Perceived nursing work environment of critical care nurses
Perceived nursing work environment of critical care nurses
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DOI：
10.1097/00006199-200411000-00005
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发表时间：
2004-11-01
期刊：
影响因子：
2.5
通讯作者：
Stone, PW
中科院分区：
文献类型：
--
作者：
Choi, JK;Bakken, S;Stone, PW
背景：不同的概念和措施已被用来评估护士在医院设置的工作环境。有越来越多的需要更新的测量工具，反映了不断变化的性质的工作environment.Objectives：报告的心理测量特性的感知护理工作环境（PNWE）仪器，并比较这些结果与其他规模来自同一背景的文书：护理工作指数修订。进行了正交旋转的探索性主成分分析。心理特性进行了检查。结构效度进行了评估，通过比较磁铁和nonmagnet hospites.Results的护士的子样本的分数：从全国68家医院获得的调查有一个平均的响应率为41%，导致在一个样本的2,324名参与者。PNWE由7个分量表和42个项目组成，解释了修订后护理工作指数总方差的53%。除了一个分量表（56）外，各分量表的信度从0.70到0.91不等，信度从中等到高，而且相互关联性一般较低。一个类似的版本的护士-医生合作分量表被发现在其他四个规模比较。积极的日程安排气候子量表是一个独特的发现。在磁铁医院工作的护士比在非磁铁医院工作的护士有更积极的工作环境感知，并且在七个分量表中的四个分量表中显示出更高的平均得分（p
Background: Different concepts and measures have been used to evaluate the work environment of nurses in hospital settings. There is increasing need for updated measurement tools that reflect the evolving nature of the work environment.Objectives: To report the psychometric properties of the Perceived Nursing Work Environment (PNWE) instrument, and to compare these results with those of other scales derived from the same background instrument: the Nursing Work Index-Revised.Methods: The Nursing Work Index-Revised was used in a national survey of critical care nurses. Exploratory principal component analysis with orthogonal rotation was conducted. Psychometric properties were examined. Construct validity was evaluated by comparing the scores for a subsample of nurses in magnet and nonmagnet hospitals.Results: Surveys obtained from 68 hospitals across the nation had a mean response rate of 41%, resulting in a sample of 2,324 participants. The PNWE, with its seven subscales and 42 items, explained 53% of the total variance of the Nursing Work Index Revised. The subscales exhibited moderate to high reliabilities ranging from .70 to.91, except for one subscale (56), and generally low intercorrelation. A similar version of the nurse-physician collaboration subscale was found in three of the other four scales compared. The positive scheduling climate subscale was a unique finding. Nurses employed at magnet hospitals had more positive perceived work environments than those employed at nonmagnet hospitals, and showed higher mean scores in four of the seven subscales (p