Instruments for assessing professional nursing practice environments: An integrative review

Ribeiro, Olga Maria Pimenta Lopes; Vicente, Córalia; Martins, Manuela; Vandresen, Lara; Ventura-Silva, João Miguel Almeida

doi:10.1590/1983-1447.2020.20190381

Cited by 7 publications

(14 citation statements)

References 58 publications

(142 reference statements)

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“…In the subscale Structure, factorability of the correlation matrix was very good and the factor analysis using principal components with Kaiser rule pointed to a 6‐factor solution, explaining 62.6% of total variance. The resulting factor structure corresponded appropriately to the theoretical component (Ribeiro, Vicente, Martins, Vandresen, et al., 2020; Wei et al., 2018) consisting of the factors ‘people management and service leadership’, ‘Physical environment and conditions for service running’, ‘nurses’ participation and involvement in policies, strategies and running the institution’, ‘institutional policy for professional qualification’, ‘organization and guidance of nursing practice’ and ‘quality and safety of nursing care’.…”

Section: Discussionmentioning

confidence: 59%

“…In a review study, 10 instruments were identified to assess the environments of professional nursing practice: Revised Nursing Work Index (NWI‐R); Practice Environment Scale of the Nursing Work Index (PES‐NWI); Nursing Practice Environment Scale—Chinese Version (C‐NPES); Professional Practice Environment (PPE); Revised Professional Practice Environment (RPPE); Essentials of Magnetism II (EOMII); Professional Practice Work Environment Inventory (PP‐WEI); Korean General Unit—Nursing Work Index (KGU‐NWI); Healthy Work Environment (HWE) and Brisbane Practice Environment Measure (B‐PEM) (Ribeiro, Vicente, Martins, Vandresen, et al., 2020). Most of these instruments were developed based on the Nursing Work Index, with a focus on the structural component of practice environments.…”

Section: Introductionmentioning

confidence: 99%

“…Most of these instruments were developed based on the Nursing Work Index, with a focus on the structural component of practice environments. The PES‐NWI and the NWI‐R are the most frequently used (Almeida et al., 2020; Ribeiro, Vicente, Martins, Vandresen, et al., 2020; Zangaro & Jones, 2019). Although these two instruments have different dimensions and items, both allow to assess nurses' perception of the presence of a set of organisational characteristics, being essentially focused on structural conditions.…”

Section: Introductionmentioning

confidence: 99%

“…EOMII is focused on the evaluation of the process component (De Brouwer et al., 2017). The review shows that no instrument was found to assess the complexity of the practice environments in the result component (Ribeiro, Vicente, Martins, Vandresen, et al., 2020).…”

Section: Introductionmentioning

confidence: 99%

“…Although the validation of instruments in different cultures contributes to improving their suitability to contexts (Ribeiro, Vicente, Martins, Vandresen, et al., 2020), the truth is that professional practice environments have unique characteristics that differ between countries (Brouwer et al., 2014). In addition, although there are several factors that influence the quality of care, the studies developed have focused on the attributes that can be evaluated with the most used instruments (Ribeiro, Vicente, Martins, Vandresen, et al., 2020). Given that the most used instruments mostly consider the structure component, when assessing the environments of professional practice, the process and outcome components have been considered very superficially.…”

Section: Introductionmentioning

confidence: 99%

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Scale for the Environment Evaluation of Professional Nursing Practice: Construct validation

et al. 2021

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Aim Testing the validity and reliability of the Scale for the Environments Evaluation of Professional Nursing Practice (SEE‐Nursing Practice). Background The environment of professional nursing practice is key to achieve better results for clients, nurses and institutions. Therefore, instruments enabling the assessment of all its attributes are required. Method Cross‐sectional methodological study. The SEE‐Nursing Practice, based on a previous qualitative study and literature review, was applied as a questionnaire. Exploratory and confirmatory factor analyses were used to assess construct validity. Results A total of 752 nurses participated in the study. Exploratory factor analysis of the SEE‐Nursing Practice led to a factor solution with 93 items and three subscales. The Structure, Process and Outcome subscales, respectively, have 43, 37 and 13 items, loaded in 6 factors, 6 factors and 2 factors and explaining 62.6%, 59.2% and 67.4% of the total variance. Cronbach's alpha of the overall scale and of the 3 subscales was greater than 0.90. Confirmatory factor analysis showed a good fit. Conclusion SEE‐Nursing Practice is a good valid and reliable instrument. Implications for nursing management The SEE‐Nursing Practice enables assessing practice environments and is a tool for nursing managers in the definition of strategies ensuring favourable environments for nursing care quality.

