Healthy work environment from the perspective of Jordanian ICU nurses: a descriptive cross-sectional study using the AACN assessment tool
摘要
Previous research has emphasized the significant influence of workplace conditions in healthcare settings on nurses’ caregiving practices and patient outcomes. However, there remains a gap in understanding these dynamics, particularly within the context of intensive care units.
PurposeTo assess the perception of Jordanian ICU nurses regarding their work environment using the American Association of Critical-Care Nurses-Healthy Work Environment Assessment Tool (AACN-HWET).
MethodsEmploying a quantitative, descriptive, and correlational cross-sectional design, the study sampled 150 registered nurses from four Jordanian hospitals in Amman. Participants completed the Healthy Work Environment Assessment Tool (HWEAT), with statistical analyses including descriptive statistics, independent t-tests, Pearson’s correlation coefficient, and one-way ANOVA.
ResultsOf the 190 questionnaires distributed, 150 were completed (79% response rate). Participants had a mean age of 30.9 years, were mostly male (56.7%), married (62%), and had an average of 6.1 years of ICU experience. Analysis revealed a mean healthy work environment score of 3.09, reflecting a positive perception of the work environment among Jordanian ICU nurses. However, overall HWEAT mean was 3.09, categorized as ‘good’; Skilled Communication was lowest (M = 3.29, SD = 0.74) and True Collaboration highest (M = 3.22, SD = 0.96). Group differences by marital status, perceived resource adequacy, and hospital type were observed in unadjusted tests.
ConclusionThe findings highlight the need for targeted policies and ongoing training programs that strengthen leadership, communication, and resource management—practical strategies that hospital management can implement to enhance ICU nurse satisfaction and ultimately improve patient safety and care quality.