HWE Resources

Added to Collection

  1. AACN Standards for Establishing and Sustaining Healthy Work Environments: A Journey to Excellence
  2. AACN Healthy Work Environment Assessment
  3. AACN Zero Tolerance for Abuse Position Statement
  4. AACN Moral Distress Position Statement
  5. AACN Bold Voice Commitment
  6. AACN Beacon Award for Excellence® Guidelines
  7. AACN Critical Care Work Environment Research Publications
    1. Critical Care Nurse Work Environments: 2013 A Status Report
    2. Critical Care Nurses Work Environments: 2008 A Follow-Up Report
    3. Critical Care Nurses Work Environments: Value of Excellence in Beacon Units and Magnet Organizations
    4. Critical Care Nurses' Work Environments: A Baseline Status Report
  8. AACN Publications Related to Healthy Work Environments
    1. Healthy Work Environments: Whose Job is It Anyway? Bylone, M. AACN Adv Crit Care. 2009, 20(4), 325-327.
    2. Healthy Work Environments 101. Bylone, M. AACN Adv Crit Care. 2011, 22(1), 19-21.
    3. Healthy Work Environment: Frequently Asked Questions. Bylone, M. AACN Adv Crit Care. 2008, 19(4), 354-357.
    4. Practical Steps for Implementing Healthy Work Environments. Blake, N. AACN Adv Crit Care. 2012, 23(1), 14-17.
    5. The Healthy Work Environment Standards: Ten Years Later. Blake, N. AACN Adv Crit Care. 2015, 26(2), 97-98.
    6. AACN Healthy Work Environment Standards and an Empowering Nurse Advancement System. Vollers et al. Crit Care Nurse. 2009, 29(6), 20-27.
    7. Craft Your Own Healthy Work Environment: Got Your BFF? Alspach, G. Crit Care Nurse. 2009, 29(2), 12-21.
    8. Confirmation of a Healthy Work Environment. Kramer, M, Schmalenberg, C. Crit Care Nurse. 2008, 56-63.
    9. Types of Intensive Care Units With the Healthiest, Most Productive Work Environments. Schmalenberg C. Kramer M. Am J Crit Care. 2007, 458-468.
  9. Institute of Medicine (IOM) Future of Nursing: Leading Change, Advancing Health
  10. Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine
  11. Robert Wood Johnson Foundation and AARP Future of Nursing Campaign for Action Resources and Tools
  12. Institute of Medicine Committee on Work Environment for Nurses and Patient Safety
  13. Keeping Patients Safe: Transforming the Work Environment of Nurses
    14.
  14. Magnet Recognition Program®
  15. Eric Klein, The Secret Life of Complaints
    The special report for AACN members was written by AACN Healthy Work Environment partner Eric Klein
  16. HWE Toolkit
    This evidence-based toolkit was developed by Alissa Samoya, DNP, RN, CPN, based on the AACN Standards for Establishing and Sustaining Healthy Work Environments A Journey to Excellence. It is meant to be used in conjunction with organizational procedures and leaders knowledge of current practice to improve the work environment of nurses
  17. Healthy Work Environments Standards Poster Available for Download and Self-printing
    This poster, designed by John F. Dixon, RN, MSN,NE-BC, director of The Center for Nursing Education and Research at Baylor University Medical Center (Dallas, Texas), is being generously shared by this facility. We encourage you to have it printed and post it in your unit.

