29. Improving Clinical Environments for Nurses from South Africa

About 40% of nurses say they plan to leave nursing in the next five years because of unmanageable stress, workload, and understaffing. There are scales to measure the health of a workplace that look at staffing, leadership support, nurse-physician relationships, participation in hospital affairs, and the quality of care delivered. Sabelile Tenza tells us about her research on the relationship between nurses' practice environments and the quality and safety of healthcare. Hear how we can create clinical environments where nurses don’t just survive their 12-hour shifts, but where they are empowered to thrive.References:Leary KB, Lee M, Mossburg S. Patient Safety Amid Nursing Workforce Challenges. PSNet. April 24, 2024.Chiminelli-Tomás V, Tutte-Vallarino V, Ferreira-Umpiérrez A, Hernández-Morante JJ, Reche-García C. Impact of Nursing Practice Environments in Work Engagement and Burnout: A Systematic Review. Healthcare. 2025;13(7):779.Leone S, Rosato I, Poli E, Canova C, Danielis M. Factors Related to Turnover Intention Among OR Nurses: A Systematic Review. AORN J. 2025;121(5)Mabona JF, Van Rooyen DRM, Ten Ham-Baloyi W. Best practice recommendations for healthy work environments for nurses: An integrative literature review. Health SA Gesondheid. 2022;27:a1788.Martinez E, Cartwright T, McKenzie L, Faulkner B. Cultivating Healthy Work Environments Through the Lens of Nursing’s Code of Ethics. Nursing Administration Quarterly. 2026;50:25–30.