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Shared Values: Impact On Staff Nurse Job Satisfaction And Perceived Productivity
Abstract
A nationwide study on the impact of shared values on staff nurse job satisfaction and perceived productivity was done in 24 hospitals under different auspices, some of which were also Magnet Hospitals. Data were obtained from a 25% random sample of the staff nurse population (N = 2,336), 58% of the head nurse group, 65% of the clinical experts, and 66% of the top management. Staff nurses and clinical experts had more value congruence than did staff nurses and head nurses. A significant inverse correlation was found between value congruence and nurse job satisfaction and quality care. Explanations of the finding center on recent role changes for both staff nurses and head nurses, power differential, and evolving clarity of the staff nurse role. A serendipitious finding was that staff nurses reported fewer factors as important to their job satisfaction and perceived environment conducive to quality patient care than did other members of the nursing department. However, factors important to staff nurses were very important.
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Wade, G. H., Osgood, B., Avino, K., Bucher, G., Bucher, L., Foraker, T., French, D., & Sirkowski, C. (2008) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.2008.04775.x · Cited by 51
“Almost 20 years ago, Kramer and Hafner (1989) developed the Nursing Work Index (NWI), based on Brayfield and”
The Impact of Person-Organization Fit on Nurse Job Satisfaction and Patient Care Quality
Risman, K. L., Erickson, R. J., & Diefendorff, J. M. (2016) · Applied Nursing Research · doi:10.1016/j.apnr.2016.01.007 · Cited by 51
Professional dignity in nursing in clinical and community workplaces
Stievano, A., Marinis, M. G. D., Russo, M. T., Rocco, G., & Alvaro, R. (2012) · Nursing Ethics · doi:10.1177/0969733011414966 · Cited by 51
“Some of these indicators of satisfaction/non-satisfaction, respect/no respect, are broadly referenced in the literature and concern interrelated organizational and human conditions,(20) organizational justice in its interactional dimension,(21,22) and have a strong impact on nursing professional dignity and on satisfa…”
BackgroundThe Magnet Process and the Perceived Work Environment of Nurses
Cimiotti, J. P., Quinlan, P. M., Larson, E., et al. (2005) · Nursing Research · doi:10.1097/00006199-200511000-00004 · Cited by 50
“Kramer and Hafner (1989) advanced previous research by developing the Nursing Work Index (NWI), designed to quantify the values nurses associate with baseline magnet characteristics.”
MethodFlynn, L. T., Carryer, J., & Budge, C. R. (2005) · Journal of Nursing Scholarship · doi:10.1111/j.1547-5069.2005.00005.x · Cited by 50
Budhathoki, N. K., & Zander, K. K. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16091578 · Cited by 47
“…and cold spells positive Venugopal et al. 2015, Akerlof et al. 2010, Akompab et al. 2013, Wachinger et al. 2013 Satisfaction with job/work Positive Kramer and Hafner 1989,Baruch-Feldman et al. 2002 Existing health condition positive Dollard and Neser 2013,Burton et al. 1999 Physical factors Age…”
BackgroundDifferences in nursing practice environment among US acute care unit types: A descriptive study
Choi, J.-S., & Boyle, D. K. (2014) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2014.03.001 · Cited by 46
Nursing practice environment: How does one Australian hospital compare with magnet hospitals?
Middleton, S., Griffiths, R., Fernandez, R. S., et al. (2008) · International Journal of Nursing Practice · doi:10.1111/j.1440-172x.2008.00708.x · Cited by 44
Development and validation of the Nursing Workplace Satisfaction Questionnaire (NWSQ)
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“…ratings of the nature of the work environment which have been demonstrated to be drivers of nursing job satisfaction in the past (Aiken, Smith, & Lake, 1994; Buchan, 1999; Kramer & Hafner, 1989), are refl ective of the job satisfaction of nursing staff in the institution in which they are applied.”
