A Triangulation Mixed Method in Fostering Foundation of a Positive Working Environment of Nurses in the Clinical Area

Abstract

A Positive Working Environment (PWE) is crucial for nurse clinicians. This study evaluates the presence of PWE determinants in their workplace and their importance according to the Practice Environment Scale of the Nursing Work Index (PES-NWI). Eighty-two nurse clinicians from General Nursing Units and Specialty Areas in four Tertiary Hospitals in Metro Manila participated. The researcher used a Mixed Method Approach, with Cronbach's Alpha for reliability. Methodologies included Chi-Square tests and Phenomenology of Perception. Results indicated that Skilled Communication (SD 0.40), True Collaboration (SD 0.41), Effective Decision-Making (SD 0.47), Appropriate Staffing (SD 0.49), Meaningful Recognition (SD 0.51), Quality of Care (SD 0.40), and Authentic Leadership (SD 0.46) are essential for fostering a PWE. Qualitative analysis revealed that PWE encompasses more than visible or verbally communicated factors; it includes deeper, intangible elements which were represented by 5 subthemes. Cross-analysis triangulation of quantitative and qualitative data showed significant results, indicating the importance of creating a PWE in clinical settings. This approach is beneficial not only for hospitals but for other institutions as well.