Development and Psychometric Evaluation of the Korean Nursing Work Environment Scale

한국형 간호사 근무환경 측정도구 개발 및 평가

  • Received : 2015.05.13
  • Accepted : 2015.06.09
  • Published : 2015.06.30

Abstract

Purpose: The purpose of this study was to develop a valid tool for measuring the work environment of Korean nurses and test the validity and reliability of the instrument. Methods: This is a methodological study for developing and testing a measurement tool. The conceptual framework for the tool was formed through a literature review and in-depth interviews with clinical nurses. 260 meaningful statements were derived through this process, and 59 of the primary items were generated out of these statements. On the basis of the content validity test, 41 items were selected for the preliminary tool. A total of 350 nurses from 7 hospitals responded to the preliminary questionnaire in October 2011. Results: After the item analysis and the principal component analysis using varimax rotation methods, 11 items were deleted. Considering the conceptual framework and the scree plot, we extracted 4 factors from the final 30 items. These factors were organizational support, head nurse's leadership, support system, and relationship with coworkers, and their total variance was 54.4%. The value of Cronbach's ${\alpha}$ of the final tool was 0.92. Conclusion: The above findings revealed that the Korean Nursing Work Environment Scale (K-NWES) is an appropriate, valid, and reliable tool for evaluating the work environment of Korean nurses. Further research to perform a criterion validity test of the K-NWES is needed.

