Measuring nurses' practice environments with the revised nursing work index: Evidence from registered nurses in the veterans health administration

Li, Yu Fang; Lake, Eileen T.; Sales, Anne E.; Sharp, Nancy; Greiner, Gwendolyn T.; Lowy, Elliott; Liu, Chuan Fen; Mitchell, Pamela H.; Sochalski, Julie

doi:10.1002/nur.20172

Cited by 65 publications

(95 citation statements)

References 29 publications

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“…(26) The organizational context is critically important to the impact of nursing actions and the use of this instrument can capture the environment, thus contributing to the nursing management process. (27) …”

Section: Discussionmentioning

confidence: 99%

Comparação entre ambiente de trabalho de hospitais públicos acreditado e não acreditado

Oliveira¹,

Spiri

Dell’Acqua

et al. 2016

Acta paul. enferm.

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Objective: To compare and identify the working environment of accredited and non-accredited public hospitals. Methods: A quantitative approach with two cross-sectional studies in parallel, with 106 nurses from the hospitals, conducted between January and September of 2014. Hospital A was not accredited, and Hospital B was accredited. Data collection used a questionnaire with sociodemographic labor information and the Nursing Work Index -Revised -Brazilian version (B-NWI-R), with 57 items and four domains. The reliability of the instrument was measured using Cronbach's alpha. Results: The participants included 50 nurses of Hospital A and 56 of Hospital B. Hospitals were compared; there were statistically significant wage satisfaction (Hospital A showed greater salary satisfaction) and working hours (30-36 hours per week in Hospital B;40 hours in Hospital A). The environment was favorable to the four domains of B-NWI-R in both hospitals, regardless of accreditation status. Conclusion: The administration of the instrument showed that hospital accreditation did not affect the nurses' work environment. ResumoObjetivo: Comparar e identificar o ambiente de trabalho de hospitais públicos sendo um acreditado e o outro não. Métodos: Abordagem quantitativa, dois estudos transversais em paralelo, com 106 enfermeiros dos hospitais entre janeiro a setembro de 2014. Hospital A, não acreditado, e B acreditado. Coleta de dados por meio de um questionário com dados sóciodemográficos laborais e Nursing Work Index -Revised -Versão Brasileira (B-NWI-R) com 57 itens e quatro domínios. A confiabilidade do instrumento foi medida pelo alpha de Cronbach. Resultados: Participaram 50 enfermeiros do hospital A e 56 do B. Comparados os hospitais, houve significância estatística na satisfação salarial (hospital A tem maior satisfação com o salário) e na jornada de trabalho (de 30 a 36 horas semanais no B enquanto no A 40 horas). O ambiente foi favorável aos quatro domínios da B-NWI-R em ambos hospitais, independentemente da acreditação ou não. Conclusão: A aplicação do instrumento evidenciou que a acreditação hospitalar não interferiu no ambiente de trabalho dos enfermeiros

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Section: Discussionmentioning

confidence: 99%

Comparação entre ambiente de trabalho de hospitais públicos acreditado e não acreditado

Oliveira¹,

Spiri

Dell’Acqua

et al. 2016

Acta paul. enferm.

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show abstract

“…Job satisfaction is associated consistently with positive work environment characteristics including nurse autonomy, staffing and resourcing, opportunities for professional advancement and positive acknowledgement [32] . Intention to leave is reduced and job satisfaction is high where staff perceive they have equitable rosters, flexibility and control over personal time [16,88] .…”

Section: Discussion and Instrument Selectionmentioning

confidence: 99%

“…Fi nalysis [31][32][33][34] . n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a < 0.01 n/s n/s n/s n/s n/s n/s n/s = 0.002 n/a n/a n/a n/a n/a n/a ( n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a < 0.…”

Section: Qumentioning

confidence: 99%

Selection of an instrument to evaluate the organizational environment of nurses working in intensive care: an integrative review

Abbenbroek

Duffield

Elliott

2014

JHA

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Objective: To determine an appropriate survey instrument to evaluate the impact of organizational structures on the work environment of intensive care nurses. Background:Internationally the demand for intensive care is increasing. Solely increasing bed capacity is not sustainable. Large capacity multi-specialty Intensive Care Units are emerging as the preferred organizational model with benefits resulting from optimizing operational synergies and economies of scale. The impact of this organizational transition on intensive care nurses is not well understood. An appropriate survey instrument for intensive care nurses is required. Design: Integrative literature review. Data Sources: CINAHL, PubMed, EMBASE and OVID Nursing databases searched for studies published between 2005 and 2013.Review methods: An integrative review and quality assessment of the studies was undertaken to select nurse outcome measures associated with organizational structures across a range of acute and critical care settings. Congruence between nurse outcome measures and nurse survey instruments tested in the literature was assessed to select instruments for further psychometric evaluation.Results: Thirty-one cross sectional quantitative studies, from fourteen countries, were reviewed. Twenty one nurse outcome measures associated with organizational factors were identified and a total of twenty five survey instruments used in the studies reviewed. Assessment of congruence and psychometric properties determined that a combination of two instruments is required to comprehensively assess the organizational environment of nurses working in intensive care units. Conclusion:The environment of nurses working in intensive care is effectively evaluated with an instrument that combines subscales from the Practice Environment Scale-Nurse Work Index and Maslach's Burnout Inventory.

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“…Magnet para atender as necessidades dos profissionais e melhorar a organização do trabalho, também promoveu a qualidade da assistência e ambiente mais favorável às práticas profissionais, bem como a satisfação profissional e o vínculo do profissional com a instituição 81,90 .…”

Section: A Maior Flexibilidade No Horário Proposta Pelos Hospitais Amunclassified

“…A análise da importância atribuída aos domínios da satisfação profissional pelos profissionais apresentou a remuneração (3, 18,20,105,115,[117][118]138,149 .…”

Section: íNdice De Satisfação Profissional (Isp)unclassified

Segurança do paciente em unidades de terapia intensiva: ambiente das práticas profissionais de enfermagem e satisfação profissional na ocorrência de eventos adversos

Oliveira¹

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Measuring nurses' practice environments with the revised nursing work index: Evidence from registered nurses in the veterans health administration

Cited by 65 publications

References 29 publications

Comparação entre ambiente de trabalho de hospitais públicos acreditado e não acreditado

Comparação entre ambiente de trabalho de hospitais públicos acreditado e não acreditado

Selection of an instrument to evaluate the organizational environment of nurses working in intensive care: an integrative review

Segurança do paciente em unidades de terapia intensiva: ambiente das práticas profissionais de enfermagem e satisfação profissional na ocorrência de eventos adversos

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