

Adapt to New Normal State of Environmental Protection,Fight a Tough Fight,and Make Full Efforts to Build a Beautiful Xi'an

In China, economic growing speed converts from high speed to moderate and high speed; economic structure enters from moderate and low end to moderate and high end; development power converts from investment drive to innovation drive, and investment of resource and environ- ment factors presents declining trend. Spatial pattern of economy development is changing greatly, which needs eco-civilization construction and en- vironmental protection field continuously adjusting focus, environmental rules and laws correspondingly regulating, eco-civilization construction and environmental protection field also entering into new normal state. It requires scientifically understanding, actively adapting to and responding to new normal state of eco-civilization construction and environmental protection,and fighting a tough fight. Firstly, we should handle with the relationship between environment and economy, and strive to explore the way of environmental protection. Secondly, we should insist protection priority and prevention oriented,and promote transformation of environmental management strategy. Finally, we should accelerate to promote eco-civilization system reform and environmental protection management system reform, and further promote environmental protection work in Xi＇an on new level from eight aspects.

韧性领导对员工适应性绩效的影响:有调节的链式中介模型

领导风格是影响员工适应性绩效的重要前因,然而尚未有研究探索韧性领导这一VUCA时代新型领导风格与员工适应性绩效的关系。基于资源保存理论和扩展—建构理论,探索韧性领导对员工适应性绩效的预测作用及其作用机制和边界条件,拓展韧性领导的影响结果和员工适应性绩效的预测前因。利用层级回归分析技术,分析来源于两阶段收集的225份网络调查问卷,结果发现:韧性领导显著正向影响员工适应性绩效;工作繁荣和自我领导分别中介了韧性领导与员工适应性绩效的关系;工作繁荣与自我领导在韧性领导与员工适应性绩效之间发挥链式中介作用;环境不确定性调节了韧性领导与工作繁荣的关系以及韧性领导经由工作繁荣和自我领导对员工适应性绩效的链式中介效应。研究结果有助于丰富韧性领导和员工适应性绩效的相关研究,为组织提升员工适应性绩效提供有益借鉴。