Practice environments and their associations with nurse-reported outcomes in Belgian hospitals: development and preliminary validation of a Dutch adaptation of the Revised Nursing Work Index.
Identifieur interne : 001955 ( Main/Exploration ); précédent : 001954; suivant : 001956Practice environments and their associations with nurse-reported outcomes in Belgian hospitals: development and preliminary validation of a Dutch adaptation of the Revised Nursing Work Index.
Auteurs : Peter Van Bogaert [Belgique] ; Sean Clarke ; Karel Vermeyen ; Herman Meulemans ; Paul Van De HeyningSource :
- International journal of nursing studies [ 1873-491X ] ; 2009.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Analyse de variance (MeSH), Analyse statistique factorielle (MeSH), Attitude du personnel soignant (ethnologie), Belgique (MeSH), Enquêtes et questionnaires (normes), Environnement d'établissement de santé (organisation et administration), Femelle (MeSH), Humains (MeSH), Lieu de travail (organisation et administration), Lieu de travail (psychologie), Modèles linéaires (MeSH), Modèles logistiques (MeSH), Mâle (MeSH), Personnel infirmier hospitalier (organisation et administration), Personnel infirmier hospitalier (psychologie), Projets pilotes (MeSH), Psychométrie (MeSH), Recherche en administration des services infirmiers (MeSH), Recherche en évaluation des soins infirmiers (MeSH), Relations interprofessionnelles (MeSH), Satisfaction professionnelle (MeSH), Traductions (MeSH), Épuisement professionnel (psychologie), Épuisement professionnel (étiologie).
- MESH :
- ethnologie : Attitude du personnel soignant.
- normes : Enquêtes et questionnaires.
- organisation et administration : Environnement d'établissement de santé, Lieu de travail, Personnel infirmier hospitalier.
- psychologie : Lieu de travail, Personnel infirmier hospitalier, Épuisement professionnel.
- étiologie : Épuisement professionnel.
- Adulte, Adulte d'âge moyen, Analyse de variance, Analyse statistique factorielle, Belgique, Femelle, Humains, Modèles linéaires, Modèles logistiques, Mâle, Projets pilotes, Psychométrie, Recherche en administration des services infirmiers, Recherche en évaluation des soins infirmiers, Relations interprofessionnelles, Satisfaction professionnelle, Traductions.
- Wicri :
- geographic : Belgique.
English descriptors
- KwdEn :
- Adult (MeSH), Analysis of Variance (MeSH), Attitude of Health Personnel (ethnology), Belgium (MeSH), Burnout, Professional (etiology), Burnout, Professional (psychology), Factor Analysis, Statistical (MeSH), Female (MeSH), Health Facility Environment (organization & administration), Humans (MeSH), Interprofessional Relations (MeSH), Job Satisfaction (MeSH), Linear Models (MeSH), Logistic Models (MeSH), Male (MeSH), Middle Aged (MeSH), Nursing Administration Research (MeSH), Nursing Evaluation Research (MeSH), Nursing Staff, Hospital (organization & administration), Nursing Staff, Hospital (psychology), Outcome Assessment, Health Care (MeSH), Pilot Projects (MeSH), Psychometrics (MeSH), Surveys and Questionnaires (standards), Translations (MeSH), Workplace (organization & administration), Workplace (psychology).
- MESH :
- geographic : Belgium.
- ethnology : Attitude of Health Personnel.
- etiology : Burnout, Professional.
- organization & administration : Health Facility Environment, Nursing Staff, Hospital, Workplace.
- psychology : Burnout, Professional, Nursing Staff, Hospital, Workplace.
- standards : Surveys and Questionnaires.
- Adult, Analysis of Variance, Factor Analysis, Statistical, Female, Humans, Interprofessional Relations, Job Satisfaction, Linear Models, Logistic Models, Male, Middle Aged, Nursing Administration Research, Nursing Evaluation Research, Outcome Assessment, Health Care, Pilot Projects, Psychometrics, Translations.
Abstract
AIM
To study the relationship between nurse work environment, job outcomes and nurse-assessed quality of care in the Belgian context.
BACKGROUND
Work environment characteristics are important for attracting and retaining professional nurses in hospitals. The Revised Nursing Work Index (NWI-R) was originally designed to describe the professional nurse work environment in U.S. Magnet Hospitals and subsequently has been extensively used in research internationally.
METHOD
The NWI-R was translated into Dutch to measure the nurse work environment in 155 nurses across 13 units in three Belgian hospitals. Factor analysis was used to identify a set of coherent subscales. The relationship between work environments and job outcomes and nurse-assessed quality of care was investigated using logistic and linear regression analyses.
