Volume 36, Issue 6 pp. 567-581
Research Report

A Multilevel Analysis of the Effects of the Practice Environment Scale of the Nursing Work Index on Nurse Outcomes

Allison S. Gabriel

Corresponding Author

Allison S. Gabriel

Department of Management, Virginia Commonwealth University, 301 West Main Street, PO Box 844000 Richmond, Virginia, 23284-4000

Assistant Professor of Management.Correspondence to Allison S.Search for more papers by this author
Rebecca J. Erickson

Rebecca J. Erickson

Department of Sociology, The University of Akron, Akron, Ohio

Professor of Sociology.Search for more papers by this author
Christina M. Moran

Christina M. Moran

PRADCO, Chagrin Falls, Ohio

Management Consultant.Search for more papers by this author
James M. Diefendorff

James M. Diefendorff

Department of Psychology, The University of Akron, Akron, Ohio

Associate Professor of Psychology.Search for more papers by this author
Gail E. Bromley

Gail E. Bromley

College of Nursing, Kent State University, Kent, Ohio

Associate Dean for Academics.Search for more papers by this author
First published: 30 September 2013
Citations: 32
The research reported here is an analysis of data from a larger study, “Identity and Emotional Management Control in Health Care Settings,” funded by the National Science Foundation (SES-1024271). A previous version of this article was presented at the 72nd annual meeting of the Academy of Management.

Abstract

Few researchers have examined how the components of the Practice Environment Scale of the Nursing Work Index (PES-NWI) relate to nurses' well-being at multiple organizational levels. The objective of the study was to perform a multilevel assessment of the relationships of the PES-NWI subscales with three nurse outcomes: job satisfaction, emotional exhaustion, and turnover intentions. Additionally, we tested the multilevel factor structure of the PES-NWI. In a sample of 699 full-time registered nurses in 79 units and 9 branches of a hospital system, relationships of the NWI with nurse outcomes were fairly consistent across levels of analysis. However, subscales contributed differently to the three outcomes, demonstrating the complexity of environmental influences on nurses' work experience. © 2013 Wiley Periodicals, Inc. Res Nurs Health 36: 567–581, 2013

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