A new practice environment measure based on the reality and experiences of nurses working lives

Webster, Joan, Flint, Anndrea and Courtney, Mary (2009) A new practice environment measure based on the reality and experiences of nurses working lives. Journal of Nursing Management, 17 1: 38-48. doi:10.1111/j.1365-2834.2008.00908.x


Author Webster, Joan
Flint, Anndrea
Courtney, Mary
Title A new practice environment measure based on the reality and experiences of nurses working lives
Journal name Journal of Nursing Management   Check publisher's open access policy
ISSN 0966-0429
Publication date 2009-01-01
Year available 2009
Sub-type Article (original research)
DOI 10.1111/j.1365-2834.2008.00908.x
Open Access Status Not yet assessed
Volume 17
Issue 1
Start page 38
End page 48
Total pages 11
Editor Melanie Jasper
Place of publication United Kingdom
Publisher Wiley-Blackwell Publishing Ltd
Language eng
Subject C1
321199 Nursing not elsewhere classified
111099 Nursing not elsewhere classified
920210 Nursing
Abstract Aims. To explore the underlying organizational issues affecting a nurses' decision to leave and to develop a contemporary practice environment measure based on the experiences of nurses working lives. Background. Turnover had reached an unacceptable level in our organization but underlying reasons for leaving were unknown. Method. In-depth interviews were conducted with 13 nurses who had resigned. Transcripts were analysed using the constant comparative method. Information from the interviews informed the development a new practice environment tool, which has undergone initial testing using the Content Validity Index and Chronbach’s alpha. Results. Two domains ('work life' and 'personal life/professional development') and five themes ('feeling safe', 'feeling valued', 'getting things done', 'professional development' and 'being flexible') emerged from the interviews. A content validity score for the new instrument was 0.79 and Chronbachs alpha 0.93. Conclusion. The new practice environment tool has shown useful initial reliability and validity but requires wider testing in other settings. Implications for nursing management. The reality and experiences of nurses working lives can be identified through exit interviews conducted by an independent person. Information from such interviews is useful in identifying an organizations strength and weaknesses and to develop initiatives to support retention.
Formatted abstract
Aims
To explore the underlying organizational issues affecting a nurses' decision to leave and to develop a contemporary practice environment measure based on the experiences of nurses working lives.

Background
Turnover had reached an unacceptable level in our organization but underlying reasons for leaving were unknown.

Method
In-depth interviews were conducted with 13 nurses who had resigned.
Transcripts were analysed using the constant comparative method. Information from the interviews informed the development a new practice environment tool, which has undergone initial testing using the Content Validity Index and Chronbach’s alpha.

Results
Two domains ('work life' and 'personal life/professional development') and
five themes ('feeling safe', 'feeling valued', 'getting things done', 'professional
development' and 'being flexible') emerged from the interviews. A content validity score for the new instrument was 0.79 and Chronbach's alpha 0.93.

Conclusion
The new practice environment tool has shown useful initial reliability
and validity but requires wider testing in other settings.

Implications for nursing management
The reality and experiences of nurses working lives can be identified through exit interviews conducted by an independent person. Information from such interviews is useful in identifying an organization's strength and weaknesses and to develop initiatives to support retention.
Keyword personnel turnover
practice environment
qualitative research
questionnaires
Q-Index Code C1
Q-Index Status Provisional Code

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Nursing, Midwifery and Social Work Publications
 
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Citation counts: TR Web of Science Citation Count  Cited 16 times in Thomson Reuters Web of Science Article | Citations
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Created: Wed, 06 May 2009, 19:29:03 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work