title: How can we improve the nursing work environment?
abstract: It has been suggested by many recently that the nursing work environment needs to be altered to make it more responsive to both nurse and patient needs. One essential aspect of this change would be to increase patient safety. This article suggests that to improve patient safety as well as satisfaction of nurses, the culture of the nursing organization should be transformed into one of a "learning organization." Using this model of an organization, every member of the nursing organization would be encouraged to reach his or her greatest potential, the welfare of the team would become paramount, and a shared vision of where the organization needs to go would emerge, thus maximizing productivity, safety, and job satisfaction for all healthcare team members. This transformation could mean that the terms "Nursing Organizations" and "Learning Organizations" would not have to be oxymorons.
authors.affiliation: Maternal-Newborn Services, Melrose-Wakefield Hospital, Melrose, MA, USA. hldnsj@adelphia.net
authors.forename: Julie
authors.initials: J
authors.lastname: Holden
mesh_terms: D001291:Attitude of Health Personnel; D017598:Efficiency, Organizational; D006040:Goals; D006272:Health Facility Environment / Q000458:organization & administration*; D007722:Health Knowledge, Attitudes, Practice; D006301:Health Services Needs and Demand; D006801:Humans; D007588:Job Satisfaction; D007858:Learning; D017146:Models, Organizational; D015969:National Academies of Science, Engineering, and Medicine, U.S., Health and Medicine Division; D009740:Nursing Staff / Q000458:organization & administration / Q000523:psychology; D015279:Organizational Culture; D009937:Organizational Objectives; D018802:Patient-Centered Care / Q000458:organization & administration; D010687:Philosophy, Nursing; D017751:Safety Management / Q000458:organization & administration*; D013597:Systems Analysis; D013850:Thinking; D017749:Total Quality Management / Q000458:organization & administration; D014481:United States; D017132:Workplace / Q000458:organization & administration / Q000523:psychology