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Scale for the Environment Evaluation of Professional Nursing Practice: Construct validation
Olga Maria Pimenta Lopes Ribeiro1, Corália Maria Fortuna de Brito Vicente2, Clemente Neves Sousa1
1Nursing School of Porto, CINTESIS-Center for Health Technology and Services Research Faculty of Medicine, Porto University, Porto, Portugal.
The Scale for the Environments Evaluation of Professional Nursing Practice (SEE-Nursing Practice) is a valid and reliable tool. This instrument helps assess nursing practice environments to improve care quality.
Area of Science:
- Nursing
- Healthcare Management
- Psychometrics
Background:
- The professional nursing practice environment significantly impacts client outcomes, nurse satisfaction, and institutional performance.
- Validated instruments are essential for accurately assessing the multifaceted attributes of nursing practice environments.
- Previous qualitative research and literature informed the development of the SEE-Nursing Practice scale.
Purpose of the Study:
- To rigorously test the validity and reliability of the Scale for the Environments Evaluation of Professional Nursing Practice (SEE-Nursing Practice).
- To establish SEE-Nursing Practice as a robust tool for evaluating the nursing work environment.
Main Methods:
- A cross-sectional methodological study design was employed.
- The SEE-Nursing Practice questionnaire was administered to a large cohort of nurses.
- Exploratory Factor Analysis (EFA) and Confirmatory Factor Analysis (CFA) were utilized to assess construct validity.
Main Results:
- The study included 752 nurses.
- EFA resulted in a 93-item scale with three subscales: Structure (43 items), Process (37 items), and Outcome (13 items).
- The scale demonstrated high internal consistency, with Cronbach's alpha exceeding 0.90 for the overall scale and subscales, and CFA confirmed a good model fit.
Conclusions:
- The SEE-Nursing Practice is confirmed as a valid and reliable instrument for evaluating professional nursing practice environments.
- This scale serves as a valuable tool for nursing managers to develop strategies for fostering optimal practice environments.
- Effective assessment of practice environments using SEE-Nursing Practice can contribute to enhanced nursing care quality.
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