Validation of the Brazilian version of the Nursing Work Index‐Revised (B‐NWI‐R)

Gasparino, Renata Cristina; Guirardello, Edinêis de Brito; Aiken, Linda H.

doi:10.1111/j.1365-2702.2011.03776.x

Cited by 61 publications

(137 citation statements)

References 24 publications

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“…(8) It contains 57 items, but only 15 make up the four subscales: autonomy, control over the professional practice environment, profes-sional relationship between nurse and physician and organizational support. The NWI-R is answered on a Likert scale, with scores ranging between one (I completely agree) and four (I completely disagree).…”

Section: Methodsmentioning

confidence: 99%

Ambiente ocupacional e o consumo de substâncias psicoativas entre enfermeiros

et al. 2017

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Objective: To analyze the relation between the work environment and psychoactive substance consumption among hospital nurses. Methods: Cross-sectional and descriptive study, involving nurses from three public hospitals in a city in the South of Brazil, being two medium-complexity and one high-complexity institution. The study population consisted of 221 nurses. Based on this figure, the stratified sample size was calculated, considering a 50% proportion, 95% confidence level and 5% maximum error, resulting in a minimum number of 175 participants. Through proportional stratification per institution, a minimum of 103 high-complexity nurses was defined, as well as 36 nurses from each medium-complexity institution. The following inclusion criteria were adopted: having worked at the institution for at least one year and not being on leave. The data were collected between October 2015 and April 2016. In the data collection, sociodemographic and occupational information, the Nursing Work Index -Revised and the Alcohol, Smoking and Substance Involvement Screening Test. The data were analyzed in the software Statistical Package for Social Sciences, version 20.0. Initially, the normality was verified by means of the Kolmogorov-Smirnov test. Descriptive analyses were developed by absolute and relative frequencies for the categorical variables; and medians and dispersion measures for the numerical variables. Results: Alcohol, tobacco and sedatives were the most consumed substances. The monthly income was positively correlated with alcohol consumption among nurses at the medium-complexity hospitals (p=0.01). At the high-complexity hospital, alcohol consumption was negatively correlated with the physician-nurse index (p=0.03). Autonomy, physician-nurse index and organizational support were negatively correlated with the use of sedatives (p<0.01; p<0.01; p=0.02, respectively). Conclusion: The more negative the nurse's work environment, mainly in the relation with physicians, organizational support and autonomy, the greater the consumption of psychoactive substances. ResumoObjetivo: Analisar a relação entre o ambiente de trabalho e o consumo de substâncias psicoativas entre enfermeiros hospitalares. Métodos: Estudo transversal e descritivo, realizado com enfermeiros de três instituições hospitalares públicas localizados em um município da Região Sul do Brasil, sendo duas de média complexidade e uma de alta complexidade. A população deste estudo foi composta por 221 enfermeiros. Com base nesse número, calculou-se o tamanho amostral por estratos, considerando-se a proporção de 50%, nível de confiança de 95% e erro máximo de 5%, o que resultou no número mínimo de 175 participantes. Mediante a estratificação proporcional por instituição definiu-se o mínimo de 103 enfermeiros da alta complexidade e 36 de cada instituição de média complexidade. Adotou-se como critérios de inclusão: trabalhar na instituição há pelo menos um ano e não estar afastado por licença. A coleta de dados foi realizada entre outubro de 2015 e abril de 2...

