Magazine article American Nurse Today

2017 Nursing Trends and Salary Survey Results: PART 2: What Are Your Colleagues Saying about Self-Care, Incivility, and How Their Employers Support Them?

Magazine article American Nurse Today

2017 Nursing Trends and Salary Survey Results: PART 2: What Are Your Colleagues Saying about Self-Care, Incivility, and How Their Employers Support Them?

Article excerpt

In June 2017, American Nurse Today conducted a survey to measure trends in nursing. With almost 6,000 respondents, we collected valuable data related to workforce demographics, salary and benefits, and job satisfaction. But the work of nursing has many more complex facets than can be reflected in these straightforward measurements. That's why we also asked how nurses perceive various issues and challenges facing the profession. How do they experience issues such as bullying and incivility? What kind of healthy lifestyle changes have they been successful at implementing? What challenges do they face in their practices? How have electronic health records (EHRs) affected how they do their jobs?

Part 2 of the survey results explore these factors. You can read Part 1 of the results at


How you take care of yourself has an effect on how you perform on your job. We asked nurses what they do to make sure they stay healthy and rested.

Self-care and healthy lifestyle changes

When we asked nurses what lifestyle changes they've implemented at work and at home, 73% of respondents say they've improved their nutrition, 66% report having increased their activity, and 56% report having reduced their stress. Other significant measures are improved sleep (41%) and taking more breaks (35%).


Nurses were asked how many hours of sleep they get on average. Most of the respondents say that they get 6 (32%) or 7 (34%) hours of sleep a night. Only 15% report getting 8 hours, while 12% say they sleep only 5 hours.

Bullying and incivility


Repeated, unwanted harmful actions intended to humiliate, offend, and cause distress in the recipient.

Sometimes         27.47%
Often             10.17%
Very often         4.32%
Never             24.57%
Rarely            33.47%


Rude and discourteous actions, such as demeaning others, gossiping, or using nonverbal insults (eye-rolling, deep sighing, finger pointing).

Sometimes          38.96%
Often              18.85%
Very often         10.4%
Never               7.46%
Rarely             24.33%

Note that the incidences of incivility that occur sometimes, often, or very often, are significantly higher than reports of bullying frequency, indicating that incivility is an important factor in workplace culture.

Addressing bullying in the workplace

When asked if they had intervened in the past year when witnessing bullying in the workplace, 63% of respondents say yes.

In an open-response question, respondents were asked to share a time when they or someone else intervened in a bullying situation. Common themes included: * an "older" nurse helping a new nurse who was being intimidated

* speaking up for self or someone else who was targeted, whether a physician or nurse colleague

* going up the chain of command and involving management

* stopping verbal abuse, including abuse from patients.

Organizational support in promoting a healthy work environment

Nurses were asked to rate their organization based on support provided to reduce bullying and incivility. The rating was on a scale of 1 to 5 (1 being not supportive and 5 being completely supportive).

About 36% of respondents rate their organization as 3 (somewhat supportive), 14% rate their organization as 4, and 17% feel their organization is completely supportive (a score of 5). About 23% of respondents give their organization a score of 2, and 10% say their organization isn't supportive at all.

Workload trends

Nurses were asked how their workload had changed in the past 12 months. Around 62% say their workload had increased, while 31% report it hadn't changed.

Acuity-based staffing

Acuity-based staffing is a method of determining appropriate nurse--patient ratios based on patient characteristics. …

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