Abstract
Background: Nurse managers are ideally situated within an organization to influence implementation and use of evidence-based practices (EBP) (Birken, Lee, & Weiner, 2012; Stetler, Ritchie, Rycroft-Malone, & Charns, 2014). Although EBP competency is one of five core competencies espoused by the Institute of Medicine, nurse managers report a lack of confidence in EBP (Gifford, Lefebre, & Davies, 2014). Few studies have examined the role of nurse managers in promoting EBPs and no instruments are available to measure nurse manager EBP competencies. To explicate the relationship among the role of nurse managers, the practice culture that fosters application of evidence, and patient outcomes, it is imperative that a valid and reliable instrument to measure nurse manager EBP competencies is developed for use in future research. The purpose of this study was to develop a reliable and valid tool to measure competencies of nurse managers regarding EBP.
Methods: Items for the Nurse Manager EBP Competency Scale were premised on the Promoting Action on Research Implementation in Health Services' (PARIHS) context domain and developed from prior research, resulting in 16-items on a Likert response scale (0= not competent; 1= somewhat competent; 2= fully competent; 3= expertly competent). After eight EBP experts analyzed face and content validity, the scale was pilot tested with four nurse managers from medical-surgical units. For this study, 130 inpatient and ambulatory nurse managers from one academic medical center and two community hospitals were invited to participate. A gift card lottery drawing and email reminders encouraged response. Cronbach's alpha was used to evaluate reliability and exploratory factor analysis with Varimax rotation evaluated validity of the Nurse Manager EBP Competency Scale.
Results: 83 nurse managers (n=49 inpatient; n=34 ambulatory) completed the scale resulting in a 63.8% overall response rate. Cronbach's alpha for the entire scale was .95. Exploratory factor analysis resulted in a 16-item scale with two subscales, EBP Knowledge (n= 6 items, =.90) and EBP Activity (n= 10 items, =.94).
Conclusion: The Nurse Manager EBP Competency Scale is a brief, psychometrically sound measure of nurse manager EBP competency. As the first measure of this context element, the scale can enhance our understanding in future studies regarding how nurse manager EBP competency effects EBP implementation.
Learning Objectives: The learner will be able to describe how the Nurse Manager EBP Competency Scale was developed and tested. The learner will be able to identify the Nurse Manager EBP Competency Scale as a psychometrically sound measure that can be used in future research.
Sigma Membership
Gamma Phi
Lead Author Affiliation
University of Michigan, Ann Arbor, Michigan, USA
Type
Poster
Format Type
Text-based Document
Study Design/Type
N/A
Research Approach
N/A
Keywords:
Implementation, Evidence-Based Practice, Nurse Managers
Recommended Citation
Shuman, Clayton J. and Titler, Marita G., "Development and testing of the Nurse Manager EBP Competency Scale" (2017). Creating Healthy Work Environments Event Materials. 16.
https://www.sigmarepository.org/chwe/2017/posters_2017/16
Conference Name
Creating Healthy Work Environments 2017
Conference Host
Sigma Theta Tau International
Conference Location
Indianapolis, Indiana, USA
Conference Year
2017
Rights Holder
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All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Review Type
None: Event Material, Invited Presentation
Acquisition
Proxy-submission
Development and testing of the Nurse Manager EBP Competency Scale
Indianapolis, Indiana, USA
Background: Nurse managers are ideally situated within an organization to influence implementation and use of evidence-based practices (EBP) (Birken, Lee, & Weiner, 2012; Stetler, Ritchie, Rycroft-Malone, & Charns, 2014). Although EBP competency is one of five core competencies espoused by the Institute of Medicine, nurse managers report a lack of confidence in EBP (Gifford, Lefebre, & Davies, 2014). Few studies have examined the role of nurse managers in promoting EBPs and no instruments are available to measure nurse manager EBP competencies. To explicate the relationship among the role of nurse managers, the practice culture that fosters application of evidence, and patient outcomes, it is imperative that a valid and reliable instrument to measure nurse manager EBP competencies is developed for use in future research. The purpose of this study was to develop a reliable and valid tool to measure competencies of nurse managers regarding EBP.
Methods: Items for the Nurse Manager EBP Competency Scale were premised on the Promoting Action on Research Implementation in Health Services' (PARIHS) context domain and developed from prior research, resulting in 16-items on a Likert response scale (0= not competent; 1= somewhat competent; 2= fully competent; 3= expertly competent). After eight EBP experts analyzed face and content validity, the scale was pilot tested with four nurse managers from medical-surgical units. For this study, 130 inpatient and ambulatory nurse managers from one academic medical center and two community hospitals were invited to participate. A gift card lottery drawing and email reminders encouraged response. Cronbach's alpha was used to evaluate reliability and exploratory factor analysis with Varimax rotation evaluated validity of the Nurse Manager EBP Competency Scale.
Results: 83 nurse managers (n=49 inpatient; n=34 ambulatory) completed the scale resulting in a 63.8% overall response rate. Cronbach's alpha for the entire scale was .95. Exploratory factor analysis resulted in a 16-item scale with two subscales, EBP Knowledge (n= 6 items, =.90) and EBP Activity (n= 10 items, =.94).
Conclusion: The Nurse Manager EBP Competency Scale is a brief, psychometrically sound measure of nurse manager EBP competency. As the first measure of this context element, the scale can enhance our understanding in future studies regarding how nurse manager EBP competency effects EBP implementation.
Learning Objectives: The learner will be able to describe how the Nurse Manager EBP Competency Scale was developed and tested. The learner will be able to identify the Nurse Manager EBP Competency Scale as a psychometrically sound measure that can be used in future research.