Validation of the Psychometric Properties of the Practice Environment Scale of Nursing Work Index (PES-NWI) Questionnaire in the Context of Kenya’s Nursing Organizational Work Culture
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Abstract
Background
The global shortage of nurses is posing a significant threat to the provision and sustainability of quality health care services worldwide. The importance of nursing organizational culture and validated tools to accurately measure it, is of paramount importance in mitigation of this shortage, especially in Low- and middle-income-countries like Kenya.
Methodology
This was a cross-sectional online validation survey among 212 nursing personnel working in various healthcare facilities across Kenya. The aim of the study was to assess the validity and reliability of the psychometric properties of the Practice Environment Scale of Nursing Work Index within the framework of nursing organizational culture in Kenya and determine how Kenyan nurses rate their organizational culture. Data was analyzed using SPSS version 28. Cronbach’s alpha was used to determine reliability while Exploratory Factor Analysis and Confirmatory Factor Analysis were used to test validity.
Results
The 5-structure of Lake’s PES-NWI was unsupported by confirmatory factor analysis and a new 7-Factor Kenyan PES-NWI version was created. The new tool was reliable and with acceptable fit. Participants showed a mixed rating of their organizational culture with overall organizational culture largely rated neutral (M = 2.51, SD = 1.01).
Conclusion
The Kenyan PES-NWI is a valid and reliable tool that could be used to assess organizational culture. The study highlighted the critical need to further develop context-specific tools to accurately measure nursing organizational culture work environments particularly in Low and-Middle-Income countries like Kenya facing significant nursing shortages. As nursing becomes increasingly dynamic and complex, it is essential for nursing and healthcare researchers to re-validate research tools to continuously improve them.
期刊介绍：
International Journal of Africa Nursing Sciences (IJANS) is an international scientific journal published by Elsevier. The broad-based journal was founded on two key tenets, i.e. to publish the most exciting research with respect to the subjects of Nursing and Midwifery in Africa, and secondly, to advance the international understanding and development of nursing and midwifery in Africa, both as a profession and as an academic discipline. The fully refereed journal provides a forum for all aspects of nursing and midwifery sciences, especially new trends and advances. The journal call for original research papers, systematic and scholarly review articles, and critical papers which will stimulate debate on research, policy, theory or philosophy of nursing as related to nursing and midwifery in Africa, technical reports, and short communications, and which will meet the journal''s high academic and ethical standards. Manuscripts of nursing practice, education, management, and research are encouraged. The journal values critical scholarly debate on issues that have strategic significance for educators, practitioners, leaders and policy-makers of nursing and midwifery in Africa. The journal publishes the highest quality scholarly contributions reflecting the diversity of nursing, and is also inviting international scholars who are engaged with nursing and midwifery in Africa to contribute to the journal. We will only publish work that demonstrates the use of rigorous methodology as well as by publishing papers that highlight the theoretical underpinnings of nursing and midwifery as it relates to the Africa context.
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