Abstract
Background: Nursing shortages are a significant problem experienced by medical institutions worldwide as well as Indonesia. Understanding nurses’ work environment is a proper strategy for enhancing the retention and overcoming shortages of nurses. The Quality Nursing Work Environment (QNWE) is a well-known tool that has been commonly used to evaluate the working atmosphere of nurses. However, the availability and validated version of the instrument for hospital nurses in Indonesia is not confirmed.Purpose: This study aims to confirm the psychometric evaluation of the Indonesian version of QNWE instruments in hospital settings.Methods: A cross-sectional study design and psychometric analyses were administered. The 65-item, eight-domain questionnaire was translated, adapted, and face-validated using content validity index (CVI) analysis. The construct validity and internal consistency of the translated version were tested using confirmatory factor analysis (CFA) and Cronbach's Alpha to 334 hospital nurses. The intraclass correlation coefficient (ICC) was employed to determine test-retest and interrater reliability analysis to 33 nurses and 10 ratters in the pilot testing.Results: The CVI of the QNWE-I scale ranged from 0.86 to 1.00. The CFA determined an adequate model fit of the instrument. As to overall reliability, test-retest reliability of 0.90, ICC analysis of 0.82, and Cronbach's alpha of 0.96; was confirmed.Conclusions: The psychometric evaluation of the QNWE-I showed excellent acceptability, validity, and reliability. Therefore, the QNWE-I can serve as a comprehensive instrument for assessing the quality of nurses' work environments in Indonesia.
Highlights
Studies have widely reported that nurses' work quality has significant influences on patient outcomes, organizations, and professionals
The Quality Nursing Work Environment (QNWE)-I can serve as a comprehensive instrument for assessing the quality of nurses' work environments in Indonesia
Ten experts and 33 registered nurses participated in stage 1 of the study, whereas 334 nurses participated in stage 2 which represented a response rate of 89.5% of all nursing staff
Summary
Studies have widely reported that nurses' work quality has significant influences on patient outcomes, organizations, and professionals. Recognizing that nurses comprise the largest component of the healthcare workforce in the world (Edmonson et al, 2017), their contributions are acknowledged as a crucial basis for providing safe and good-quality care to patients (Dai et al, 2016; Kieft et al, 2014). Nursing shortages are a significant problem experienced by medical institutions worldwide as well as Indonesia. Understanding nurses’ work environment is a proper strategy for enhancing the retention and overcoming shortages of nurses. The availability and validated version of the instrument for hospital nurses in Indonesia is not confirmed. Purpose: This study aims to confirm the psychometric evaluation of the Indonesian version of QNWE instruments in hospital settings
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