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

Webster, Joan, Flint, Anndrea L., & Courtney, Mary D. (2009) A new practice environment measure based on the reality and experiences of nurses working lives. Journal of Nursing Management, 17(1), pp. 38-48.

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Aims: To explore the underlying organisational issues affecting a nurses' decision to leave and 2) to develop a contemporary practice environment measure based on the experiences of nurses working lives. Background: Turnover had reached 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. Content validity score for the new instrument was .79 and the Chronbach's alpha .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.

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12 citations in Scopus
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13 citations in Web of Science®

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ID Code: 14917
Item Type: Journal Article
Refereed: Yes
Keywords: Personnel turnover, Qualitative research, Questionnaires, Practice environment
DOI: 10.1111/j.1365-2834.2008.00908.x
ISSN: 0966-0429
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Copyright Owner: Copyright 2008 Blackwell Publishing
Copyright Statement: The definite version is available on publication at www3.interscience.wiley.com
Deposited On: 22 Sep 2008 00:00
Last Modified: 29 Feb 2012 13:44

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