ENLASA-Nursing: an instrument for evaluating a healthy work environment
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Mar 27, 2023
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Abstract
Objective. To assess the psychometric properties of an instrument designed to measure the work environment for nursing care practice. Method. A four-phase methodological study: 1) item development and drafting, 2) expert face and content validity, 3) pilot testing, 4) construct validity, and reliability. Results. ENLASA-Nursing is an instrument consisting of 59 items divided into two parts. Part A: organizational structural components dimension, and Part B: organizational process dimension. The results obtained allowed for classifying each part as satisfactory in terms of face and content validity, with satisfactory internal consistency and an internal structure that recognized the conceptual elements of a healthy work environment supporting its content. Conclusions. ENLASA-Nursing is a valid and reliable instrument, promising for research and evaluation of healthy work environments for clinical nurses in the hospital setting in Colombia.
Keywords
Working Environment, Nursing Methodology Research, nursing, Working Conditionsentorno de trabajo, enfermería, condiciones de trabajo, investigación metodológica en enfermeríaenfermagem, condições de trabalho, pesquisa metodológica em enfermagem
References
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16. Peña Alfaro BS. Desarrollo y validación del instrumento ENLASA-Enfermería para la evaluación de un entorno laboral saludable en el ámbito hospitalario [Internet]. Universidad Nacional de Colombia; 2021. Available from: https://repositorio.unal.edu.co/handle/unal/80839
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21. Pedrosa I, Suárez Álvarez J, García Cueto E. Evidencias sobre la Validez de Contenido: Avances Teóricos y Métodos para su Estimación. Acción psicológica. 2013;10(2):4–11. https://dx.doi.org/10.5944/ap.10.2.11820
22. Ruiz A, Gomez C. Epidemiología clínica, Investigación Clínica aplicada. 2da Edició. Panamericana E médica, editor. Bogotá - Colombia; 2015.
23. Tornimbeni S, Pérez E, Olaz F. Introducción a la psicometría. 1ra Edició. Buenos Aires: Editorial Paidos; 2008.
24. Norman G, Streiner D. Biostatistics. The bare essentials. Fourth Edi. PMPH-USA Ltd., editor. Vol. 53, Journal of Chemical Information and Modeling. Connecticut, USA; 2014.
25. Peña D. Análisis de datos multivariantes. McGraw-Hill Interamericana de España; 2002.
26. Pérez ER, Medrano L. Análisis Factorial Exploratorio: Bases Conceptuales y Metodológicas. Rev Argent Cienc Comport. 2010;2(1889):58–66. ISSN 1852-4206. URL: https://dialnet.unirioja.es/servlet/articulo?codigo=3161108
27. Wynendaele H, Willems R, Trybou J. Systematic review: Association between the patient–nurse ratio and nurse outcomes in acute care hospitals. J Nurs Manag. 2019;27(5):896–917. https://doi.org/10.1111/jonm.12764
28. Chiavenato I. Administración de recursos humanos. El capital humano de las organizaciones. Novena Edi. McGRAW-HILL/INTERAMERICANA EDITORES S.A., editor. México, D.F; 2011.
29. Toro Álvarez F. El clima organizacional. Perfil de Empresas Colombianas. 1ra Edició. Cincel LTDA, editor. Medellín - Colombia; 2001.
