title: If nurses feel they are poorly treated by management it affects care.
abstract: This study found that nurses' time pressure and their perceptions of unfair management contribute to the prevalence of anti-anxiety or hypnotic drug use and pressure ulcers, even when controlling for nurse staffing levels. Where employees perceive that they are being treated unfairly there is reduced commitment and lack of involvement as well as increased staff health problems. Nurses' perception of unfairness may reflect a failure to engage nurses in decisions about use of anti-anxiety or hypnotic drugs and an under-use of nurses' expertise on the daily care needs of residents. Long-term care units should review work loads and management practices to support effective communication and collaboration among nursing staff.