Management: DPI Project Milestone

Running head: DPI PROJECT MILESTONE
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Management: DPI Project Milestone
Student’s Name
Institutional Affiliation

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10 Strategic Points
Broad Topic Area Assessment of Healthy Work Environment of Clinical Research Nursing Units.
Creating a Healthy Work Environment among the nurses in a clinical trial unit of
Academic Medical Centers like Emory Health Care, Emory Midtown and Grady
Clinical research Unit.
"The purpose of this project is creating a healthy work environment among the
nurses in clinical trial unit of Academic Medical Centers like Emory health Care,
Grady Clinical Research Unit and Emory Midtown”.
Literature Review a. Background of the Problem/Gap:
Healthy working environment has been found to lower costs and enhance
productivity, in relation to worker turnover, absenteeism, compensation for
employees, and insurance claims. There is mounting evidence for the fact that
healthy work environment is imperative for maintaining a positive outcome under
stressful work conditions (Di Fabio, 2017). The high rates of patient acuity
accompanied by rapid admission, discharge cycles and acute shortage of nurses
pose gross challenges for the provision of safe and effective nursing care in most
modern hospitals (Rogers et al., 2004). Much of these challenges faced by most
medical practitioners are usually associated with the working conditions of the
medical staff as this acts as the motivating factor to improve their efficiency.
Furthermore, lack of adequate support and preparation for leadership roles often
leads to work related dissatisfaction and increased turnover for nursing
professionals. This calls for the need of addressing major issues that are responsible
for the occurrence of treatment-related harm to patients in healthcare organizations.

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b. Theoretical Foundations:
A healthy working environment for healthcare practitioners is vital in modern
clinical research in creating the best possible evidence based practice that improves
patient outcome. Various theoretical foundations have been used to help explain
and the views of healthcare professionals on how the conditions of their working
environments contribute to patient safety in acute care settings. Some of the
theories include the grounded theory, systems theory and the healthcare
environment theory.
The grounded theory will help assess the working environment using data that has
been systematically collected and analyzed providing baseline information that are
critical in highlighting the prevailing factors that controls the healthcare working
environment. The theory helps in describing the social relationships and behaviors
of the staff in a hospital’s working environment.
The concepts of the systems theory enhances the understanding how the systems in
an organization work as a whole and not in isolation. This concept is vital as it
describes the interrelations that exist between the various parts of the systems in a
hospital and how the combination of these systems contributes to the attainment of
quality care and optimum patient outcomes. Moreover, in healthcare, the
underlying principle of systems theory enables professionals to explain how the
systems in the organization affect each other and the effects of external influencers
on the working environment.
The healthcare environment theory focusses on highlighting the hygienic conditions
of the working environment of healthcare professionals. A healthy working

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environment is determined by the surrounding conditions of the staffs, the patients
and the general community to whom care is provided; and these include hand
hygiene. The concepts of this theory can be used to explain how different
surrounding hospital environments are associated with hygienic conditions and
other associated demographic variables.
Review of Literature Topics With Key Organizing Concepts
A healthy work environment (HWE) is where nurses and other practitioners feel
part of a team and are supported both physically and emotionally. Such
environments often provide health workers a chance to work more freely and
effectively with minimal supervision while maximizing safety and quality of health
care provisions. Unfortunately, there are many organizations for which the required
healthy working standards are not fully instituted (Kupperschmidt, Kientz, Ward, &
Reinholz, 2010). According to Janakiraman, Parish and Berry (2011) fashioning a
safe environment for employees often demands an adequate understanding of the
possible causes of clinical errors and adopting the knowledge to develop new and
improved systems that aim at minimizing possible errors. Many researchers, policy
makers as well as other health practitioners are investing considerable efforts in
understanding the various organizational conditions, components and even
processes of the existing health care systems to determine best ways of improving
the situation to ensure workers’ and patients’ safety.
In the United States, nursing is one of the largest professions that offer numerous
job opportunities. According to the reports by International Council of Nursing, the
rapid scarcity of medical professionals is owing to their working environment