The Psychometric Properties and the Development of the Indicators of Quality Nursing Work Environments in Taiwan

Chiou-Fen Lin; Meei-Shiow Lu; Hsiu-Ying Huang

doi:10.1097/jnr.0000000000000106

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The Psychometric Properties and the Development of the Indicators of Quality Nursing Work Environments in Taiwan

台湾优质护理职场环境指标之建构

林秋芬(Chiou-Fen Lin) ；卢美秀(Meei-Shiow Lu) ；黄秀英(Hsiu-Ying Huang)

The Journal of Nursing Research ； 24 卷 1 期 (2016 / 03 / 01) ， P9 - 20

英文 DOI： 10.1097/jnr.0000000000000106

护理职场环境；主成份分析；指标；护理人力短缺； nursing work environments ； indicator ； principal component analysis ； nursing shortage

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摘要 │ 参考文献 (41) │ 被引用文献 (4) │ 国际计量

摘要〈TOP〉

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Background: The nursing shortage in medical institutions in Taiwan averaged 9% in 2012, considerably higher than the 5% indicated in the literature. As a result, many hospitals have been forced to close wards or reduce beds. Despite the acute need, the percentage of registered nurses who are employed as nurses in Taiwan (60.4%) is considerably lower than those in Canada or the United States. This low rate may be because of the poor working environment for nurses in Taiwan. Purpose: This study aimed to develop a set of nursing work environment quality indicators for Taiwan and to test the reliability and validity of the resulting survey tool. Methods: Multiple methods were used in this study. In Phase 1, we organized an expert panel, reviewed the literature, and conducted seven rounds of expert panel discussion and six focus group discussions with nursing directors. The goal was to draft indicators representing a quality nursing work environment to fit current conditions in Taiwan. In Phase 2,we conducted an expert review for content validity, held three public hearings, and conducted a survey. Four hundred twenty-seven questionnaires were sent out, with 381 returned. The goal was to test the content validity, construct validity, and internal consistency reliability. Results: The study produced a set of indicators of a quality nursing work environment with eight dimensions and 65 items. The content validity index for importance and suitability dimensions were 1.0,whereas the internal consistency was 0.91. The eight dimensions were safe practice environment (16 items), quality and quantity of staff (four items), salary and welfare (seven items), professional specialization and teamwork (seven items), work simplification (five items), informatics (five items), career development (nine items), and support and caring (12 items). The overall load for the indicators was 77.57%. Conclusions/Implications for Practice: The developed indicators may be used to evaluate the quality of nursing work environments. Furthermore, the indicators may be used in hospital surveys to establish baseline conditions and for outcome research that measures improvement in nursing work environments after interventions.

参考文献 ( 41 ) 〈TOP〉

Chang, H. L.,Lu, M. S.,Lin, C. F.(2010).Factors related to new nursing staff turnover rates.The Journal of Health Sciences,12(3),161-172.
连结：
Lin, C. F.,Huang, H. Y.,Lu, M. S.(2013).The development of nursing workforce allocation standards for acute care general wards in Taiwan.The Journal of Nursing Research,21(4),298-306.
连结：
TheNationalUnion of Nurses' Association. (2013). Nursing manpower statistics. Retrieved from http://www.nurse.org.tw/DataSearch/Manpower.aspx (Original work published in Chinese)
Canadian Federation of Nurses Unions. (2012). The nursing workforce. Canadian federation of nurses unions backgrounder. Retrieved from http://www.nursesunions.ca/sites/default/files/2012.backgrounder.nursing_workforce.e_0.pdf
Taiwan Department of Health. (2012). A survey and analysis of nursing graduates not currently working in the nursing profession ("Outsourced scientific and technological research projects, "explanation of requirements, p. 29). Taipei City, Taiwan, ROC: Department of Health, Executive Yuan

被引用文献 ( 4 ) 〈TOP〉

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