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Liukkonen, A. (1993) · Journal of Advanced Nursing · doi:10.1046/j.1365-2648.1993.18071095.x · Cited by 44
Managerial strategy and nursing commitment in Australian hospitals
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The Nursing Practice Environment and Nurse-Perceived Quality of Geriatric Care in Hospitals
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de Pedro‐Gómez, J. E., Morales‐Asencio, J. M., Sesé, A., et al. (2011) · Gaceta Sanitaria · doi:10.1016/j.gaceta.2010.11.007 · Cited by 41
“Dicho instrumento fue dise˜nado inicialmente por Kramer y Hafner en 1989 19 .”
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Sochalski, J. A., Estabrooks, C. A., & Humphrey, C. (1999) · PubMed · Cited by 41
The Impact of Working Environment on Nurses' Caring Behavior in Sabah, Malaysia
Arsat, N., Chua, B. S., Wider, W., & Dasan, N. (2022) · Frontiers in Public Health · doi:10.3389/fpubh.2022.858144 · Cited by 52
“The 31-item PESNWI was developed from the Nursing Work Index [NWI; (43)].”
MethodFuentelsaz‐Gallego, C., Moreno‐Casbas, T., López-Zorraquino, D., et al. (2012) · Enfermería Clínica · doi:10.1016/j.enfcli.2012.09.001 · Cited by 40
Using the Practice Environment Scale of the Nursing Work Index on Asian Nurses
Liou, S., & Cheng, C. (2009) · Nursing Research · doi:10.1097/nnr.0b013e3181a308cd · Cited by 39
“It was tested on 2,297 nurses from 16 Magnet and nonMagnet hospitals (Kramer & Hafner, 1989).”
Methodde Pedro‐Gómez, J. E., Morales‐Asencio, J. M., Sesé, A., et al. (2011) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.2011.05730.x · Cited by 39
A new practice environment measure based on the reality and experiences of nurses working lives
Webster, J., Flint, A., & Courtney, M. D. (2008) · Journal of Nursing Management · doi:10.1111/j.1365-2834.2008.00908.x · Cited by 38
“The benefit of the new instrument over commonly used tools to measure practice environment (Kramer & Hafner 1989, Aiken & Patrician 2000, Lake 2002) is that it has been developed in a contemporary context and derived from interview data.”
MethodThe Impact of Restructuring on Professional Nursing Practice
Ritter-Teitel, J. (2002) · JONA The Journal of Nursing Administration · doi:10.1097/00005110-200201000-00010 · Cited by 38
Healthcare Team Vitality Instrument (HTVI): developing a tool assessing healthcare team functioning
Upenieks, V. V., Lee, E. A., Flanagan, M., & Doebbeling, B. N. (2009) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.2009.05137.x · Cited by 37
Clinically Competent Peers and Support for Education: Structures and Practices That Work
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Self-citationde Brouwer, B. J. M., Kaljouw, M. J., Kramer, M., Schmalenberg, C. E., & van Achterberg, T. (2013) · International Nursing Review · doi:10.1111/inr.12073 · Cited by 36
Self-citationMallidou, A. A., Cummings, G. G., Estabrooks, C. A., et al. (2010) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2010.06.002 · Cited by 34
Vassbø, T. K., Kirkevold, M., Edvardsson, D., et al. (2018) · Journal of Advanced Nursing · doi:10.1111/jan.13890 · Cited by 34
“Being able to work following one's values and professional standards has been found to strongly relate to nurses’ job satisfaction (Kramer & Hafner, 1989; Verplanken, 2004).”
Staff nurses' perceptions of the work environment in freestanding hemodialysis facilities.
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Agency Characteristics Most Valued by Home Care Nurses
Flynn, L. T. (2003) · Home Healthcare Now · doi:10.1097/00004045-200312000-00007 · Cited by 34
“Discussion and Recommendations The agency traits identified by the home care nurses in this study are similar to those reported by hospital-based nurses in the magnet hospital studies (Kramer & Hafner, 1989; Kramer & Schmalenberg, 2002; McClure, Poulin, Sovie, & Wandelt, 1983).”
