Nursing Work Environments

To compare nursing units, ask who assigns the work, how assignments change during a shift and where staff get support. Workload beyond patient counts explains why equal patient numbers need not mean equal work.

How the unit organizes care

Compare care delivery, decision-making authority and daily coordination.

Schedules, staffing and workload

Examine who sets schedules, what skills a shift needs and how the workload changes. For the tradeoffs of a particular shift length, see twelve-hour shifts.

Develop and retain staff

Distinguish precepting, mentoring, leadership development and feedback before or after someone leaves.

How the team responds to problems

Find the processes for raising concerns, addressing incivility and supporting colleagues.

Sources

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