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Development and Psychometric Analysis of an Instrument to Measure Entrenched Toxic Culture in Academic Nursing
Becky Good1, Kristen F Kirby, Karen J Foli
1About the Authors Becky Good, DNP, FNP-BC, CNE, is a clinical associate professor, Baylor University Louise Herrington School of Nursing, Dallas, Texas. Kristen F. Kirby, DNP, FNP-BC, CNE, is a clinical associate professor, Baylor University Louise Herrington School of Nursing. Karen J. Foli, PhD, RN, ANEF, FAAN, is a professor and endowed chair for mental health nursing, Baylor University Louise Herrington School of Nursing. Tony Chase, PhD, is an associate professor, Indiana University, Indianapolis, Indiana. Cynthia M. Clark, PhD, RN, ANEF, FAAN, is professor emeritus, Boise State University School of Nursing, Boise, Idaho.
Aim:
This study tested the psychometric properties of the Entrenched Toxic Culture in Academic Nursing Inventory, a newly developed tool designed to measure the presence and perceived level of entrenched toxic cultures (ETCs) within academic nursing environments.
Background:
ETCs undermine faculty well-being and retention. A reliable and valid tool is essential for identifying ETCs and guiding solutions.
Method:
Confirmatory factor analysis was conducted with 267 surveys from international and domestic nurse educators via an online survey.
Results:
The confirmatory factor analysis findings yielded five subscales with excellent model fit and an overall survey Cronbach's alpha value of .98, indicating that the items and item groupings are valid and reliable for use with this population.
Conclusion:
Findings demonstrate that the Entrenched Toxic Culture in Academic Nursing Inventory is a psychometrically sound tool for assessing the presence of ETCs, offering a foundation for future research and improvement efforts.
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