Table 2 Components, scores, and Cronbach’s α of the Nursing Work Index-Revised (NWI-R) (n = 586)

Nurse management and leadership

2.18 (0.66)

0.86

 A nurse manager who is a good manager and leader

0.816

2.63 (0.97)

 Nurse managers consult with the staff on daily problems and procedures

0.781

2.66 (0.97)

 A nurse manager backs up the nursing staff in decision making, even if the

0.761

2.56 (0.92)

conflict is with the doctor

 The managerial staff are supportive of the nurses

0.522

1.99 (0.90)

 Praise and recognition for a job well done

0.441

2.19 (0.84)

 A chief nurse executive is highly visible and accessible to the staff

0.330

1.67 (0.86)

 An administration that listens and responds to the employee’s concerns

0.356

1.53 (0.75)

Professional advancement

2.13 (0.76)

0.87

 Career development ladder opportunity

0.852

2.00 (0.91)

 Opportunity for advancement

0.821

2.10 (0.91)

 Active in-service/continuing education program for nurses

0.706

2.16 (0.86)

 The nursing staff are supported in pursuing degrees in nursing

0.638

2.27 (0.88)

Nursing involvement and expertise sharing

2.66 (0.55)

0.77

 Freedom to make important patient care and work decisions

0.685

2.74 (0.72)

 The staff nurses are involved in the internal governance of the hospital

0.650

2.36 (0.83)

(e.g., practice and policy committees)

 The staff nurses have the opportunity to serve on hospital and nursing

0.637

2.91 (0.75)

committees

 Opportunity for the staff nurses to participate in policy decisions

0.575

2.61 (0.85)

 The nursing staff participate in selecting new equipment

0.490

2.32 (0.86)

 Support for new and innovative ideas about patient care

0.459

3.01 (0.82)

Staffing and resource adequacy

2.15 (0.72)

0.80

 Enough registered nurses or staff to provide quality patient care

0.847

1.87 (0.89)

 Enough staff to get work done

0.797

1.97 (0.94)

 Adequate support services that allow me to spend time with my patients

0.643

2.24 (0.91)

 Enough time and opportunities to discuss patient care problems with other

0.632

2.51 (0.89)

nurses

 Collegial nurse–doctor relationships

3.23 (0.53)

0.78

 Collaboration (joint practice) between nurses and doctors

0.810

3.21 (0.69)

 Much teamwork between doctors and nurses

0.795

3.18 (0.76)

 The doctors and nurses have a good working relationship

0.767

3.12 (0.74)

 The doctors give high-quality medical care

0.494

3.28 (0.72)

 The nurses control their own practices

0.308

3.34 (0.71)

Professional nursing standards

2.38 (0.64)

0.63

 Use of nursing diagnosis

0.778

2.29 (1.03)

 Nursing care is based on a nursing rather than medical model

0.626

2.55 (0.77)

 Written, up-to-date nursing care plans for all patients

0.534

2.47 (0.92)

 Clinical nurse specialists who provide patient care consultations

0.460

2.20 (0.94)

Organization’s quality standards

2.96 (0.55)

0.59

 Opportunity to work on a highly specialized unit

0.642

3.28 (0.78)

 Standardized policies, procedures, and ways of doing things

0.566

2.73 (0.75)

 Not having to do things that are against my nursing judgment

0.358

2.76 (0.82)

 High standards of nursing care expected by the administration

0.465

3.05 (0.92)

 Total Cronbach’s α for 34 items

0.93