BackgroundResultComparison of Nurse Burnout Across Army Hospital Practice Environments
Lang, G. M., Patrician, P. A., & Steele, N. (2012) · Journal of Nursing Scholarship · doi:10.1111/j.1547-5069.2012.01462.x · Cited by 32
Evaluation of “Magnet Journey to Nursing Excellence Program” in Russia and Armenia
Aiken, L. H., & Poghosyan, L. (2009) · Journal of Nursing Scholarship · doi:10.1111/j.1547-5069.2009.01268.x · Cited by 31
“Items of the original Nursing Work Index (NWI) were developed from research on professional nursing practice (Kramer & Hafner, 1989), and have been shown to differentiate Magnet designated from other hospitals (Aiken 2002).”
MethodMagnet nursing services recognition programme
Aiken, L. H., Havens, D. S., & Sloane, D. M. (2000) · Nursing Standard · doi:10.7748/ns2000.03.14.25.41.c2783 · Cited by 31
Exploring knowledge work and leadership in online midwifery communication
Brooks, F. M., & Scott, P. J. (2006) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.2006.03937.x · Cited by 29
Organizational Commitment to Professional Practice Models
Arford, P. H., & Zone-Smith, L. (2005) · JONA The Journal of Nursing Administration · doi:10.1097/00005110-200510000-00008 · Cited by 28
“Using the data originally collected by Kramer and Hafner(5) to develop the Nurse Work Index, Lake statistically refined the instrument into 5 subscales to create the Practice Environment Scale: (1) nurse participation in hospital affairs, (2) nursing foundations for quality care, (3) nurse manager ability, leadership…”
BackgroundMethodDunning, A., Louch, G., Grange, A., Spilsbury, K., & Johnson, J. (2021) · Journal of research in nursing · doi:10.1177/1744987120976172 · Cited by 28
“One study found a significant inverse correlation between value congruence, job satisfaction and quality of patient care (Kramer and Hafner, 1989).”
BackgroundAl‐ghraiybah, T., Sim, J., & Lago, L. (2021) · Nursing Open · doi:10.1002/nop2.828 · Cited by 27
“These two tools were derived from the same original instrument (Choi et al., 2004), the Nursing Work Index (Kramer & Laurin, 1989).”
MethodThe Importance of Work Environment
Flynn, L. T. (2005) · Home Healthcare Now · doi:10.1097/00004045-200506000-00008 · Cited by 27
Kagan, I., Farkash-Fink, N., & Fish, M. (2016) · Journal of Nursing Care Quality · doi:10.1097/ncq.0000000000000180 · Cited by 26
Parro‐Moreno, A. I., Serrano‐Gallardo, P., Arnedo, C. F., Molina, L. S., Calatayud, M. L. D. L. P., Martín, A. B., Morales‐Asencio, J. M., & Gómez, J. D. P. (2013) · Atención Primaria · doi:10.1016/j.aprim.2012.12.015 · Cited by 26
Brooke, J. M., & Semlyen, J. K. (2017) · Dementia · doi:10.1177/1471301216689402 · Cited by 25
“The most widely applied scale used to measure impact is the Nursing Work Index (Kramer and Hafner 1989) and the revised version (Aiken and Patrician 2000), which has been validated across different countries and cultures (Warshawsky and Havens 2012).”
MethodWork environment characteristics as perceived by nurses in Saudi Arabia
Almuhsen, F., Alkorashy, H. A. E., Baddar, F. M., & Qasim, A. (2017) · International Journal of Advanced Nursing Studies · doi:10.14419/ijans.v6i1.7453 · Cited by 25
“It was developed to measure the hospital nursing practice environment, based on the Nursing Work Index (Kramer & Hafner, 1989) that was originally developed to capture the organizational characteristic of work setting environment.”
