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Cracks in the Foundation of the Care Environment Undermine Nurse Resilience

Virkstis, Katherine, ND; Herleth, Anne, MPH, MSW; Langr, Madeleine, MA

Journal of Nursing Administration: December 2018 - Volume 48 - Issue 12 - p 597–599
doi: 10.1097/NNA.0000000000000687
Departments: Spotlight on Nurse Retention

To see a meaningful change in nurse burnout, leaders must address the factors in the care environment that undermine nurse resilience. In this article, the authors describe why leaders should focus on the care environment rather than individual resilience building.

Author Affiliations: Managing Director (Dr Virkstis), Consultant (Ms Herleth), and Senior Analyst (Ms Langr), Nursing Executive Center, Advisory Board, Washington, DC.

The authors declare no conflicts of interest.

Correspondence: Ms Herleth, Advisory Board, 2445 M St NW, Washington, DC 20037 (

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