Measuring the hospital practice environment: a Canadian context.
The primary purpose of this study is to document the psychometric properties of the revised Nursing Work Index (NWI-R) in the context of a large Canadian sample of registered nurses. A self-administered survey containing the NWI-R was completed by 17,965 registered nurses working in 415 hospitals in three Canadian provinces. Using exploratory principal components analysis, with a forced one-factor solution, the practice environment index was obtained. In addition, key assumptions were tested from previous work about the rationale for the aggregation of NWI-R responses. In the Canadian context the one-factor solution provides a parsimonious index of the practice environment of registered nurses working in acute care hospitals. Further work is needed to determine the predictive capability of this index and its relevance to cross-national organizational contexts.
Estabrooks
Carole A
CA
Faculty of Nursing, University of Alberta, Edmonton, Canada T6G 2E1.
Tourangeau
Ann E
AE
Humphrey
Charles K
CK
Hesketh
Kathryn L
KL
Giovannetti
Phyllis
P
Thomson
Donna
D
Wong
Jennifer
J
Acorn
Sonia
S
Clarke
Heather
H
Shamian
Judith
J
D000208:Acute Disease / Q000451:nursing; D000328:Adult; D001291:Attitude of Health Personnel; D002170:Canada; D003625:Data Collection / Q000379:methods / Q000592:standards; D005163:Factor Analysis, Statistical; D005260:Female; D006272:Health Facility Environment / Q000592:standards*; D006801:Humans; D007588:Job Satisfaction; D008297:Male; D015401:Nursing Administration Research / Q000379:methods / Q000592:standards; D015404:Nursing Methodology Research / Q000379:methods / Q000592:standards; D009741:Nursing Staff, Hospital / Q000193:education / Q000458:organization & administration / Q000523:psychology*; D015279:Organizational Culture; D010561:Personnel Staffing and Scheduling / Q000592:standards; D011594:Psychometrics; D011795:Surveys and Questionnaires / Q000592:standards; D016526:Workload; D017132:Workplace / Q000523:psychology / Q000592:standards*