Environmental health practice and quality of Nursing care: a protocol for systematic review

OBJECTIVE: To systematically synthesize studies that analyze the relationship between a healthy practice environment and quality of nursing care in hospital settings; to identify the most commonly used instruments to assess nurses' perceptions of a healthy practice environment; to identify the most commonly used instruments to assess nurses' perceptions of quality of nursing care. METHOD: A systematic literature review will follow the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). The literature search will be conducted in the principal databases. Review of international scientific articles published in the last ten years, accessed through the database of the Institute of Biomedical Sciences Abel Salazar (ICBAS), University of Porto, on nurses' perceptions of the influence of the environment on healthy nursing practice and quality of care. Inclusion: Articles published after 2012 in Portuguese, Spanish, and English. The identified, selected and included studies will be highlighted for the selection process using the Preferred Reporting Items for Systematic Review and Meta-Analyses Protocols (PRISMA-P). If possible, quantitative data will be pooled into a meta-analysis using the Joanna Briggs Institute (JBI) Meta-Analysis of Statistics Assessment and Review Instrument (MASTARI).

Study of adaptation and validation of the Practice environment scale of the nursing work index for the portuguese reality / Estudio de adaptación y validación de la Escala del Ambiente de Trabajo de la Práctica de Enfermería para la realidad portuguesa / Estudo de adaptação e validação da Escala Ambiente de Trabalho da Prática de Enfermagem para a realidade portuguesa

Objective: Testing the psychometric properties of the Portuguese version of the Practice Environment Scale of the Nursing Work Index. Method: A descriptive, analytical and cross-sectional study, for the cross-cultural adaptation and validation of the psychometric properties of the scale. The study participants were 236 nurses from two hospitals in the regions of Lisbon and Vale do Tejo. Results: The 0.92 Cronbach’s alpha was obtained for overall reliability and support of a five-dimension structure. Conclusion: The excellent quality of adjustment of analysis confirms the validity of the adapted version to hospital care settings, although there was no total coincidence of items in the five dimensions
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Objetivo: Validar las propiedades psicométricas de la versión en portugués de la escala Practice Environment Scale of the Nursing Work Index. Método: Estudio descriptivo, analítico, transversal de la adaptación cultural y validación de las propiedades psicométricas de la escala. Participaron 236 enfermeros de dos centros hospitalarios de la regiones de Lisboa y Vale do Tejo. Resultados: Se obtuvo un alfa de Cronbach de 0.92 para la confiabilidad general, y la sustentación de una estructura en cinco dimensiones. Conclusión: La excelente calidad del ajuste del análisis corrobora la validez de la versión adaptada a los contextos de atención hospitalarios, aunque no existe una coincidencia plena de los ítems en las cinco dimensiones. 
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Objetivo: Testar as propriedades psicométricas da versão em português da escala Practice Environment Scale of the Nursing Work Index. Método: Estudo descritivo, analítico e transversal para a adaptação transcultural e validação das propriedades psicométricas da escala. Participaram 236 enfermeiros de dois Centros Hospitalares das regiões de Lisboa e Vale do Tejo. Resultados: Obteve-se um alfa de Cronbach de .92 para a confiabilidade geral e a sustentação de uma estrutura em cinco dimensões. Conclusão: A excelente qualidade de ajuste da análise corrobora a validade da versão adaptada em contextos de cuidados hospitalares, apesar da não coincidência total dos itens nas cinco dimensões.
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