[Development of a Positive Nursing Organizational Culture Measurement Tool]

Area of Science:

• Nursing
• Organizational Psychology
• Healthcare Management

Background:

• Positive nursing organizational culture is crucial for staff well-being and patient outcomes.
• Existing measurement tools may not adequately capture the multifaceted nature of a positive nursing culture.
• Developing a robust and validated instrument is essential for accurate assessment and targeted interventions.

Purpose of the Study:

• To develop and validate a measurement tool for assessing positive nursing organizational culture.
• To establish the reliability and validity of the newly developed scale.
• To provide a quantitative instrument for evaluating and improving nursing work environments.

Main Methods:

• Extensive literature review and in-depth nurse interviews to establish a conceptual framework.
• Content validity testing by experts and a preliminary survey with 40 nurses.
• Final tool development and psychometric evaluation (validity and reliability) with 327 hospital nurses.

Main Results:

• Factor analysis identified 26 items across 4 key factors: positive leadership, shared values, trust-based relationships, and fair management.
• The scale demonstrated strong validity (convergent, discriminant, concurrent) and acceptable internal consistency reliability (Cronbach's α = .95).
• The overall determination coefficient was 67.7%, indicating substantial explanatory power.

Conclusions:

• The developed scale is a valid and reliable instrument for measuring positive nursing organizational culture.
• The tool can be utilized in educational, research, and policy-making contexts to foster positive nursing environments.
• Findings support the use of this scale to drive improvements in nursing organizational culture.