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Section: Methodsmentioning

confidence: 99%

Ambiente ocupacional e o consumo de substâncias psicoativas entre enfermeiros

et al. 2017

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“…The subscale nurse-physician relationship addresses the professional respect necessary for an effective communication, which allows reaching the common objective of providing adequate care to the patient. Finally, organizational support consists of items derived from the subscales above and allows identifying the situations in which the organization provides support to nursing practice (7,10,12) . The scores of these subscales vary from one to four points, and in the Brazilian version of the NWI-R, lower values indicate that the institution has more favorable characteristics for nursing practice (10) .…”

Section: Study Protocolmentioning

confidence: 99%

“…This instrument assesses the characteristics of a work environment that is supportive of nursing practice. It is composed of 57 items, of which 15 are distributed in 4 subscales: autonomy, control over the environment, nursephysician relationship and organizational support (10) .…”

Section: Study Protocolmentioning

confidence: 99%

“…In the application of the five-category MBI, the scores of the domains had the following ranges: emotional exhaustion, nine to 45; depersonalization, five to 25; and reduced personal accomplishment, eight to 40 (11) . The version of the NWI-R (7) translated and validated in Brazil was used to investigate the organizational traits of the institutions (10) . This instrument assesses the characteristics of a work environment that is supportive of nursing practice.…”

Section: Study Protocolmentioning

confidence: 99%

“…In Brazil, studies found an association between work environment and Burnout (8,10) . However, these investigations did not assess the profile of the work environment that is associated with the syndrome.…”

Section: Introductionmentioning

confidence: 99%

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Burnout and nursing work environment in public health institutions

et al. 2018

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Objective: to identify associations between the Burnout domains and the characteristics of the work environment. Method: cross-sectional study with 745 nurses from 40 public health institutions in São Paulo. Nursing Work Index-Revised (NWI-R) and Maslach Burnout Inventory were used. Similar institutions according to NWI-R were grouped by clustering and the Anova and Bonferroni tests were used in the comparative analyzes. Results: there was signifi cant and moderate correlation between emotional exhaustion and autonomy, control over the environment and organizational support; between reduced personal accomplishment, autonomy and organizational support; and between depersonalization and autonomy. The group that presented the worst conditions in the work environment differed on emotional exhaustion from the group with most favorable traits. Conclusion: emotional exhaustion was the trait of Burnout that was more consistently related to the group of institutions with more unfavorable working conditions regarding autonomy, organizational support and control over the environment. Descriptors: Burnout, Professional; Nursing; Health Facility Environment; Hospitals, Public; Cross-Sectional Studies. RESUMO Objetivo: identifi car associações entre os domínios do Burnout e as características do ambiente de trabalho. Método: estudo transversal com 745 enfermeiros de 40 instituições públicas de saúde de São Paulo. Nursing Work Index-Revised (NWI-R) e Maslach Burnout Inventory foram utilizados. Instituições semelhantes, segundo NWI-R, foram agrupadas pelo método de Cluster e os testes Anova e Bonferroni foram aplicados nas análises comparativas. Resultados: houve correlação signifi cativa e moderada entre exaustão emocional e autonomia, controle sobre o ambiente e suporte organizacional; baixa realização pessoal e autonomia, e suporte organizacional; despersonalização e autonomia. O grupo que apresentou as piores condições de ambiente de trabalho diferiu do que teve os mais favoráveis atributos quanto à exaustão emocional. Conclusão: a exaustão emocional foi o traço do Burnout que se relacionou de forma mais constante com o grupo de instituições com condições mais desfavoráveis de trabalho quanto à autonomia, suporte organizacional e controle sobre o ambiente. Descritores: Esgotamento Profi ssional; Enfermagem; Ambiente de Instituições de Saúde; Hospitais Públicos; Estudos Transversais. RESUMENObjetivo: identifi car asociaciones entre los dominios de Burnout y las características del ambiente de trabajo. Método: estudio transversal entre 745 enfermeros de 40 instituciones públicas de salud de São Paulo. Se utilizaron, la Escala Adaptada del Entorno de Práctica Enfermera (Nursing Work Index-Revised, NWI-R) y el cuestionario Maslach Burnout Inventory. Se agruparon instituciones semejantes por el método de Cluster, según la NWI-R y se aplicaron las pruebas Anova y Bonferroni en los análisis comparativos. Resultados: hubo correlación signifi cativa y moderada entre agotamiento emocional y autonomía, control sobre el ambien...

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