Validation of Instruments to Measure Clinical Nurse Specialists' Patterns of Practice

2.50
Hdl Handle:
http://hdl.handle.net/10755/149084
Type:
Presentation
Title:
Validation of Instruments to Measure Clinical Nurse Specialists' Patterns of Practice
Abstract:
Validation of Instruments to Measure Clinical Nurse Specialists' Patterns of Practice
Conference Sponsor:Sigma Theta Tau International
Conference Year:2003
Author:Omery, Anna, RN, DNSc
P.I. Institution Name:Kaiser Permanente
Title:Nurse Scientist & Director of Nursing Research/Southern California
Co-Authors:Ann M. Mayo, RN, CNS, DNSc; Hannah Dean, PhD; Fatemah Khaghani, EdD; Zanaida Lara, MN, CNS; Patricia Meckes, MN; Nora Moti, BSN; Jacqueline B. Redeemer, RN, MN; Lynne Scott, MN, CNS; Marguerite Voorhees, MN
Objective. To determine the psychometric properties of the Advanced Practice Survey (APN) and the Clinical Nurse Specialists Outcomes/Barrier Analysis (CNS-SOBA). Design. Instrument explication study using classical psychometric techniques. Population, Sample, Setting. The population is currently practicing CNSs. The sample included 547 BRN certified CNSs. Concepts. Clinical nurse specialists' activities, perceived outcomes, and barriers to practice. Methods. Data were collected via a mailed survey to all Board certified CNSs in one western state. 947 (62%) of the surveys were returned. The data from the 547 (60%) CNSs in current practice were used in the analysis. Data analysis included item analysis (item to total correlations and alphas if items deleted), reliability (Cronbach's alphas), and validity (exploratory factor analysis) techniques. Findings. All items were retained for the APN. The APN's alpha was .80. The factor analysis resulted in ten factors (Staff Development, Patient Education, Clinical Practice, Expert Clinical Practice, Interdisciplinary Clinical Practice, Consultation, Leadership, Management, and Research activities) that explained 59% of the variance. Three items were deleted from the CNS-SOBA. The alpha for the outcomes subscale was 0.95 and 0.85 for the barriers subscale. The factors analysis of outcomes subscale resulted in nine factors (Clinical Practice, Support Group, Leadership, Educational, Advocacy, Utilization, Consultation, Research, Product Evaluation outcomes ) that explained 67% of the variance. The factor analysis of the barriers subscale resulted in 4 factors (Functional, Interpersonal, Physical Environment, Organizational Cultural barriers) that explained 66% of the variance. Conclusions. The APN and CNS-SOBA have acceptable psychometric properties. These properties indicate more discrete categories of activities, outcomes, and barriers than those that are generally identified in the theoretical and clinical literature associated with the CNS. Implications. An assessment of the impact of the CNS should move beyond the five traditionally accepted five role components to include more specificity.
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.titleValidation of Instruments to Measure Clinical Nurse Specialists' Patterns of Practiceen_GB
dc.identifier.urihttp://hdl.handle.net/10755/149084-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Validation of Instruments to Measure Clinical Nurse Specialists' Patterns of Practice</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">2003</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Omery, Anna, RN, DNSc</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Kaiser Permanente</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Nurse Scientist &amp; Director of Nursing Research/Southern California</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">Anna.K.Omery@kp.org</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Ann M. Mayo, RN, CNS, DNSc; Hannah Dean, PhD; Fatemah Khaghani, EdD; Zanaida Lara, MN, CNS; Patricia Meckes, MN; Nora Moti, BSN; Jacqueline B. Redeemer, RN, MN; Lynne Scott, MN, CNS; Marguerite Voorhees, MN</td></tr><tr><td colspan="2" class="item-abstract">Objective. To determine the psychometric properties of the Advanced Practice Survey (APN) and the Clinical Nurse Specialists Outcomes/Barrier Analysis (CNS-SOBA). Design. Instrument explication study using classical psychometric techniques. Population, Sample, Setting. The population is currently practicing CNSs. The sample included 547 BRN certified CNSs. Concepts. Clinical nurse specialists' activities, perceived outcomes, and barriers to practice. Methods. Data were collected via a mailed survey to all Board certified CNSs in one western state. 947 (62%) of the surveys were returned. The data from the 547 (60%) CNSs in current practice were used in the analysis. Data analysis included item analysis (item to total correlations and alphas if items deleted), reliability (Cronbach's alphas), and validity (exploratory factor analysis) techniques. Findings. All items were retained for the APN. The APN's alpha was .80. The factor analysis resulted in ten factors (Staff Development, Patient Education, Clinical Practice, Expert Clinical Practice, Interdisciplinary Clinical Practice, Consultation, Leadership, Management, and Research activities) that explained 59% of the variance. Three items were deleted from the CNS-SOBA. The alpha for the outcomes subscale was 0.95 and 0.85 for the barriers subscale. The factors analysis of outcomes subscale resulted in nine factors (Clinical Practice, Support Group, Leadership, Educational, Advocacy, Utilization, Consultation, Research, Product Evaluation outcomes ) that explained 67% of the variance. The factor analysis of the barriers subscale resulted in 4 factors (Functional, Interpersonal, Physical Environment, Organizational Cultural barriers) that explained 66% of the variance. Conclusions. The APN and CNS-SOBA have acceptable psychometric properties. These properties indicate more discrete categories of activities, outcomes, and barriers than those that are generally identified in the theoretical and clinical literature associated with the CNS. Implications. An assessment of the impact of the CNS should move beyond the five traditionally accepted five role components to include more specificity.</td></tr></table>en_GB
dc.date.available2011-10-26T09:55:52Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T09:55:52Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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