Qualitative Analysis by Experts of the Essential Elements of the Nursing Practice Environments Proposed by the TOP10 Questionnaire of Assessment of Environments in Primary Health Care

José Ramón Martínez-Riera, Raúl Juárez-Vela, Miguel Ángel Díaz-Herrera, Raimunda Montejano-Lozoya, Vicente Doménech-Briz, José Vicente Benavent-Cervera, Ana Cristina Cabellos-García, Pedro Melo, Tam H. Nguyen and Vicente Gea-Caballero
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José Ramón Martínez-Riera: Departamento Enfermería Comunitaria, Medicina Preventiva y Salud Pública e Historia de la Ciencia, Universidad de Alicante, E-03080 Alicante, Spain
Raúl Juárez-Vela: Department of Nursing, University of La Rioja, 26006 Logroño, La Rioja, Spain
Miguel Ángel Díaz-Herrera: Primary Care Costa Ponent, Catalan Health Institute, Hospital Universitari General de Catalunya, Avda, De la Gran Vía de l´Hospitalet de Llobregat, 08908 Barcelona, Spain
Raimunda Montejano-Lozoya: Nursing School La Fe, adscript center of Universidad de Valencia, 46026 Valencia, Spain
Vicente Doménech-Briz: Hospital Universitario de la Ribera, km 1, Ctra. Corbera, 46600 Alzira, Valencia, Spain
José Vicente Benavent-Cervera: Department of Health Sciences, VIU Valencia International University, Calle del Pintor Sorolla 21, 46002 Valencia, Spain
Ana Cristina Cabellos-García: Research Group GREIACC, Health Research Institute La Fe, Avda. Fernando Abril Martorell, 106. Pabellón docente Torre H, Hospital La Fe, 46016 Valencia, Spain
Pedro Melo: Universidade Católica Portuguesa, Institute of Health Sciences/School of Nursing (Porto)/Centre for interdisciplinary research in Health, 4200-450 Porto, Portugal
Tam H. Nguyen: William F. Connell School of Nursing, Boston College, Newton, MA 02467, USA
Vicente Gea-Caballero: Nursing School La Fe, adscript center of Universidad de Valencia, 46026 Valencia, Spain

IJERPH, 2020, vol. 17, issue 20, 1-13

Abstract: Background: A short TOP10 scale based on the Practice Environment Scale-Nursing Work Index questionnaire measures the characteristics of nursing work environments. Positive environments result in better quality care and health outcomes. Objective: To identify a small number of core elements that would facilitate more effective interventions by nurse managers, and compare them with the essential elements proposed by the TOP10. Method: Qualitative research by a nominal group of eight experts. The content analysis was combined with descriptive data. Results: Ten most important items were selected and analyzed by the expert group. A high level of consensus in four items (2, 15, 20, 31) and an acceptable consensus in five items was reached (6, 11, 14, 18, 26). The tenth item in the top ten was selected from content analysis (19). The expert group agreed 90% with the elements selected as essential to the TOP10. Conclusion: The expert group achieved a high level of consensus that supports 90% of the essential elements of primary care settings proposed by the TOP10 questionnaire. Organizational changes implemented by managers to improve working environments must be prioritized following our results, so care delivery and health outcomes can be further improved.

Keywords: nurses; primary health care; community health nursing; qualitative research; working environment; consensus; quality of health care (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
References: View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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