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Published on: March 1, 2019
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Twenty-eight years of experience measuring autonomy using the Dempster Practice Behavior Scale
Mary Jo Goolsby1, Charon A Pierson2, Barbara Sheer3
1Institute for NP Excellence, LLC, Augusta, Georgia.
Summary
The Dempster Practice Behavior Scale reliably measures autonomy in advanced practice registered nurses (APRNs). Further research is needed to explore autonomy
Area of Science:
- Nursing
- Professional Autonomy
- Healthcare Practice
Background:
- Autonomy is crucial in professional practice, especially for advanced nursing roles.
- The Dempster Practice Behavior Scale (DPBS) was developed to measure practice autonomy.
- Evolving healthcare models necessitate increased autonomy for nurse practitioners (NPs).
Purpose of the Study:
- To detail the development and psychometric testing of the DPBS.
- To review existing research utilizing the DPBS across nursing and other professions.
- To identify future research needs concerning professional autonomy, particularly for APRNs.
Main Methods:
- A systematic review of research articles, theses, and dissertations was conducted.
- Studies employing the DPBS to assess practice autonomy were included.
- Psychometric properties were examined across diverse professional populations.
Main Results:
- Twenty-one publications reporting on the DPBS were analyzed.
- For advanced practice registered nurses (APRNs) (N=1,669), DPBS psychometrics confirm its reliability for research.
- Eleven studies with 2,285 non-APRN participants also utilized the DPBS.
Conclusions:
- The DPBS is a reliable instrument for measuring practice autonomy in APRNs.
- Further investigation is required to understand the interplay between autonomy and factors like regulation, practice setting, and experience.
- Research gaps exist regarding the influence of care models and practice mix on professional autonomy.
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