Breaking News
January 18, 2019 - Breast cancers more likely to metastasize in young women within 10 years of giving birth
January 18, 2019 - Blood vessels can now be created perfectly in a petri dish
January 18, 2019 - Young-Onset Type 2 Diabetes Tied to Increased Hospitalization Risk
January 18, 2019 - For-profit nursing schools associated with lower performance on nurse licensure test
January 18, 2019 - Considering the culture of consent in medicine
January 18, 2019 - Researchers identify comprehensive guidelines for managing severe atopic dermatitis
January 18, 2019 - Analyzing proteins in blister fluid may classify burn severity more accurately
January 18, 2019 - Study finds higher suicide rates among youth who were Medicaid enrollees
January 18, 2019 - Opioid drugs often overprescribed to children for pain relief, say CHOP surgeons
January 18, 2019 - New biodegradable wound dressing material accelerates healing
January 18, 2019 - Life in Space May Take Toll on Spinal Muscles
January 18, 2019 - Bulldogs’ screw tails linked to human genetic disease
January 18, 2019 - Immunotherapy target identified for pediatric cancers
January 18, 2019 - Financial stress may increase heart disease risk in African Americans
January 18, 2019 - Scientists solve another piece of Ebola virus puzzle
January 18, 2019 - New project finds how endocrine disruptors interfere with thyroid functions
January 18, 2019 - Research finds decline in ketone body utilization when coronary circulation is reduced
January 18, 2019 - Let’s map our DNA and save billions each year in health costs
January 18, 2019 - AI demonstrates potential to identify irregular heart rhythms as well as humans
January 17, 2019 - Study shows link between air pollution and increased risk of sleep apnea
January 17, 2019 - Neck-strengthening exercises can protect athletes from concussions
January 17, 2019 - Computer model shows how to better control MRSA outbreaks
January 17, 2019 - Pain is unpleasant, and now scientists have identified the set of responsible neurons
January 17, 2019 - CUIMC Celebrates 2018-2019
January 17, 2019 - Study reveals potential pathway for endothelial cells to avoid apoptosis
January 17, 2019 - Hamilton Storage launches LabElite DeCapper SL to expand LabElite product family
January 17, 2019 - Location of epigenetic changes co-locate with genetic signal causing psychartric disorder
January 17, 2019 - Researchers awarded 6.1 million euros to address female fertility problems
January 17, 2019 - Counseling appointments fail to reduce weight gain during pregnancy, shows study
January 17, 2019 - Contraceptive patch that could provide 6 months of contraception within seconds
January 17, 2019 - Yeast model may pave way for development of novel therapies for metabolic disorders
January 17, 2019 - Study determines impact of antibiotic perturbation of the gut microbiome on skeletal health
January 17, 2019 - Cardiometabolic Risk Up With Tourette, Chronic Tic Disorder
January 17, 2019 - Hong Kong scientists claim ‘broad-spectrum’ antiviral breakthrough
January 17, 2019 - Researchers discover the brain cells that make pain unpleasant | News Center
January 17, 2019 - Hepatitis Is Common in New Cancer Patients
January 17, 2019 - Podcast: KHN’s ‘What The Health?’ Drug Prices Are Rising Again. Is Someone Going To Do Something About It?
January 17, 2019 - Smoking significantly increases your biological age, study shows
January 17, 2019 - B-group vitamins may be beneficial for people with first episode psychosis
January 17, 2019 - Researchers demonstrate how manganese produces parkinsonian syndrome
January 17, 2019 - Researchers suggest link between personality type and attitude towards others’ bodies
January 17, 2019 - Mutant mice administered with cocaine failed to exhibit hyperactivity, shows study
January 17, 2019 - Health Tip: Understanding a Heart Murmur
January 17, 2019 - Gut protein mutations shield against spikes in glucose
January 17, 2019 - Engineered immune cells target broad range of pediatric solid tumors in mice | News Center
January 17, 2019 - Study provides comprehensive description of associations between mental disorders
January 17, 2019 - Study finds link between high pesticide exposure and poor sense of smell among farmers
January 17, 2019 - Many cancer patients have undiagnosed hepatitis
January 17, 2019 - New study finds only 13% of outpatient antibiotic prescriptions to be appropriate
January 17, 2019 - Stem cell-based approach to diabetes offers hope for treatment
January 17, 2019 - New project receives €8.65 million from EU and Canada to ease genomic, health data sharing
January 17, 2019 - Improvements in pharmacological study to fight cognitive impairment in schizophrenia
January 17, 2019 - Study looks at trends over time in oral antibiotic prescribing by dermatologists
January 17, 2019 - Most substance use disorder treatment facilities do not offer medication treatment
January 17, 2019 - Multiple sclerosis could benefit from stem cell therapy
January 17, 2019 - Researchers manipulate T cells to improve transplant success
January 17, 2019 - Put away your rulers and reach for your phone
January 17, 2019 - Mindfulness linked with fewer menopausal symptoms
January 17, 2019 - Integrated care to women with PMADs offered at several levels
January 17, 2019 - Researchers identify MANF as a rejuvenating factor in parabiosis
January 17, 2019 - Truncal mutations study suggests new direction in origins of cancer
January 17, 2019 - Beckman Coulter launches new ClearLLab 10C System for clinical flow cytometry lab
January 17, 2019 - Effects of linoleic acid on the body are largely dependent on genes, shows study
January 17, 2019 - Pre-injury exercise reduces damage to both muscles and nerves, study finds
January 17, 2019 - Minimizing Antibody Size to Maximize Research Potential
January 17, 2019 - Research finds large genome in tiny forest defoliator
January 17, 2019 - Technology helps reduce the yearning for unhealthy food
January 17, 2019 - Imec develops prototype cardiovascular device
January 17, 2019 - New Drug Application for Insomnia Disorder Treatment Lemborexant Submitted in the United States
January 17, 2019 - What you should know about teeth whitening
January 17, 2019 - Why Older Adults Should Eat More Protein (And Not Overdo Protein Shakes)
January 17, 2019 - Colorectal cancer mortality rates predicted to increase globally
January 17, 2019 - Scientists discover mutational signatures of tumor hypoxia
January 17, 2019 - New evidence shows how fever alters immune cells
January 17, 2019 - Researchers find new class of blood pressure-regulating peptides in vampire bat venom
January 17, 2019 - Promega to exhibit new Maxwell RSC48 platform at 2019 Festival of Genomics
January 17, 2019 - Study pinpoints immune cells that could be key to tackling hypertension
January 17, 2019 - Couples Intervention May Aid Partners of Diabetes Patients
January 17, 2019 - Your weight history may predict your heart failure risk
January 17, 2019 - Explore a cornucopia of accomplishments in prematurity research
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