30. Kramer M, Maguire P, Schmalenberg C. Excellence Through Evidence: The What, When, and Where of Clinical Autonomy. J Nurs Adm [Internet]. 2006;36(10):479–91. https://doi.org/10.1097/00005110-200610000-00009
31. Kramer M, Schmalenberg C. Development and Evaluation of Essentials of Magnetism Tool. J Nurs Adm. 2004;34(7):365–78. https://doi.org/10.1097/00005110-200407000-00010
32. Kramer M, Schmalenberg C. Confirmation of a healthy work environment. Crit Care Nurse. 2008;28(2):56–63. PMID: 18378728. URL: http://ccn.aacnjournals.org
33. Connor AJ, Ziniel SI, Porter C, Doherty D, Moonan M, Dwyer P, et al. Interprofessional use and validation of the aacn healthy work environment assessment tool. AJCC Am J Crit Care. 2018;27(5):363–71. https://doi.org/10.4037/ajcc2018179
2. Organización Internacional del Trabajo (OIT) (Plataforma de recursos de trabajo decente para el desarrollo sostenible). [Internet]. [cited 2023 Ago 04]. Available from: https://www.ilo.org/global/topics/dw4sd/themes/working-conditions/lang--es/index.htm
3. European Foundation for the Improvement of Living and Working Conditions (Eurofound). Condiciones de trabajo. [Internet]. [cited 2023 Ago 04]. Available from: https://www.eurofound.europa.eu/observatories/eurwork/industrial-relations-dictionary/working-conditions
4. Holly Wei, Kerry A. Sewell, Gina Woody, Mary Ann Rose, The state of the science of nurse work environments in the United States: A systematic review, International Journal of Nursing Sciences, Volume 5, Issue 3, 2018, Pages 287-300, ISSN 2352-0132, https://doi.org/10.1016/j.ijnss.2018.04.010.
5. Lake, Eileen T.; Sanders, Jordania;Duan, Rui; Riman, Kathryn; Schoenauer, Kathryn; Chen, Yong. A Meta-Analysis of the Associations Between the Nurse Work Environment in Hospitals and 4 Sets of Outcomes. Medical Care 57(5):p 353-361, 2019. DOI: https://10.1097/MLR.0000000000001109
6. Aiken LH, Patrician PA. Measuring organizational traits of hospitals: The revised nursing work index. Nurs Res. 2000;49(3):146–53. https://doi.org/10.1097/00006199-200005000-00006.
7. Lake ET. Development of the practice environment scale of the nursing work index. Res Nurs Heal. 2002;25(3):176–88. https://doi.org/10.1002/nur.10032
8. Kramer BM, Schmalenberg C, Maguire P. Essentials of a Magnetic work environment. Nursing 2008 Career Directory. 2008;23–7. URL: http://nursingcenter.hotims.com.
9. Beth Ulrich , Linda Cassidy , Connie Barden , Natasha Varn-Davis , Sarah A. Delgado; National Nurse Work Environments - October 2021: A Status Report. Enfermera de Crit Care 1 de octubre de 2022; 42 (5): 58–70. doi: https://doi.org/10.4037/ccn2022798
10. Huddleston P, Mancini ME, Gray J. Measuring Nurse Leaders’ and Direct Care Nurses’ Perceptions of a Healthy Work Environment in Acute Care Settings, Part 3. JONA J Nurs Adm [Internet]. 2017;47(3):140–6. https://doi.org/10.1097/NNA.0000000000000456
11. Choi J, Bakken S, Larson E, Stone PW. Perceived Nursing Work Environment of Critical Care Nurses. Nurs Res. 2004;53(6):370–8. https://doi.org/10.1097/00006199-200411000-00005
12. Yildirim D, Kisa S, Hisar F. Validity and reliability of the Turkish version of the Essentials of Magnetism Scale (EOM II). Int Nurs Rev. 2012;59(4):570–6. https://doi.org/10.1111/j.1466-7657.2012.01007.x.
13. Bai J, Hsu L, Zhang Q. Validation of the Essentials of Magnetism II in Chinese critical care settings. Nurs Crit Care. 2015;20(3):134–45. https://doi.org/10.1111/nicc.12041
14. De Brouwer BJM, Kaljouw MJ, Kramer M, Schmalenberg C, van Achterberg T. Measuring the nursing work environment: Translation and psychometric evaluation of the Essentials of Magnetism. Int Nurs Rev. 2014;61(1):99–108. https://doi.org/10.1111/inr.12073
15. Oshodi TO, Crockett R, Bruneau B, West E. The nursing work environment and quality of care: A cross-sectional study using the Essentials of Magnetism II Scale in England. J Clin Nurs. 2017 Sep;26(17–18):2721–34. https://doi.org/10.1111/jocn.13783.
