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Creating a Positive Work Environment: Implementation of the Nurse-Friendly Hospital Criteria

Meraviglia, Martha PhD, RN, CNS; Grobe, Susan J. PhD, RN, FAAN; Tabone, Stephanie MSN, RN; Wainwright, Mary MS, RN; Shelton, Steve MBA, PA-C; Miner, Helen PhD, RN; Jordan, Clair MSN, RN

JONA: The Journal of Nursing Administration: February 2009 - Volume 39 - Issue 2 - p 64-70
doi: 10.1097/NNA.0b013e318195a82b

The nursing shortage is negatively affecting the quality, effectiveness, and timeliness of patient care, which warrants a transformation of the nursing work environment. The Nurse-Friendly (NF) Hospital Project assisted 30 rural or small hospitals implement 12 NF criteria into hospital policies to create a positive work environment. The NF criteria represent organizational attributes necessary for ensuring quality patient care, positive work environment, professional development, and nurse satisfaction. The authors discuss nurses' perception of presence of NF criteria before and after they were incorporated at each hospital and the implementation outcomes.

Authors' Affiliations: Assistant Professor of Clinical Nursing (Dr Meraviglia), Professor Emeritus (Dr Grobe), School of Nursing, The University of Texas at Austin; Former Director of Practice (Ms Tabone), Executive Director (Ms Jordan), Texas Nurses Association, Austin; Deputy Director (Ms Wainwright), Executive Director (Mr Shelton), East Texas Area Health Education Center, Galveston; and Executive Director (Dr Miner), Lake Country Area Health Education Center, Tyler, Texas.

Corresponding author: Dr Meraviglia, School of Nursing, The University of Texas at Austin, 1700 Red River, Austin, TX 78701 (

This study was funded partially by the Department of Health and Human Services, Health Resources and Services Administration/Bureau of Health Professions grant 1 D66HP01379.

© 2009 Lippincott Williams & Wilkins, Inc.