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THE WHY OF WORK


        or in public places and to the health and well-being of employ-
        ees through wellness programs. It offers free gyms and fitness
        centers in major centers. It also claims “vibrant, open office
        spaces that offer exciting new environments.” 14
           Health care  research has shown that a nurse-friendly
        environment leads to improved measures of not only nurse
        retention but also patient care. The nurse-friendly environ-
        ment includes safety, control, professional development,
        recognition, and accountability (dimensions we highlight
        in this chapter). When nurses experience these “friendly”
        practices, patient care improves, as do indicators of nursing
        satisfaction, commitment, and retention. 15
           The University of Bristol’s leadership team implemented
        a positive work environment initiative (PWE) in response
        to survey results from university employees. The PWE was
        built on five commitments to staff:


        • • Staff support and development. This includes clearly
           articulated standards and expectations as well as oppor-
           tunities for development of employees.
        • • Leadership and management. This includes coaching
           leaders to engage employees and work closely with them.
        • • Communication. This includes websites and other
           information sharing.
        • • Physical environment. This includes paying attention to
           physical space.
        • • Monitoring and evaluation. This includes regular
           reporting of progress on PWE efforts.


        As a result of these initiatives, university staff commitment
        scores have gone up and the university was awarded the London
        Times Higher Education Leadership and Management award. 16


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