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Analyzing and Validating a Structure for Measuring the Nurse Practice Environment

Author

Listed:
  • John Rodwell

    (Department of Management and Marketing, Swinburne University of Technology, Melbourne, VIC 3122, Australia)

  • Thomas Hendry

    (Department of Management and Marketing, Swinburne University of Technology, Melbourne, VIC 3122, Australia)

  • Dianne Johnson

    (Griffith Business School, Griffith University, Brisbane, QLD 4111, Australia)

Abstract

Nurse shortages pose a challenge in many countries and retaining existing nursing staff is crucial to addressing these shortages. To inform possible interventions aimed at retaining nurses, managers need a comprehensive understanding of the nature of the nurse practice environment. The scales from two of the main instruments used to assess nurses’ practice environments are tested. A survey of an online panel obtained responses from 459 Australian nurses. Analyses determined a combination of items with good construct validity and improved predictive utility for outcomes of interest for individual nurses. By essentially combining the best items from each instrument, a more comprehensive representation of the nurse work environment is obtained with improved predictive utility. The resulting combined set of scales is recommended for analyses of the nurse working environment and uses a combined set of scales from each of the two source instruments, namely: nurse participation in hospital affairs, recognition, nursing process, peer work standards, nursing competence, orientation, managers, resources, nurse–physician collaboration, and positive scheduling climate. Future research can then build on that strong set of items with a validated structure and predictive utility to inform management and interventions.

Suggested Citation

  • John Rodwell & Thomas Hendry & Dianne Johnson, 2023. "Analyzing and Validating a Structure for Measuring the Nurse Practice Environment," IJERPH, MDPI, vol. 20(7), pages 1-18, March.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:7:p:5266-:d:1108109
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    References listed on IDEAS

    as
    1. Keunsook Park & Aeri Jang, 2022. "Factors Affecting the Resilience of New Nurses in Their Working Environment," IJERPH, MDPI, vol. 19(9), pages 1-9, April.
    2. Iwona Malinowska-Lipień & Agnieszka Micek & Teresa Gabryś & Maria Kózka & Krzysztof Gajda & Agnieszka Gniadek & Tomasz Brzostek & Jason Fletcher & Allison Squires, 2021. "Impact of the Work Environment on Patients’ Safety as Perceived by Nurses in Poland—A Cross-Sectional Study," IJERPH, MDPI, vol. 18(22), pages 1-14, November.
    3. John Rodwell, 2022. "Prospective Drivers of Nurses’ Partial or Complete Retirement Seven Years Later: Work Ability and Physical Functioning Going against the Tide of Age," IJERPH, MDPI, vol. 19(18), pages 1-11, September.
    4. Amelia E. Schlak & Linda H. Aiken & Jesse Chittams & Lusine Poghosyan & Matthew McHugh, 2021. "Leveraging the Work Environment to Minimize the Negative Impact of Nurse Burnout on Patient Outcomes," IJERPH, MDPI, vol. 18(2), pages 1-15, January.
    5. Sara Anunciada & Patrícia Benito & Filomena Gaspar & Pedro Lucas, 2022. "Validation of Psychometric Properties of the Nursing Work Index—Revised Scale in Portugal," IJERPH, MDPI, vol. 19(9), pages 1-10, April.
    6. Pedro Lucas & Elvio Jesus & Sofia Almeida & Beatriz Araújo, 2021. "Validation of the Psychometric Properties of the Practice Environment Scale of Nursing Work Index in Primary Health Care in Portugal," IJERPH, MDPI, vol. 18(12), pages 1-11, June.
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