Translation and Validation of the Indicators of Quality Nursing Work Environments in the Portuguese Cultural Context

Eliana Sousa, Chiou Fen Lin, Filomena Gaspar, Pedro Lucas

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)


The Indicators of Quality Nursing Work Environment scale (IQN-WE) with 65 items, developed by Chiou-Fen Lin, Meei-Shiow Lu, and Hsiu-Ying Huang in 2016, aimed to create a set of quality indicators of the nursing work environment. The translation and validation for the Portuguese cultural context of the IQN-WE scale was performed in this study. Objectives: culturally and linguistically adapt the IQN-WE scale, originating from the Portuguese version, and evaluate its psychometric characteristics. Methods: it is a descriptive, cross-sectional, observational and quantitative study. The IQN-WE scale was validated in a sample of 542 nurses belonging to a hospital center in Portugal. The study obtained a response of 21.69%, of whom 78.0% were women and 22% men. The mean age of the sample was 39 years and a standard deviation of 8.1 years. All nurses who work have a bachelor’s degree, and 13.5% have a master’s degree. Results: the study obtained an instrument with a total explained variance of 52.67% and KMO = 0.843. It found a strong-to-moderate linear correlation matrix between the dimensions. The pre-test and the team of experts ensured the content validity. The determination of internal consistency guaranteed reliability, with 0.95. Confirmatory factor analysis validated the construct. The factorial model presented a goodness of fit index, with five factors. Conclusion: the study achieved an instrument with 50 items in five dimensions: Team Support and Professional Development; Team Organization and Management; Safe Nursing Work Environment; Information Systems and Risk Control; Salary and Welfare. The IQN-WE-PT scale proved to be an appropriate instrument to be applied in health organizations in Portugal.

Original languageEnglish
Article number12313
JournalInternational journal of environmental research and public health
Issue number19
Publication statusPublished - Oct 2022


  • indicators
  • management
  • nursing
  • psychometric properties
  • quality of care
  • validation study
  • work environment

ASJC Scopus subject areas

  • Pollution
  • Public Health, Environmental and Occupational Health
  • Health, Toxicology and Mutagenesis


Dive into the research topics of 'Translation and Validation of the Indicators of Quality Nursing Work Environments in the Portuguese Cultural Context'. Together they form a unique fingerprint.

Cite this