Below is the most recently endorsed version of the measure specifications:
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.
Numerator Statement:
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.
Numerator Details:
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Denominator Statement:
Staff RNs
Denominator Details:
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Exclusions:
Not applicable
Exclusion Details:
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Risk Adjustment:
No risk adjustment or risk stratification
Classification:
Measure Type:
Structure
Measure Format:
measure
Condition:
Other (specify)
Non-Condition Specific:
Safety
Care Setting:
Inpatient/Hospital
National Quality Strategy Priorities:
Patient Safety
Current Use:
Professional Certification or Recognition Program, Public Reporting, Quality Improvement (Internal to the specific organization), Quality Improvement with Benchmarking (external benchmarking to multiple organizations)
Planned Use:
Professional Certification or Recognition Program, Public reporting, Quality Improvement (internal to the specific organization), Quality Improvement with Benchmarking (external benchmarking to multiple organizations)
Data Source:
Instrument-Based Data
Level of Analysis:
Clinician: Group/Practice, Facility, Facility
Target Population:
Adults (Age >= 18), Children (Age < 18), Populations at Risk: Veterans
Measure Steward Contact Information:
For additional measure specification information, please contact the Measure Steward.
Measure Steward Organization:
University of Pennsylvania, Center for Health Outcomes and Policy Research
Primary Measure Steward Contact:
Measure Steward 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.
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