Developing Nurse and Physician Questionnaires to Assess Primary Work Areas in Intensive Care Units
Issue Date
2014-07Author
Rashid, Mahbub
Boyle, Diane K.
Crosser, Michael
Publisher
Lippincott Williams & Wilkins
Type
Article
Article Version
Scholarly/refereed, author accepted manuscript
Metadata
Show full item recordAbstract
The objective of the study was to develop instruments for describing and assessing some aspects of
design of the primary work areas of nurses and physicians in intensive care units (ICUs). Separate
questionnaires for ICU physicians and nurses were developed. Items related to individual- and
unit-level design features of the primary work areas of nurses and physicians were organized using
constructs found in the literature. Items related to staff satisfaction and staff use of time in relation
to primarywork area designwere also included. All items and constructs were reviewed by experts
for content validity and were modified as needed before use. The final questionnaires were administered
to a convenience sample of 4 ICUs in 2 large urban hospitals. A total of 55 nurses and 29
physicians completed the survey. The Cronbach α was used to measure internal consistency, and
factor analysis was used to provide construct-related validity. Convergent and discriminant validity
were assessed through examining bivariate correlations between relevant scales/items. Analysis
of variance was used to identify whether the between-group member responses were significant
among the 4 units. The Cronbach α values for all except 3 preliminary scales indicated acceptable
reliability. Factor analysis indicated that some preliminary scales could be partitioned into subscales
for finer descriptions of the primary work areas. Correlational analysis provided strong evidence
of convergent and discriminant validity of all the scales and subscales. The significance level of
F-statistics showed that the units were significantly different from each other, providing evidence
of more between-unit variance than within-unit variance. Therefore, the questionnaires developed
in the study offer a promising departure point for rigorous description and evaluation of the
primary work areas in relation to staff satisfaction and use of time in ICUs at a time when the
importance of such studies is growing.
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Citation
Rashid M, Boyle D, Crosser M. Developing Nurse and Physician Questionnaires to Assess Primary Work Areas in Intensive Care Units. Critical Care Nursing Quarterly. Vol. 37, No. 3, pp. 317–335. http://dx.doi.org/10.1097/CNQ.0000000000000033
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