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nursing culture assessment tool (NCAT): Empirical validation for use in long-term care

International Journal of nursing Sciences 2014年第3期1卷 241-249页

作者： Tracey L.Yap Susan M.Kennerly Elizabeth P.Flint Duke University School of nursing 307 Trent Dr.DurhamNC 27710United States Duke University Center for the Study of Aging and Human Development Box 3003 DUMCDurhamNC 27710United States University of North Carolina at Charlotte School of nursing United States

Background:Capturing general aspects of the occupational subculture of nursing is needed in long-term care(LTC)given its latent influence on the quality of care that residents receive and on the ability of nursing staff(licensed nurses and certified nursing assistants)to implement evidence-based practice *** psychometrically validated nursing culture Assessment Tool(NCAT)provides a comprehensive assessment using six dimensions(teamwork,communication,satisfaction,professional commitment,behaviors,and expectations),and evaluation of these dimensions could help positively reshape the culture before any change ***:Aims were to:(1)assess the validity and reliability of the NCAT across nursing staff in a single type of clinical setting e LTC facilities,and(2)present a refined theoretical model of the interaction of culture and practice ***:A cross-sectional,exploratory investigation of the NCAT in LTC settings was *** construct validity of the 19-item NCAT's six subscales was investigated by confirmatory factor analysis using a sample of licensed nurses and certified nursing assistants(n?318).Results:The model fit was judged using the comparative fit index(0.94)and standardized root mean-square residual(0.05).Cronbach's alpha correlation coefficients of items in each subscale and in the overall scale ranged from 0.76 to ***:A summary of the NCAT development and report on its psychometric properties when administered in LTC settings is provided,extending previous findings of the NCAT's enhanced stability when used in assessing nursing staff perceptions in LTC and by demonstrating that the NCAT is a reliable and valid psychometric screening tool for nursing culture.

关键词： nursing culture Staff assessment Long-term care Occupational subculture framework

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