Sage Journals: Discover world-class research

Abstract

The purpose of this study was to develop and evaluate the validity and reliability of an instrument to measure nurse manager competencies regarding evidence-based practice (EBP). The Nurse Manager EBP Competency Scale consists of 16 items for respondents to indicate their perceived level of competency on a 0 to 3 Likert-type scale. Content validity was demonstrated through expert panel review and pilot testing. Principal axis factoring and Cronbach’s alpha evaluated construct validity and internal consistency reliability, respectively. Eighty-three nurse managers completed the scale. Exploratory factor analysis resulted in a 16-item scale with two subscales, EBP Knowledge (n = 6 items, α = .90) and EBP Activity (n = 10 items, α = .94). Cronbach’s alpha for the entire scale was .95. The Nurse Manager EBP Competency Scale is a brief measure of nurse manager EBP competency with evidence of validity and reliability. The scale can enhance our understanding in future studies regarding how nurse manager EBP competency affects implementation.

Keywords

nurse manager competence evidence-based practice implementation psychometrics

Get full access to this article

View all access options for this article.

References

Aarons

G. A.

Ehrhart

M. G.

Farahnak

L. R.

Hurlburt

M. S.

(2015). Leadership and organizational change for implementation (LOCI): A randomized mixed method pilot study of a leadership and organization development intervention for evidence-based practice implementation. Implementation Science, 10(11), 1-12.

Benner

(1982). From novice to expert. American Journal of Nursing, 82, 402-407.

Birken

S. A.

DiMartino

L. D.

Kirk

M. A.

Lee

S. Y. D.

McClelland

Albert

N. M.

(2016). Elaborating on theory with middle managers’ experience implementing healthcare innovations in practice. Implementation Science, 11(2), 1-5.

Birken

S. A.

Lee

S. Y. D.

Weiner

B. J.

(2012). Uncovering middle managers’ role in healthcare innovation implementation. Implementation Science, 7(28), 1-12.

Cattell

R. B.

(1966). The Scree Test for the number of factors. Multivariate Behavioral Research, 1, 245-276.

Costello

A. B.

Osborne

J. W.

(2005). Best practices in exploratory factor analysis: Four recommendations for getting the most from your analysis. Practical Assessment, Research & Evaluation, 10(7), 1-9.

Cronbach

L. J.

(1951). Coefficient alpha and the internal structure of tests. Psychometrika, 16, 297-334.

DeVellis

R. F.

(2016). Scale development: Theory and applications. Thousand Oaks, CA: Sage.

DeVon

H. A.

Block

M. E.

Moyle-Wright

Ernst

D. M.

Hayden

S. J.

. . . Kostas-Polston

(2007). A psychometric toolbox for testing validity and reliability. Journal of Nursing Scholarship, 39, 155-164.

10.

Dziuban

C. D.

Shirkey

E. C.

(1974). When is a correlation matrix appropriate for factor analysis? Some decision rules. Psychological Bulletin, 81, 358-361.

11.

Fabrigar

L. R.

Wegener

D. T.

MacCallum

R. C.

Strahan

E. J.

(1999). Evaluating the use of exploratory factor analysis in psychological research. Psychological Methods, 4, 272-299.

12.

Fritsche

Greenhalgh

Falck-Ytter

Neumayer

H. H.

Kunz

(2002). Do short courses in evidence based medicine improve knowledge and skills? Validation of Berlin questionnaire and before and after study of courses in evidence based medicine. British Medical Journal, 325, 1338-1341.

13.

Garrido

L. E.

Abad

F. J.

Ponsoda

(2013). A new look at Horn’s parallel analysis with ordinal variables. Psychological Methods, 18, 454-474.

14.

Gifford

Davies

Edwards

Griffin

Lybanon

(2007). Managerial leadership for nurses’ use of research evidence: An integrative review of the literature. Worldviews on Evidence-Based Nursing, 4, 126-145.

15.

Gifford

Lefebre

Davies

(2014). An organizational intervention to influence evidence-informed decision making in home health nursing. Journal of Nursing Administration, 44, 395-402.

16.

Horn

J. L.

(1965). A rationale and test for the number of factors in factor analysis. Psychometrika, 30, 179-185.

17.

