Başak SARI, Deniz ŞANLI
Clinical and Experimental Health Sciences - 2025;15(4):795-802
Objective: The study aimed to adapt the Healthy Work Environment Assessment Tool into Turkish and to test its validity and reliability for critical care nurses. Methods: This methodological study was conducted in the adult intensive care unit of a university hospital between July 2022 and February 2023. The study sample consisted of 290 critical care nurses. Nurse Information Form, Healthy Work Environment Assessment Tool, and Practice Environment Scale of the Nursing Work Index were used to collect data. The data were evaluated by content validity index, correlation coefficient, confirmatory factor analysis, goodness of fit statistics, Hotelling's T2 test, and Cronbach's alpha coefficient. Results: The content validity index of all items was 0.80 or above. Kendall's W was found to be 0.038 (p>.05) for language and 0.053 (p>.05) for content. There was a positive and significant correlation between the total scores of the two instruments (r=0.544, p<.001). The structural equation model result of the tool was found to be related to its 15-item and six-factor structure. The tool's stability did not change over time. The tool had internal consistency. The Cronbach's alpha value was 0.842 for the overall tool. Item-total test correlation values ranged between 0.307 and 0.566. Conclusion: The Healthy Work Environment Assessment Tool is a valid and reliable tool for assessing the work environment of nurses working in intensive care units of a university hospital in Türkiye. This tool can guide organizations and managers in developing strategies to improve nurses' work environments and patient care quality.
