Selection of an instrument to evaluate the organizational environment of nurses working in intensive care: an integrative review

Abbenbroek, B; Duffield, C; Elliott, D

Selection of an instrument to evaluate the organizational environment of nurses working in intensive care: an integrative review

Abbenbroek, B Duffield, C

Elliott, D

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Publisher:: Sciedu Press
Publication Type:: Journal Article
Citation:: Journal of Hospital Administration, 2014, 3 (6), pp. 143 - 162
Issue Date:: 2014-10-31

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Field	Value	Language
dc.contributor.author	Abbenbroek, B	en_US
dc.contributor.author	Duffield, C https://orcid.org/0000-0001-6534-8743	en_US
dc.contributor.author	Elliott, D https://orcid.org/0000-0002-6081-5442	en_US
dc.date.issued	2014-10-31	en_US
dc.identifier.citation	Journal of Hospital Administration, 2014, 3 (6), pp. 143 - 162	en_US
dc.identifier.issn	1927-6990	en_US
dc.identifier.uri	http://hdl.handle.net/10453/115938
dc.description.abstract	Objective: To determine an appropriate survey instrument to evaluate the impact of organizational structures on the work environment of intensive care nurses. Background: Internationally the demand for intensive care is increasing. Solely increasing bed capacity is not sustainable. Large capacity multi-specialty Intensive Care Units are emerging as the preferred organizational model with benefits resulting from optimizing operational synergies and economies of scale. The impact of this organizational transition on intensive care nurses is not well understood. An appropriate survey instrument for intensive care nurses is required. Design: Integrative literature review. Data Sources: CINAHL, PubMed, EMBASE and OVID Nursing databases searched for studies published between 2005 and 2013. Review methods: An integrative review and quality assessment of the studies was undertaken to select nurse outcome measures associated with organizational structures across a range of acute and critical care settings. Congruence between nurse outcome measures and nurse survey instruments tested in the literature was assessed to select instruments for further psychometric evaluation. Results: Thirty-one cross sectional quantitative studies, from fourteen countries, were reviewed. Twenty one nurse outcome measures associated with organizational factors were identified and a total of twenty five survey instruments used in the studies reviewed. Assessment of congruence and psychometric properties determined that a combination of two instruments is required to comprehensively assess the organizational environment of nurses working in intensive care units. Conclusion: The environment of nurses working in intensive care is effectively evaluated with an instrument that combines subscales from the Practice Environment Scale-Nurse Work Index and Maslach’s Burnout Inventory.	en_US
dc.publisher	Sciedu Press	en_US
dc.relation.ispartof	Journal of Hospital Administration	en_US
dc.relation.isbasedon	10.5430/jha.v3n6p143	en_US
dc.title	Selection of an instrument to evaluate the organizational environment of nurses working in intensive care: an integrative review	en_US
dc.type	Journal Article
utslib.citation.volume	6	en_US
utslib.citation.volume	3	en_US
utslib.for	1110 Nursing	en_US
utslib.for	1117 Public Health and Health Services	en_US
utslib.for	1605 Policy and Administration	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Nursing
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
utslib.copyright.status	open_access
pubs.consider-herdc	false	en_US
pubs.issue	6	en_US
pubs.publication-status	Published	en_US
pubs.volume	3	en_US

Abstract:

Objective: To determine an appropriate survey instrument to evaluate the impact of organizational structures on the work environment of intensive care nurses. Background: Internationally the demand for intensive care is increasing. Solely increasing bed capacity is not sustainable. Large capacity multi-specialty Intensive Care Units are emerging as the preferred organizational model with benefits resulting from optimizing operational synergies and economies of scale. The impact of this organizational transition on intensive care nurses is not well understood. An appropriate survey instrument for intensive care nurses is required. Design: Integrative literature review. Data Sources: CINAHL, PubMed, EMBASE and OVID Nursing databases searched for studies published between 2005 and 2013. Review methods: An integrative review and quality assessment of the studies was undertaken to select nurse outcome measures associated with organizational structures across a range of acute and critical care settings. Congruence between nurse outcome measures and nurse survey instruments tested in the literature was assessed to select instruments for further psychometric evaluation. Results: Thirty-one cross sectional quantitative studies, from fourteen countries, were reviewed. Twenty one nurse outcome measures associated with organizational factors were identified and a total of twenty five survey instruments used in the studies reviewed. Assessment of congruence and psychometric properties determined that a combination of two instruments is required to comprehensively assess the organizational environment of nurses working in intensive care units. Conclusion: The environment of nurses working in intensive care is effectively evaluated with an instrument that combines subscales from the Practice Environment Scale-Nurse Work Index and Maslach’s Burnout Inventory.

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http://hdl.handle.net/10453/115938