THE USE OF NURSING WORK INDEX AS A PRACTICE CONDITIONS ASSESSMENT FOR THE ROMANIAN NURSE’S CASE

Authors

  • Oana PĂDURARU Grigore T. Popa” University of Medicine and Pharmacy Iasi
  • C. S. PĂDURARU “Apollonia” University of Iasi / Faculty of Dental Medicine
  • Elena Mihaela CĂRĂUȘU Grigore T. Popa” University of Medicine and Pharmacy Iasi

Abstract

The work conditions of nurses have a significant impact on the practice of nursing. Suboptimal working conditions can be attributed to insufficient workplace structure, substandard organization of tasks, inadequate training, and unsuitable staffing policies. Materials and methods: This research sought to analyze the factors that influence the work conditions of nurses by employing the practice conditions scale of the Nursing Work Index (NWI). The validation of the NWI was conducted, utilizing nurse-reported job features as the independent variables. A total of 746 nurses from hospitals located in North - East Region of Romania were included in the sample. The Nurse Forecasting (RN4CAST) protocol was implemented for data collection. Results: The NWI construct was accounted for by 42.9% through factors such as “Advancement opportunities”, ‘Learning opportunities’, ‘Satisfaction with current job’, ‘Professional status’, and ‘Level of education’. An analysis of the NWI revealed the presence of distinct variables within a five-factor structure. The mean score achieved on the Nursing Work Index was observed to be among the least favorable in comparison to earlier survey findings. Conclusions: It is imperative for nurses to be acknowledged as peers within the healthcare sector, thereby requiring empowerment for professional growth and access to career advancement prospects. Furthermore, the significance of inter-professional relationships and equitable participation of nurses in hospital matters cannot be understated.

