Wang Xiyi, Shao Jing, Lian Jiaqi, Weng Aozhou, Chang Jianhong, Ji Mengting, Wang Caifeng, Fang Qiong, Ye Zhihong, Hu Yun
School of Nursing, Shanghai Jiao Tong University, Shanghai 200025, China.
Institute of Nursing Research and Department of Nursing of Fourth Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310058, China.
J Nurs Manag. 2024 Mar 5;2024:9910079. doi: 10.1155/2024/9910079. eCollection 2024.
To develop a scale for measuring nurse's perceived work environment during the public health emergencies (PHEs) and assess its reliability and validity.
Although there is extensive research on instruments for measuring nursing work environments in regular healthcare settings, there is a lack of specific scales tailored to address the unique work conditions experienced by nurses during PHEs.
This study employed a cross-sectional design for psychometric evaluation and adhered to the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement.
A self-report scale, the Chinese Nursing Work Environment Scale for Public Health Emergencies (C-NWE-PHE), was developed, integrating situational characteristics. Data on demographics, adapted scale scores, and subjective evaluations of nursing management performance were collected from 1156 nurses through online surveys conducted between January 2023 and March 2023. Confirmatory factor analysis, Pearson correlations, and Cronbach's alpha analyses were conducted to evaluate the psychometric properties of the scale.
The adapted C-NWE-PHE scale comprised 28 items organized into five subscales: Workforce and Deployment Support, Leadership and Emergency Management, Autonomy and Empowerment, Teamwork and Collaboration, and Logistics and Humanistic Care. Structural equation modelling showed satisfactory factor loadings for each subscale and a good model fit, confirming construct validity. The content validity and reliability of the total scale were confirmed.
This study provides empirical evidence for understanding and assessing the nursing work environment during PHEs with a psychometrically sound scale. . The C-NWE-PHE scale, along with its five identified constructs, provides a nuanced comprehension of working conditions amid PHEs. Implementing this scale could foster specific enhancements, support nurse retention efforts, and enhance the effectiveness of responses during challenging emergency situations.
开发一种用于测量护士在突发公共卫生事件（PHEs）期间感知工作环境的量表，并评估其信效度。
尽管在常规医疗环境中测量护理工作环境的工具已有广泛研究，但缺乏专门针对护士在突发公共卫生事件期间所经历的独特工作条件的量表。
本研究采用横断面设计进行心理测量学评估，并遵循流行病学观察性研究报告强化（STROBE）声明。
开发了一种自陈式量表，即中国突发公共卫生事件护理工作环境量表（C-NWE-PHE），整合了情境特征。通过2023年1月至2023年3月期间进行的在线调查，从1156名护士中收集了人口统计学数据、改编后的量表得分以及对护理管理绩效的主观评价。进行验证性因素分析、Pearson相关性分析和Cronbach's alpha分析以评估该量表的心理测量学特性。
改编后的C-NWE-PHE量表包含28个项目，分为五个子量表：劳动力与调配支持、领导与应急管理、自主性与赋权、团队合作与协作以及后勤与人文关怀。结构方程模型显示每个子量表的因素负荷令人满意，模型拟合良好，证实了结构效度。总量表的内容效度和信度得到了证实。
本研究为使用心理测量学上可靠的量表理解和评估突发公共卫生事件期间的护理工作环境提供了实证依据。C-NWE-PHE量表及其确定的五个结构，提供了对突发公共卫生事件期间工作条件的细致理解。实施该量表可以促进具体的改进，支持护士留用工作，并提高在具有挑战性的紧急情况下的应对效果。
