AACN’s Healthy Work Environment Standards: Why They Matter

In a longitudinal evaluation study covering 6 years, Parker et al reported that using the American Association of Critical-Care Nurses (AACN) healthy work environment (HWE) framework improved staff satisfaction and retention. The study addressed all 6 AACN HWE standards and implemented strategies for each. Education to promote and enhance communication was implemented. For the true collaboration standard, roles and responsibilities were clarified, purposeful rounding was implemented by leaders, and social activities were planned. Interprofessional rounds, performance improvement, evidence-based practice, and research activities were encouraged to enhance collaboration and effective decision-making. Creative strategies to address staffing issues were employed. Different ways to provide meaningful recognition to staff on the unit and personal level enhanced morale and productivity, leading to an AACN Beacon of Excellence Award. Authentic leadership was evident through consistent leader rounding on all shifts, where staff could voice their concerns and provide feedback. These strategies are some of the ways to achieve an HWE.