Practice Environment Scale of the Nursing Work Index: A Reliability Generalization Meta-Analysis

2019 ◽  
Vol 41 (11) ◽  
pp. 1658-1684 ◽  
Author(s):  
George A. Zangaro ◽  
Kimmith Jones

A healthy work environment is a critical factor in nurse satisfaction, retention, and patient outcomes. The Practice Environment Scale of the Nursing Work Index (PES-NWI) is the most commonly used instrument to measure the nursing practice environment. This study uses meta-analysis to examine the reliability generalization of the PES-NWI. A meta-analysis of 51 studies representing a total of 80,563 subjects was conducted. The mean score reliability for the PES-NWI based on 38 studies ( n = 68,278) was .922 ( p < .05). The Mean Weighted Effect Size was stronger for studies conducted in the United States versus non-U.S. (.946 vs. .907). For studies rated high and moderate quality, the mean score reliability was .911 and .946, respectively. Scores on the PES-NWI are reliable for measuring the nursing practice environment across samples in the United States and non-U.S. countries.

2018 ◽  
Vol 23 (6) ◽  
pp. 535-545 ◽  
Author(s):  
Kalliopi Brofidi ◽  
Konstantinos Vlasiadis ◽  
Anastas Philalithis

Background The organisational characteristics of the nursing practice environment play a crucial role in nurses’ job satisfaction, job retention, quality-of-care service provision and patient outcomes. The widely used Practice Environment Scale of the Nursing Work Index assesses the favourability of these traits, showing the grade of magnetism of these factors in the workplace. Aims and methods This study aims to assess the nurse working environment at five public hospitals in Greece, and to compare these data with those of Magnet and non-Magnet hospitals. The Practice Environment Scale of the Nursing Work Index was completed by 532 nurses. Results Findings have shown that all five hospitals were assessed by nurses as unfavourable working environments. Four of five subscales were identified as unfavourable by the participants and only Collegial Nurse-Physician Relations were evaluated as a positive organisational trait. The mean scores in all five subscales of favourability were significantly lower than the corresponding scores of non-Magnet hospitals in the US. Conclusions The present study shows the favourability grade of Greek hospitals. When compared with Magnet and non-Magnet hospitals in the US, Greek hospitals were perceived as more unfavourable than non-Magnet hospitals. Action to improve the current situation must be taken by hospital management, supporting nurse involvement, continuous education, changing human resources management and adopting evaluation procedures.


Nursing Open ◽  
2021 ◽  
Author(s):  
Yasuko Ogata ◽  
Keiko Fujinami ◽  
Sakiko Itoh ◽  
Masayo Kashiwagi ◽  
Nobuko Lapreziosa ◽  
...  

2015 ◽  
Vol 81 (14) ◽  
pp. 4669-4681 ◽  
Author(s):  
Régis Pouillot ◽  
Jane M. Van Doren ◽  
Jacquelina Woods ◽  
Daniel Plante ◽  
Mark Smith ◽  
...  

ABSTRACTHuman norovirus (NoV) is the leading cause of foodborne illness in the United States and Canada. Wastewater treatment plant (WWTP) effluents impacting bivalve mollusk-growing areas are potential sources of NoV contamination. We have developed a meta-analysis that evaluates WWTP influent concentrations and log10reductions of NoV genotype I (NoV GI; in numbers of genome copies per liter [gc/liter]), NoV genotype II (NoV GII; in gc/liter), and male-specific coliphage (MSC; in number of PFU per liter), a proposed viral surrogate for NoV. The meta-analysis included relevant data (2,943 measurements) reported in the scientific literature through September 2013 and previously unpublished surveillance data from the United States and Canada. Model results indicated that the mean WWTP influent concentration of NoV GII (3.9 log10gc/liter; 95% credible interval [CI], 3.5, 4.3 log10gc/liter) is larger than the value for NoV GI (1.5 log10gc/liter; 95% CI, 0.4, 2.4 log10gc/liter), with large variations occurring from one WWTP to another. For WWTPs with mechanical systems and chlorine disinfection, mean log10reductions were −2.4 log10gc/liter (95% CI, −3.9, −1.1 log10gc/liter) for NoV GI, −2.7 log10gc/liter (95% CI, −3.6, −1.9 log10gc/liter) for NoV GII, and −2.9 log10PFU per liter (95% CI, −3.4, −2.4 log10PFU per liter) for MSCs. Comparable values for WWTPs with lagoon systems and chlorine disinfection were −1.4 log10gc/liter (95% CI, −3.3, 0.5 log10gc/liter) for NoV GI, −1.7 log10gc/liter (95% CI, −3.1, −0.3 log10gc/liter) for NoV GII, and −3.6 log10PFU per liter (95% CI, −4.8, −2.4 PFU per liter) for MSCs. Within WWTPs, correlations exist between mean NoV GI and NoV GII influent concentrations and between the mean log10reduction in NoV GII and the mean log10reduction in MSCs.


Author(s):  
Kyung Jin Hong ◽  
Youngjin Lee

This study examined the moderating effect of nursing practice environment on the relationship between clinical nurses’ sleep quality and wellness. The wellness of clinical nurses is a direct outcome of individual-level health behaviors and organizational environmental factors. This study was a cross-sectional analysis. Participants were clinical nurses recruited using convenience sampling. The Nurse Practice Environment Scale, Wellness Index, and Pittsburgh Sleep Quality Index, Korean version (PSQI-K) were used. Data collected from 1874 nurses were analyzed using descriptive statistics and hierarchical multiple regression analyses. A total of 95.3% of the participants were women, and the mean age was 28.8 years. Further, 42.4% of the participants had a nursing career of 5 years or longer. The mean score for nursing practice environment was 2.24 and the mean PSQI-K score was 9.39. Nurses with less than 1 year of experience reported lower wellness scores. The wellness scores decreased with poorer sleep quality, and a more positive evaluation of the nursing practice environment predicted higher levels of wellness. Nursing practice environment had a moderating effect on the negative association of nurses’ poor sleep quality with their wellness. Regarding management, individual strategies for nurses’ well-being and organizational improvement policies may improve the nursing work environment.


2021 ◽  
Vol 1 (1) ◽  
Author(s):  
Manuel Gomes P

The Nursing Practice Environment (NPE) influences the quality of nursing care. Studies show far better outcomes for clients, with positive results on nursing teams’ satisfaction and patients with improvements in the outcomes of patients and healthcare organizations. The Practice Environment Scale-Nursing Work Index (PES-NWI) is an instrument that measures the nursing practice environment and is currently the most used at a global scale. The analyzed article proves the instrumentsreliability in the assessment of the NPE, despite needing further investigation at a psychometric level; and its applicability in different care settings – Other countries besides the US. However, it is emphasized the need to carry out further experimental and longitudinal studies to potentially identify the mechanisms that influence the NPE.


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