Using Maslow's pyramid and the national database of nursing quality indicators to attain a healthier work environment

Lisa Groff Paris, Mary Terhaar

Research output: Contribution to journalArticlepeer-review

Abstract

The strongest predictor of nurse job dissatisfaction and intent to leave is that of stress in the practice environment. Good communication, control over practice, decision making at the bedside, teamwork, and nurse empowerment have been found to increase nurse satisfaction and decrease turnover. In this article we share our experience of developing a rapid-design process to change the approach to performance improvement so as to increase engagement, empowerment, effectiveness, and the quality of the professional practice environment. Meal and non-meal breaks were identified as the target area for improvement. Qualitative and quantitative data support the success of this project. We begin this article with a review of literature related to work environment and retention and a presentation of the frameworks used to improve the work environment, specifically Maslow's theory of the Hierarchy of Inborn Needs and the National Database of Nursing Quality Indicators™ Survey. We then describe our performance improvement project and share our conclusion and recommendations.

Original languageEnglish (US)
JournalOnline journal of issues in nursing
Volume16
Issue number1
DOIs
StatePublished - Jan 1 2011

Keywords

  • Engagement
  • Hospital
  • Intent to stay
  • Maslow's hierarchy
  • Meal breaks
  • NDNQI practice environment
  • Nurse retention
  • Rapid-design process
  • Satisfaction
  • Work environment

ASJC Scopus subject areas

  • Issues, ethics and legal aspects

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