Table 2.

Subscale of Dutch adaptation of the NWI-R derived from principal component analysis with Kaiser’s varimax rotation

na	Subscales and items	Loading
Nurse–physician relations initial eigenvalue total: 3.4—% of variance: 6.0
2	Physicians and nurses have good working relationships	0.47
27	Much teamwork between nurses and doctors	0.55
39	Collaboration (joint practice) between nurses and physicians	0.49
Nurse management at the unit level initial eigenvalue total: 39—% of variance: 6.8
4	A supervisory staff that is supportive of nurses	0.41
13	A nurse manager who is a good manager and leader	0.61
20	Team nursing as the nursing delivery system	0.43
24	Not being placed in a position of having to do things that are against my nursing judgment	0.42
31	A clear philosophy of nursing pervades the patient care environment	0.61
33	Working with nurses who are clinically competent	0.44
35	A nurse manager backs up the nursing staff in decision making, even if the conflict is with a physician	0.60
44	Nurse managers consult with staff on daily problems and procedures	0.49
45	The work environment is pleasant, attractive and comfortable	0.56
47	Written, up-to-date nursing care plans for all patients	0.45
51	Standardized policies, procedures and ways of doing things	0.41
52	Use of nursing diagnoses	0.57
56	Working with experienced nurses who “know” the hospital	0.64
Hospital management and organizational support initial eigenvalue total: 7.4—% of variance: 13.0
1	Adequate support services allow me to spend time with my patients	0.52
5	A satisfactory salary	0.47
9	Opportunity for staff nurses to participate in policy decisions	0.46
10	Support for new and innovative ideas about patient care	0.49
14	A chief nursing officer is highly visible and accessible to staff	0.41
18	Praise and recognition for a job well done	0.57
23	Good relationships with other departments such as housekeeping and dietary	0.46
26	A chief nursing executive is equal in power and authority to other top-level hospital executives	0.41
29	Opportunities for advancement	0.49
32	Nurses actively participate in efforts to control costs	0.51
36	An administration that listens and responds to employee concerns	0.64
37	An active quality-assurance program	0.52
38	Staff nurses are involved in the internal governance of the hospital (e.g. practice and policy committees)	0.61
42	Staff nurses have the opportunity to serve on hospital and nursing committees	0.47
43	The contributions that nurses make to patient care are publicly acknowledged	0.45

^aOriginal numbering of NWI-R list (Aiken and Patrician, 2000).