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Meta-Analysis
. 2024 Dec;26(4):e70013.
doi: 10.1111/nhs.70013.

International Benchmarks for the Practice Environment Scale of the Nursing Work Index: A Meta-Analysis

Eileen T Lake  1 , Bingyu Zhang  2 , Jiayi Tong  3 , Gloria Mpundu  1 , Kelsey N Gross  1 , Malini H Correa  1 , Lauren B Wethman  1 , Lynne Moronski  1 , Domenique Villani  1 , Yong Chen  3   4
Affiliations
Meta-Analysis

International Benchmarks for the Practice Environment Scale of the Nursing Work Index: A Meta-Analysis

Eileen T Lake et al. Nurs Health Sci. 2024 Dec.

Abstract

The Practice Environment Scale of the Nursing Work Index has been used worldwide to measure nurse work environments. International benchmark values for this scale can assist managers in assessing their work environment. The objective was to conduct a meta-analysis of this instrument's composite and subscale values across continents, nursing unit types, and time. Studies published up until September 30, 2023 were identified in CINAHL, MEDLINE, and Embase. One-hundred and sixty publications representing 38 countries were included. Most studies were rated as high certainty and low to moderate risk of bias. The pooled point estimate (2.70) indicated that hospital work environments were modestly positive. The weakest work environment domain was Staffing and Resource Adequacy (2.47). Europe had significantly weaker work environments than Asia and North America. Africa and South America had few studies. Better work environments were reported in neonatal intensive care, as compared to medical surgical and critical care units. A small, positive slope over time, which was detected in the three continents, was significant in North America. To promote evidence-based management globally, benchmark values are now available by setting and continent.

Keywords: benchmarking; hospital; meta‐analysis; nurses; nursing practice; practice environment scale of the nursing work index; work environment.

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Conflict of interest statement

Dr. Lake is the developer of the Practice Environment Scale of the Nursing Work Index. The remaining authors have no potential conflicts to declare.

Figures

FIGURE 1
FIGURE 1
PRISMA diagram.
FIGURE 2
FIGURE 2
Point estimates from meta‐analysis of practice environment scale of the nursing work index composite and subscales in hospital nurses.
FIGURE 3
FIGURE 3
Point estimates and confidence intervals from meta‐analysis of practice environment scale of the nursing work index composite in hospitals by continent.
FIGURE 4
FIGURE 4
Bubble plots of composite score (y axis) by data collection year (x axis); slope from meta‐regression.
See this image and copyright information in PMC

References

    1. American Nurses Credentialing Center . 2024. “ANCC magnet recognition program.” https://www.nursingworld.org/organizational‐programs/magnet/find‐a‐magne....
    1. Anderson, B. J. , Manno M., O'Connor P., and Gallagher E.. 2010. “Listening to Nursing Leaders: Using National Database of Nursing Quality Indicators Data to Study Excellence in Nursing Leadership.” Journal of Nursing Administration 40, no. 4: 182–187. - PubMed
    1. Centers for Medicare and Medicaid Services . 2022a. “Conditions of Participation for Hospitals.” https://www.cms.gov/Regulations‐and‐Guidance/Legislation/CFCsAndCoPs/Hos....
    1. Centers for Medicare and Medicaid Services . 2022b. “Conditions of Participation: Nursing Services.” https://www.ecfr.gov/current/title‐42/chapter‐IV/subchapter‐G/part‐482.
    1. Cochran, W. G. 1954. “The Combination of Estimates From Different Experiments.” Biometrics 10, no. 1: 101–129.

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