MethodDecision fatigue among clinical nurses during the COVID‐19 pandemic
Pignatiello, G. A., Tsivitse, E., O’Brien, J. A., Kraus, N., & Hickman, R. L. (2021) · Journal of Clinical Nursing · doi:10.1111/jocn.15939 · Cited by 25
Calarco, M. M. (2010) · Western Journal of Nursing Research · doi:10.1177/0193945910380211 · Cited by 25
“The PES-NWI is a 31-item self-report instrument derived from the Nursing Work Index (Kramer & Hafner, 1989) and contains five subscales: (a) nursing participation in hospital affairs—reflecting the participatory role and status of nurses in the hospital context; (b) nursing foundations for quality…”
MethodPractice Environments of Nurses Employed in Ambulatory Oncology Settings: Measure Refinement
Friese, C. R. (2012) · Oncology nursing forum · doi:10.1188/12.onf.166-172 · Cited by 24
“The Nursing Work Index (NWI) (Kramer & Hafner, 1989) consisted originally of 65 items, whereas Aiken and Patrician’s (2000) Nursing Work Index–Revised (NWI-R) has 55 items across three conceptually-based subscales.”
BackgroundApplication of Revised Nursing Work Index to Hospital Nurses of South Korea
Kim, C.-W., Lee, S.-Y., Kang, J.-H., et al. (2013) · Asian Nursing Research · doi:10.1016/j.anr.2013.07.003 · Cited by 24
An Evidence-Based Structure for Transformative Nurse Executive Practice
Adams, J. M., Erickson, J. I., Jones, D. A., et al. (2009) · Nursing Administration Quarterly · doi:10.1097/naq.0b013e3181b9dce3 · Cited by 24
How Factor Analysis Results May Change Due to Country Context
Brzyski, P., Kózka, M., Squires, A. P., & Brzostek, T. (2016) · Journal of Nursing Scholarship · doi:10.1111/jnu.12249 · Cited by 24
A Concept Analysis of Decisional Involvement
Kowalik, S. A., & Yoder, L. H. (2010) · Nursing Administration Quarterly · doi:10.1097/naq.0b013e3181e702d7 · Cited by 23
Laurent, A., Lheureux, F., Genet, M., Delgado, M. C. M., Bocci, M. G., Prestifilippo, A., Besch, G., & Capellier, G. (2020) · Frontiers in Psychology · doi:10.3389/fpsyg.2020.00245 · Cited by 23
“, 2006); six studies used the Nursing Work Index (NWI) or one of its variants (Kramer and Hafner, 1989; Aiken and Patrician, 2000; Lake, 2002; Bonneterre et al., 2011); four studies used the Nurses Stress Index (NSI) (Harris, 1989); four studies used the scale of Embriaco et al.”
MethodQuality Care in Nursing Homes: When the Resources Aren't There
Mueller, C. (2002) · Journal of the American Geriatrics Society · doi:10.1046/j.1532-5415.2002.50373.x · Cited by 23
physician, N. (2014) · Journal of Nursing & Care · doi:10.4172/2167-1168.1000141 · Cited by 24
“The original NWI has three subscales: autonomy consisting of five items, control over practice setting consisting of seven items, and nurse-physician relationship consisting of three items, two of which measure quality of nurse-physician relationships and quality of teamwork between nurses and physicians [20].”
MethodChanges to nurses’ practice environment over time
Roche, M. A., Duffield, C. M., Friedman, S., Twigg, D., Dimitrelis, S., & Rowbotham, S. J. (2016) · Journal of Nursing Management · doi:10.1111/jonm.12371 · Cited by 22
The Relationship between Importance and Achievement of Work Values and Job Satisfaction
Knoop, R. (1994) · Perceptual and Motor Skills · doi:10.2466/pms.1994.79.1.595 · Cited by 22
“In his analysis of the nature and causes of job satisfaction, Locke (1976) questioned whether the general view that value achievement leads to satisfaction is sustainable.”
