Purpose
To develop a Korean version of the practice environment scale that can verify the practice environment of advanced practice registered nurses (APRN) by verifying the validity and reliability of the Nurse practitioner's primary care organizational climate questionnaire developed by Poghosyan et al.
Methods
After translation using a committee approach and an expert group’s verification of the content validity, items were classified as 'professional visibility', 'APRN-administration relations', 'APRN-physician relations', 'independent practice and support' A total of 29 questionnaire items were developed for the four factors. Data were collected from 200 advanced practice registered nurses working at two advanced general hospitals and six general hospitals.
Results
In the confirmatory factor analysis, CFI, TLI, and RMSR evaluation indices were appropriate except for RMSEA. Partial validity was shown in convergent validity, and discriminant validity. Exploratory factor analysis revealed that the questions were well organized with four factors. Cronbach's ⍺ of the whole instrument was .93.
Conclusion
As a first attempt to measure the practice environment of the APRN in Korea, the results show that this questionnaire provides basic data for correct role setting and improvement of practice environment. This research will ultimately serve as a basis for cost-effective quality care.

Citations

• Development and validation of a quality of healthy work environment instrument for shift nurses
  Sun-Hwa Shin, Eun-Hye Lee
  BMC Nursing.2024;[Epub]     CrossRef
• Job Roles of the Physician Assistants Working in the Surgical Departments of Tertiary Hospitals in Korea: Content Analysis
  Hyun Sook Lim, Hyang-In Cho Chung, Kyung Joo Choi
  Journal of Korean Academy of Nursing Administration.2023; 29(2): 155.     CrossRef

PURPOSE
This study was done to evaluate validity and reliability of the Korean version of the expanded nursing stress scale (ENSS).
METHODS
Forward-backward translation of ENSS from English to Korean was conducted. The translated instrument was pilot-tested and administrated to 285 nurses who worked in five general hospitals in Korea. Internal consistency reliability was assessed using Cronbach's alpha and composite reliability. Validity was evaluated through construct validity with confirmatory factor analysis, convergent and discriminant validity.
RESULTS
The Korean version of ENSS showed a reliable internal consistency with Cronbach's alpha .95 and composite reliability .99. Model fit indexes for 46 items were validated by confirmatory factor analysis(goodness of fit index .82, Tucker-Lewis index .92, root mean square error of approximation .04), indicating suitable construct validity. Factor loading of the 48 items (.47~.88) and average variance extracted out of nine factors (.52~.71.) indicated satisfactory convergent validity. Some values of square of the correlation coefficient between factors (.12~.89) were higher than average variance extracted values of each factor (.52~.71) so that it partly satisfied discriminant validity.
CONCLUSION
Findings show that the Korean version ENSS has good reliability and suitable validity; therefore, can be used to assess and identify Korean nurses' job stress.

Citations

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  e-Occupational and Environmental Medicine Journal of Indonesia.2024;[Epub]     CrossRef
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  Bo Yeong Jeon, Sun Jeong Yun, Hye Young Kim
  Journal for Specialists in Pediatric Nursing.2024;[Epub]     CrossRef
• Transforming nursing work environments: the impact of organizational culture on work-related stress among nurses: a systematic review
  Evans Kasmai Kiptulon, Mohammed Elmadani, Godfrey Mbaabu Limungi, Klara Simon, Lívia Tóth, Eva Horvath, Anna Szőllősi, Dahabo Adi Galgalo, Orsolya Maté, Adrienn Ujváriné Siket
  BMC Health Services Research.2024;[Epub]     CrossRef
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  Ji Ae Shim, Sun Young Jeong
  Nursing & Health Sciences.2023; 25(2): 247.     CrossRef
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  Asian Nursing Research.2021; 15(4): 247.     CrossRef
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  International Journal of Nursing Practice.2020;[Epub]     CrossRef
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  Journal of Korean Academy of Nursing Administration.2020; 26(1): 65.     CrossRef
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  Ana María Porcel-Gálvez, Sergio Barrientos-Trigo, Sara Bermúdez-García, Elena Fernández-García, Mercedes Bueno-Ferrán, Bárbara Badanta
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