OBJECTIVES: The objectives of this study were to develop and test a scale designed to describe and assess nurse managers’ practice environments.
BACKGROUND: Creating practice environments supporting workers at all levels is critical to achieving excellent patient, staff, and organizational outcomes. Scales are available to assess staff nurses’ practice environment; however, no comparable scale for nurse managers exists.
METHODS: A cross-sectional design using an electronic survey was administered to nurse managers in 25 hospitals in 9 health systems from 6 states.
RESULTS: Exploratory factor analysis with a varimax rotation produced a final solution of 44 items loading in 8 domains. Cronbach’s α’s ranged from .72 to .97. Mean scores ranged from 3.92 to 4.99 on a 6-point Likert scale.
CONCLUSIONS: The scale demonstrated adequate psychometric properties and warrants further use and testing. Understanding the nurse manager practice environment may reveal insights to guide opportunities to improve organizational performance.
Author Affiliations: Assistant Professor (Dr Warshawsky), Professor (Dr Rayens), College of Nursing, University of Kentucky, Lexington; Director of Nursing Practice (Dr Lake), UK Health-Care, Lexington, Kentucky; and Professor (Dr Havens), School of Nursing, University of North Carolina at Chapel Hill.
The authors declare no conflicts of interest.
Correspondence: Dr Warshawsky, 557 College of Nursing, Lexington, KY 40536 (firstname.lastname@example.org).
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