BackgroundDevelopment and Testing of an Organizational Job Satisfaction Tool
Lacey, S. R., Teasley, S. L., Cox, K. S., et al. (2010) · JONA The Journal of Nursing Administration · doi:10.1097/nna.0b013e3182002871 · Cited by 21
“For example, the Nursing Work Index, based on hospital characteristics identified by nurses as related to work satisfaction and quality patient care, requests respondents to indicate (1) importance of the item to their job satisfaction, (2) importance to being able to give quality patient care, and (3) presence of the…”
BackgroundSelf-citationMagnet Environments for Professional Nursing Practice
Lundmark, V. A. (2008) · Europe PMC (PubMed Central) · Cited by 21
Craft Your Own Healthy Work Environment: Got Your BFF?
Alspach, G. (2009) · Critical Care Nurse · doi:10.4037/ccn2009931 · Cited by 20
Adaptation and psychometric testing of the Practice Environment Scale for use with midwives
Pallant, J., Dixon, L., Sidebotham, M., et al. (2015) · Women and Birth · doi:10.1016/j.wombi.2015.07.008 · Cited by 20
Home healthcare practice environment: Predictors of RN satisfaction
Tullai‐McGuinness, S. (2008) · Research in Nursing & Health · doi:10.1002/nur.20257 · Cited by 20
Assessment tools of nursing work environment in magnet hospitals: A review
Gu, L., & Zhang, L. (2014) · International Journal of Nursing Sciences · doi:10.1016/j.ijnss.2014.10.013 · Cited by 19
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BackgroundTools assessing nurse manager behaviours and RN job satisfaction: a review of the literature
Feather, R. A. (2014) · Journal of Nursing Management · doi:10.1111/jonm.12202 · Cited by 19
Moorer, O. W., Meterko, M. M., Alt‐White, A. C., et al. (2009) · Research in Nursing & Health · doi:10.1002/nur.20360 · Cited by 19
Fielding, R., Li, J., & Tang, Y. (1995) · Social Science & Medicine · doi:10.1016/0277-9536(94)00418-s · Cited by 19
Developing a tool to measure 'magnetism' in Australian nursing environments
Joyce-McCoach, J. T., & Crookes, P. A. (2007) · Research Online (University of Wollongong) · Cited by 18
Kuopio University Hospital Job Satisfaction Scale (KUHJSS): its validation in the Greek language
Sapountzi-Krepia, D., Zyga, S., Prezerakos, P., Malliarou, M., Efstathiou, C., Christodoulou, K., & Charalambous, G. (2017) · Journal of Nursing Management · doi:10.1111/jonm.12418 · Cited by 15
“Job satisfaction may be measured in many different ways with existing tools such as Index of Work Satisfaction (Slavitt et al. 1978), the McCloskey and Mueller Satisfaction Scale (Mueller & McCloskey 1990), the Nursing Work Index (Kramer & Hafner 1989, Hall 2003), the Nursing Work Index–Revised (Aiken & Patrician 2000…”
Challenges confronting clinicians in acute care
Parker, V., Giles, M., & Higgins, I. J. (2009) · Journal of Nursing Management · doi:10.1111/j.1365-2834.2009.01009.x · Cited by 17
Caldwell, B. A., Gill, K. J., Fitzgerald, E., et al. (2006) · American Journal of Psychiatric Rehabilitation · doi:10.1080/15487760600876303 · Cited by 17
“It is a 57-item instrument derived from measures that examined characteristics of organizations (Aiken & Hage, 1968; Kramer & Hafner, 1989).”
MethodComparison of nurse practice environments in D enmark and the USA
Mainz, H., Baernholdt, M., Ramlau‐Hansen, C. H., & Brink, O. (2015) · International Nursing Review · doi:10.1111/inr.12208 · Cited by 17
“The majority of research about the nurse work environment is based on the original magnet studies and the development of the NWI (Kramer & Hafner 1989; Kramer & Schmalenberg 1988).”
BackgroundAdaptation of the Practice Environment Scale for military nurses: a psychometric analysis
Swiger, P. A., Raju, D. A., Breckenridge‐Sproat, S. T., & Patrician, P. A. (2017) · Journal of Advanced Nursing · doi:10.1111/jan.13276 · Cited by 17
Oshodi, T. O., Crockett, R., Bruneau, B., & West, E. (2017) · Journal of Clinical Nursing · doi:10.1111/jocn.13783 · Cited by 19
“In completing the NWI, the respondent makes three judgments for each of the items: (1) how important the factor is for job satisfaction; (2) how important the factor is for producing quality nursing care; and (3) the extent to which the factor is present in their current job (Kramer & Hafner 1989).”