Author Biographies

  • Oana PĂDURARU, Grigore T. Popa” University of Medicine and Pharmacy Iasi

    “Apollonia” University of Iasi / Faculty of Dental Medicine

  • C. S. PĂDURARU, “Apollonia” University of Iasi / Faculty of Dental Medicine

    “Dunarea de Jos” University Galati, Romania / Faculty of Medicine and Pharmacy

References

1. Aiken LH, Clarke SP, Sloane DM, Sochalski J, Silber JH. Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. JAMA 2002; 288(16): 1987-1993 / doi: 10.1001/ jama. 288. 16.1987.
2. Al Sabei D, Labrague J, Miner Ross,et al. Nursing work conditions, turnover intention, job burnout, and quality of care: the moderating role of satisfaction at work. J Nurs Scholarsh 2020; 52(1): 95-104 / doi:10.1111/jnu.12528.
3. Al Yahyaei A Hewison, A Efstathiou N Carrick-Sen D. Nurses’ intention to stay in the work condi-tions in acute healthcare: a systematic review. J Res Nurs 2022; 27(4): 374-397.
4. Campbell CM Evaluation and revision of the Practice Conditions Scale of the Nursing Work Index for acute care hospital staff nurses 2022; Retrieved from http://hdl.handle.net/10755/22910.
5. Directive 2013/55/EU of the European Parliament and of the Council of 20 November. 2013 amending Directive 2005/36/EC on the recognition of professional qualifications and Regulation (EU) No 1024/2012 on administrative cooperation through the Internal Market Information System (‘the IMI Regulation’). Retrieved from https://eurlex.europa.eu/LexUriServ/LexUriServ.do?uri =OJ: L:2013: 3 54:0132:0170:en:PDF
6. Eva GF, Francisco AS, César LC, et al. Effectiveness of intervention programs aimed at improving the nursing work conditions: a systematic review. Int Nurs Rev 2023; 1-12 / doi:10.1111/inr.12826.
7. Gabriel AS, Erickson RJ, Moran CM, Diefendorff JM, Bromley GE. A multilevel analysis of the effects of the Practice Conditions Scale of the Nursing Work Index on nurse outcomes. Research in nursing & health 2013; 36(6), 567-581 / doi:10.1002/nur.21562 .
8. Gómez-García T, Ruzafa-Martínez M, Fuentelsaz-Gallego C, et al. Nurses’ sleep quality, work conditions and quality of care in the Spanish National Health System: observational study among dif-ferent shifts. BMJ Open 2016; 6(8): e012073 / doi:10.1136/bmjopen-2016-012073.
9. Kassahun CW, Abate AT, Tezera ZB, et al. Working conditions of nurses in public referral hospitals of West Amhara, Ethiopia, BMC Nursing 2021; 21: 167 / doi:10.1186/s12912-022-00944-9.
10. Kieft RA, de Brouwer BB, Francke AL, et al. How nurses and their work conditions affect patient experiences of the quality of care: a qualitative study. BMC Health Services Research 2014; 14: 249. / doi:10.1186/1472-6963-14-249 .
11. Kutney-Lee A Wu ES Sloane DM Aiken LH. Changes in hospital nurse work conditions and nurse job outcomes: an analysis of panel data. International journal of nursing studies 2013; 50(2): 195-201 / doi:10.1016/j.ijnurstu.2012.07.014 .
12. Lake ET Rosenbaum KEF Sauveur C Buren C Cho P. Translations of the Practice Conditions Scale of the Nursing Work Index: A systematic review. Nursing & health sciences 2023; 25(3): 365-380 / doi:10.1111/nhs.13034 .
13. Lake ET. Development of the practice conditions scale of the Nursing Work Index. Research in Nurs-ing & Health 2002; 25(3): 176-188 / doi:10.1002/nur.10032.
14. Lu H Zhao Y While A. Satisfaction at work among hospital nurses: a literature review. International J Nurs Stud. 2019; 94:21-31 / doi: 10.1016/j.ijnurstu.2019.01.011 .
15. Maassen SM van Oostveen C Vermeulen H Weggelaar AM. Defining a positive work conditions for hospital healthcare professionals: A Delphi study. PLoS ONE 2021; 16(2): e0247530 / doi: 10.1371/ journal.pone.0247530 .
16. McHugh MD Ma C Wage, work conditions, and staffing: effects on nurse outcomes. Policy, politics & nursing practice 2014; 15(3-4): 72-80 / doi: 10.1177/1527154414546868.
17. National Quality Forum. Practice Conditions Scale‐Nursing Work Index (PES‐NWI) (composite and five subscales) 2015; Retrieved from http://www.qualityforum.org/QPS/0206 .
18. Norman RM Sjetne IS. Measuring nurses’ perception of work conditions: a scoping review of ques-tionnaires. BMC Nursing 2017; 16: 66 / doi: 10.1186/s12912-017-0256-9 .
19. Pallant J. SPSS survival manual: a step-by-step guide to data analysis using SPSS. 4th ed. New York: Open University Press/McGrawHill, 2010.
20. Poghosyan L Clarke SP Finlayson M Aiken LH. Nurse burnout and quality of care: cross-national investigation in six countries. Research in nursing & health 2010; 33(4), 288-298. / doi:10.1002/nur.20383.
21. Pursio K, Kankkunen P, Mikkonen S, et al. Organizational features of nursing practice conditions related to registered nurses’ professional autonomy and satisfaction at work in two Finnish Magnet-aspiring hospitals: structural equation modeling study. BMC Nursing 2024; 23: 100 / doi: 10.1186/ s1 2912-024-01772-9 .
22. Sarıköse S, Göktepe N. Effects of nurses’ individual, professional and work conditions features on job performance. Journal of clinical nursing 2022; 31(5-6): 633-641 / doi:10.1111/jocn.15921.
23. Sermeus W, Aiken LH, Van Den HK, et al. RN4CAST consortium. Nurse forecasting in Europe (RN4CAST): Rationale, design and methodology. BMC Nursing 2011 / doi:10.1186/1472-6955-10-6.
24. Skela-Savič B, Sermeus W, Dello S, et al. How nurses’ job features affect their self-assessed work conditions in hospitals - Slovenian use of the practice conditions scale of the nursing work index. BMC Nursing 2023; 22: 100 / doi:10.1186/s12912-023-01261-5 .
25. Swiger PA Patrician PA Miltner RSS Raju D Breckenridge-Sproat S Loan LA. The Practice Condi-tions Scale of the Nursing Work Index: An updated review and recommendations for use. International journal of nursing studies 2017; 74, 76-84 / doi: 10.1016/j.ijnurstu.2017.06.003 .
26. The Norwegian National Research Ethics Committees. Guidelines for Research Ethics in the Social Sciences and the Humanities 2021; 1-41.
27. Van Bogaert P Clarke S Vermeyen K Meulemans H Van de Heyning P. Practice conditions and their associations with nurse reported outcomes in Belgian hospitals: development and preliminary validation of a dutch adaptation of the revised nursing work index. Int J Nurs Stud 2009 / doi: 10.1016/ j.ijnurstu.2008.07.009 .
28. Van Bogaert P, Kowalski C, Weeks SM, Van Heusden D, Clarke SP. The relationship between nurse practice conditions, nurse work features, burnout and job outcome and quality of nursing care: a cross-sectional survey. International journal of nursing studies 2013; 50(12): 1667-1677 / doi:10. 101 6/j.ijnurstu.2013.05.010.
29. Warshawsky NE Havens DS Global use of the Practice Conditions Scale of the nursing work index. Nursing research 2011; 60(1), 17-31. / doi:10.1097/NNR.0b013e3181ffa79c.
30. Wei H Sewell KA Woody F Rose MA et al. The state of the science of nurse work conditions in the United States: a systematic review. Int J Nurs Sciences 2018; 5: 287-300 / doi:10.1016/j.ijnss.2018 04.01.
31. World Medical Association. World Medical Association Declaration of Helsinki, ethical principles for Medical Research Involving human subjects. JAMA 2013; 27: 2191-2194.

Additional Files

Published

2024-09-18

Issue

Section

PREVENTIVE MEDICINE - LABORATORY