ArticleValue in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research2025
Poor Patient Care Outcomes and Nurse Job Outcomes Associated With Unfavorable Intensive Care Unit and Emergency Department Nurse Work Environments: Implications for Critical Care Medicine.
Article in Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
2 citing papers in PubMed.
- Identifying Elements of a School Nurse's Work Environment That Are Salient to Their Job Outcomes: A Scoping Review.The Journal of school nursing : the official publication of the National Association of School Nurses · 2026Review
- Reply to Cangelosi, G. Comment on "Inácio et al. Nursing Practice Environment in the Armed Forces: Scoping Review.Nursing reports (Pavia, Italy) · 2026Article
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Authors and funding
5 authors.
Funding
Abstract
objectivesEfforts to improve critical care outcomes are traditionally focused on intensive care unit (ICU) work environments, despite the reality that nurses in emergency departments (EDs) also deliver critical care. EDs and ICUs in the same hospitals tend to be differently resourced and may have different work environments as assessed by nurses. The objective of this study was to assess similarities in ED and ICU nurse work environment evaluations and associations with patient care and nurse job outcomes.
methodsCross-sectional evaluation of ED and ICU nurses in 169 hospitals from a study of nurses licensed to work in New York and Illinois hospitals in the United States, the 2021 RN4CAST-New York/Illinois (NY/IL) survey, was administered electronically. K-means clustering classified hospitals into profiles on the basis of similarities in ED and ICU nurse work environment reports. Hospital-level regression models determined the association between the profiles and the following hospital-level outcomes, namely, patient care quality and safety, nurse burnout, job dissatisfaction, and intent to leave.
resultsThree hospital profiles characterized similarities and differences in nurses' favorable and unfavorable work environments: "ED and ICU nurse-favorable" (n = 67 hospitals), and "ED and ICU nurse-unfavorable" (n = 42); and "ED nurse-unfavorable" (n = 60) indicating less favorable environments for ED than ICU nurses. Hospitals that were unfavorable for both ED and ICU nurses, or unfavorable for ED nurses only were associated with higher percentages of poorer outcomes, as compared to hospitals in which nurses in both settings reported favorable environments.
conclusionsTo optimize critical care, better nurse work environments are needed in both ICUs and EDs.
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