RN4CAST Study in Portugal: Validation of the Portuguese Version of the Practice Environment Scale of the Nursing Work Index

Authors

DOI:

https://doi.org/10.5294/aqui.2020.20.3.8

Keywords:

Nursing, PES-NWI, psychometric properties, validation, working environment, surveys, questionnaires.

Abstract

Estudio RN4CAST en Portugal: validación de la versión portuguesa de la escala del entorno de práctica del índice de trabajo de enfermería

Estudo RN4Cast em Portugal: validação da versão portuguesa da escala do ambiente de prática do índice de trabalho de enfermagem

Objective: This study aims to validate the Portuguese version of the Practice Environment Scale of the Nursing Work Index (PES-NWI) and assess construct validity through exploratory and confirmatory factor analyses.

Materials and Methods: This cross-sectional study validates the psychometric properties of the PES-NWI in Portugal. Exploratory factorial analysis is used to analyze the psychometric properties of the PES-NWI in a sample of 5,075 Portuguese nurses; the data sample covers all geographic regions in the country. Confirmatory factor analysis is performed to confirm the model’s data adequacy.

Results: Factorial analysis explained 54.6 % of the variance and a five-dimension structure. The five factors identified were Nurse Participation in Hospital Affairs, Nurse Manager Ability, Leadership and Support of Nurses, Nursing Foundations for Quality of Care, Staffing and Resource Adequacy, and Nurse-Physician Relations. The confirmatory analysis showed that the five-factor model fit well with the data in the Portuguese context.

Conclusion: In a Portuguese health context, the PES-NWI is a valid scale to access the nursing environment and improve working conditions.

Para citar este artículo / To reference this article / Para citar este artigo

Almeida S, Nascimento A, Lucas PB, Jesus E, Araújo B. RN4CAST Study in Portugal: Validation of the Portuguese Version of the Practice Environment Scale of the Nursing Work Index. Aquichan. 2020;20(3):e2038. DOI: https://doi.org/10.5294/aqui.2020.20.3.8

Recibido: 10/01/2020

Aceptado: 14/07/2020

Publicado: 07/09/2020

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References

Lake ET. Development of the practice environment scale of the nursing work index. Res Nurs Health. 2002;25(3):176–188. DOI: https://doi.org/10.1002/nur.10032

Lake ET. The nursing practice environment: Measurement and evidence. Med Care Res Rev. [Internet]. 2007 [cited 2019 Dec 12];64(2 Suppl). DOI: https://doi.org/10.1177/1077558707299253

Jesus E, Roque, S, Amaral A. Estudo RN4CAST em Portugal: ambientes de prática de enfermagem. Rev Investig Enferm. 2015;13:26–44. Available from: http://hdl.handle.net/10400.14/19776

Amaral A, Ferreira PL, Lake ET. Validation of the Practice Environment Scale of the Nursing Work Index (PES-NWI) for the Portuguese nurse population. Int J Caring Sci. 2012;5(3):280–288. Available from: https://internationaljournalofcaringsciences.org/docs/7.%20%20Original%20Paper.pdf

Marôco J. Structural Equation Analysis: Theoretical Foundations, Software & Applications. 2nd ed. Pinheiro P, editor; 2014.

Alzate LCC, Bayer GLA, Squires A. Validation of a Spanish Version of the Practice Environment Scale of the Nursing Work Index in the Colombian Context. Hisp Health Care Int. [Internet]. 2014 [cited 2019 Dec 12];12(1):34–42. DOI: https://doi.org/10.1891/1540-4153.12.1.34

Choi J, Boyle DK. Differences in nursing practice environment among US acute care unit types: A descriptive study. Int J Nurs Stud. 2014;51(11):1441–1449. DOI: https://doi.org/10.1016/j.ijnurstu.2014.03.001

Fuentelsaz-Gallego C, Moreno-Casbas M, González-María E. Validation of the Spanish version of the questionnaire Practice Environment Scale of the Nursing Work Index. Int J Nurs Stud. 2013;50(2):274–280. DOI: https://doi.org/10.1016/j.ijnurstu.2012.08.001

Gasparino RC, Guirardello E. Validation of the Practice Environment Scale to the Brazilian culture. J Nurs Manage. 2017;25(5):375–383. DOI: https://doi.org/10.1111/jonm.12475

Mainz H, Baernholdt M, Ramlau-Hansen CH, Brink O. Comparison of nurse practice environments in Denmark and the USA. Int Nurs Rev. 2015;62(4):479–488. DOI: https://doi.org/10.1111/inr.12208

Neves TMA, Parreira P, Graveto J, Rodrigues V, Marôco J. Practice environment scale of the nursing work index: Portuguese version and psychometric properties. J Nurs Manage. 2018;26(7):1–9. DOI: https://doi.org/10.1111/jonm.12606

Parker D, Tuckett A, Eley R, Hegney D. Construct validity and reliability of the Practice Environment Scale of the Nursing Work Index for Queensland nurses. Int J Nurs Pract. 2010;16(4):352–358. DOI: https://doi.org/10.1111/j.1440-172X.2010.01851.x

Kirwan M, Matthews A, Scott PA. The impact of the work environment of nurses on patient safety outcomes: A multi-level modeling approach. International Journal of Nursing Studies. [Internet]. 2013 [cited 2019 Dec 12];50(2):253–263. DOI: https://doi.org/10.1016/j.ijnurstu.2012.08.020

Gabriel AS, Erickson RJ, Moran CM, Diefendorff JM, Bromley GE. A multilevel analysis of the effects of the practice environment scale of the nursing work index on nurse outcomes. Research in Nursing and Health. 2013;36(6):567–581. DOI: https://doi.org/10.1002/nur.21562

Swiger P, Patrician P, Miltner R, Raju D, Sproat S, Loan L. The Practice Environment Scale of the Nursing Work Index: An updated review and recommendations for use. Int J Nurs Stud. 2017;74:76–84. DOI: https://doi.org/10.1016/j.ijnurstu.2017.06.003

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Published

2020-09-07

How to Cite

Almeida, S., Nascimento, A., Lucas, P. B., Jesus, Élvio, & Araújo, B. (2020). RN4CAST Study in Portugal: Validation of the Portuguese Version of the Practice Environment Scale of the Nursing Work Index. Aquichan, 20(3), e2038. https://doi.org/10.5294/aqui.2020.20.3.8

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