Development of Korea version of the Practice Environment Scale for Advanced Practice Registered Nurses

Abstract

Purpose: To develop a Korean version of the practice environment scale that can verify the practice environment of advanced practice registered nurses (APRN) by verifying the validity and reliability of the Nurse practitioner's primary care organizational climate questionnaire developed by Poghosyan et al. Methods: After translation using a committee approach and an expert group's verification of the content validity, items were classified as 'professional visibility', 'APRN-administration relations', 'APRN-physician relations', 'independent practice and support' A total of 29 questionnaire items were developed for the four factors. Data were collected from 200 advanced practice registered nurses working at two advanced general hospitals and six general hospitals. Results: In the confirmatory factor analysis, CFI, TLI, and RMSR evaluation indices were appropriate except for RMSEA. Partial validity was shown in convergent validity, and discriminant validity. Exploratory factor analysis revealed that the questions were well organized with four factors. Cronbach's ⍺ of the whole instrument was .93. Conclusion: As a first attempt to measure the practice environment of the APRN in Korea, the results show that this questionnaire provides basic data for correct role setting and improvement of practice environment. This research will ultimately serve as a basis for cost-effective quality care.

Development and validation of a healthy work environment quality instrument

“…One study used the Korean version of the Practice Environment Scale of the Nursing Work Index (PES-NWI), which was developed for international nurses [15]. There were also instrument that was developed and measured in the Korean cultural context [16] In other studies, instruments have been developed and used to identify the working environment of nurses in specialized areas, such as clinical nurses and intensive care unit nurses, or to identify the organizational culture of nursing [17][18][19] Most nursing work environment measurement instruments focus on the healthcare organization's systems, organizational culture, leadership of nursing managers, and adequacy of sta ng [17][18][19][20]. Most of these instruments were developed for nurse managers, experienced nurses, and nurses in specialty units, and none considered the work environment of shift nurses or examined the clinical adjustment of new nurses.…”