RESULTS
Three reliable, consistent and meaningful subscales of the NWI-R were identified: nurse-physician relations, nurse management at the unit level and hospital management and organizational support. All three subscales had significant associations with several outcome variables. Nurse-physician relations had a significant positive association with nurse job satisfaction, intention to stay the hospital, the nurse-assessed unit level quality of care and personal accomplishment. Nurse management at the unit level had a significant positive association with the nurse job satisfaction, nurse-assessed quality of care on the unit and in the hospital, and personal accomplishment. Hospital management and organizational support had a significant positive association with the nurse-assessed quality of care in the hospital and personal accomplishment. Higher ratings of nurse-physician relations and nurse management at the unit level had significant negative associations with both the Maslach Burnout Inventory emotional exhaustion and depersonalization dimensions, whereas hospital management and organizational support was inversely associated only with depersonalization scores.
CONCLUSION
A Dutch version of the NWI-R questionnaire produced comparable subscales to those found by many other researchers internationally. The resulting measures of the professional practice environment in Belgian hospitals showed expected relationships with nurse self-reports of job outcomes and perceptions of hospital quality.
DOI: 10.1016/j.ijnurstu.2008.07.009
PubMed: 18789437
PubMed Central: PMC2845973
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Karel" sort="Vermeyen, Karel" uniqKey="Vermeyen K" first="Karel" last="Vermeyen">Karel Vermeyen</name></author><author><name sortKey="Meulemans, Herman" sort="Meulemans, Herman" uniqKey="Meulemans H" first="Herman" last="Meulemans">Herman Meulemans</name></author><author><name sortKey="Van De Heyning, Paul" sort="Van De Heyning, Paul" uniqKey="Van De Heyning P" first="Paul" last="Van De Heyning">Paul Van De Heyning</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2009">2009</date><idno type="RBID">pubmed:18789437</idno><idno type="pmid">18789437</idno><idno type="doi">10.1016/j.ijnurstu.2008.07.009</idno><idno type="pmc">PMC2845973</idno><idno type="wicri:Area/Main/Corpus">001A18</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">001A18</idno><idno type="wicri:Area/Main/Curation">001A18</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">001A18</idno><idno 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xml:lang="fr"><term>Belgique</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>AIM</b></p><p>To study the relationship between nurse work environment, job outcomes and nurse-assessed quality of care in the Belgian context.</p></div><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Work environment characteristics are important for attracting and retaining professional nurses in hospitals. The Revised Nursing Work Index (NWI-R) was originally designed to describe the professional nurse work environment in U.S. Magnet Hospitals and subsequently has been extensively used in research internationally.</p></div><div type="abstract" xml:lang="en"><p><b>METHOD</b></p><p>The NWI-R was translated into Dutch to measure the nurse work environment in 155 nurses across 13 units in three Belgian hospitals. Factor analysis was used to identify a set of coherent subscales. The relationship between work environments and job outcomes and nurse-assessed quality of care was investigated using logistic and linear regression analyses.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Three reliable, consistent and meaningful subscales of the NWI-R were identified: nurse-physician relations, nurse management at the unit level and hospital management and organizational support. All three subscales had significant associations with several outcome variables. Nurse-physician relations had a significant positive association with nurse job satisfaction, intention to stay the hospital, the nurse-assessed unit level quality of care and personal accomplishment. Nurse management at the unit level had a significant positive association with the nurse job satisfaction, nurse-assessed quality of care on the unit and in the hospital, and personal accomplishment. Hospital management and organizational support had a significant positive association with the nurse-assessed quality of care in the hospital and personal accomplishment. Higher ratings of nurse-physician relations and nurse management at the unit level had significant negative associations with both the Maslach Burnout Inventory emotional exhaustion and depersonalization dimensions, whereas hospital management and organizational support was inversely associated only with depersonalization scores.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>A Dutch version of the NWI-R questionnaire produced comparable subscales to those found by many other researchers internationally. The resulting measures of the professional practice environment in Belgian hospitals showed expected relationships with nurse self-reports of job outcomes and perceptions of hospital quality.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">18789437</PMID><DateCompleted><Year>2009</Year><Month>08</Month><Day>03</Day></DateCompleted><DateRevised><Year>2019</Year><Month>12</Month><Day>10</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1873-491X</ISSN><JournalIssue CitedMedium="Internet"><Volume>46</Volume><Issue>1</Issue><PubDate><Year>2009</Year><Month>Jan</Month></PubDate></JournalIssue><Title>International journal of nursing studies</Title><ISOAbbreviation>Int J Nurs Stud</ISOAbbreviation></Journal><ArticleTitle>Practice environments and their associations with nurse-reported outcomes in Belgian hospitals: development and preliminary validation of a Dutch adaptation of the Revised Nursing Work Index.</ArticleTitle><Pagination><MedlinePgn>54-64</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.ijnurstu.2008.07.009</ELocationID><Abstract><AbstractText Label="AIM" NlmCategory="OBJECTIVE">To study the relationship between nurse work environment, job outcomes and nurse-assessed quality of care in the Belgian context.</AbstractText><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Work environment characteristics are important for attracting and retaining professional nurses in hospitals. The Revised Nursing Work Index (NWI-R) was originally designed to describe the professional nurse work environment in U.S. Magnet Hospitals and subsequently has been extensively used in research internationally.