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Table 2 Factor loadings, variance explained and Cronbach's alpha reliability coefficients for the 14-item Health Care Providers Work Index.

From: Measuring and managing the work environment of the mid-level provider – the neglected human resource

Subscale 1: Adequate resources (16.7%, α = .75)


Enough staff to provide quality patient care


Enough staff to get the work done


Opportunity to work on a highly specialized patient care unit


Enough time and opportunity to discuss patient care problems with other staff

Subscale 2: Management support (16.3%, α = .76)


A manager who is a good manager and leader


A manager who backs up the staff in decision-making, even if the conflict is with a more qualified member of staff


Hospital/clinic managers support and value health workers

Subscale 3: Working relationships (14.4%, α = .65)


Doctors, nurses and other health workers have good working relationships


Collaboration (joint practice) between different cadres of health workers


A lot of teamwork between the different cadres of health workers


Adequate support services allow health workers to spend time with patients

Subscale 4: Control over practice (11.8%, α = .54)


Freedom to make important patient care and work decisions


Patient care assignments that foster continuity of care, i.e. the same health workers care for the patient from one day to the next


Health professionals control their own practice