A multilevel analysis of the effects of the practice environment scale of the nursing work index on nurse outcomes

Allison S. Gabriel, Rebecca J. Erickson, Christina M. Moran, James M. Diefendorff, Gail E. Bromley

Research output: Contribution to journalArticlepeer-review

29 Scopus citations

Abstract

Few researchers have examined how the components of the Practice Environment Scale of the Nursing Work Index (PES-NWI) relate to nurses' well-being at multiple organizational levels. The objective of the study was to perform a multilevel assessment of the relationships of the PES-NWI subscales with three nurse outcomes: job satisfaction, emotional exhaustion, and turnover intentions. Additionally, we tested the multilevel factor structure of the PES-NWI. In a sample of 699 full-time registered nurses in 79 units and 9 branches of a hospital system, relationships of the NWI with nurse outcomes were fairly consistent across levels of analysis. However, subscales contributed differently to the three outcomes, demonstrating the complexity of environmental influences on nurses' work experience.

Original languageEnglish (US)
Pages (from-to)567-581
Number of pages15
JournalResearch in Nursing and Health
Volume36
Issue number6
DOIs
StatePublished - Dec 2013
Externally publishedYes

Keywords

  • Emotional exhaustion
  • Job satisfaction
  • Multilevel analysis
  • Nurse practice environment
  • Nursing Work Index
  • Practice Environment Scale
  • Turnover intentions

ASJC Scopus subject areas

  • Nursing(all)

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