Design and Validate a Tool for Measuring Infrastructure of Nursing Work Environment in Egypt
Journal Title: IOSR Journal of Nursing and health Science - Year 2019, Vol 7, Issue 1
Abstract
Background: Infrastructure reform of nursing work environment in Egypt is becoming an imperative issue for healthcare organizations. Where, efforts are exerted worldwide for improving nations' health and nurses as key role players and most consistent fellow of the multidisciplinary team are profoundly important in healthcare field. Therefore, attention from hospitals to create a healthy environment where nurses are comfortable working will promote competencies needed for improving present and prospect targeted healthcare quality. Aim: The study aims to design and validate a compatible tool to measure Infrastructure of nursing work environment across various hospitals within the scope of the Egyptian healthcare services sectors located in Cairo and Giza. Methods: A methodological study design was executed in five hospitals affiliated to different types of healthcare sectors in Egypt, which include Governmental, Parastatal, Private and Public Sectors. The total numbers of participants were composed of (220) nurses' selected using stratified random sample from each hospital and a panel of experts to validate the constructed tool (Infrastructure of the Nursing Work Environment "INWE"), which comprised of 63 items distributed over 9 subscales dimensions. Results: Face and content validity of the new constructed scale were determined by a judge's panel of 9 experts and 15 experienced nurses. A total of 65 items remained in the final draft after exclusion of irrelevant and ambiguous items. Construct validity was demonstrated for 63 items by using Explanatory Factor Analysis (EFA) method, with loading value above 0.40 and Eigenvalue above one. A high level of internal consistency reliability for the total items was confirmed with Cronbach's alpha coefficient 0.97 and for its nine subscales sets (r = 0.94) and loading value ranged from 0.80 to 0.92 Conclusion: The scale developed in this study is acceptable index for measuring the factors that bear on the infrastructure reform of the nursing work environment. Recommendation: Reforming infrastructure of nursing work environment is an essential matter if we demand to move up with human rights either for patients or nurses caring them. Reapplication of the new developed tool in other stratified healthcare facilities in urban, suburban, and rural governates would offer data that can help in improving its psychometric characteristics and to implement exclusive reform programs for nursing profession in all healthcare sectors.
Authors and Affiliations
Dr. Kawther Abdel Ghafar Ali, Dr. Waffaa El Said Hassan Helal
Keywords
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- EP ID EP435255
- DOI 10.9790/1959-0701052231.
- Views 123
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