Other Titles
Rising Star Poster/Presentation
Abstract
The Practice Environment Scale of the Nursing Work Index (PES-NWI) has been used to measure the work environment across diverse nursing populations for over two decades (Lake, 2002; Lake et al., 2023). Case management, a specialty nursing practice centered around care coordination, aims to meet the clinical and financial goals of medically and socially complex individuals across the care continuum (Luther et al., 2019). Hospital case management practice is complex, and case managers often face work barriers, including unclear scope of practice and insufficient training upon entering the specialty (Anderson & Hewner, 2021; McLaughlin Davis & Morley, 2022). There is limited knowledge of the case management practice environment, and no instrument exists to measure the concept in the hospital setting. This study aims to test the psychometric properties of the hospital case management version of the PES-NWI.
Based on expert panel feedback, the PES-NWI was adapted for hospital case managers and shortened to 23 items. Convenience sampling was used to recruit 156 hospital case managers in the United States through social media and professional networks. Data analysis for psychometric properties included Cronbach’s alpha for reliability and factor analysis for validity.
The study sample included hospital case managers working in 34 states. Most respondents were female (92%) and from the discipline of nursing (79%). Nearly 60% of the case managers were nationally certified, and 40% had over ten years of experience in case management. The adapted instrument demonstrates internal consistency with an overall Cronbach’s alpha of 0.92 and item-to-total correlations from 0.38-0.76. Sampling adequacy was met for factor analysis with Kasier-Meyer-Olkin of 0.895 and a statistically significant Bartlett’s Test of Sphericity (p< 0.001). Results yielded a similar five-factor solution to the original PES-NWI with items cleanly loading to factors (0.45-0.73).
The hospital case management version of the PES-NWI demonstrates excellent reliability and validity. The nursing implications of establishing this instrument include the ability to measure the hospital case management practice environment accurately and identify areas for improvement. This knowledge will support the specialty practice's workforce and professional development and foster advancements in practice.
Notes
References:
Anderson, A., & Hewner, S. (2021). Care coordination: A concept analysis. The American journal of nursing, 121(12), 30-38. https://doi.org/10.1097/01.NAJ.0000803188.10432.e1
Lake, E. T. (2002). Development of the practice environment scale of the nursing work index. Research in Nursing & Health, 25(3), 176-188. https://doi.org/10.1002/nur.10032
Lake, E. T., Rosenbaum, K. E. F., Sauveur, C., Buren, C., & Cho, P. (2023). Translations of the practice environment scale of the nursing work index: A systematic review. Nursing & Health Sciences, 25(3), 365-380. https://doi.org/10.1111/nhs.13034
Luther, B., Barra, J., & Martial, M.-A. (2019). Essential nursing care management and coordination roles and responsibilities: A content analysis. Professional Case Management, 24(5), 249-258. https://doi.org/10.1097/NCM.0000000000000355
McLaughlin Davis, M., & Morley, C. (2022). Hospital case management: A review: 2019–2022. Professional Case Management, 27(5), 223-228. https://doi.org/10.1097/NCM.0000000000000565
Sigma Membership
Non-member
Type
Poster
Format Type
Text-based Document
Study Design/Type
Other
Research Approach
Other
Keywords:
Case Management, Hospital Case Managers, Work Environment, Instrument and Tool Adaptation
Recommended Citation
Berryman, Kristen A.; Btoush, Rula; and Jarrin, Olga F., "Measuring Hospital Case Management Practice Environment: Adaption and Validation of the PES-NWI" (2025). International Nursing Research Congress (INRC). 185.
https://www.sigmarepository.org/inrc/2025/posters_2025/185
Conference Name
36th International Nursing Research Congress
Conference Host
Sigma Theta Tau International
Conference Location
Seattle, Washington, USA
Conference Year
2025
Rights Holder
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
Review Type
Invited Presentation
Acquisition
Proxy-submission
Measuring Hospital Case Management Practice Environment: Adaption and Validation of the PES-NWI
Seattle, Washington, USA
The Practice Environment Scale of the Nursing Work Index (PES-NWI) has been used to measure the work environment across diverse nursing populations for over two decades (Lake, 2002; Lake et al., 2023). Case management, a specialty nursing practice centered around care coordination, aims to meet the clinical and financial goals of medically and socially complex individuals across the care continuum (Luther et al., 2019). Hospital case management practice is complex, and case managers often face work barriers, including unclear scope of practice and insufficient training upon entering the specialty (Anderson & Hewner, 2021; McLaughlin Davis & Morley, 2022). There is limited knowledge of the case management practice environment, and no instrument exists to measure the concept in the hospital setting. This study aims to test the psychometric properties of the hospital case management version of the PES-NWI.
Based on expert panel feedback, the PES-NWI was adapted for hospital case managers and shortened to 23 items. Convenience sampling was used to recruit 156 hospital case managers in the United States through social media and professional networks. Data analysis for psychometric properties included Cronbach’s alpha for reliability and factor analysis for validity.
The study sample included hospital case managers working in 34 states. Most respondents were female (92%) and from the discipline of nursing (79%). Nearly 60% of the case managers were nationally certified, and 40% had over ten years of experience in case management. The adapted instrument demonstrates internal consistency with an overall Cronbach’s alpha of 0.92 and item-to-total correlations from 0.38-0.76. Sampling adequacy was met for factor analysis with Kasier-Meyer-Olkin of 0.895 and a statistically significant Bartlett’s Test of Sphericity (p< 0.001). Results yielded a similar five-factor solution to the original PES-NWI with items cleanly loading to factors (0.45-0.73).
The hospital case management version of the PES-NWI demonstrates excellent reliability and validity. The nursing implications of establishing this instrument include the ability to measure the hospital case management practice environment accurately and identify areas for improvement. This knowledge will support the specialty practice's workforce and professional development and foster advancements in practice.
Description
Hospital case management is complex, and little about the work environment is known. This study adapted and tested the psychometric properties of the hospital case management version of the PES-NWI. It is the first instrument to measure the practice environment of hospital case management, which is essential to increase knowledge to support the workforce and professional development of the specialty.