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

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)9-20
Number of pages12
JournalThe journal of nursing research : JNR
Volume24
Issue number1
DOIs
Publication statusPublished - Mar 1 2016

Fingerprint

Taiwan
Psychometrics
Nursing
Nurses
Work Simplification
Outcome Assessment (Health Care)
Informatics
Salaries and Fringe Benefits
Focus Groups
Reproducibility of Results
Hearing
Canada
Surveys and Questionnaires

Keywords

  • indicator
  • nursing shortage
  • nursing work environments
  • principal component analysis

ASJC Scopus subject areas

  • Nursing(all)

Cite this

The psychometric properties and the development of the indicators of quality nursing work environments in Taiwan. / Lin, Chiou Fen; Lu, Meei Shiow; Huang, Hsiu Ying.

In: The journal of nursing research : JNR, Vol. 24, No. 1, 01.03.2016, p. 9-20.

Research output: Contribution to journalArticle

@article{e72a0dcf8bdc4ecf8a7092c820c83c30,
title = "The psychometric properties and the development of the indicators of quality nursing work environments in Taiwan",
abstract = "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.",
keywords = "indicator, nursing shortage, nursing work environments, principal component analysis",
author = "Lin, {Chiou Fen} and Lu, {Meei Shiow} and Huang, {Hsiu Ying}",
year = "2016",
month = "3",
day = "1",
doi = "10.1097/jnr.0000000000000106",
language = "English",
volume = "24",
pages = "9--20",
journal = "The journal of nursing research : JNR",
issn = "1682-3141",
publisher = "台灣護理學會",
number = "1",

}

TY - JOUR

T1 - The psychometric properties and the development of the indicators of quality nursing work environments in Taiwan

AU - Lin, Chiou Fen

AU - Lu, Meei Shiow

AU - Huang, Hsiu Ying

PY - 2016/3/1

Y1 - 2016/3/1

N2 - 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.

AB - 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.

KW - indicator

KW - nursing shortage

KW - nursing work environments

KW - principal component analysis

UR - http://www.scopus.com/inward/record.url?scp=84959929954&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84959929954&partnerID=8YFLogxK

U2 - 10.1097/jnr.0000000000000106

DO - 10.1097/jnr.0000000000000106

M3 - Article

VL - 24

SP - 9

EP - 20

JO - The journal of nursing research : JNR

JF - The journal of nursing research : JNR

SN - 1682-3141

IS - 1

ER -