MethodNurses' job satisfaction in their early career: is it the same for all branches of nursing?
Murrells, T., Robinson, S., & Griffiths, P. (2008) · Journal of Nursing Management · doi:10.1111/j.1365-2834.2008.00854.x · Cited by 16
Path model on decision‐making ability of clinical nurses
Park, M., Gu, M., & Sok, S. R. (2022) · Journal of Clinical Nursing · doi:10.1111/jocn.16292 · Cited by 16
Adil, M. S., Owais, M., & Qamar, A. (2018) · Journal of Management Sciences · doi:10.20547/jms.2014.1805103 · Cited by 19
“…of “Magnet Hospitals” has been used in both literature and practice because of the professional nursing practice environment which provides strong and visible nursing practices through authentic leadership and appropriate level of structural empowerment given to nurses (M. Kramer & Hafner, 1989).”
BackgroundValidation of the Essentials of Magnetism II in Chinese critical care settings
Bai, J., Hsu, L. L., & Zhang, Q. (2013) · Nursing in Critical Care · doi:10.1111/nicc.12041 · Cited by 17
Prominent attractive qualities of nurses’ work in operating room departments: A questionnaire study
Björn, C., Josephson, M., Wadensten, B., & Rissén, D. (2015) · Work · doi:10.3233/wor-152135 · Cited by 16
The effect of work role values on job satisfaction
Mitchell, M. B. (1994) · Journal of Advanced Nursing · doi:10.1046/j.1365-2648.1994.20050958.x · Cited by 16
The structure of the Italian version of the Practice Environment Scale of the Nursing Work Index
Zanini, M. P., Musio, M. E., Watson, R. A., Aleo, G., Sasso, L., Catania, G., & Bagnasco, A. (2022) · Journal of Nursing Management · doi:10.1111/jonm.13808 · Cited by 16
Haller, K., Berends, W., & Skillin, P. (2018) · Revista Médica Clínica Las Condes · doi:10.1016/j.rmclc.2018.03.005 · Cited by 15
“(20, 21) Lundmark and colleagues (15)concluded that “superior nursing practice environments” were associated with better patient outcomes, citing studies that have supported this conclusion, as follows along with more recent studies:”
ResultDevelopment and psychometric evaluation of the core nurse resource scale
Simpson, M. (2010) · Journal of Nursing Management · doi:10.1111/j.1365-2834.2010.01137.x · Cited by 16
Using Item Response Theory Models to Evaluate the Practice Environment Scale
Raju, D. A., Su, X., & Patrician, P. A. (2014) · Journal of Nursing Measurement · doi:10.1891/1061-3749.22.2.323 · Cited by 15
“There are various instruments that measure the practice environment of hospital-based registered nurses (RNs), many of which have their roots in the early magnet hospital work of the 1980s and the subsequent development of the Nursing Work Index (NWI; Kramer & Hafner, 1989).”
