Nursing Practice Environment and the Nurse Manager Intervention: Critical Review

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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Assessment of the nursing practice environment in Greek Hospitals: a cross-sectional study

Journal of Research in Nursing ◽

10.1177/1744987118788705 ◽

2018 ◽

Vol 23 (6) ◽

pp. 535-545 ◽

Cited By ~ 1

Author(s):

Kalliopi Brofidi ◽

Konstantinos Vlasiadis ◽

Anastas Philalithis

Keyword(s):

Nursing Practice ◽

Public Hospitals ◽

Working Environment ◽

Practice Environment ◽

Magnet Hospitals ◽

Environment Scale ◽

Work Index ◽

Nursing Practice Environment ◽

The Us ◽

Greek Hospitals

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.

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

Western Journal of Nursing Research ◽

10.1177/0193945918823779 ◽

2019 ◽

Vol 41 (11) ◽

pp. 1658-1684 ◽

Cited By ~ 4

Author(s):

George A. Zangaro ◽

Kimmith Jones

Keyword(s):

United States ◽

Nursing Practice ◽

Meta Analysis ◽

The United States ◽

Practice Environment ◽

Reliability Generalization ◽

Environment Scale ◽

Work Index ◽

Nursing Practice Environment ◽

The Mean

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.

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Nursing practice environment, quality of care, and morale of hospital nurses in Japan

Nursing and Health Sciences ◽

10.1111/nhs.12081 ◽

2013 ◽

Vol 16 (2) ◽

pp. 171-178 ◽

Cited By ~ 22

Author(s):

Eriko Anzai ◽

Clint Douglas ◽

Ann Bonner

Keyword(s):

Quality Of Care ◽

Nursing Practice ◽

Hospital Nurses ◽

Practice Environment ◽

Environment Quality ◽

Nursing Practice Environment

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Nurses’ Perspectives on the Geriatric Nursing Practice Environment and the Quality of Older People’s Care in Ontario Acute Care Hospitals

Canadian Journal of Nursing Research ◽

10.1177/0844562117707140 ◽

2017 ◽

Vol 49 (2) ◽

pp. 94-100 ◽

Cited By ~ 1

Author(s):

Mary T. Fox ◽

Souraya Sidani ◽

Jeffrey I. Butler ◽

Deborah Tregunno

Keyword(s):

Quality Of Care ◽

Nursing Practice ◽

Geriatric Nursing ◽

Practice Environment ◽

Institutional Assessment ◽

Practical Nurses ◽

Nursing Practice Environment ◽

Teaching Status ◽

Nurses Perceptions

Background Cultivating hospital environments that support older people’s care is a national priority. Evidence on geriatric nursing practice environments, obtained from studies of registered nurses (RNs) in American teaching hospitals, may have limited applicability to Canada, where RNs and registered practical nurses (RPNs) care for older people in predominantly nonteaching hospitals. Purpose This study describes nurses’ perceptions of the overall quality of care for older people and the geriatric nursing practice environment (geriatric resources, interprofessional collaboration, and organizational value of older people’s care) and examines if these perceptions differ by professional designation and hospital teaching status. Methods A cross-sectional survey, using Dillman’s tailored design, that included Geriatric Institutional Assessment Profile subscales, was completed by 2005 Ontario RNs and registered practical nurses to assess their perceptions of the quality of care and geriatric nursing practice environment. Results Scores on the Geriatric Institutional Assessment Profile subscales averaged slightly above the midpoint except for geriatric resources which was slightly below. Registered practical nurses rated the quality of care and geriatric nursing practice environment higher than RNs; no significant differences were found by hospital teaching status. Conclusions Nurses’ perceptions of older people’s care and the geriatric nursing practice environment differ by professional designation but not hospital teaching status. Teaching and nonteaching hospitals should both be targeted for geriatric nursing practice environment improvement initiatives.

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