Related Experiment Videos
Development and Validation of a Decent Work Scale for Hospital Nurses: An Experiential Perspective on Working
Yasue Yamazumi1, Sachiko Tanaka2
1Faculty of Nursing, Kyoritsu Women's University, Tokyo 101-0051, Japan.
Nursing Reports (Pavia, Italy)
|July 27, 2026
Summary
A new scale, the Decent Work Scale for Hospital Nurses (DWS-N), was developed to measure nurses
Area of Science:
- Nursing Research
- Occupational Health
- Workforce Management
Background:
- Nursing is characterized by demanding working conditions, including long hours and staffing shortages.
- Existing measures of Decent Work (DW) do not adequately capture nurses' lived experiences of these conditions.
- Conceptualizing DW as the experiential realization of structural labor conditions is crucial for developing context-specific assessments.
Purpose of the Study:
- To develop and validate the Decent Work Scale for Hospital Nurses (DWS-N).
- To provide a tool that captures the experiential aspect of structural labor conditions in nursing.
- To offer a context-specific measure for assessing Decent Work in hospital nursing settings.
Main Methods:
- A multi-phase methodological design was employed, starting with 184 items generated through concept analysis.
- Items were refined to 142 via expert review, followed by exploratory and confirmatory factor analyses for structural validity.
- Cross-validation and criterion-related validity were assessed using an independent sample to ensure model stability and reliability.
Main Results:
- A five-factor structure comprising 22 items was identified: Meaningful and Fulfilling Work, Protection of Workers' Rights, Supportive and Safe Working Environment, Appropriate Working Time and Work-Life Balance, and Adequate Compensation.
- The DWS-N demonstrated good internal consistency (Cronbach's α = 0.896) and acceptable model fit (CFI = 0.969, RMSEA = 0.037).
- Decent Work was positively associated with work engagement and negatively associated with burnout, with distinct patterns across its dimensions.
Conclusions:
- The DWS-N is a valid and reliable instrument for assessing Decent Work in hospital nursing.
- The scale captures the experiential realization of structural labor conditions, offering a context-specific understanding of nurses' work environments.
- The DWS-N has potential applications in nursing workforce management and the development of organizational policies.
Related Concept Videos
01:03Data Validation
Data validation is an essential part of a comprehensive assessment. Validation is confirming or verifying and opening the door to gathering more assessment data as it clarifies vague or unclear data. The process of checking and verifying the collected information is called data validation. The primary purpose of data validation is to ensure data is as free from error, bias, and misinterpretation as possible.
Nursing assessment guides are generally based on holistic models rather than medical...
Nursing assessment guides are generally based on holistic models rather than medical...
01:09Accountability and Responsibility of a Nurse II
Professional accountability in nursing is a multifaceted concept that encompasses professional ethics, legal standards, and employment expectations. This framework ensures that nurses maintain and elevate the quality of care while upholding the values of their profession. It compels them to treat patients, families, and colleagues with respect, compassion, and integrity.
For example, a nurse demonstrating respect and compassion might listen attentively to a patient's concerns, provide comfort...
For example, a nurse demonstrating respect and compassion might listen attentively to a patient's concerns, provide comfort...
01:08Obedience
According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation, obedience...
01:29Nursing Code of Ethics
The Nursing Code of Ethics sets the ethical benchmark for the profession, and guides nurses in ethical analysis and decision making at the societal, organizational, and clinical levels. The code encompasses showing compassion and respect for the patient, their families, and communities in all circumstances while committing to providing patient-centered care. In addition, the code states that nurses must advocate for the patient by defending a cause or recommendation to protect their rights,...
01:22The Professional Nurse
Professional nurses are not limited to bedside care and are taking roles of greater responsibility. A nurse should have a knowledge-based practice, including personal, theoretical, procedural, cultural, and reflexive knowledge. Additionally, nurses must be competent in cognitive, technical, interpersonal, and ethical/legal skills. Some of the best attributes of successful nurses include the following:
Communication skills: These are critical characteristics, especially speaking and listening.
Communication skills: These are critical characteristics, especially speaking and listening.
01:25Formulating and Validating Nursing Diagnosis II
Nursing diagnoses represent a problem validated by major defining characteristics. There are four categories of nursing diagnoses: problem-focused, risk, health promotion or wellness, and syndrome. The anatomy of a nursing diagnosis includes three components: problem statement or diagnostic label, defining characteristics, and related factors.
Risk nursing diagnoses represent clinical judgments of an individual, family, or community more vulnerable to developing the health problem than others...
Risk nursing diagnoses represent clinical judgments of an individual, family, or community more vulnerable to developing the health problem than others...