Development and initial validation of the Japanese healthy work environment assessment tool for critical care settings

Mio Kitayama; Takeshi Unoki; Yui Matsuda; Yujiro Matsuishi; Yusuke Kawai; Yasuo Iida; Mio Teramoto; Junko Tatsuno; Miya Hamamoto

doi:10.1371/journal.pone.0268124

Development and initial validation of the Japanese healthy work environment assessment tool for critical care settings

PLoS One. 2022 May 12;17(5):e0268124. doi: 10.1371/journal.pone.0268124. eCollection 2022.

Authors

Mio Kitayama¹, Takeshi Unoki², Yui Matsuda³, Yujiro Matsuishi⁴, Yusuke Kawai⁵, Yasuo Iida⁶, Mio Teramoto⁷, Junko Tatsuno⁸, Miya Hamamoto⁹

Affiliations

¹ Nursing Department, Kanazawa Medical University Hospital, Uchinada, Japan.
² School of Nursing, Sapporo City University, Sapporo, Japan.
³ School of Nursing and Health Studies, University of Miami, Coral Gables, Florida, United States of America.
⁴ Neuroscience Nursing, Sei Roka Kango Daigaku, Tokyo, Japan.
⁵ Department of Nursing, Fujita Health University Hospital, Toyoake, Japan.
⁶ Division of General Education, Natural Sciences, Mathematics, Kanazawa Medical University, Uchinada, Japan.
⁷ Teachers College, Columbia University, New York, NY, United States of America.
⁸ Nursing Department, Kokura Memorial Hospital, Kokura, Japan.
⁹ Nursing Department, Tosei General Hospital, Seto, Japan.

Abstract

Aim: This study aims to translate the Healthy Work Environment Assessment Tool (HWE-AT) into Japanese and evaluate its validity and reliability.

Design and methods: The authors followed the guidelines for scale translation, adaptation, and validation in cross-cultural healthcare research. After translation and back-translation, a series of pilot studies were conducted to assess comprehensibility. Subsequently, an expert panel established the content validity. Content validity was calculated using the content validity index (CVI). Finally, we verified the construct validity and calculated the test-retest reliability.

Results: The updated HWE-AT achieved sufficient comprehensibility after conducting the two pilot tests. Content validity was calculated using the scale-level CVI/average and all the items were 1.00. The content validity indices CFI and RMSEA were 0.918 and 0.082, respectively. Intraclass correlation coefficients for all dimensions ranged from 0.618 to 0.903, indicating acceptable test-retest reliability. Our findings suggest that the Japanese version of the HWE-AT has good validity and reliability.

MeSH terms

Critical Care*
Humans
Japan
Psychometrics
Reproducibility of Results
Surveys and Questionnaires

Grants and funding

The authors received no specific funding for this work.