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Mechanisms of organisational learning in hospitals: An instrument development study
Bret Lyman1, Emily L Smith2, Kaitlyn C George1
1College of Nursing, Brigham Young University, Provo, Utah, USA.
Aim:
To develop a valid, reliable research instrument to measure mechanisms associated with organisational learning in hospitals.
Background:
A valid, reliable instrument for measuring mechanisms of organisational learning would enable nurse leaders and researchers to improve health care through facilitation and study of organisational learning.
Methods:
The Organizational Learning in Hospitals model was used as a framework to develop the Organizational Learning Instrument-Mechanisms. Cognitive interviews and expert reviews were used to refine and evaluate item-level and scale-level content validity. The instrument was distributed by email to a random sample of nurses working in inpatient hospitals in Utah (n = 1253). Confirmatory factor analysis was used to assess construct validity, and coefficient alpha was used to assess internal reliability.
Results:
Item-level content validity scores were .88 to 1.0, and scale-level content validity was .98 (maximum score = 1.0). Standardized factor loadings were .539-.956, with model fit statistics as follows: comparative fit index (CFI) = .975, Tucker-Lewis index (TLI) = .973 and root mean square error of approximation (RMSEA) = .059. Coefficient alpha scores were .77-.95 for the instrument's five factors.
Conclusions:
Initial testing indicates the Organizational Learning Instrument-Mechanisms has adequate levels of reliability, content validity and construct validity.
Implications For Nursing Management:
Hospital leaders and researchers may begin using this instrument to improve and study the mechanisms of organisational learning in hospital units.
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