Validation of the Psychometric Properties of the Nursing Culture Assessment Tool for Use in Long-Term Care

2.50
Hdl Handle:
http://hdl.handle.net/10755/304093
Category:
Abstract
Type:
Presentation
Title:
Validation of the Psychometric Properties of the Nursing Culture Assessment Tool for Use in Long-Term Care
Author(s):
Kennerly, Susan M.; Yap, Tracey L.
Lead Author STTI Affiliation:
Beta Iota
Author Details:
Susan M. Kennerly, PhD, RN, skenner2@uncc.edu; Tracey L. Yap, PhD, RN, WCC, CNE;
Abstract:

Session presented on: Monday, July 22, 2013

Purpose: Nursing’s occupational subculture encompasses beliefs, attitudes, and values that impact cultural norms supporting patterns of behavior and care practices that can consistently produce quality care outcomes. The Nursing Culture Assessment Tool (NCAT), previously determined to be valid and reliable, aims to capture general aspects of nursing culture in diverse healthcare settings. We will present the NCAT’s revalidation for use in long-term care (LTC) settings.  

Methods: The sample (n=318) was composed of 211 individuals working in Kentucky LTC facilities combined with participants from a prior cross-sectional study of 107 individuals working in LTC in Kentucky or Ohio. Using a survey approach, participants were asked to rate their perceptions (Strongly Disagree=1, Disagree=2, Agree=3, Strongly Agree=4) of 19 declarative statements about culture in their work setting. Data analysis was conducted to reconfirm the NCAT’s dimensionality, reliability, and empirical construct validity with this larger LTC sample. Empirical construct validity was tested using confirmatory factor analysis. Analysis of variance (ANOVA) was used to test for differences in item responses by nurses' licensure status or primary/secondary sub-groups.

Results: The NCAT’s six previously determined subscales (behavior, expectations, teamwork, communication, satisfaction, professional commitment) of the 19 item questionnaire were validated by calculating the comparative fit index and the standardized root mean-square residual (CFI=0.94, SRMR=0.05). Standardized loadings ranged from 0.65 to 0.94. Cronbach’s alpha coefficients for subscales were medium to high (0.72 to 0.92). ANOVA results revealed paired differences among nursing licensure categories for the professional commitment subscale. 

Conclusion: The NCAT provides LTC leaders a reliable means for measuring individual and group nursing staff perceptions about attitudes and behaviors associated with their work and work relationships. The NCAT can be used for baseline assessment of clinical unit or a facility’s nursing culture to guide changes in occupational culture that can potentially lead to improved care outcomes.

Keywords:
nursing; culture; long-term care
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.
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.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleValidation of the Psychometric Properties of the Nursing Culture Assessment Tool for Use in Long-Term Careen_GB
dc.contributor.authorKennerly, Susan M.en_GB
dc.contributor.authorYap, Tracey L.en_GB
dc.contributor.departmentBeta Iotaen_GB
dc.author.detailsSusan M. Kennerly, PhD, RN, skenner2@uncc.edu; Tracey L. Yap, PhD, RN, WCC, CNE;en_GB
dc.identifier.urihttp://hdl.handle.net/10755/304093-
dc.description.abstract<p>Session presented on: Monday, July 22, 2013</p><b>Purpose: </b> Nursing’s occupational subculture encompasses beliefs, attitudes, and values that impact cultural norms supporting patterns of behavior and care practices that can consistently produce quality care outcomes. The Nursing Culture Assessment Tool (NCAT), previously determined to be valid and reliable, aims to capture general aspects of nursing culture in diverse healthcare settings. We will present the NCAT’s revalidation for use in long-term care (LTC) settings.   <p><b>Methods: </b>The sample (n=318) was composed of 211 individuals working in Kentucky LTC facilities combined with participants from a prior cross-sectional study of 107 individuals working in LTC in Kentucky or Ohio. Using a survey approach, participants were asked to rate their perceptions (Strongly Disagree=1, Disagree=2, Agree=3, Strongly Agree=4) of 19 declarative statements about culture in their work setting. Data analysis was conducted to reconfirm the NCAT’s dimensionality, reliability, and empirical construct validity with this larger LTC sample. Empirical construct validity was tested using confirmatory factor analysis. Analysis of variance (ANOVA) was used to test for differences in item responses by nurses' licensure status or primary/secondary sub-groups. <p><b>Results: </b>The NCAT’s six previously determined subscales (behavior, expectations, teamwork, communication, satisfaction, professional commitment) of the 19 item questionnaire were validated by calculating the comparative fit index and the standardized root mean-square residual (CFI=0.94, SRMR=0.05). Standardized loadings ranged from 0.65 to 0.94. Cronbach’s alpha coefficients for subscales were medium to high (0.72 to 0.92). ANOVA results revealed paired differences among nursing licensure categories for the professional commitment subscale.  <p><b>Conclusion: </b>The NCAT provides LTC leaders a reliable means for measuring individual and group nursing staff perceptions about attitudes and behaviors associated with their work and work relationships. The NCAT can be used for baseline assessment of clinical unit or a facility’s nursing culture to guide changes in occupational culture that can potentially lead to improved care outcomes.en_GB
dc.subjectnursingen_GB
dc.subjectcultureen_GB
dc.subjectlong-term careen_GB
dc.date.available2013-10-22T20:29:00Z-
dc.date.issued2013-10-22-
dc.date.accessioned2013-10-22T20:29:00Z-
dc.conference.date2013en_GB
dc.conference.name24th International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationPrague, Czech Republicen_GB
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en_GB
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.en_GB
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