16. Peña Alfaro BS. Desarrollo y validación del instrumento ENLASA-Enfermería para la evaluación de un entorno laboral saludable en el ámbito hospitalario [Internet]. Universidad Nacional de Colombia; 2021. Available from: https://repositorio.unal.edu.co/handle/unal/80839
17. Polit D, Beck C. Nursing research: generating and assessing evidence for nursing practice. Tenth edit. Wolters Kluwer., editor. Philadelphia: Lippincott Williams & Wilkins; 2017.
18. Peña Alfaro BS, Arango Bayer GL. Percepción de enfermeros colombianos sobre un entorno laboral saludable para la práctica asistencial en el ámbito hospitalario. Salud UIS. 2023; 55: e23014. doi: https://doi.org/10.18273/saluduis.55.e:23014
19. Donabedian A. An Introduction to Quality Assurance in Health Care. 1. New York: Oxford University Press; 2003.
20. Escurra M LM. Cuantificación de la validez de contenido por criterio de jueces. Rev Psicol. 1988;6(1–2):103–11. https://doi.org/10.18800/psico.198801-02.008
21. Pedrosa I, Suárez Álvarez J, García Cueto E. Evidencias sobre la Validez de Contenido: Avances Teóricos y Métodos para su Estimación. Acción psicológica. 2013;10(2):4–11. https://dx.doi.org/10.5944/ap.10.2.11820
22. Ruiz A, Gomez C. Epidemiología clínica, Investigación Clínica aplicada. 2da Edició. Panamericana E médica, editor. Bogotá - Colombia; 2015.
23. Tornimbeni S, Pérez E, Olaz F. Introducción a la psicometría. 1ra Edició. Buenos Aires: Editorial Paidos; 2008.
24. Norman G, Streiner D. Biostatistics. The bare essentials. Fourth Edi. PMPH-USA Ltd., editor. Vol. 53, Journal of Chemical Information and Modeling. Connecticut, USA; 2014.
25. Peña D. Análisis de datos multivariantes. McGraw-Hill Interamericana de España; 2002.
26. Pérez ER, Medrano L. Análisis Factorial Exploratorio: Bases Conceptuales y Metodológicas. Rev Argent Cienc Comport. 2010;2(1889):58–66. ISSN 1852-4206. URL: https://dialnet.unirioja.es/servlet/articulo?codigo=3161108
27. Wynendaele H, Willems R, Trybou J. Systematic review: Association between the patient–nurse ratio and nurse outcomes in acute care hospitals. J Nurs Manag. 2019;27(5):896–917. https://doi.org/10.1111/jonm.12764
28. Chiavenato I. Administración de recursos humanos. El capital humano de las organizaciones. Novena Edi. McGRAW-HILL/INTERAMERICANA EDITORES S.A., editor. México, D.F; 2011.
29. Toro Álvarez F. El clima organizacional. Perfil de Empresas Colombianas. 1ra Edició. Cincel LTDA, editor. Medellín - Colombia; 2001.
30. Kramer M, Maguire P, Schmalenberg C. Excellence Through Evidence: The What, When, and Where of Clinical Autonomy. J Nurs Adm [Internet]. 2006;36(10):479–91. https://doi.org/10.1097/00005110-200610000-00009
31. Kramer M, Schmalenberg C. Development and Evaluation of Essentials of Magnetism Tool. J Nurs Adm. 2004;34(7):365–78. https://doi.org/10.1097/00005110-200407000-00010
32. Kramer M, Schmalenberg C. Confirmation of a healthy work environment. Crit Care Nurse. 2008;28(2):56–63. PMID: 18378728. URL: http://ccn.aacnjournals.org
33. Connor AJ, Ziniel SI, Porter C, Doherty D, Moonan M, Dwyer P, et al. Interprofessional use and validation of the aacn healthy work environment assessment tool. AJCC Am J Crit Care. 2018;27(5):363–71. https://doi.org/10.4037/ajcc2018179
How to Cite
Peña Alfaro, B. S., & Arango Bayer, G. L. (2023). ENLASA-Nursing: an instrument for evaluating a healthy work environment. Gerencia Y Políticas De Salud, 22. https://doi.org/10.11144/Javeriana.rgps22.eeie
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