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Development and Psychometric Analysis of the Casey-Fink Nurse Leader Role Transition Survey©2025
Kathy Casey1, Chia-Lin Tsai, Ryan M Fuller
1Professional Development Specialist (Dr Casey), Department of Nursing Education and Research, Denver Health Medical Center, Denver, CO; Associate Professor (Dr Tsai), Department of Applied Statistics and Research Methods, University of Northern Colorado, Greeley, CO; Senior Director Workforce (Dr Fuller), Regional Patient Care Services, Kaiser Permanente Northern California, Pleasanton, CA; Senior Director (Dr Shaw), Center for Education, Research, and Professional Development, Stanford Health Care, Palo Alto, CA; (Zehua Hei), University of Northern Colorado, Greeley, CO; Adjoint Professor Emerita (Dr Fink), Division of General Internal Medicine, School of Medicine and College of Nursing, University of Colorado Anschutz Medical Campus, Aurora, CO.
Objective:
To psychometrically test the newly developed Casey-Fink Nurse Leader Role Transition Survey©2025.
Background:
Nurses transitioning into formal nursing leadership roles experience stress and shifting responsibilities both personally and professionally. Without intentional preparation and support, these challenges can become overwhelming.
Methods:
In 2025, an expert panel (N=10) assessed content validity of this new scale. Psychometric properties were analyzed with responses from 477 nurse leaders with ≤24 months' experience in the role who may or may not have participated in a nurse leader onboarding program in a healthcare organization in the US Exploratory factor analysis was conducted to assess construct validity, and Cronbach alpha was calculated to evaluate internal consistency reliability.
Results:
The final analysis resulted in a 47-item instrument, with strong reliability and validity across 10 subscales, offering a comprehensive picture of nurse leader responsibilities.
Conclusions:
This valid and reliable instrument measures nurse leader role transition experiences.
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