Nurse Work Index-Revised
The Nursing Work Index Revisited (NWI – R) is a 57-item instrument used to measure characteristics of professional nursing practice environments.

Evidence-Based Assessment Rating ProfileNWI-R

Sample Items


Relevant Literature:

  1. Aiken, L. H., Buchan, J., Ball, J., & Rafferty, A. M. (2008). Transformative impact of Magnet designation: England case study. Journal of Clinical Nursing, 17(24), 3330–3337. doi:10.1111/j.1365-2702.2008.02640.x
  2. Aiken, L. H., Clarke, S. P., Sloane, D. M., Lake, E. T., & Cheney, T. (2008). Effects of hospital care environment on patient mortality and nurse outcomes. The Journal of Nursing Administration, 38(5), 223–229. doi:10.1097/01.NNA.0000312773.42352.d7
  3. Aiken, L. H., & Patrician, P. A. (2000). Measuring organizational traits of hospitals: the Revised Nursing Work Index. Nursing Research, 49(3), 146–153.
  4. Bruyneel, L., Van den Heede, K., Diya, L., Aiken, L., & Sermeus, W. (2009). Predictive Validity of the International Hospital Outcomes Study Questionnaire: An RN4CAST Pilot Study. Journal of Nursing Scholarship : An Official Publication of Sigma Theta Tau International Honor Society of Nursing / Sigma Theta Tau, 41(2), 202–210. doi:10.1111/j.1547-5069.2009.01272.x
  5. Budge, C., Carryer, J., & Wood, S. (2003). Health correlates of autonomy, control and professional relationships in the nursing work environment. Journal of Advanced Nursing, 42(3), 260–268.
  6. Estabrooks, C. A., Tourangeau, A. E., Humphrey, C. K., Hesketh, K. L., Giovannetti, P., Thomson, D., … Shamian, J. (2002). Measuring the hospital practice environment: a Canadian context. Research in Nursing & Health, 25(4), 256–268. doi:10.1002/nur.10043
  7. Flynn, L., Carryer, J., & Budge, C. (2005). Organizational attributes valued by hospital, home care, and district nurses in the United States and New Zealand. Journal of Nursing Scholarship: An Official Publication of Sigma Theta Tau International Honor Society of Nursing / Sigma Theta Tau, 37(1), 67–72.
  8. Foley, B. J., Kee, C. C., Minick, P., Harvey, S. S., & Jennings, B. M. (2002). Characteristics of nurses and hospital work environments that foster satisfaction and clinical expertise. The Journal of Nursing Administration, 32(5), 273–282.
  9. Gasparino, R. C., Guirardello, E. de B., & Aiken, L. H. (2011). Validation of the Brazilian version of the Nursing Work Index-Revised (B-NWI-R). Journal of Clinical Nursing, 20(23-24), 3494–3501. doi:10.1111/j.1365-2702.2011.03776.x
  10. Kanai-Pak, M., Aiken, L. H., Sloane, D. M., & Poghosyan, L. (2008). Poor work environments and nurse inexperience are associated with burnout, job dissatisfaction and quality deficits in Japanese hospitals. Journal of Clinical Nursing, 17(24), 3324–3329. doi:10.1111/j.1365-2702.2008.02639.x
  11. Li, Y.-F., Lake, E. T., Sales, A. E., Sharp, N. D., Greiner, G. T., Lowy, E., … Sochalski, J. A. (2007). Measuring nurses’ practice environments with the revised nursing work index: evidence from registered nurses in the Veterans Health Administration. Research in Nursing & Health, 30(1), 31–44. doi:10.1002/nur.20172
  12. Messmer, P. R., Bragg, J., & Williams, P. D. (2011). Support programs for new graduates in pediatric nursing. Journal of Continuing Education in Nursing, 42(4), 182–192. doi:10.3928/00220124-20110324-05
  13. Schubert, M., Glass, T. R., Clarke, S. P., Aiken, L. H., Schaffert-Witvliet, B., Sloane, D. M., & Geest, S. D. (2008). Rationing of nursing care and its relationship to patient outcomes: the Swiss extension of the International Hospital Outcomes Study. International Journal for Quality in Health Care, 20(4), 227–237. doi:10.1093/intqhc/mzn017
  14. Slater, P., & McCormack, B. (2007). An exploration of the factor structure of the nursing work index. Worldviews on Evidence-Based Nursing / Sigma Theta Tau International, Honor Society of Nursing, 4(1), 30–39. doi:10.1111/j.1741-6787.2007.00076.x
  15. Stone, P. W., Larson, E. L., Mooney-Kane, C., Smolowitz, J., Lin, S. X., & Dick, A. W. (2006). Organizational climate and intensive care unit nurses’ intention to leave. Critical Care Medicine, 34(7), 1907–1912. doi:10.1097/01.CCM.0000218411.53557.29
  16. The Importance of Work Environment: Evidence-Based strategie… : Home Healthcare Nurse. (n.d.). Retrieved August 23, 2014, from