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Table 3 Labeling of factors and corresponding items

From: Adaptation and validation of the Cyprus version of the Practice Environment Scale of the Nursing Work Index: a methodological study

Factor 1, Staffing and resource adequacy
 Adequate support services allow me to spend time with my patients
 Enough time and opportunity to discuss patient care with other nurses
 Enough registered nurses on staff to provide quality patient care
 Enough staff to get the work done
 Management that listens and responds to employee concerns
 Patient care assignments that foster continuity of care (i.e. the same nurse care for the same patient from 1 day to the next)
Factor 2, Nurse–doctor relations
 Doctors and nurses have good working relationships
 Doctors value nurses’ observations and judgments
 Doctors recognize nurses’ contributions to patient care
 A lot of team work between nurses and doctors
 Doctors respect nurses as professionals
 Collaboration between nurses and doctors
 Doctors hold nurses in high esteem
Factor 3, Nursing policy
 Opportunities for advancement
 An active quality assurance program
 Registered nurses are involved in the internal governance of the hospital (e.g. practice and policy committees)
 Nursing care is based on a nursing rather than a medical model
 RNs have the opportunity to serve on hospital and nursing committees
 Written, up-to-date care plans for all patients
 A preceptor program for newly hired nurses
Factor 4, Nursing management and development
 A supervisory staff that is supportive of nurses
 Active staff development or continuing education programs for nurses
 Career development/clinical ladder opportunity
 Opportunity for registered nurses to participate in policy decisions
 A nurse manager who is a good manager and leader
 A chief nursing officer who is highly visible and accessible to staff
 Praise and recognition for a job well done
 A nurse manager who backs up the nursing staff in decision making, even if the conflict is with a doctor
Factor 5, Nursing competency
 High standards of nursing care are expected by the management
 A chief nursing officer is equal in power and authority to other top level hospital executives
 A clear philosophy of nursing that pervades patient care environment
 Working with nurses who are clinically competent