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Measuring the nursing work environment: translation and psychometric evaluation of the Essentials of Magnetism

Authors

  • B.J.M. de Brouwer MSc,

    Nursing Policy Advisor, Corresponding author
    1. Dutch Nurses' Association, Utrecht, The Netherlands
    • Correspondence address: Ms Brigitte Johanna Maria de Brouwer, Dutch Nurses' Association, PO Box 8212, 3503 RE Utrecht, The Netherlands; Tel: +31-302919050; Fax: +31-302919059; E-mail: b.brouwer@venvn.nl.

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  • M.J. Kaljouw RN, PhD,

    CEO
    1. St. Antonius Academy, Nieuwegein, The Netherlands
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  • M. Kramer RN, PhD, FAAN,

    Vice President
    1. Health Sciences Research Associates, Nursing Administration and Research Consultation, Tahoe City, CA, USA
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  • C. Schmalenberg RN, MSN,

    President
    1. Health Sciences Research Associates, Nursing Administration and Research Consultation, Tahoe City, CA, USA
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  • T. van Achterberg RN, PhD

    Professor of Nursing Science
    1. Scientific Institute for Quality of Healthcare (IQ Healthcare), Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
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  • Competing interests: The author(s) declare that they have no competing interests.

Abstract

Aim

Translate the Essentials of Magnetism II© (EOMII; Dutch Nurses' Association, Utrecht, The Netherlands) and assess its psychometric properties in a culture different from its origin.

Background

The EOMII, developed in the USA, measures the extent to which organizations/units provide healthy, productive and satisfying work environments. As many healthcare organizations are facing difficulties in attracting and retaining staff nurses, the EOMII provides the opportunity to assess the health and effectiveness of work environments.

Methods

A three-phased (respectively N = 13, N = 74 and N = 2542) combined descriptive and correlational design was undertaken for translation and evaluation validity and psychometric qualities of the EOMII for Dutch hospitals (December 2009–January 2010). We performed forward-backward translation, face and content validation via cross-sectional survey research, and semi-structured interviews on relevance, clarity, and recognizability of instruments' items. Psychometric testing included principal component analysis using varimax rotation, item-total statistics, and reliability in terms of internal consistency (Cronbach's α) for the total scale and its subscales.

Results

Face validity was confirmed. Items were recognizable, relevant and clear. Confirmatory factor analysis indicated that five of eight subscales formed clear factors. Three original subscales contained two factors. Item-total correlations ranged from 0.43 to 0.83. One item correlated weakly (0.24) with its subscale. Cronbach's α for the entire scale was 0.92 and ranged from 0.58 to 0.92 for eight subscales.

Conclusions

Dutch-translated EOMII (D-EOMII) demonstrated acceptable reliability and validity for assessing hospital staff nurses' work environment.

Implications for Nursing and Health Policy

The D-EOMII can be useful and effective in identifying areas in which change is needed for a hospital to pursue an excellent work environment that attracts and retains well-qualified nurses.

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