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Section: Discussionmentioning

confidence: 59%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Scale for the Environment Evaluation of Professional Nursing Practice: Construct validation

et al. 2021

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Mattering perception, work engagement and its relation to burnout amongst nurses during coronavirus outbreak

et al. 2021

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Coronavirus is a communicable disease that originates from a large family of viruses that causes the diseases. It is also complicated by the fact that patients may have irregular symptoms. This means COVID-19 exhibits clinical presentations ranging from asymptomatic to acute respiratory distress syndrome and multiple-organ failure that leading to death. In addition, COVID-19 also is transmitted from person to person through respiratory droplets (World Health Organization, 2020).It is problematic to imagine a scenario, where healthcare worker perceive their work as unimportant to hospitals but are still motivated, satisfied and increase the value of their jobs and hospitals.Therefore, the importance of their activities in the workplace is a major concern for nurses, directors and leadership/head nurses (Poku et al., 2020;Ribeiro et al., 2020). Nurses are employees who are directly affected by the novel coronavirus (Kang et al., 2020). This has affected the psychological abilities of nurses, especially staff working in coronavirus treatment.The work of nurses includes some specific requirements that make this group particularly vulnerable to emissions, distort perceptions and affect participation in the work. The current situation is much more dangerous, for example in a pandemic situation initiated by COVID-19 where work demands are very widespread. The fierce tragedy of the current epidemic, the risk of openness of infectious diseases, the expansion of immediate challenges, the lack of personal defences and other clinical supplies, the lack of testing, the limited choice of treatment, the concerns about pollution and to friends and family. Really focussed, honest, moral and complete assets are included in the designated selection (Pfefferbaum & North, 2020).

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Environments of professional nursing practice in the context of the COVID-19 pandemic

Ribeiro

Trindade

Sousa

et al. 2022

Porto Biomedical Journal

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Background: Although COVID-19 attracted attention to the environments of professional nursing practice, triggering a series of responses to address some of the most pressing problems, it is important to identify the size and scope of other weaknesses that have emerged. Methods: In an observational and cross-sectional study, using the Scale for the Evaluation of the Environment of Professional Nursing Practice, 752 nurses from a Portuguese university hospital, provided socio-demographic and professional data about the components structure, process and outcome of their professional nursing environment. Data collection took place from June 1–30, 2020, immediately after the first critical period of the COVID-19 pandemic in Portugal. Results: In the analysed environment of professional nursing practice, Process factors were favourable to the quality of care, while the Structure and Outcome factors had a moderately favourable effect. Structure factors related to work contexts ( P < .001) and nursing functions in patient care areas with COVID-19 ( P = .001). Process factors related significantly to work contexts ( P < .001). A significant association was found between Outcome factors and work contexts ( P < .001) and nursing functions in patient care areas with COVID-19 ( P = .005). Conclusion: The environments of professional nursing practice in the hospital under study are moderately favourable to the quality of care. However, the need to invest in nurses’ participation, involvement and professional qualification is clear. Maintenance of a sustainable nursing workforce requires attention to be given to ensuring that practice environments are conducive to the quality of care and geared to promoting professional involvement and job satisfaction among nurses.

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Instruments for assessing professional nursing practice environments: An integrative review

Cited by 7 publications

References 58 publications

Scale for the Environment Evaluation of Professional Nursing Practice: Construct validation

Scale for the Environment Evaluation of Professional Nursing Practice: Construct validation

Mattering perception, work engagement and its relation to burnout amongst nurses during coronavirus outbreak

Environments of professional nursing practice in the context of the COVID-19 pandemic

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