Rethinking the critical care environment, an implicit call to change, can catalyze a return to nursing’s intellectual roots. Healing environments, as envisioned by Florence Nightingale, involve system-level changes that require effective negotiations on behalf of our patients and ourselves. The nurse–patient relationship is central to the patient’s environment and requires a comprehensive understanding of healing. Only nurses can articulate the changes necessary to ensure quality nursing care, and our collective “silencing” must be confronted if it is to change. Nurses’ tendency to avoid, accommodate, or compromise when faced with conflict also must change. Giving voice to nursing concerns itself becomes a call to excellence, and those unwilling to change are best excluded. Although all of this is difficult, it is no more difficult than the nonhealing environments where we now work, and at least gives promise of more positive outcomes.
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Work Environment| August 01 2001
Rethinking the Critical Care Environment: Luxury or Necessity?
Phyllis Beck Kritek, RN, PhD, FAAN
From the University of Texas Medical Branch, School of Nursing at Galveston, Tex.
Reprint requests to Phyllis Beck Kritek, RN, PhD, FAAN, University of Texas Medical Branch, School of Nursing at Galveston, 301 University Blvd., Galveston, TX 77555-1029 (e-mail: firstname.lastname@example.org).
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AACN Adv Crit Care (2001) 12 (3): 336–344.
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Phyllis Beck Kritek; Rethinking the Critical Care Environment: Luxury or Necessity?. AACN Adv Crit Care 1 August 2001; 12 (3): 336–344. doi:
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