</AbstractText><AbstractText Label="METHOD" NlmCategory="METHODS">The NWI-R was translated into Dutch to measure the nurse work environment in 155 nurses across 13 units in three Belgian hospitals. Factor analysis was used to identify a set of coherent subscales. The relationship between work environments and job outcomes and nurse-assessed quality of care was investigated using logistic and linear regression analyses.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Three reliable, consistent and meaningful subscales of the NWI-R were identified: nurse-physician relations, nurse management at the unit level and hospital management and organizational support. All three subscales had significant associations with several outcome variables. Nurse-physician relations had a significant positive association with nurse job satisfaction, intention to stay the hospital, the nurse-assessed unit level quality of care and personal accomplishment. Nurse management at the unit level had a significant positive association with the nurse job satisfaction, nurse-assessed quality of care on the unit and in the hospital, and personal accomplishment. Hospital management and organizational support had a significant positive association with the nurse-assessed quality of care in the hospital and personal accomplishment. Higher ratings of nurse-physician relations and nurse management at the unit level had significant negative associations with both the Maslach Burnout Inventory emotional exhaustion and depersonalization dimensions, whereas hospital management and organizational support was inversely associated only with depersonalization scores.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">A Dutch version of the NWI-R questionnaire produced comparable subscales to those found by many other researchers internationally. The resulting measures of the professional practice environment in Belgian hospitals showed expected relationships with nurse self-reports of job outcomes and perceptions of hospital quality.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Van Bogaert</LastName><ForeName>Peter</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Department of Nursing, University Hospital Antwerp, Operating Room, Wilrijkstraat 10, B-2650 Edegem, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Clarke</LastName><ForeName>Sean</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Vermeyen</LastName><ForeName>Karel</ForeName><Initials>K</Initials></Author><Author ValidYN="Y"><LastName>Meulemans</LastName><ForeName>Herman</ForeName><Initials>H</Initials></Author><Author ValidYN="Y"><LastName>Van de Heyning</LastName><ForeName>Paul</ForeName><Initials>P</Initials></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>P30 NR005043-07</GrantID><Acronym>NR</Acronym><Agency>NINR NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>P30 NR005043-08</GrantID><Acronym>NR</Acronym><Agency>NINR NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>P30 NR005043-069003</GrantID><Acronym>NR</Acronym><Agency>NINR NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>P30 NR005043-05</GrantID><Acronym>NR</Acronym><Agency>NINR NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>P30 NR005043-06</GrantID><Acronym>NR</Acronym><Agency>NINR NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>P30 NR005043</GrantID><Acronym>NR</Acronym><Agency>NINR NIH HHS</Agency><Country>United States</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D023361">Validation Study</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2008</Year><Month>09</Month><Day>11</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Int J Nurs Stud</MedlineTA><NlmUniqueID>0400675</NlmUniqueID><ISSNLinking>0020-7489</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CitationSubset>N</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000704" MajorTopicYN="N">Analysis of Variance</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001291" MajorTopicYN="Y">Attitude of Health Personnel</DescriptorName><QualifierName UI="Q000208" MajorTopicYN="N">ethnology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D001530" MajorTopicYN="N" Type="Geographic">Belgium</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002055" MajorTopicYN="N">Burnout, Professional</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005163" MajorTopicYN="N">Factor Analysis, Statistical</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006272" MajorTopicYN="N">Health Facility Environment</DescriptorName><QualifierName UI="Q000458" MajorTopicYN="Y">organization & administration</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007400" MajorTopicYN="N">Interprofessional Relations</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007588" MajorTopicYN="Y">Job Satisfaction</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016014" MajorTopicYN="N">Linear Models</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016015" MajorTopicYN="N">Logistic Models</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015401" MajorTopicYN="N">Nursing Administration Research</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015403" MajorTopicYN="N">Nursing Evaluation Research</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009741" MajorTopicYN="Y">Nursing Staff, Hospital</DescriptorName><QualifierName UI="Q000458" MajorTopicYN="N">organization & administration</QualifierName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D017063" MajorTopicYN="N">Outcome Assessment, Health Care</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010865" MajorTopicYN="N">Pilot Projects</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011594" MajorTopicYN="N">Psychometrics</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName><QualifierName UI="Q000592" MajorTopicYN="N">standards</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014177" MajorTopicYN="N">Translations</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017132" MajorTopicYN="Y">Workplace</DescriptorName><QualifierName UI="Q000458" MajorTopicYN="N">organization & administration</QualifierName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2008</Year><Month>02</Month><Day>25</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2008</Year><Month>07</Month><Day>24</Day></PubMedPubDate><PubMedPubDate 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Paul" uniqKey="Van De Heyning P" first="Paul" last="Van De Heyning">Paul Van De Heyning</name><name sortKey="Vermeyen, Karel" sort="Vermeyen, Karel" uniqKey="Vermeyen K" first="Karel" last="Vermeyen">Karel Vermeyen</name></noCountry><country name="Belgique"><noRegion><name sortKey="Van Bogaert, Peter" sort="Van Bogaert, Peter" uniqKey="Van Bogaert P" first="Peter" last="Van Bogaert">Peter Van Bogaert</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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