Department of Management and Marketing, Swinburne University of Technology, Melbourne, VIC 3122, Australia.
Griffith Business School, Griffith University, Brisbane, QLD 4111, Australia.
Int J Environ Res Public Health. 2023 Mar 27;20(7):5266. doi: 10.3390/ijerph20075266.
Nurse shortages pose a challenge in many countries and retaining existing nursing staff is crucial to addressing these shortages. To inform possible interventions aimed at retaining nurses, managers need a comprehensive understanding of the nature of the nurse practice environment. The scales from two of the main instruments used to assess nurses' practice environments are tested. A survey of an online panel obtained responses from 459 Australian nurses. Analyses determined a combination of items with good construct validity and improved predictive utility for outcomes of interest for individual nurses. By essentially combining the best items from each instrument, a more comprehensive representation of the nurse work environment is obtained with improved predictive utility. The resulting combined set of scales is recommended for analyses of the nurse working environment and uses a combined set of scales from each of the two source instruments, namely: nurse participation in hospital affairs, recognition, nursing process, peer work standards, nursing competence, orientation, managers, resources, nurse-physician collaboration, and positive scheduling climate. Future research can then build on that strong set of items with a validated structure and predictive utility to inform management and interventions.
护士短缺在许多国家都是一个挑战，留住现有护士对于解决这些短缺至关重要。为了为可能的干预措施提供信息，管理者需要全面了解护士执业环境的性质。本文对两种主要的评估护士执业环境的工具的量表进行了检验。一项在线调查从 459 名澳大利亚护士那里获得了回应。分析确定了一组具有良好结构效度的项目组合，提高了对个体护士感兴趣的结果的预测效用。通过从每个工具中基本上合并最好的项目，可以获得对护士工作环境的更全面的描述，并提高预测效用。建议将所得的综合量表集用于分析护士的工作环境，并使用来自两个源工具的综合量表集，即：护士参与医院事务、认可、护理过程、同行工作标准、护理能力、定向、管理者、资源、护士与医生合作以及积极的排班氛围。未来的研究可以在此基础上进行，使用经过验证的结构和预测效用来为管理和干预措施提供信息。
