The nursing work environment and quality of care: A cross-sectional study using the Essentials of Magnetism II Scale in England

Oshodi, Titilayo O., Crockett, Rachel, Bruneau, Benjamin and West, Elizabeth (2017) The nursing work environment and quality of care: A cross-sectional study using the Essentials of Magnetism II Scale in England. Journal of Clinical Nursing, 26 (17-18). pp. 2721-2734. ISSN 1365-2702

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Aims and objectives. To explore the structure of the Essentials of Magnetism II (EOMII) scale using data from nurses working in England; and to describe the impact of different aspects of the nursing work environment on nurse assessed care quality (NACQ). Background. The EOMII Scale was developed in the United States to measure nursing work environments. It has been widely used in the United States and in a number of other countries, but has not yet been used in the United Kingdom. Design. Cross-sectional study. Methods. Registered nurses (n=247) providing direct patient care in two National Health Service hospitals in England completed the EOMII scale and a single-item measuring NACQ. Principal Components Analysis was used to assess the structure of the scale. Correlation and regression analyses were used to describe the relationships between factors and NACQ. Results. A solution with explanatory variance of 45.25% was identified. Forty items loaded on five factors, with satisfactory consistency: i) ward manager support; ii) working as a team; iii) concern for patients; iv) organisational autonomy; and v) constraints on nursing practice. While in univariate analyses each of the factors was significantly associated with NACQ, in multivariate analyses, the relationship between organisational autonomy and NACQ no longer reached significance. However, a multiple mediation model indicated that the effect of organisational autonomy on NACQ was mediated by nurse manager support, working as a team, and concern for patients but not constraints on nursing practice. Conclusions. Subscales of the EOMII identified in an English sample of nurses measured important aspects of the nursing work environment, each of which is related to NACQ. Relevance to clinical practice. The EOMII could be a very useful tool for measuring aspects of the nursing work environment in the English Trusts particularly in relation to the quality of care.

Item Type: Journal Article
Additional Information: This is the peer reviewed version which has been published in final form at: This article may be used for non-commercial purposes in accordance with Wiley terms and conditions for self-archiving.
Keywords: autonomy, essentials of magnetism II scale, nursing care quality, nursing work environment
Faculty: ARCHIVED Faculty of Health, Social Care & Education (until September 2018)
Depositing User: Titilayo Oshodi
Date Deposited: 11 Apr 2017 08:31
Last Modified: 03 Feb 2022 15:16

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