2.50
Hdl Handle:
http://hdl.handle.net/10755/166289
Category:
Abstract
Type:
Presentation
Title:
Nurse Ethical Involvement Scales (NEIS)
Author(s):
Penticuff, Joy
Author Details:
Joy Penticuff, PhD, University of Texas at Austin, Austin, Texas, USA, email: joy@mail.utexas.edu
Abstract:
The NEIS is a 50-item Likert format instrument developed to measure the possible influence of organizational characteristics on nurses willingness to take action to resolve clinical ethical dilemmas in high-risk perinatal practice. The tool was designed to measure nurses' perceptions of the organizational environment of the units in which they practice and their likelihood of taking specific actions in response to a hypothetical ethical dilemma typical of NICU or high-risk obstetrical practice. The NEIS provides three independent sub-scale scores: Nursing Influence, Unit Characteristics, and Nurse Activism, without a total scale score. For the Nurse Activism sub-scale, subjects respond to items that provide options to a general question, "If you disagreed with the treatment decision about a similar case in your own unit, how likely would you be to:..." Thus, the Nurse Activism scale provides information about actions nurses report they would be likely to take when confronting a similar ethical dilemma in their own units. Practice environment items are measures in the sub-scales, Nursing Influence (nurses' perceptions of their ability to influence comprehensive plans of care for patients) and Unit Characteristics (nurses' perception of whether it is usual for nurses to be involved in ethical decision-making and administrative support for their involvement). Pilot work to determine Alpha reliability coefficients for five initial NEIS sub-scales (Organizational Characteristic, Internal Activism, External Activism, effectiveness, and Patient Characteristic) was conducted with a national sample of 260 neonatal intensive care nurses. Alpha coefficients were .82, .75, .49, and .65 respectively. Based on factor analysis of the initial sub-scales, the Internal and External Activism items were modified and the resulting sub-scale was named Nursing Activism. The Effectiveness sub-scale was renamed Nursing Influence, and the Organizational Characteristic sub-scale was renamed Unit Characteristics. The fifth original sub-scale, Patient Characteristics, which measures characteristic of patients that might influence the substantive content of ethical decision-making, was not included in the current study; its usefulness will be determined in future research. Subsequent to the initial pilot work, the NEIS was used with a sample of 127 registered nurses (63 from four obstetrical units and 64 from four neonatal intensive care units (NICUs), of both sexes and diverse ethic backgrounds recruited from five major hospitals in Texas. Reliability data for this sample will be provided.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Host:
Southern Nursing Research Society
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleNurse Ethical Involvement Scales (NEIS)en_GB
dc.contributor.authorPenticuff, Joyen_US
dc.author.detailsJoy Penticuff, PhD, University of Texas at Austin, Austin, Texas, USA, email: joy@mail.utexas.eduen_US
dc.identifier.urihttp://hdl.handle.net/10755/166289-
dc.description.abstractThe NEIS is a 50-item Likert format instrument developed to measure the possible influence of organizational characteristics on nurses willingness to take action to resolve clinical ethical dilemmas in high-risk perinatal practice. The tool was designed to measure nurses' perceptions of the organizational environment of the units in which they practice and their likelihood of taking specific actions in response to a hypothetical ethical dilemma typical of NICU or high-risk obstetrical practice. The NEIS provides three independent sub-scale scores: Nursing Influence, Unit Characteristics, and Nurse Activism, without a total scale score. For the Nurse Activism sub-scale, subjects respond to items that provide options to a general question, "If you disagreed with the treatment decision about a similar case in your own unit, how likely would you be to:..." Thus, the Nurse Activism scale provides information about actions nurses report they would be likely to take when confronting a similar ethical dilemma in their own units. Practice environment items are measures in the sub-scales, Nursing Influence (nurses' perceptions of their ability to influence comprehensive plans of care for patients) and Unit Characteristics (nurses' perception of whether it is usual for nurses to be involved in ethical decision-making and administrative support for their involvement). Pilot work to determine Alpha reliability coefficients for five initial NEIS sub-scales (Organizational Characteristic, Internal Activism, External Activism, effectiveness, and Patient Characteristic) was conducted with a national sample of 260 neonatal intensive care nurses. Alpha coefficients were .82, .75, .49, and .65 respectively. Based on factor analysis of the initial sub-scales, the Internal and External Activism items were modified and the resulting sub-scale was named Nursing Activism. The Effectiveness sub-scale was renamed Nursing Influence, and the Organizational Characteristic sub-scale was renamed Unit Characteristics. The fifth original sub-scale, Patient Characteristics, which measures characteristic of patients that might influence the substantive content of ethical decision-making, was not included in the current study; its usefulness will be determined in future research. Subsequent to the initial pilot work, the NEIS was used with a sample of 127 registered nurses (63 from four obstetrical units and 64 from four neonatal intensive care units (NICUs), of both sexes and diverse ethic backgrounds recruited from five major hospitals in Texas. Reliability data for this sample will be provided.en_GB
dc.date.available2011-10-27T14:44:06Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T14:44:06Z-
dc.conference.hostSouthern Nursing Research Societyen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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