Norwegian Institute of Public Health, PO Box 222 Skøyen, 0213 Oslo, Norway; University of Oslo, Faculty of Medicine, Institute of Health and Society, Department of Health Management and Health Economics, PO Box 1130 Blindern, 0318 Oslo, Norway.
Norwegian Institute of Public Health, PO Box 222 Skøyen, 0213 Oslo, Norway.
Geriatr Nurs. 2019 May-Jun;40(3):302-313. doi: 10.1016/j.gerinurse.2018.11.007. Epub 2018 Dec 12.
Care workers' work environment is known to be associated with patient and nurse outcomes. To our knowledge no questionnaire is available for assessing this environment for all care workers in the Norwegian nursing-home setting. This paper describes the development, adaptation and assessment of such a questionnaire: the extended Norwegian version of the Brisbane Practice Environment Measure for Nursing Homes (B-PEM-NH). This version was developed and assessed using semistructured interviews, a reference group meeting, translation, adaptation, and pretesting, and psychometric assessment including exploratory and confirmatory factor analyses, and retest. We tested hypotheses to assess relations to other variables. The final factor solution comprised 41 items and 9 factors: interpersonal leadership, professional development, resources, professional leadership, input and acknowledgement, patient and next-of-kin focus, multidisciplinary collaboration, language misunderstandings, and feeling unsafe. The assessment showed that the B-PEM-NH had good psychometric properties, suggesting that the questionnaire is suitable for application in similar settings.
照护工作者的工作环境已知与患者和护士的结局有关。据我们所知，目前没有可用于评估挪威养老院中所有照护工作者工作环境的问卷。本文介绍了该问卷的开发、调整和评估过程：经扩展的布里斯班实践环境测量工具-养老院版（B-PEM-NH）挪威语版。该版本通过半结构化访谈、参考小组会议、翻译、调整和预测试以及心理测量评估，包括探索性和验证性因子分析以及重测来开发和评估。我们测试了假设，以评估与其他变量的关系。最终的因子解包含 41 个项目和 9 个因子：人际领导力、专业发展、资源、专业领导力、投入和认可、患者和家属关注、多学科合作、语言误解和感到不安全。评估表明，B-PEM-NH 具有良好的心理测量特性，表明该问卷适用于类似环境。