HWE Standards

Skilled Communication

  1. Acknowledge-Introduce-Duration-Explanation-Thank You (AIDET)
  2. Situation-Background-Assessment-Recommendation (SBAR)
    1. SBAR and Healthy Work Environments Standards Pocket Card, Available for Download and Self-printing
      This pocket card, designed by Linda M. Bay, RN, MSN, ACNS-BC, CCRN, clinical nurse specialist at Clement Zablocki VAMC (Milwaukee, Wisconsin) is being generously shared by this facility. We encourage you to have it printed and distribute to staff
    2. TeamSTEPPSTM is an evidence-based teamwork system aimed at optimizing patient outcomes by improving communication and teamwork skills among health care professionals. TeamSTEPPS was developed by the Department of Defense (DoD) in collaboration with the Agency for Healthcare Research and Quality (AHRQ).
    3. AACN Publications Related to Skilled Communication
      1. Skilled Communication: Making it Real. Dixon, J, Larison, K, Zabari, M. AACN Adv Crit Care. October/December 2006, 17(4), 376-382.
      2. Beginning the Journey to Skilled Communication. Thornby, D. AACN Adv Crit Care. July/September 2006, 17(3), 266-271.
      3. Communication by Nurses in the Intensive Care Unit: Qualitative Analysis of Domains of Patient-Centered Care. Slatore, CG et al. Am J Crit Care. 2012, 21(6), 410-418.
      4. Resolving Communication Challenges in the Intensive Care Unit. Grant, M. AACN Adv Crit Care. 2015, 26(2), 123-130.
      5. Nursing Handoffs: Ensuring Safe Passage for Patients. Halm, M.A. Am J Crit Care. 2013, 22(2), 158-162.
      6. Communication with Patients, Families and Physicians About Prognosis and Goals of Care. Milic, M. et al. Am J Crit Care. 2015, e56-e64.
    4. AACN Collaborative Research Related to Skilled Communication             
      1. The Silent Treatment: Why Safety Tools and Checklists Aren't Enough to Save Lives Executive Summary (2010)
      2. The Silent Treatment Why Safety Tools and Checklists Aren't Enough to Save Lives Complete Study (2010)
      3. Silence Kills: The Seven Crucial Conversations for Healthcare Complete Study (2005)
      4. Silence Kills The Seven Crucial Conversations for Healthcare Executive Summary (2005)
    5. Books and Other Resources
      1. Style Under Stress Tool
      2. Crucial Conversations: Tools for Talking When Stakes are High, 2nd Ed. By K. Patterson, J. Grenny, R. McMillan, and A. Switzler
      3. Crucial Confrontations: Tools for Resolving Broken Promises, Violated Expectations and Bad Behavior. By K. Patterson, J. Grenny, R. McMillan, A. Switzler
      4. From Silence to Voice: What Nurses Know and Must Communicate to the Public. By B. Buresh, S. Gordon, M. E. Jeans, P. Benner

True Collaboration

  1. TeamSTEPPSTM National Implementation
    TeamSTEPPSTM is an evidence-based teamwork system aimed at optimizing patient outcomes by improving communication and teamwork skills among health care professionals. TeamSTEPPS was developed by the Department of Defense (DoD) in collaboration with the Agency for Healthcare Research and Quality (AHRQ).
  2. Sample of Articles from AACN Publications
    1. Collaboration: A Key Component of Excellence. Blake N. AACN Adv Crit Care. 2013, 24(1), 30-32.
    2. Nurse-Physician Collaboration and Hospital-Acquired Infections in Critical Care. Boev C, Xia, Y. Crit Care Nurse. 2015, 35(2), 66-72.
    3. True Collaboration Interdisciplinary Rounds in Nonteaching Hospitals: It Can Be Done! Falise, JP. AACN Adv Crit Care. 2007, 18(4), 346-351.
    4. Trust: The Foundation for Team Collaboration and Healthy Work Environments. AACN Adv Crit Care. 2007, (18)2, 103-108.
    5. Patient Safety and Collaboration of the Intensive Care Unit Team. Despins, LA. Crit Care Nurse. 2009, 29(2), 85-91.
    6. Books and Other Resources
      1. Crucial Accountability: Tools for Resolving Violated Expectations, Broken Promises, and Bad Behavior. By K. Patterson, J. Grenny, D. Maxfield, R. McMillian, and A. Switzler
      2. Trust and Betrayal in the Workplace: Building Effective Relationships in Your Organization. By D. S. Reina and M. L. Reina

Effective Decision Making

  1. AACN Scope and Standards for Acute and Critical Care Nursing Practice
  2. AACN Scope and Standards for Acute Care Nurse Practitioner Practice
  3. AACN Scope and Standards for Acute Care Clinical Nurse Specialist Practice
  4. ANA Nursing: Scope and Standards of Practice, 3rd Ed. 
  5. ANA Code of Ethics for Nurses with Interpretive Statements Development, Interpretation, and Application, 2nd Ed. By M. Fowler
  6. TeamSTEPPSTM National Implementation
    TeamSTEPPSTM is an evidence-based teamwork system aimed at optimizing patient outcomes by improving communication and teamwork skills among health care professionals. TeamSTEPPS was developed by the Department of Defense (DoD) in collaboration with the Agency for Healthcare Research and Quality (AHRQ).
  7. Sample of Articles from AACN Publications
    1. Effective Decision Making: Data, Data, and More Data! Bylone, M. AACN Adv Crit Care. 2010, 21(2), 130-132.
    2. Improving Family Satisfaction and Participation in Decision Making in an Intensive Care Unit. Huffines et al. Crit Care Nurse. 2013, 33(5), 56-69.
    3. Conflict Management in the Intensive Care Unit. Savel RH and Munro CL. Am J Crit Care. 2013. 22(4), 277-280.
    4. Enhancing Outcomes in a Surgical Intensive Care Unit by Implementing Daily Goals Tools. Siegele P. Crit Care Nurse. 2009. 29(6), 58-69.
  8. Books and Other Resources
    1. Influencer: The New Science of Leading Change. By Patterson, Grenny, Maxfield, McMillan, Switzler
    2. Critical Thinking, Clinical Reasoning and Clinical Judgment: A Practical Approach to Outcome-Focused Thinking, 5th Ed. By R. Alfaro-LeFavre

