Abstract

It empowered the nurses through structural and psychological infrastructure, paying attention to the detailed work, applying the knowledge from other disciplines to incorporate in the nursing science for evidence-based practice, and utilizing skills in the nursing practice for healthy work environment engagement. Due to the nursing shortage, nursing leaders must understand a healthy workplace for clinical nurses and drive a positive change in the environment by using educational programs. A study was conducted in the hospital on a medical-surgical unit to evaluate the effects of Authentic leadership and actions producing positive patient outcomes. The study results include psychological empowerment, improved job satisfaction, and easy accessibility using the technology supported to decrease among medical-surgical nurses on a unit. AL (Authentic Leadership) theory and AL measurement tool were developed to measure nurse leaders' perspectives to enhance the nurses' healthy workplaces and promote positive patient outcomes.

Shared decision-making among the nurse leaders and staff has formed an atmosphere of “participating management.” Nursing teammates who actively participate in improving patient-centered goals by communicating during unit meetings and collaborating through emails as linked nurses have proven that there is a 70% improvement in the positive outcomes in the patient population in a community. Altruism consists of human caring, and promoting the autonomy of the individual is the key feature of the nursing profession. Mostly, all the domains are interdependent when considering the socioeconomic reasons of the clinical nurses; older nurses continue in their positions for longer compared to other occupations, and younger nurses take leadership positions early in their careers to fill the gap in the nursing leadership positions.

Organizing nurses' work by nurse leaders towards saving lives using the “teamwork approach” and interdepartmental collaboration has supported an increase in patient and nurse satisfaction score of 80% to achieve their daily goals. It supports a healthy environment by encouraging and educating clinical nurses on competency and skills in nursing practice to implement autonomy and altruism in performing their daily duties in the pursuit of hospital interests. The Nurse leaders used a shared decision-making and teamwork approach; both have provided the clinical nurses to enhance the healthy environment and to achieve positive outcomes for the patients, nurses, and nurse leaders. Self-awareness of healthy work environments has supported prioritizing patient care and enhanced clinical nurses' positive job performance and satisfaction to improve positive patient outcomes.

Notes

Presenter notes available in attached slide deck.

References:

Giordano-Mulligan, M., Moran-Peters, J. A., & Eckardt, S. (2023). Perceptions of authentic nurse leader attributes among clinical nurses and nurse leaders. JONA: The Journal of Nursing Administration, 53(2), 74. https://doi-org/10.1097/NNA.0000000000001247

Swinton, C., & Haverkamp, J. (2023). The Impact of a nurse leader learning laboratory on nurse manager perception of leadership competency and skills. JONA: The Journal of Nursing Administration, 53(6), 303–306. https://doi-org/10.1097/NNA.0000000000001288

Joseph, M. L., Kelly, L., Davis, M. B. H., Zimmermann, D., & Ward, D. (2023). Creating an organizational culture and climate of meaningful recognition for nurse managers. JONA: The Journal of Nursing Administration, 53(7/8), 370–377. https://doi-org/10.1097/NNA.0000000000001302

Ridling, D., Finch, C., Moore, J. M., Ofamen, J., & Price, W. (2023). Nursing’s critical role in driving toward health equity: One organization’s experience. The Journal of Nursing Administration, 53(7–8), 399–407. https://doi-org/10.1097/NNA.0000000000001306

Welden, L. M. S., Chen, C., Willegal-Russ, K., & Kalb, E. (2023). Nurse resiliency and health in practicing nurses before and during COVID-19. JONA: The Journal of Nursing Administration, 53(7/8), 420–428. https://doi-org/10.1097/NNA.0000000000001308

Description

Authentic leadership style is used as a guide to improve the positive changes in the environment and patient outcomes. Shared decision-making and a team approach are the strategies used collaboratively during the educational activity among the clinical nurses to provide autonomy and altruism.

Author Details

Rajveer Kaur, BSN, RN; Jiji Andrews, MSN, RN, PCCN,CMSRN

Sigma Membership

Xi Sigma

Type

Presentation

Format Type

Text-based Document

Study Design/Type

Other

Research Approach

Other

Keywords:

Authentic Leadership, Medical-Surgical Nurses, Nursing Outcomes, Patient Safety, Patient Outcomes, Work Environment

Conference Name

Creating Healthy Work Environments

Conference Host

Sigma Theta Tau International

Conference Location

Washington, DC, USA

Conference Year

2024

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record. All permission requests should be directed accordingly and not to the Sigma Repository. All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

Abstract Review Only: Reviewed by Event Host

Acquisition

Proxy-submission

Date of Issue

2026-02-24

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Healthy Work Environment: A Positive Change in the Healthcare System

Washington, DC, USA

It empowered the nurses through structural and psychological infrastructure, paying attention to the detailed work, applying the knowledge from other disciplines to incorporate in the nursing science for evidence-based practice, and utilizing skills in the nursing practice for healthy work environment engagement. Due to the nursing shortage, nursing leaders must understand a healthy workplace for clinical nurses and drive a positive change in the environment by using educational programs. A study was conducted in the hospital on a medical-surgical unit to evaluate the effects of Authentic leadership and actions producing positive patient outcomes. The study results include psychological empowerment, improved job satisfaction, and easy accessibility using the technology supported to decrease among medical-surgical nurses on a unit. AL (Authentic Leadership) theory and AL measurement tool were developed to measure nurse leaders' perspectives to enhance the nurses' healthy workplaces and promote positive patient outcomes.

Shared decision-making among the nurse leaders and staff has formed an atmosphere of “participating management.” Nursing teammates who actively participate in improving patient-centered goals by communicating during unit meetings and collaborating through emails as linked nurses have proven that there is a 70% improvement in the positive outcomes in the patient population in a community. Altruism consists of human caring, and promoting the autonomy of the individual is the key feature of the nursing profession. Mostly, all the domains are interdependent when considering the socioeconomic reasons of the clinical nurses; older nurses continue in their positions for longer compared to other occupations, and younger nurses take leadership positions early in their careers to fill the gap in the nursing leadership positions.

Organizing nurses' work by nurse leaders towards saving lives using the “teamwork approach” and interdepartmental collaboration has supported an increase in patient and nurse satisfaction score of 80% to achieve their daily goals. It supports a healthy environment by encouraging and educating clinical nurses on competency and skills in nursing practice to implement autonomy and altruism in performing their daily duties in the pursuit of hospital interests. The Nurse leaders used a shared decision-making and teamwork approach; both have provided the clinical nurses to enhance the healthy environment and to achieve positive outcomes for the patients, nurses, and nurse leaders. Self-awareness of healthy work environments has supported prioritizing patient care and enhanced clinical nurses' positive job performance and satisfaction to improve positive patient outcomes.