Breaking News
September 22, 2018 - Iterum Initiates SURE 2 and SURE 3 Phase 3 Clinical Trials of IV and Oral Sulopenem in Complicated Urinary Tract and Complicated Intra-abdominal Infections
September 22, 2018 - Research finds divide in dental health accessibility between city and regional areas
September 22, 2018 - Premature babies show better brain development when fed breast milk, finds study
September 22, 2018 - Novel system uses AI to detect abnormalities in fetal hearts
September 22, 2018 - UNC scientists reveal new approach to prevent obesity and diabetes
September 22, 2018 - CWRU receives NIH grant to learn how non-coding genes contribute to spread of colorectal cancer
September 22, 2018 - Scientists better understand influenza virus and how it spreads
September 22, 2018 - Scientists to focus on length of time when a person is alive and healthy
September 22, 2018 - Study shows positive financial impacts of Medicaid expansion for low-income Michigan residents
September 22, 2018 - Innovative approach for developing vaccine against most prevalent human malaria parasite
September 22, 2018 - Inhibiting NF-kB improves heart function in a mouse model of Duchenne muscular dystrophy
September 22, 2018 - Introducing new EMR system may affect several aspects of clinic workflow
September 22, 2018 - Study finds why some human genes are more popular with biomedical researchers
September 22, 2018 - Finding epigenetic signature appears to predict inflammation risk in serious type of IBD
September 22, 2018 - Researchers develop light-based technique to measure very weak magnetic fields
September 22, 2018 - UAB researchers study dysfunction of the immune system associated with NSAID carprofen
September 22, 2018 - QIAGEN and DiaSorin launch automated, CE-marked workflow for high-throughput TB screening
September 22, 2018 - Researchers identify new genetic disorder in a human patient
September 22, 2018 - Cardiac MR With Contrast Feasible in Developing World
September 22, 2018 - Daily low-dose aspirin doesn’t reduce heart-attack risk in healthy people
September 21, 2018 - Children with asthma found to be disadvantaged in education and future occupation
September 21, 2018 - Interaction of chemical slurry and ancient shale in fracking wastewater causes radioactivity
September 21, 2018 - Scientists use mice to study transmission of Lyme disease bacteria by infected ticks
September 21, 2018 - Researchers find that sample size is key factor determining accuracy of study results
September 21, 2018 - Study shows how the drive to eat overpowers the brain’s signal to stop
September 21, 2018 - 30 Million Americans Now Have Diabetes
September 21, 2018 - Thousands of breast cancer gene variants engineered and analyzed
September 21, 2018 - The current fellowship interview process is cumbersome — Stanford researchers have a better idea
September 21, 2018 - Progenitor cells for human bone and cartilage have been identified
September 21, 2018 - Study reveals new therapeutic target for pediatric tumor-associated intractable epilepsy
September 21, 2018 - SLU’s College professor receives NIH grant to develop I-TEST project
September 21, 2018 - DermTech completes enrollment in clinical study to assess DNA damage and reversal
September 21, 2018 - Grieving patients treated with talk therapy have lower risk of suicide and psychiatric illness
September 21, 2018 - NIH and FDA call for eliminating involvement of RAC in human gene therapy experiments
September 21, 2018 - New system uses algorithm to convert 2D videos into 3D printed ‘motion sculptures’
September 21, 2018 - Sea squirt model reveals key molecules in dopaminergic neuron differentiation
September 21, 2018 - Effective management of neonatal abstinence syndrome requires coordinated ‘cascade of care’
September 21, 2018 - Refugees seek care for wounds of war
September 21, 2018 - Under the sea, in an octopus’ garden on ecstacy
September 21, 2018 - Eating foods with low nutritional quality ratings linked to cancer risk in large European cohort
September 21, 2018 - Giving kids honest information about water consumption may help them make healthy choices
September 21, 2018 - Horwitz Prize Awarded for Work on Hormones
September 21, 2018 - CHMP issues positive opinion supporting use of Trelegy Ellipta in broader group of COPD patients
September 21, 2018 - Scientists discover new molecules that work together to remove unwanted DNA
September 21, 2018 - Dr. Fenella France to deliver 2019 Plenary Lecture
September 21, 2018 - New research finds that MHC-II molecules have more influence on tumors than MHC-I
September 21, 2018 - Researchers study effects of cardiac cycle in simple learning task
September 21, 2018 - FDA takes new steps to address opioid crisis by approving Opioid Analgesic Risk Evaluation and Mitigation Strategy
September 21, 2018 - Positive Barhemsys Phase 3 Treatment Data Published in Anesthesia & Analgesia
September 21, 2018 - Celiac Disease Screening: MedlinePlus Lab Test Information
September 21, 2018 - Autism linked to egg cells’ difficulty creating large proteins
September 21, 2018 - Tweaking nuclear pores could provide new avenue to battle against cancer
September 21, 2018 - Experts warn health care providers to slow down in allowing smart pill in patient care settings
September 21, 2018 - MoreGrasp reports breakthrough development of grasp neuroprosthetics activated by thought control
September 21, 2018 - Study reveals new way to target HER2-negative metastatic breast cancer
September 21, 2018 - CHMP grants positive opinion for VENCLYXTO plus rituximab for treating relapsed/refractory CLL
September 21, 2018 - Study offers solid link between visceral organs and brain’s reward, motivation system
September 21, 2018 - First U.S. patient treated with innovative gene therapy at Bascom Palmer Eye Institute
September 21, 2018 - New study shows how Ethiopia has managed to achieve extraordinary progress
September 21, 2018 - Choroidal Detachment – The American Society of Retina Specialists
September 21, 2018 - New clinical trial evaluates aesthetic results of conservative surgery in breast cancer
September 21, 2018 - Discovery of a key protein involved in the development of autism
September 21, 2018 - Air pollution appears to be linked to increased risk of developing dementia
September 21, 2018 - Henry Ford Health System receives $600k grant to study genetic makeup of gliomas
September 21, 2018 - Arthritis common in individuals with varying degrees of depression, finds study
September 21, 2018 - Scientist intends to fight pathogenic bacteria with viruses
September 21, 2018 - New research suggests link between PFAS chemicals and hyperthyroidism in pet cats
September 21, 2018 - Multi-year study data shows impact of new soft contact lens to slow myopia progression in children
September 21, 2018 - Neuroscientists identify circuit for brain’s statistical inference about motion
September 21, 2018 - MILabs’ VECTor6 system wins Commercial Innovation Award at WMIC 2018
September 21, 2018 - Scientists find wild African monkeys infected with bacterium that causes syphilis, yaws in humans
September 21, 2018 - 2006 to 2015 Saw Increase in Severe Maternal Morbidity
September 21, 2018 - Similar changes in the brains of patients with ADHD and emotional instability
September 21, 2018 - Cobalt mining in DR Congo takes a high toll on both creuseurs and environment
September 21, 2018 - Eating fatty fish during pregnancy may boost unborn child’s brain development
September 21, 2018 - Study reveals promising new drug candidate to treat acute renal failure
September 21, 2018 - Neural signal that urges to eat overpowers the one that says to stop
September 21, 2018 - Scientists achieve breakthrough in accelerated diagnosis of multi-resistant hospital pathogens
September 21, 2018 - Researchers simulate how different breast tissues respond to heat from MRIs
September 21, 2018 - Despite red flags at surgery centers, overseers award gold seals
Study reveals validity, reliability of AACN Healthy Work Environment Assessment Tool

