2.50
Hdl Handle:
http://hdl.handle.net/10755/163450
Category:
Abstract
Type:
Presentation
Title:
The Psychometric Properties of the Nurse Assistant Work Index (NAWI)
Author(s):
Johnston, Martha Ann; Havens, Donna S.
Author Details:
Martha Ann Johnston, RN, MBA, PhD, Project Coordinator, Penn State University School of Nursing, State College, Pennsylvania, USA, email: maj185@psu.edu; Donna S. Havens, PhD, RN, FAAN
Abstract:
Purpose: This research reports on the psychometric properties of the Nurse Assistant Work Index (NAWI), a survey instrument developed from the Nurse Work Index that is used in hospital studies with professional nurses. The NAWI is completed by certified nurse assistants (CNAs), the primary caregivers of nursing home residents. The ultimate intent of the survey instrument is to operationalize the relationship between the nursing home work environment and quality outcomes. Theoretical Framework: The Nurse Work Environment, Nursing Staffing and Outcome Conceptual Model (Aiken, Sloane & Lake, 1997; Aiken, Smith & Lake, 1994; Aiken, Sochalski & Lake, 1997), developed from studies of hospitals noted for retention of quality professional nurses and established relationship between the hospital work environment and quality patient outcomes, was revised to mirror a supportive work environment in the nursing home. The model reflecting the nursing home work environment is referred to as the Nurse Assistant Work Environment, Staffing and Outcome Conceptual Model. Methods (Design, Sample, Setting, Measures, Analysis): Exploratory factor analysis was performed on the NAWIs completed by 233 CNAs from eight Pennsylvania, non-profit nursing facilities that were in full compliance with licensure and JCAHO accreditation. Sixteen statements were identified for inclusion in confirmatory factor analysis. Results: Confirmatory factor analysis confirmed two factors identified from hospital studies. These were nurse-assistant nurse relations and resource adequacy. Internal consistency for the statements in these factors was established. The third factor, administrative support, was not supported. Conclusions and Implications: Nurse Assistant-Nurse Relations and Resource Adequacy subscales can be used to further explore the relationship between organizational work environment attributes and outcomes. The NAWI lays the groundwork for developing scale profiles that allow nursing home nurse leaders and administrators to compare their facility scores to reference values, thereby identifying strengths in their work environment that impact the CNAs and opportunities for improvement.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2006
Conference Name:
18th Annual Scientific Sessions
Conference Host:
Eastern Nursing Research Society
Conference Location:
Cherry Hill, New Jersey
Description:
�New Momentum for Nursing Research: Multidisciplinary Alliances�, held on April 20th -22nd at the Hilton in Cherry Hill, New Jersey
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleThe Psychometric Properties of the Nurse Assistant Work Index (NAWI)en_GB
dc.contributor.authorJohnston, Martha Annen_US
dc.contributor.authorHavens, Donna S.en_US
dc.author.detailsMartha Ann Johnston, RN, MBA, PhD, Project Coordinator, Penn State University School of Nursing, State College, Pennsylvania, USA, email: maj185@psu.edu; Donna S. Havens, PhD, RN, FAANen_US
dc.identifier.urihttp://hdl.handle.net/10755/163450-
dc.description.abstractPurpose: This research reports on the psychometric properties of the Nurse Assistant Work Index (NAWI), a survey instrument developed from the Nurse Work Index that is used in hospital studies with professional nurses. The NAWI is completed by certified nurse assistants (CNAs), the primary caregivers of nursing home residents. The ultimate intent of the survey instrument is to operationalize the relationship between the nursing home work environment and quality outcomes. Theoretical Framework: The Nurse Work Environment, Nursing Staffing and Outcome Conceptual Model (Aiken, Sloane & Lake, 1997; Aiken, Smith & Lake, 1994; Aiken, Sochalski & Lake, 1997), developed from studies of hospitals noted for retention of quality professional nurses and established relationship between the hospital work environment and quality patient outcomes, was revised to mirror a supportive work environment in the nursing home. The model reflecting the nursing home work environment is referred to as the Nurse Assistant Work Environment, Staffing and Outcome Conceptual Model. Methods (Design, Sample, Setting, Measures, Analysis): Exploratory factor analysis was performed on the NAWIs completed by 233 CNAs from eight Pennsylvania, non-profit nursing facilities that were in full compliance with licensure and JCAHO accreditation. Sixteen statements were identified for inclusion in confirmatory factor analysis. Results: Confirmatory factor analysis confirmed two factors identified from hospital studies. These were nurse-assistant nurse relations and resource adequacy. Internal consistency for the statements in these factors was established. The third factor, administrative support, was not supported. Conclusions and Implications: Nurse Assistant-Nurse Relations and Resource Adequacy subscales can be used to further explore the relationship between organizational work environment attributes and outcomes. The NAWI lays the groundwork for developing scale profiles that allow nursing home nurse leaders and administrators to compare their facility scores to reference values, thereby identifying strengths in their work environment that impact the CNAs and opportunities for improvement.en_GB
dc.date.available2011-10-27T11:07:48Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:07:48Z-
dc.conference.date2006en_US
dc.conference.name18th Annual Scientific Sessionsen_US
dc.conference.hostEastern Nursing Research Societyen_US
dc.conference.locationCherry Hill, New Jerseyen_US
dc.description�New Momentum for Nursing Research: Multidisciplinary Alliances�, held on April 20th -22nd at the Hilton in Cherry Hill, New Jerseyen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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