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Control over nursing practice: a construct coming of age

S A Forbes¹, M J Bott, R L Taunton

¹University of Kansas School of Nursing, Kansas City 66160-7502, USA.

Journal of Nursing Measurement

|January 1, 1997

Summary

The Control Over Nursing Practice Scales demonstrate strong reliability and validity for assessing nurses

Area of Science:

Nursing Science
Health Services Research
Psychometrics

Background:

Professional autonomy and control over practice are crucial for registered nurses' job satisfaction and retention.
Existing instruments measuring nurses' control over practice require rigorous psychometric evaluation to ensure accuracy and reliability.

Purpose of the Study:

To assess the psychometric properties of the Control Over Nursing Practice Scales.
To evaluate the reliability and validity of a 33-item instrument measuring six dimensions of nursing practice control.

Main Methods:

Psychometric evaluation using data from 1117 registered nurses across four Midwest acute care hospitals.
Dimensional analysis, reliability estimation (coefficient alphas), and construct validity assessment (correlations with related constructs).

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Factor analysis was used to determine the instrument's dimensional structure.

Main Results:

Factor analysis confirmed six dimensions, explaining 61% of the variance.
Reliability estimates (coefficient alphas) ranged from .75 to .89, indicating good internal consistency.
Correlations with autonomy, group cohesion, job stress, and job satisfaction supported construct validity.
Critical care nurses reported higher research utilization; baccalaureate-prepared nurses reported higher control via committees.
No significant differences were found between part-time and full-time nurses.

Conclusions:

The Control Over Nursing Practice Scales demonstrate acceptable psychometric properties for use in research and practice.
The findings support the use of the scales to measure nurses' perceptions of control across various dimensions.
Specific nursing roles and educational backgrounds are associated with differing levels of perceived control.