Study reveals validity, reliability of AACN Healthy Work Environment Assessment Tool

image_pdfDownload PDFimage_print

An online survey created as a resource for critical care nurses to assess the health of the work environment is a valid and reliable tool for use by interprofessional patient care teams throughout hospitals and other healthcare organizations.

The American Association of Critical-Care Nurses (AACN) developed the online assessment tool in 2009 as a companion to “AACN Standards for Establishing and Sustaining Healthy Work Environments: A Journey to Excellence.” The AACN Healthy Work Environment (HWE) Assessment Tool (HWEAT) became a trusted resource to measure baseline status and subsequent progress of a hospital unit’s journey to implement the HWE standards. The 18-question survey is designed to help organizations or departments identify areas for improvement, while not diagnosing specific challenges.

A study in the American Journal of Critical Care (AJCC) reports the results of a two-phase administration of the tool to 2,621 patient-care employees at Boston Children’s Hospital. The findings provide new insights about the tool’s reliability and validity across professional staff categories and patient care areas to support its use as an organizational measure.

The researchers share their findings in “Interprofessional Use and Validation of the AACN Healthy Work Environment Assessment Tool,” published in AJCC‘s September 2018 issue.

“Although AACN’s assessment tool has been used primarily among acute and critical care nurses, our findings support consideration of wider use in multiple healthcare settings,” said principal investigator Jean Anne Connor, PhD, RN, CPNP, director of nursing research, cardiovascular and critical care patient services at Boston Children’s Hospital. “Clinical leaders understand that to safeguard the quality of patient care, attention must be focused on the performance of healthcare teams.”

The hospital has used the Agency for Healthcare Research and Quality’s (AHRQ) Hospital Survey on Patient Safety Culture (H-SOPS) since 2010 to assess how employees perceive their work environment in regard to patient safety. It’s also administered the AACN HWEAT to interprofessional staff in critical care and cardiovascular programs annually since 2010 and recently expanded it to an enterprise-wide assessment.

For this study, researchers administered the survey using a test-retest, two-stage approach. First, the AACN HWEAT was administered to all healthcare team members, including physicians, nurses, social workers, therapists, clinical assistants and administrators. Email invitations and reminders, as well as a chance to win one of six $50 gift cards in a raffle, helped recruit potential respondents.

Three weeks later, the researchers sent the survey to a random sample of 200 potential respondents stratified by role (physician, nurse and others). Each respondent in the second survey received a $10 gift card for participation.

Unique identifiers allowed individual surveys from the first round to be linked to those in the second round. Identifiers of the patient care units were also retained to allow the researchers to compare unit-level results of the AACN HWEAT with unit-level results of the most recent AHRQ H-SOPS.

The first survey wave received 1,030 responses from 2,621 potential employee participants, for a response rate of 39.3 percent. Approximately 75 percent of the respondents identified themselves as nurses.

The response rate for the second wave was 83.5 percent, with 167 participants of 200 team members invited to respond.

The test-retest assessment indicates that the HWEAT is a reliable measure. Moreover, the results of the internal consistency analyses of the subscales and of the confirmatory factor analysis provide strong evidence of the internal reliability and validity of the tool.

In addition, the correlations between the HWEAT and AHRQ H-SOPS on similar key domains such as staffing, communication, collaboration/teamwork and meaningful recognition/respect showed moderate to strong convergent validity.

Despite the limitations of the study, the results have been used in the development of measurement benchmarks and led to use of the HWEAT in a nurse-led consortium of 30 cardiovascular programs in freestanding children’s hospitals.

The HWEAT is part of a growing collection of AACN resources to help organizations align quality and safety improvement efforts with the HWE standards. Healthcare professionals can use the free online tool to survey staff, compare their results with industry standards and develop step-by-step strategies to improve performance, patient safety, staff recruitment and retention, and their workplace environment.​

Tagged with:

About author

Related Articles