Appropriate Staffing

  1. AACN Scope and Standards for Acute and Critical Care Nursing Practice
  2. AACN Scope and Standards for Acute Care Nurse Practitioner Practice
  3. AACN Scope and Standards for Acute Care Clinical Nurse Specialist Practice
  4. ANA Nursing Scope and Standards of Practice, 2nd Ed
  5. ANA Code of Ethics for Nurses with Interpretive Statements
  6. AACN Synergy Model for Patient Care
  7. Sample of Articles from AACN Publications
    1. Appropriate Staffing for a Healthy Work Environment. Blake N. AACN Adv Crit Care. 2013. 24(3), 245-248.
    2. Appropriate Staffing: More than Just Numbers. Bylone, M. AACN Adv Crit Care. 2012, 21(1), 21-23.
    3. Using a Nursing Productivity Committee to Achieve Cost Savings and Improve Staffing Levels and Staff Satisfaction. McKenna et al. Crit Care Nurse. 2011. 31(6), 55-65.
  8. Books and Other Resources
    1. Synergy: The Unique Relationship Between Nurses and Patients. By M.A.Q. Curley
    2. Synergy for Clinical Excellence: The AACN Synergy Model for Patient Care. By S. Hardin and R. Kaplow
    3. The Nurse Manager's Guide to Innovative Staffing. By J. Mensik

Meaningful Recognition

  1. AACN Certification Corporation
  2. AACN Beacon Award for Excellence® Guidelines
  3. The DAISY Foundation DAISY Award
  4. Magnet Recognition Program®
  5. Sample of Articles from AACN Publications
    1. The Power of Meaningful Recognition in a Healthy Work Environment. Barnes, B and Lefton C. AACN Adv Crit Care. 2013, 24(2), 114-116.
    2. AACN Healthy Work Environment Standards and an Empowering Nurse Advancement System. Vollers et al. Crit Care Nurse. 2009, 29(6), 20-27.

Authentic Leadership

  1. Essentials of Nurse Manager Orientation eLearning Program
  2. Nurse Manager Skills Inventory
  3. AONE America Association of Nurse Executives
  4. AONE Emerging Nurse Leader Institute
  5. Dharma Consulting and Eric Klein
  6. Reina Trust Building Institute
  7. Sample of Articles from AACN Publications
    1. The Nurse Leader Role in Supporting Healthy Work Environments. Blake, N. AACN Adv Crit Care. 2015, 26(3), 201-203.
    2. Nursing Leadership From the Bedside to the Boardroom. Pate, MF. AACN Adv Crit Care. 2013, 24(2), 186-193.
    3. A Model of Authentic Leadership to Support a Healthy Work Environment. Blake et al. AACN Adv Crit Care. 2012, 23(4), 358-361
    4. Enhancing Leadership Orientation Through Simulation. Radovich et al. Crit Care Nurse. 2011, 31(5), 58-63.
    5. Authentic Leadership: Lessons Learned Undercover. Bylone, M. AACN Adv Crit Care. 2010, 21(4), 341-344.
    6. Nurse Manager Support: How Do Staff Nurses Define It? Schmalenberg, C and Kramer, K. Crit Care Nurse. 2009, 61-69.
    7. Leadership Agenda for Change: Toward Healthy Work Environments in Acute and Critical Care. Shirey MA and Fisher ML. Crit Care Nurse. 2008, 28(5), 66-78
    8. Authentic Leadership Begins With Emotional Intelligence. Triola, N. AACN Adv Crit Care. 2007, 18(7), 244-247.
    9. Authentic Leaders Creating Healthy Work Environments for Nursing Practice. Shirey, MR. Am J Crit Care. 2006, 15(3), 256-257.
  8. Books and Other Resources
    1. Nurse Managers Guide to Hiring, Firing, Inspiring. By V. Hess
    2. The Pause Principle: Step Back to Lead Forward. By Kevin Cashman
    3. Leadership in Practice: Changing the Landscape of Health Care. ByT. Porter-O'Grady and K. Malloch