Purpose
This study aimed to develop a nursing work environment scale for clinical nurses and to verify its validity and reliability. Methods: The initial items comprised individual interviews with eleven clinical nurses. The content validity of the initial items was evaluated twice by nine experts, while 37 preliminary items were reviewed through pilot tests with 20 nurses and cognitive interviews with five nurses. The survey data were collected from 353 clinical nurses working at general hospitals. Results: In the exploratory factor analysis, the number of factors was determined through parallel analysis, scree test, and cumulative variance ratio. Consequently, 23 items and three factors were thus composed, yielding a total cumulative variance ratio of 91.3%. The finalized 20 items of the final three factors were subjected to a confirmatory factor analysis, which led to the validation of the three subscales model. The three sub-factors were composed of nurse manager competency, nurse safety management system, and a nurse support system. Conclusion: This scale is expected to be useful for evaluating the nursing work environment of clinical nurses by verifying its reliability and validity through various methods.

Citations

• Development and Validation of the Patient-Centered Communication Competency Scale for Dental Hygienists
  Da-Eun Kim, Jong-Hwa Jang
  Healthcare.2025; 13(11): 1241.     CrossRef
• Influence of Critical Thinking Disposition, Clinical Reasoning Competence, and Nursing Practice Environment on Medication Safety Competence of Hospital Nurses
  Jeong An Oh, Eun A Kim, Hae Ran Kim
  Healthcare.2025; 13(5): 542.     CrossRef
• Factors Influencing Person-Centered Care Among Psychiatric Nurses in Hospitals
  Ji Su Lee, Mi Heui Jang, Min Jung Sun
  Healthcare.2024; 12(22): 2269.     CrossRef
• Influence of Clinical Nursing Competency and Nursing Working Environment of Psychiatric Nurses on Person-Centered Care
  Pan Heui Kim
  Journal of Korean Academy of psychiatric and Mental Health Nursing.2024; 33(3): 229.     CrossRef
• Structural Equation Modeling of Advanced Beginner-Stage Nurses' Intention to Continue Employment
  Seung-Hee Lee, Hwasoon Kim
  Journal of Korean Academy of Nursing Administration.2023; 29(5): 517.     CrossRef

PURPOSE
The purpose of this research was to develop and test the validity and reliability of the Service Orientation Scale for Health Care Organization.
METHODS
The Service Orientation Scale for Health Care Organization, SERV*OR, was developed through forward-backward translation methods. Internal consistency and reliability, construct and criterion validity were calculated using SPSS Statistics WIN 17.0. Survey data were collected from 283 clinical nurses in a general hospital in J province.
RESULTS
The Service Orientation Scale for Health Care Organization showed reliable internal consistency with Cronbach's alpha's for the total scale ranging from .85~.91. Factor loading of the 30 items on four sub-scales ranged from .67~.83. The sub scales were named service leadership, service system, customer focus, and service control. Item convergent and discriminant validity were also established for the Service Orientation Scale for Health Care Organization. Criterion validity showed a significant correlation with customer orientation.
CONCLUSION
The findings of the study demonstrate that the Service Orientation Scale for Health Care Organization has satisfactory construct and criterion validity, and reliability and can be used to measure service orientation.