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An instrument for measuring differentiated nursing practice

C D Allender, E C Egan, M A Newman

    Nursing Management
    |April 1, 1995
    PubMed
    Summary
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    This study pilot-tested an instrument to differentiate nursing roles based on Newman's trilevel model. Job description analysis showed the instrument could distinguish between staff nurse, team leader, and clinician/case manager roles.

    Area of Science:

    • Nursing
    • Professional Practice Models
    • Healthcare Administration

    Background:

    • Nursing roles are complex and require clear differentiation for effective practice and management.
    • Newman's trilevel model provides a framework for understanding professional nursing roles.
    • Assessing the validity and fit of instruments used to categorize these roles is crucial.

    Purpose of the Study:

    • To pilot-test an instrument designed to assess and differentiate nursing roles within Newman's trilevel model.
    • To establish the validity, clarity, and fit of the instrument's items for categorizing nurses.
    • To evaluate the instrument's ability to distinguish between the staff nurse, team leader, and clinician/case manager roles.

    Main Methods:

    • A pilot study was conducted using an instrument assessing job descriptions.

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  • The study involved three groups of nurses corresponding to the trilevel model categories.
  • Job descriptions were analyzed to determine the instrument's fit with the model's role specifications.

    • Main Results:

    • The pilot study assessed the validity, clarity, and fit of the instrument's items.
    • Response percentages indicated the instrument's effectiveness in differentiating between the specified nursing roles.
    • The instrument demonstrated potential for categorizing nurses according to Newman's trilevel model.

    Conclusions:

    • The developed instrument shows promise in differentiating nursing roles as defined by Newman's trilevel model.
    • Further validation is recommended to confirm the instrument's utility in practice.
    • Clear role differentiation is essential for effective nursing workforce management and professional development.