Undergraduate nurses' perception of the nursing practice environment in university hospitals: A cross-sectional survey

J Nurs Manag. 2021 Apr;29(3):477-486. doi: 10.1111/jonm.13184. Epub 2020 Oct 31.

Abstract

Objective: To describe the psychometric properties of the Practice Environment Scale of the Nursing Work Index (PES-NW) among undergraduate nurses and to compare their perceptions of the nursing practice environment by academic year and unit type.

Background: Despite the fact that nursing students develop most of their undergraduate learning and training in the nursing practice environment, their perception about it has not been considered to date.

Methods: The psychometric properties were analysed on a sample of 180 undergraduate nurses. Data collection was carried out in 2018. Data were analysed using percentages, frequencies, mean, standard deviation and Mann-Whitney U test. Factor structure was evaluated with exploratory factor analysis, and reliability was evaluated with Cronbach's alpha.

Results: Psychometric analysis showed an adequate construct validity and reliability for the PES-NWI. Cronbach's Alpha was 0.884. Undergraduate nurses perceived most hospitals as favourable, scoring the 'Nurse-physician relationships' factor highest and 'Staffing and resource adequacy' factor lowest.

Conclusion: The PES-NWI is a valid and reliable instrument that could be applied in future research to explore nursing students' perceptions of the nursing practice environment.

Implications for nursing management: Nurse managers are responsible for supervising and ensuring that the nursing practice environment at university hospitals meets the necessary criteria to support the workplace learning of undergraduate nurses.

Keywords: clinical placement; nurse management; nursing; practice environment scale of the nursing work index; students; work environment.

MeSH terms

  • Cross-Sectional Studies
  • Hospitals, University
  • Humans
  • Nurses*
  • Perception
  • Reproducibility of Results
  • Surveys and Questionnaires
  • Workplace*