Establishing a measurement tool for a nursing work environment in Taiwan

研究成果: Article

摘要

Aim: The nursing work environment is a critical global health care problem. Many health care providers are concerned about the associations between the nursing work environment and the outcomes of organizations, nurses, and patients. Nursing work environment instruments have been assessed in the West but have not been considered in Asia. However, different cultures will affect the factorial structure of the tool. Using a stratified nationwide random sample, we created a measurement tool for the nursing work environment in Taiwan. Methods: The Nursing Work Environment Index-Revised Scale and the Essentials of Magnetism scale were used to examine the factorial structure. Item analysis, exploratory factor analysis, and confirmatory factor analysis were used to examine the hypothesis model and generate a new factorial structure. Results: The Taiwan Nursing Work Environment Index (TNWEI) was established to evaluate the nursing work environment in Taiwan. The four factors were labeled "Organizational Support" (7 items), "Nurse Staffing and Resources" (4 items), "Nurse-Physician Collaboration" (4 items), and "Support for Continuing Education" (4 items). The 19 items explained 58.5% of the variance. Confirmatory factor analysis showed a good fit to the model (x2/df 5 5.99; p, .05, goodness of fit index [GFI] 5 .90; RMSEA 5 .07). Conclusion: The TNWEI provides a comprehensive and efficient method for measuring the nurses' work environment in Taiwan.

原文English
頁(從 - 到)75-88
頁數14
期刊Research and Theory for Nursing Practice
31
發行號1
DOIs
出版狀態Published - 2017 一月 1

指紋

Taiwan
Nursing
Nurses
Statistical Factor Analysis
Continuing Education
Health Personnel
Delivery of Health Care
Physicians

All Science Journal Classification (ASJC) codes

  • Research and Theory

引用此文

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abstract = "Aim: The nursing work environment is a critical global health care problem. Many health care providers are concerned about the associations between the nursing work environment and the outcomes of organizations, nurses, and patients. Nursing work environment instruments have been assessed in the West but have not been considered in Asia. However, different cultures will affect the factorial structure of the tool. Using a stratified nationwide random sample, we created a measurement tool for the nursing work environment in Taiwan. Methods: The Nursing Work Environment Index-Revised Scale and the Essentials of Magnetism scale were used to examine the factorial structure. Item analysis, exploratory factor analysis, and confirmatory factor analysis were used to examine the hypothesis model and generate a new factorial structure. Results: The Taiwan Nursing Work Environment Index (TNWEI) was established to evaluate the nursing work environment in Taiwan. The four factors were labeled {"}Organizational Support{"} (7 items), {"}Nurse Staffing and Resources{"} (4 items), {"}Nurse-Physician Collaboration{"} (4 items), and {"}Support for Continuing Education{"} (4 items). The 19 items explained 58.5{\%} of the variance. Confirmatory factor analysis showed a good fit to the model (x2/df 5 5.99; p, .05, goodness of fit index [GFI] 5 .90; RMSEA 5 .07). Conclusion: The TNWEI provides a comprehensive and efficient method for measuring the nurses' work environment in Taiwan.",
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