A Multilevel Analysis of the Effects of the Practice Environment Scale of the Nursing Work Index on Nurse Outcomes
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 authorRebecca J. Erickson
Department of Sociology, The University of Akron, Akron, Ohio
Professor of Sociology.Search for more papers by this authorChristina M. Moran
PRADCO, Chagrin Falls, Ohio
Management Consultant.Search for more papers by this authorJames M. Diefendorff
Department of Psychology, The University of Akron, Akron, Ohio
Associate Professor of Psychology.Search for more papers by this authorGail E. Bromley
College of Nursing, Kent State University, Kent, Ohio
Associate Dean for Academics.Search for more papers by this authorCorresponding 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 authorRebecca J. Erickson
Department of Sociology, The University of Akron, Akron, Ohio
Professor of Sociology.Search for more papers by this authorChristina M. Moran
PRADCO, Chagrin Falls, Ohio
Management Consultant.Search for more papers by this authorJames M. Diefendorff
Department of Psychology, The University of Akron, Akron, Ohio
Associate Professor of Psychology.Search for more papers by this authorGail E. Bromley
College of Nursing, Kent State University, Kent, Ohio
Associate Dean for Academics.Search for more papers by this authorAbstract
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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