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Development of the Followership Evaluation Instrument for Nurses: A Prospective Longitudinal Survey
Keiko Fujinami1,2, Satoko Nagai1, Yoshimi Kodama3
1Graduate School of Health Care Sciences, Institute of Science Tokyo, Bunkyo-ku, Tokyo, Japan.
Journal of Nursing Measurement
|November 27, 2024
Summary
This study developed and validated a new instrument to measure followership in nurses, crucial for a healthy work environment. The reliable and valid tool supports leadership and nursing staff collaboration.
Area of Science:
- Nursing
- Healthcare Management
- Organizational Psychology
Background:
- A healthy nursing work environment relies on effective leadership and nursing staff followership.
- Followership is a critical, yet often overlooked, component of nursing practice dynamics.
Purpose of the Study:
- To develop and validate a reliable and psychometrically sound instrument to evaluate followership among nurses.
- To provide a tool for assessing the followership dimension within nursing teams.
Main Methods:
- Instrument development using data from two cross-sectional surveys (2013-2014).
- Validity and reliability assessment through questionnaires administered to nurses in Japan.
- Internal consistency reliability tested using exploratory and confirmatory factor analysis.
- Exploratory factor analysis with Promax rotation was employed.
Main Results:
- The developed followership instrument demonstrated high internal consistency reliability (Cronbach's alpha = .911).
- Item-remainder correlations ranged from .487 to .734, indicating good item discrimination.
- The instrument showed strong psychometric properties, including face and construct validity.
Conclusions:
- The newly developed followership instrument is valid and reliable for use in nursing practice.
- This tool can aid in understanding and improving followership behaviors within nursing teams.
- Established validity and reliability support its use in research and practice for enhancing work environments.
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