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Practice Environment Scale - Nursing Work Index (PES-NWI) (composite and five subscales) (previously NQF#0206 - Undergoing Maintenance)

CBE ID
3450
Endorsement Status
1.1 New or Maintenance
Previous Endorsement Cycle
Is Under Review
No
Next Maintenance Cycle
Fall 2027
1.3 Measure Description

Practice Environment Scale-Nursing Work Index (PES-NWI) is a survey-based measure of the nursing practice environment completed by staff registered nurses; includes mean scores on index subscales and a composite mean of all subscale scores.

        • 1.14 Numerator

          Continuous Variable Statement: For surveys completed by Registered Nurses (RN):
          12a) Mean score on a composite of all subscale scores 
          12b) Mean score on Nurse Participation in Hospital Affairs (survey item numbers 5, 6, 11, 15, 17, 21, 23, 27, 28)
          12c) Mean score on Nursing Foundations for Quality of Care (survey item numbers 4, 14, 18, 19, 22, 25, 26, 29, 30, 31)
          12d) Mean score on Nurse Manager Ability, Leadership, and Support of Nurses (survey item numbers 3, 7, 10, 13, 20)
          12e) Mean score on Staffing and Resource Adequacy (survey item numbers 1, 8, 9, 12)
          12f) Mean score on Collegial Nurse-Physician Relations (survey item numbers 2, 16, 24)
          12g) Three category variable indicating favorable, mixed, or unfavorable practice environments: favorable = four or more subscale means exceed 2.5; mixed = two or three subscale means exceed 2.5; unfavorable = zero or one subscales exceed 2.5.

        • 1.15 Denominator

          Staff RNs

        • Exclusions

          Not applicable

        • 1.13a Data dictionary not attached
          No
        • Most Recent Endorsement Activity
          Endorsed Patient Safety Spring Cycle 2022
          Initial Endorsement
          Last Updated
        • Steward
          University of Pennsylvania, Center for Health Outcomes and Policy Research
          Steward Organization POC Email
          Steward Organization Copyright

          Practice Environment Scale of the Nursing Work Index (Lake, 2002). This document can be reproduced with permission from Dr. Eileen Lake, who has reserved all rights to the instrument. This document may be freely reviewed, reproduced, or translated, in part or in whole, but not for sale or for use in conjunction with commercial purposes.

              • Risk adjustment approach
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                Risk adjustment approach
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                Conceptual model for risk adjustment
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                Conceptual model for risk adjustment
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