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Validation of the Psychometric Properties of the Practice Environment Scale of Nursing Work Index in Primary Health Care in Portugal

Author

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  • Pedro Lucas

    (Center for Interdisciplinary Research in Health, Instituto Ciências da Saúde, Universidade Católica Portuguesa, Rua de Diogo Botelho, 1327, 4169-005 Porto, Portugal
    Nursing Research, Innovation and Development Center of Lisbon, Nursing School of Lisbon, 1600-190 Lisbon, Portugal)

  • Elvio Jesus

    (Center for Interdisciplinary Research in Health, Instituto Ciências da Saúde, Universidade Católica Portuguesa, Rua de Diogo Botelho, 1327, 4169-005 Porto, Portugal)

  • Sofia Almeida

    (Center for Interdisciplinary Research in Health, Instituto Ciências da Saúde, Universidade Católica Portuguesa, Rua de Diogo Botelho, 1327, 4169-005 Porto, Portugal)

  • Beatriz Araújo

    (Center for Interdisciplinary Research in Health, Instituto Ciências da Saúde, Universidade Católica Portuguesa, Rua de Diogo Botelho, 1327, 4169-005 Porto, Portugal)

Abstract

Studies related to the work environment in primary health care are scarce in the literature. The present study aimed to validate the psychometric properties of the Practice Environment Scale of Nursing Work Index (PES-NWI) in primary health care (PHC) and to evaluate its construct validity through exploratory and confirmatory factor analyses in a sample of Portuguese nurses. A quantitative, cross-sectional, and validation study design was implemented. Methods: The sample consisted of 1059 nurses from the PHC units of all 55 health center groups (HCGs) in mainland Portugal, 15 health centers in the Autonomous Region of Madeira, and 6 health centers in the Autonomous Region of the Azores. The study tested different structural models using exploratory and confirmatory factor analysis techniques. The reliability of the scale was tested by determining Cronbach’s alpha coefficient. Results: The internal consistency of the PES-NWI was 0.91. Exploratory and confirmatory factor analyses were performed on the PES-NWI model in PHC with five factors: NPOA, NFQC, NMALSN, SRA, and CNPR. The results show that the scale presents acceptable fit quality indexes in the final factorial solution and adequate convergent validity. Conclusion: The PES-NWI in PHC has an adequate, robust, and reliable five-factor structure. The scale is valid and can be used in clinical practice, nursing management, and PHC research.

Suggested Citation

  • Pedro Lucas & Elvio Jesus & Sofia Almeida & Beatriz Araújo, 2021. "Validation of the Psychometric Properties of the Practice Environment Scale of Nursing Work Index in Primary Health Care in Portugal," IJERPH, MDPI, vol. 18(12), pages 1-11, June.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:12:p:6422-:d:574527
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    References listed on IDEAS

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    1. Ying Wang & Weizhen Dong & Kristen Mauk & Peiying Li & Jin Wan & Guang Yang & Lyuying Fang & Wan Huan & Chun Chen & Mo Hao, 2015. "Nurses’ Practice Environment and Their Job Satisfaction: A Study on Nurses Caring for Older Adults in Shanghai," PLOS ONE, Public Library of Science, vol. 10(9), pages 1-13, September.
    2. Eriko Anzai & Clint Douglas & Ann Bonner, 2014. "Nursing practice environment, quality of care, and morale of hospital nurses in Japan," Nursing & Health Sciences, John Wiley & Sons, vol. 16(2), pages 171-178, June.
    3. Leone, Claudia & Bruyneel, Luk & Anderson, Janet E. & Murrells, Trevor & Dussault, Gilles & Henriques de Jesus, Élvio & Sermeus, Walter & Aiken, Linda & Rafferty, Anne Marie, 2015. "Work environment issues and intention-to-leave in Portuguese nurses: A cross-sectional study," Health Policy, Elsevier, vol. 119(12), pages 1584-1592.
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    1. Sandesh Pantha & Martin Jones & Nompilo Moyo & Bijaya Pokhrel & Diana Kushemererwa & Richard Gray, 2024. "Association between the Quantity of Nurse–Doctor Interprofessional Collaboration and in-Patient Mortality: A Systematic Review," IJERPH, MDPI, vol. 21(4), pages 1-13, April.
    2. Eliana Sousa & Chiou-Fen Lin & Filomena Gaspar & Pedro Lucas, 2022. "Translation and Validation of the Indicators of Quality Nursing Work Environments in the Portuguese Cultural Context," IJERPH, MDPI, vol. 19(19), pages 1-9, September.
    3. John Rodwell & Thomas Hendry & Dianne Johnson, 2023. "Analyzing and Validating a Structure for Measuring the Nurse Practice Environment," IJERPH, MDPI, vol. 20(7), pages 1-18, March.
    4. Marlene Carvalho & Filomena Gaspar & Teresa Potra & Pedro Lucas, 2022. "Translation, Adaptation, and Validation of the Self-Efficacy Scale for Clinical Nurse Leaders for the Portuguese Culture," IJERPH, MDPI, vol. 19(14), pages 1-12, July.
    5. Gisela Teixeira & Pedro Lucas & Filomena Gaspar, 2022. "International Portuguese Nurse Leaders’ Insights for Multicultural Nursing," IJERPH, MDPI, vol. 19(19), pages 1-14, September.
    6. Sara Anunciada & Patrícia Benito & Filomena Gaspar & Pedro Lucas, 2022. "Validation of Psychometric Properties of the Nursing Work Index—Revised Scale in Portugal," IJERPH, MDPI, vol. 19(9), pages 1-10, April.

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