Premium
Essential elements of the nursing practice environment in nursing homes: Psychometric evaluation
Author(s) -
Brouwer Brigitte Johanna Maria,
Kaljouw Marian J.,
Schoonhoven Lisette,
Achterberg Theo
Publication year - 2017
Publication title -
international journal of older people nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.707
H-Index - 29
eISSN - 1748-3743
pISSN - 1748-3735
DOI - 10.1111/opn.12137
Subject(s) - nursing , respondent , construct validity , workforce , quality (philosophy) , staffing , clarity , nursing research , test (biology) , face validity , medicine , nursing outcomes classification , reliability (semiconductor) , psychology , psychometrics , team nursing , patient satisfaction , clinical psychology , philosophy , law , economic growth , chemistry , biology , paleontology , biochemistry , epistemology , political science , economics , power (physics) , quantum mechanics , physics
Aims and objectives To develop and psychometrically test the Essentials of Magnetism II in nursing homes. Background Increasing numbers and complex needs of older people in nursing homes strain the nursing workforce. Fewer adequately trained staff and increased care complexity raise concerns about declining quality. Nurses’ practice environment has been reported to affect quality of care and productivity. The Essentials of Magnetism II © measures processes and relationships of practice environments that contribute to productivity and quality of care and can therefore be useful in identifying processes requiring change to pursue excellent practice environments. However, this instrument was not explicitly evaluated for its use in nursing home settings so far. Design In a preparatory phase, a cross‐sectional survey study focused on face validity of the essentials of magnetism in nursing homes. A second cross‐sectional survey design was then used to further test the instrument's validity and reliability. Methods Psychometric testing included evaluation of content and construct validity, and reliability. Nurses ( N = 456) working at 44 units of three nursing homes were included. Results Respondent acceptance, relevance and clarity were adequate. Five of the eight subscales and 54 of the 58 items did meet preset psychometric criteria. Conclusions All essentials of magnetism are considered relevant for nursing homes. The subscales Adequacy of Staffing, Clinically Competent Peers, Patient Centered Culture, Autonomy and Nurse Manager Support can be used in nursing homes without problems. The other subscales cannot be directly applied to this setting. Implications for practice The valid subscales of the Essentials of Magnetism II instrument can be used to design excellent nursing practice environments that support nurses’ delivery of care. Before using the entire instrument, however, the other subscales have to be improved.