Development and testing of an instrument to measure protective nursing advocacy

Patient advocacy is an important aspect of nursing care, yet there are few instruments to measure this essential function. This study was conducted to develop, determine the psychometric properties, and support validity of the Protective Nursing Advocacy Scale (PNAS), which measures nursing advocacy...

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Bibliographic Details
Main Author: Hanks, Robert G (Author)
Format: Electronic Article
Language:English
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Published: Sage 2010
In: Nursing ethics
Year: 2010, Volume: 17, Issue: 2, Pages: 255-267
Further subjects:B Measurement
B Instrument development
B Advocacy
B Nursing
B Research Methods
Online Access: Volltext (lizenzpflichtig)
Description
Summary:Patient advocacy is an important aspect of nursing care, yet there are few instruments to measure this essential function. This study was conducted to develop, determine the psychometric properties, and support validity of the Protective Nursing Advocacy Scale (PNAS), which measures nursing advocacy beliefs and actions from a protective perspective. The study used a descriptive correlational design with a systematically selected sample of 419 medical-surgical registered nurses. Analysis of the 43-item instrument was conducted using principal components analysis with promax rotation, which resulted in the items loading onto four components. The four subscales have sufficient internal consistency, as did the overall PNAS. Satisfactory evidence of construct, content, and convergent validity were determined. Implications for nursing practice include using the PNAS in conjunction with an educational program to enhance advocacy skills, which may help to improve patient outcomes.
ISSN:1477-0989
Contains:Enthalten in: Nursing ethics
Persistent identifiers:DOI: 10.1177/0969733009352070