College of Nursing, University of Kentucky, Lexington 40536, USA.
J Nurs Adm. 2013 May;43(5):250-7. doi: 10.1097/NNA.0b013e3182898e4e.
The objectives of this study were to develop and test a scale designed to describe and assess nurse managers' practice environments.
Creating practice environments supporting workers at all levels is critical to achieving excellent patient, staff, and organizational outcomes. Scales are available to assess staff nurses' practice environment; however, no comparable scale for nurse managers exists.
A cross-sectional design using an electronic survey was administered to nurse managers in 25 hospitals in 9 health systems from 6 states.
Exploratory factor analysis with a varimax rotation produced a final solution of 44 items loading in 8 domains. Cronbach's α's ranged from .72 to .97. Mean scores ranged from 3.92 to 4.99 on a 6-point Likert scale.
The scale demonstrated adequate psychometric properties and warrants further use and testing. Understanding the nurse manager practice environment may reveal insights to guide opportunities to improve organizational performance.
本研究旨在开发并测试一个旨在描述和评估护士长实践环境的量表。
营造支持各级工作人员的实践环境对于实现卓越的患者、员工和组织成果至关重要。有用于评估护士实践环境的量表;然而,对于护士长而言,没有可比的量表。
采用横断面设计,使用电子调查向来自 6 个州的 9 个卫生系统的 25 家医院的护士长进行。
采用最大方差旋转的探索性因子分析产生了 8 个领域 44 个项目的最终解决方案。克朗巴赫的α值范围从.72 到.97。在 6 点李克特量表上,平均得分范围从 3.92 到 4.99。
该量表表现出足够的心理测量学特性,值得进一步使用和测试。了解护士长的实践环境可能会揭示出指导机会以提高组织绩效的见解。