BackgroundInfluentialFactors affecting the quality of dementia care at acute care hospitals: A cross‐sectional study
Urashima, S., Greiner, C., Ryuno, H., et al. (2021) · Journal of Clinical Nursing · doi:10.1111/jocn.16036 · Cited by 14
Adams, J. M., Nikolaev, N., Erickson, J. I., et al. (2013) · JONA The Journal of Nursing Administration · doi:10.1097/nna.0b013e31828eeb55 · Cited by 14
“This work expanded existing work environment research and included several subscales identified in earlier developed instruments, such as autonomy, clinician-physician relations, and control over practice.(27,28) The RPPE scale contains additional subscales including communication, teamwork/leadership, conflict manage…”
MethodMeasuring the Nursing Work Environment in Mainland China
Shao, J., Tang, L., & Ye, Z. (2017) · Nursing Research · doi:10.1097/nnr.0000000000000221 · Cited by 14
Ogata, Y., Sato, K., Sasaki, M., Fujinami, K., Togari, T., & the rest of the WENS‐J (part II) project team (2022) · Journal of Nursing Management · doi:10.1111/jonm.13733 · Cited by 14
Translations of the Practice Environment Scale of the Nursing Work Index: A systematic review
Lake, E. T., Rosenbaum, K. E. F., Sauveur, C., Buren, C., & Cho, P. (2023) · Nursing and Health Sciences · doi:10.1111/nhs.13034 · Cited by 19
Development and Psychometric Evaluation of the Professional Practice Work Environment Inventory
Erickson, J. I., Duffy, M. E., Ditomassi, M., et al. (2017) · JONA The Journal of Nursing Administration · doi:10.1097/nna.0000000000000476 · Cited by 13
“Much of the work identifying and describing elements of the professional practice environment (PPE) in acute care institutions have been based on the findings from the first Magnet hospital study published in 1983.(1,2) Subsequently, several psychometrically sound instruments measuring specific aspects of the PPE have…”
BackgroundIs Your Nursing Staff Ready for Magnet Hospital Status?
Wagner, C. M. (2004) · JONA The Journal of Nursing Administration · doi:10.1097/00005110-200410000-00007 · Cited by 13
Work Environment Characteristics of High-Quality Home Health Agencies
Tullai‐McGuinness, S., Riggs, J. S., & Farag, A. (2010) · Western Journal of Nursing Research · doi:10.1177/0193945910381490 · Cited by 12
“The original NWI was developed by Kramer and Hafner (1989) from data obtained in early Magnet hospital studies in which staff nurses identified traits of a professional work environment.”
MethodChang, Y. W., Yen, M., Chang, S., et al. (2016) · Journal of Nursing Management · doi:10.1111/jonm.12443 · Cited by 12
Nursing Structure, Processes, and Patient Outcomes in Army Medical Centers
Kee, C. C., Foley, B. J., Dudley, W. N., et al. (2005) · Western Journal of Nursing Research · doi:10.1177/0193945905278587 · Cited by 12
“The NWI was developed by Kramer and Hafner (1989) to measure aspects of job satisfaction and conduciveness of the environment for quality nursing care. The instrument was modified by Aiken and Sloan (1997) to create a 57-item Likert-type response measure, the NWIR.”
MethodChang, Y. W., Chang, H., & Feng, J. (2022) · Journal of Nursing Management · doi:10.1111/jonm.13559 · Cited by 14
Knowledge sharing behaviour among critical care nurse specialists: A cross‐sectional study
Xu, B., Yang, W., Li, S., et al. (2022) · Journal of Nursing Management · doi:10.1111/jonm.13573 · Cited by 11
Montgomery, A. P., Campbell, C. M., Azuero, A., et al. (2023) · Research in Nursing & Health · doi:10.1002/nur.22324 · Cited by 11
Newhouse, R. P., Morlock, L., Pronovost, P. J., et al. (2009) · JONA The Journal of Nursing Administration · doi:10.1097/nna.0b013e31819c9cd5 · Cited by 11
“The EOM is the next generation of the Nursing Work Index, which was considered to be the premiere instrument to measure nurse work environment in Magnet and non-Magnet hospitals.(21,22) Changes in nurse’s work required that the concepts be revisited to improve the reliability and validity of the measure for today’s us…”
BackgroundGurková, E., Mikšová, Z., Labudíková, M., et al. (2021) · Central European Journal of Nursing and Midwifery · doi:10.15452/cejnm.2021.12.0019 · Cited by 11
“…(the Nurse Working Index – NWI; Essentials of Magnetism – EOM; the Practice Environment Scale of the Nursing Work Index – PES NWI), were created in the USA as part of the research on Magnet hospitals (Aiken & Patrician, 2000; Kramer & Hafner, 1989; Kramer & Schmalenberg, 2004, 2005; Lake, 2002).”