Keywords

References

  1. Aiken, L. H., & Patrician, P. A. (2000). Measuring organizational traits of hospitals: the revised nursing work index. Nursing Research, 49 (3), 146-153. https://doi.org/10.1097/00006199-200005000-00006
  2. American Association of Critical Care Nurses. (2005). AACN's healthy work environment initiative backgrounder. Aliso Viejo, CA: Author.
  3. Cho, E., Choi, M. N., Kim, E. Y., Yoo, E. Y., & Lee, N. J. (2011). Construct validity and reliability of the Korean version of the practice environment scale of nursing work index for Korean nurses. Journal of Korean Academy of Nursing, 41 (3), 325-332. https://doi.org/10.4040/jkan.2011.41.3.325
  4. Choi, Y. J., & Baek, S. K. (2003). The analysis of the factors related with job satisfaction for registered nurses. In Proceedings from the Fall Conference of Korean Society of Quality Assurance of Health Care. Daegu: Korean Society of Quality Assurance of Health Care.
  5. Cohen, J., Stuenkel D., & Nguyen, Q. (2009). Providing a healthy work environment for nurses: the influence on retention. Journal of Nursing Care Quality, 24 (4), 308-315. https://doi.org/10.1097/NCQ.0b013e3181a4699a
  6. Cummings, G. G., Haybuk, L., & Estabrooks, C. A. (2006). Is the nursing work index measuring up? Moving beyond estimating reliability to testing validity. Nursing Research, 55 (2), 82-93. https://doi.org/10.1097/00006199-200603000-00003
  7. Gruenberg, D. A., Shelton, W., Rose, S. L., Rutter, A. E., Socaris, S., & McGee, G. (2006). Factors influencing length of stay in the intensive care unit. American Journal of Critical Care, 15 , 502-509.
  8. Hall, L. M. (Eds.). (2005). Indicators of nurse staffing and quality nursing work environments. Quality work environments:for nurse and patient safety. Sudbury, MA: Jones & Bartlett Publishers Incorporated.
  9. Health Insurance Review & Assessment Service. (2010). Comparison of medical manpower. Seoul: Author.
  10. Institute of Medicine. (1999). To err is human: building a safer health system. Retrieved May 10, 2015, from https://www.iom.edu/-/media/Files/Report%20Files/1999/To-Err-is-Human/To%20Err%20is%20Human%201999%20%20report%20brief.pdf.
  11. Kang, K. N. (2012). Factors influencing turnover intention of nurses in small-medium sized hospitals. Journal of Korean Nursing Administration Academic Society, 18 (2), 155-165. https://doi.org/10.11111/jkana.2012.18.2.155
  12. Kim, H. Y. (2009). The relationship between health problems and working environment of clinical nurses. Unpublished mater's thesis, Hanyang University, Seoul.
  13. Kim, M. J. (2003). A study on the relationship between nurses' perception of internal marketing and their job satisfaction. Unpublished mater's thesis, Yonsei University, Seoul.
  14. Kim, Y. J., Song, H. K., & Lee, M. A. (2011). Perceived relationship among professional self-concept, head nurse's leadership, and nursing clinical competency by clinical nurses. Journal of Korean Nursing Administration Academic Society, 17 (1), 96-105. https://doi.org/10.11111/jkana.2011.17.1.96
  15. Kleinman, C. S. (2004). Leadership: a key strategy in staff nurse retention. Journal of Continuing Education in Nursing, 35 , 128-132.
  16. Ko, H. J. (2010). Nurse work environments, job satisfaction and intention to leave among nurses in a general hospital. Unpublished mater's thesis, Hanyang University, Seoul.
  17. Kramer, M., & Hafner, L. P. (1989). Shared values: impact on staff nurse job satisfaction and perceived productivity. Nursing Research, 38 (3), 172-177.
  18. Kramer, M., & Schmalenberg, C. (2004). Development and evaluation of essential of magnetism tool. Journal of Nursing Adminstration, 34 (7-8), 365-378. https://doi.org/10.1097/00005110-200407000-00010
  19. Lake, E. T. (2002). Development of the practice environment scale of the nursing work index. Research in Nursing and Health, 25 (3), 176-188. https://doi.org/10.1002/nur.10032
  20. Lee, S. (2000). Fundamentals of factor analysis. Seoul: Kyoyookbook.
  21. Lee, Y. J. & Kim, K. B., (2008). Experiences of nurse turnover. Journal of Korean Academy of Nursing, 38 (2), 248-257. https://doi.org/10.4040/jkan.2008.38.2.248
  22. Lin, L., & Liang, B. A. (2007). Addressing the nursing work environment to promote patient safety. Nursing Forum, 42 (1), 20-30. https://doi.org/10.1111/j.1744-6198.2007.00062.x
  23. Lingard, L., Espin, S., Whyte, S., Regehr, G., Baker, G. R., Reznick, R., et al. (2004). Communication failures in operating room: an observational classification of recurrent types and effects. Quality and Safety in Health Care, 13 (5), 330-334. https://doi.org/10.1136/qshc.2003.008425
  24. Liou, S. R., & Cheng C. Y. (2009). Using the practice environment scale of the nursing work index on Asian nurses. Nursing Research, 58 (3), 218-225. https://doi.org/10.1097/NNR.0b013e3181a308cd
  25. McClure, M., Poulin, M., Sovie, M., & Wandelt, M. (1983). Magnet hospitals: attraction and retention of professional nurses. Kansas City, MO: American Nurses Association. News from the national academies. (2003, November 3).
  26. Institute of Medicine. Retrieved May 11, 2015, from http://www8.nationalacademies.org/onpinews/newsitem.aspx?RecordID=10851
  27. Park, H. J., Yoon, Y. S., Kim, Y. S., Lee, Y. M., & Jung, M. H. (2002). A study concerning the working condition and the recognition on night working of nurse and nurse aid. Journal of the Korea Society of Health Informatics and Statistics, 27 , 81-88.
  28. Schmalenberg, C., Kramer, M., King, C., Krugman, M., Lund, C, Poduska, D., et al. (2005). Excellence through evidence: securing collegial/collaborative nurse-physician relationships. Journal of Nursing Adminstration, 35 (10), 450-458. https://doi.org/10.1097/00005110-200510000-00006
  29. Yeom, E. Y., & Jeon, H. O. (2013). Relations of burnout, interpersonal relations, professional self-concept and depression in clinical nurses. Journal of the Korea Academia-Industrial Cooperation Society, 14 (6), 2869-2879. https://doi.org/10.5762/KAIS.2013.14.6.2869
  30. Yoon, G., & Kim, S. Y. (2010). Influences of job stress and burnout on turnover intention of nurses. Journal of Korean Nursing Administration Academic Society, 16 (4), 507-516. https://doi.org/10.11111/jkana.2010.16.4.507
  31. Yun, S., Kang, J., Lee, Y. O., & Yi, Y. (2014). Work environment and workplace bullying among Korean intensive care unit nurses. Asian Nursing Research, 8 (3), 219-225. https://doi.org/10.1016/j.anr.2014.07.002
  32. Zuniga, F., Ausserhofer, D., Hamers, J. P., Engberg, S., Simon, M., & Schwendimann, R. (2015). The relationship of staffing and work environment with implicit rationing of nursing care in Swiss nursing homes-a cross-sectional study. International Journal of Nursing Studies, Epub, S0020-7489.