Center for Health Sciences, School of Nursing, George Brown College, Toronto.
J Nurs Manag. 2011 May;19(4):449-60. doi: 10.1111/j.1365-2834.2011.01238.x. Epub 2011 Apr 25.
To test the psychometric properties of a newly developed measure of staff nurse clinical leadership derived from Kouzes and Posner's model of transformational leadership.
While nurses have been recognized for their essential role in keeping patients safe, there has been little empirical research that has examined clinical leadership at the staff nurse level.
A non-experimental survey design was used to test the psychometric properties of the clinical leadership survey (CLS). Four hundred and eighty registered nurses (RNs) providing direct patient care in Ontario acute care hospitals returned useable questionnaires.
Confirmatory factor analysis provided preliminary evidence for the construct validity for the new measure of staff nurse clinical leadership. Structural empowerment fully mediated the relationship between nursing leadership and staff nurse clinical leadership.
The results provide encouraging evidence for the construct validity of the CLS.
Nursing administrators must create empowering work environments to ensure staff nurses have access to work structures which enable them to enact clinical leadership behaviours while providing direct patient care.
测试基于库泽斯和波斯纳的变革型领导模型新开发的员工护士临床领导力衡量标准的心理测量特性。
尽管护士在保障患者安全方面发挥了重要作用，但很少有实证研究考察基层护士的临床领导力。
采用非实验性调查设计来测试临床领导力调查（CLS）的心理测量特性。在安大略省急性护理医院提供直接患者护理的 480 名注册护士（RN）返回了可用的问卷。
验证性因素分析为新的员工护士临床领导力衡量标准提供了构建有效性的初步证据。结构赋权完全中介了护理领导与员工护士临床领导之间的关系。
结果为 CLS 的构建有效性提供了令人鼓舞的证据。
护理管理人员必须营造赋权的工作环境，以确保员工护士能够获得工作结构，使他们能够在提供直接患者护理的同时实施临床领导行为。
