Advanced practice nursing role development: Factor analysis of a modified role delineation tool

Chang, AM; Gardner, GE; Duffield, C; Ramis, MA

Advanced practice nursing role development: Factor analysis of a modified role delineation tool

Chang, AM Gardner, GE Duffield, C

Ramis, MA

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Publication Type:: Journal Article
Citation:: Journal of Advanced Nursing, 2012, 68 (6), pp. 1369 - 1379
Issue Date:: 2012-06-01

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Field	Value	Language
dc.contributor.author	Chang, AM	en_US
dc.contributor.author	Gardner, GE	en_US
dc.contributor.author	Duffield, C https://orcid.org/0000-0001-6534-8743	en_US
dc.contributor.author	Ramis, MA	en_US
dc.date.issued	2012-06-01	en_US
dc.identifier.citation	Journal of Advanced Nursing, 2012, 68 (6), pp. 1369 - 1379	en_US
dc.identifier.issn	0309-2402	en_US
dc.identifier.uri	http://hdl.handle.net/10453/22440
dc.description.abstract	Aim. This study reports the use of exploratory factor analysis to determine construct validity of a modified advanced practice role delineation tool. Background. Little research exists on specific activities and domains of practice within advanced practice nursing roles, making it difficult to define service parameters of this level of nursing practice. A valid and reliable tool would assist those responsible for employing or deploying advanced practice nurses by identifying and defining their service profile. This is the third article from a multi-phase Australian study aimed at assigning advanced practice roles. Methods. A postal survey was conducted of a random sample of state government employed Registered Nurses and midwives, across various levels and grades of practice in the state of Queensland, Australia, using the modified Advanced Practice Role Delineation tool. Exploratory factor analysis, using principal axis factoring was undertaken to examine factors in the modified tool. Cronbach's alpha coefficient determined reliability of the overall scale and identified factors. Results. There were 658 responses (42% response rate). The five factors found with loadings of ≥400 for 40 of the 41 APN activities were similar to the five domains in the Strong model. Cronbach's alpha coefficient was 0·94 overall and for the factors ranged from 0·83 to 0·95. Conclusion. Exploratory factor analysis of the modified tool supports validity of the five domains of the original tool. Further investigation will identify use of the tool in a broader healthcare environment. © 2011 Blackwell Publishing Ltd.	en_US
dc.relation.ispartof	Journal of Advanced Nursing	en_US
dc.relation.isbasedon	10.1111/j.1365-2648.2011.05850.x	en_US
dc.subject.classification	Nursing	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Factor Analysis, Statistical	en_US
dc.subject.mesh	Reproducibility of Results	en_US
dc.subject.mesh	Nurse's Role	en_US
dc.subject.mesh	Nursing Evaluation Research	en_US
dc.subject.mesh	Adult	en_US
dc.subject.mesh	Aged	en_US
dc.subject.mesh	Middle Aged	en_US
dc.subject.mesh	Queensland	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Male	en_US
dc.subject.mesh	Young Adult	en_US
dc.subject.mesh	Advanced Practice Nursing	en_US
dc.subject.mesh	Nurse's Practice Patterns	en_US
dc.subject.mesh	Practice Patterns, Nurses'	en_US
dc.title	Advanced practice nursing role development: Factor analysis of a modified role delineation tool	en_US
dc.type	Journal Article
utslib.citation.volume	6	en_US
utslib.citation.volume	68	en_US
utslib.for	1110 Nursing	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Nursing
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
utslib.copyright.status	closed_access
pubs.issue	6	en_US
pubs.publication-status	Published	en_US
pubs.volume	68	en_US

Abstract:

Aim. This study reports the use of exploratory factor analysis to determine construct validity of a modified advanced practice role delineation tool. Background. Little research exists on specific activities and domains of practice within advanced practice nursing roles, making it difficult to define service parameters of this level of nursing practice. A valid and reliable tool would assist those responsible for employing or deploying advanced practice nurses by identifying and defining their service profile. This is the third article from a multi-phase Australian study aimed at assigning advanced practice roles. Methods. A postal survey was conducted of a random sample of state government employed Registered Nurses and midwives, across various levels and grades of practice in the state of Queensland, Australia, using the modified Advanced Practice Role Delineation tool. Exploratory factor analysis, using principal axis factoring was undertaken to examine factors in the modified tool. Cronbach's alpha coefficient determined reliability of the overall scale and identified factors. Results. There were 658 responses (42% response rate). The five factors found with loadings of ≥400 for 40 of the 41 APN activities were similar to the five domains in the Strong model. Cronbach's alpha coefficient was 0·94 overall and for the factors ranged from 0·83 to 0·95. Conclusion. Exploratory factor analysis of the modified tool supports validity of the five domains of the original tool. Further investigation will identify use of the tool in a broader healthcare environment. © 2011 Blackwell Publishing Ltd.

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http://hdl.handle.net/10453/22440