BackgroundMethodEntorno clínico de la enfermera hospitalaria
Havens, D. S., LABOV, T. G., Faura, T., et al. (2002) · Enfermería Clínica · doi:10.1016/s1130-8621(02)73730-3 · Cited by 11
The validation and application of the C hinese version of perceived nursing work environment scale
Zhao, P., Chen, F. J., Jia, X. H., et al. (2013) · Journal of Clinical Nursing · doi:10.1111/jocn.12229 · Cited by 11
Workflow, Turbulence, and Cognitive Complexity
Jennings, B. M. (2021) · Springer eBooks · doi:10.1007/978-3-030-69063-2_5 · Cited by 10
Alonso, S. R. L. (2005) · Enfermería Clínica · doi:10.1016/s1130-8621(05)71072-x · Cited by 10
Concepts: Organization of Nursing Work and the Psychosocial Experience of Nurses
Bogaert, P. V., & Clarke, S. P. (2017) · Springer eBooks · doi:10.1007/978-3-319-71042-6_2 · Cited by 10
Development and Evaluation of Nursing Work Environment Scale of Clinical Nurses
Ko, Y. J., & Hong, G. S. (2022) · Journal of Korean Academy of Nursing Administration · doi:10.11111/jkana.2022.28.5.576 · Cited by 9
Ko, Y. K. (2013) · Journal of Korean Academy of Nursing Administration · doi:10.11111/jkana.2013.19.2.207 · Cited by 9
“Secondly, Kramer and Hafner (1989) developed 65 questions to form a nursing work environment scale (Nursing Work Index, NWI), and Aiken and Patrician (2000) subsequently developed a revised nursing work environment scale (Revised Nursing Work Index, NWI-R) that comprised 57 questions.”
MethodImpact of Professional Nursing Practices on Patient/Nurse Outcomes
Kramer, M., Brewer, B. B., Halfer, D., Hnatiuk, C. N., MacPhee, M., Duchscher, J. E. B., Maguire, P., Coe, T. R., & Schmalenberg, C. E. (2017) · JONA The Journal of Nursing Administration · doi:10.1097/nna.0000000000000479 · Cited by 9
“To develop the EPNP, experienced CNs were asked to identify the relative importance of 51 components of nursing practice and then to identify the 10 most important practices.9 Factor analysis yielded 8 EPNPs/factors: (1) collaborating with RN/ MD/other disciplines, (2) making autonomous decisions, (3) controlling nurs…”
MethodSelf-citation
Metadata
- Authors
- KRAMER, M., & HAFNER, L. P.
- Affiliations
- University of Nevada, Reno (US)
- Venue
- Nursing Research
- Published
- 1989-05
- Volume
- 38
- Issue
- 3
- Pages
- 172???177
- ISSN
- 0029-6562 (ISSN-L)
- OpenAlex
- W2044427363
- Semantic Scholar
- 4e940462f3ce758a76551a862081807f35d128a3
- Cited by
- 313
- References
- 0
- Citations by year
- 2026: 2 · 2025: 6 · 2024: 4 · 2023: 8 · 2022: 9 · 2021: 12 · 2020: 6 · 2019: 5 · 2018: 5 · 2017: 17 · 2016: 9 · 2015: 13 · 2014: 10 · 2013: 21 · 2012: 20
- FWCI
- 22.45
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Nursing Research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Nursing › Research and Theory › Nursing education and management
- Health Sciences › Nursing › Leadership and Management › Healthcare Education and Workforce Issues
- Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Job Satisfaction and Organizational Behavior
- Keywords
- shared values, value congruence, staff nurses, nursing satisfaction, perceived productivity, Magnet hospitals, nursing leadership, nurse managers, clinical experts, power imbalance, quality of care, organizational values
- MeSH terms
- Analysis of Variance, Efficiency, Humans, Job Satisfaction, Nurse Administrators, Nurse Clinicians, Nursing Staff, Hospital, Nursing, Supervisory, Quality of Health Care, Sampling Studies, Social Values, Nursing Administration Research
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