Hutchinson

A. M.

Johnston

(2006). Beyond the BARRIERS Scale: Commonly reported barriers to research use. Journal of Nursing Administration, 36, 189-199.

18.

Ilic

(2009). Assessing competency in evidence based practice: Strengths and limitations of current tools in practice. BMC Medical Education, 9, Article 53.

19.

Ilic

Nordin

R. B.

Glasziou

Tilson

J. K.

Villanueva

(2014). Development and validation of the ACE tool: Assessing medical trainees’ competency in evidence based medicine. BMC Medical Education, 14, Article 114.

20.

Kitson

Harvey

McCormack

(1998). Enabling the implementation of evidence based practice: A conceptual framework. Quality in Health Care, 7, 149-158.

21.

Knebel

Greiner

A. C.

(Eds.). (2003). Health professions education: A bridge to quality. Washington, DC: National Academies Press.

22.

Kueny

Shever

L. L.

Mackin

M. L.

Titler

M. G.

(2015). Facilitating the implementation of evidence-based practice through contextual support and nursing leadership. Journal of Healthcare Leadership, 7, 29-39.

23.

Martinez

R. G.

Lewis

C. C.

Weiner

B. J.

(2014). Instrumentation issues in implementation science. Implementation Science, 9(118), 1-9.

24.

Melnyk

B. M.

Gallagher-Ford

(2015). Implementing the new essential evidence-based practice competencies in real-world clinical and academic settings: Moving from evidence to action in improving healthcare quality and patient outcomes. Worldviews on Evidence-Based Nursing, 12, 67-69.

25.

Melnyk

B. M.

Gallagher-Ford

Long

L. E.

Fineout-Overholt

(2014). The establishment of evidence-based practice competencies for practicing registered nurses and advanced practice nurses in real-world clinical settings: Proficiencies to improve healthcare quality, reliability, patient outcomes, and costs. Worldviews on Evidence-Based Nursing, 11, 5-15.

26.

Nilsen

(2015). Making sense of implementation theories, models and frameworks. Implementation Science, 10(53), 1-13.

27.

Patil

V. H.

Singh

S. N.

Mishra

Donavan

D. T.

(2008). Efficient theory development and factor retention criteria: Abandon the “eigenvalue greater than one” criterion. Journal of Business Research, 61, 162-170.

28.

Ramos

K. D.

Schafer

Tracz

S. M.

(2003). Validation of the Fresno test of competence in evidence based medicine. British Medical Journal, 326, 319-321.

29.

R Core Team. (2016). R: A language and environment for statistical computing. Available from https://www.R-project.org/

30.

Reichenpfader

Carlfjord

Nilsen

(2015). Leadership in evidence-based practice: A systematic review. Leadership in Health Services, 28, 298-316.

31.

Ruscio

Roche

(2012). Determining the number of factors to retain in an exploratory factor analysis using comparison data of known factorial structure. Psychological Assessment, 24, 282-292.

32.

Sandström

Borglin

Nilsson

Willman

(2011). Promoting the implementation of evidence-based practice: A literature review focusing on the role of nursing leadership. Worldviews on Evidence-Based Nursing, 8, 212-223.

33.

Snedecor

G. W.

Cochran

W. G.

(1989). Statistical methods (8th ed.). Ames: Iowa State University Press.

34.

Stevens

K. R.

(2009). Essential competencies for evidence-based practice in nursing (2nd ed.). San Antonio: Academic Center for Evidence-Based Practice, University of Texas Health Science Center at San Antonio.

35.

Tabachnick

B. G.

Fidell

L. S.

(2001). Using multivariate statistics (5th ed.). Boston, MA: Allyn & Bacon.

Supplementary Material

Please find the following supplemental material available below.

For Open Access articles published under a Creative Commons License, all supplemental material carries the same license as the article it is associated with.

For non-Open Access articles published, all supplemental material carries a non-exclusive license, and permission requests for re-use of supplemental material or any part of supplemental material shall be sent directly to the copyright owner as specified in the copyright notice associated with the article.

0.00 MB

0.03 MB

0.08 MB

Development and Testing of the Nurse Manager EBP Competency Scale

Abstract

Keywords

Get full access to this article

References

Supplementary Material