2.50
Hdl Handle:
http://hdl.handle.net/10755/147188
Type:
Presentation
Title:
Army Hospital Environments: Measurement and Construct Validity
Abstract:
Army Hospital Environments: Measurement and Construct Validity
Conference Sponsor:Sigma Theta Tau International
Conference Year:2007
Author:Lang, Gary M., MSN
P.I. Institution Name:University of Maryland-Baltimore
Title:PhD Candidate
Co-Authors:Patricia Patrician, PhD; Meg Johantgen, PhD, RN
[Leadership session research presentation] Aim: Investigators use numerous instruments to measure the hospital nurse practice environment. However, all were developed for use with civilians, not military populations. The aim of this study was to test to what extent the Practice Environment Scale (Lake, 2002) was valid for use among  U.S. Army and Department of the Army civilian (DAC) nurses. Research Design, Sample, Methods: A secondary data analysis examined Army (n = 333) and DAC inpatient staff nurses (n = 408) who participated in a cross-sectional study examining the Army hospital work environment.  Measurement models were constructed based on the Practice Environment Scale?s 29 items and 5 subscales. Data Analysis Procedure:  Multi-sample structural equation modeling was used to test similarities and differences in the Practice Environment Scale's psychometric properties when used among the two groups of nurses. Confirmatory factor analysis was used to test construct validity. Results:  Findings support the instrument?s construct validity (x2/df = 2.59 [x2 = 1062.17, df 409, p < .05]; RMSEA = .066 [90% CI = .061, .071]; CFI = .99, Critical N = 333; RMR = .015).  However, sub set analysis suggest that Army and DAC nurses responded differently to the instrument?s indicators related to the foundations for quality of care, management?s leadership ability and physician nurse relationships. Discussion: Despite evidence of construct validity, the Practice Environment Scale may need modification to capture the full meaning of the hospital nurse practice environment for Army nurses. Investigators must consider these differences when drawing conclusions about how the perception of Army and civilian nurses is influenced by the hospital nurse practice environment.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleArmy Hospital Environments: Measurement and Construct Validityen_GB
dc.identifier.urihttp://hdl.handle.net/10755/147188-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Army Hospital Environments: Measurement and Construct Validity</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Lang, Gary M., MSN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Maryland-Baltimore</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">PhD Candidate</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">gary.lang@us.army.mil</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Patricia Patrician, PhD; Meg Johantgen, PhD, RN</td></tr><tr><td colspan="2" class="item-abstract">[Leadership session research presentation] Aim: Investigators use numerous instruments to measure the hospital nurse practice environment. However, all were developed for use with civilians, not military populations. The aim of this study was to test to what extent the Practice Environment Scale (Lake, 2002) was valid for use among&nbsp; U.S. Army and Department of the Army civilian (DAC) nurses. Research Design, Sample, Methods:&nbsp;A secondary data analysis examined Army (n = 333) and DAC inpatient staff nurses (n = 408) who participated in a cross-sectional study examining the Army hospital work environment.&nbsp; Measurement models were constructed based on the Practice Environment Scale?s 29 items and 5 subscales.&nbsp;Data Analysis Procedure:&nbsp; Multi-sample structural equation modeling was used to test similarities and differences in the Practice Environment Scale's psychometric properties when used among the two groups of nurses. Confirmatory factor analysis&nbsp;was used to test&nbsp;construct validity.&nbsp;Results:&nbsp; Findings support the instrument?s construct validity (x2/df = 2.59 [x2 = 1062.17, df 409, p &lt; .05]; RMSEA = .066 [90% CI = .061, .071]; CFI = .99, Critical N = 333; RMR = .015).&nbsp; However, sub set analysis suggest that Army and DAC nurses responded differently to the instrument?s indicators related to the foundations for quality of care, management?s leadership ability and physician nurse relationships.&nbsp;Discussion:&nbsp;Despite evidence of construct validity, the Practice Environment Scale may need modification to capture the full meaning of the hospital nurse practice environment for Army nurses. Investigators must consider these differences when drawing conclusions about how the perception of Army and civilian nurses is influenced by the hospital nurse practice environment.</td></tr></table>en_GB
dc.date.available2011-10-26T09:30:00Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T09:30:00Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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