Kennerly Susan, Heggestad Eric D, Myers Haley, Yap Tracey L
School of Nursing, University of North Carolina at Charlotte, Charlotte, NC 28223, USA.
Department of Psychology and Organizational Science, University of North Carolina at Charlotte, Charlotte, NC 28223, USA.
Healthcare (Basel). 2015 Jul 29;3(3):637-47. doi: 10.3390/healthcare3030637.
An effective workforce performing within the context of a positive cultural environment is central to a healthcare organization's ability to achieve quality outcomes. The Nursing Culture Assessment Tool (NCAT) provides nurses with a valid and reliable tool that captures the general aspects of nursing culture. This study extends earlier work confirming the tool's construct validity and dimensionality by standardizing the scoring approach and establishing norm-referenced scoring. Scoring standardization provides a reliable point of comparison for NCAT users. NCAT assessments support nursing's ability to evaluate nursing culture, use results to shape the culture into one that supports change, and advance nursing's best practices and care outcomes. Registered nurses, licensed practical nurses, and certified nursing assistants from 54 long-term care facilities in Kentucky, Nevada, North Carolina, and Oregon were surveyed. Confirmatory factor analysis yielded six first order factors forming the NCAT's subscales (Expectations, Behaviors, Teamwork, Communication, Satisfaction, Commitment) (Comparative Fit Index 0.93) and a second order factor-The Total Culture Score. Aggregated facility level comparisons of observed group variance with expected random variance using rwg(J) statistics is presented. Normative scores and cumulative rank percentages and how the NCAT can be used in implementing planned change are provided.
在积极的文化环境中高效工作的员工队伍，对于医疗保健组织实现高质量成果的能力至关重要。护理文化评估工具（NCAT）为护士提供了一个有效且可靠的工具，用以捕捉护理文化的总体方面。本研究通过标准化评分方法并建立常模参照评分，扩展了早期的工作，证实了该工具的结构效度和维度。评分标准化为NCAT用户提供了可靠的比较点。NCAT评估有助于护理人员评估护理文化，利用结果将文化塑造为支持变革的文化，并推进护理的最佳实践和护理成果。对来自肯塔基州、内华达州、北卡罗来纳州和俄勒冈州54家长期护理机构的注册护士、执业护士和认证护理助理进行了调查。验证性因素分析产生了构成NCAT子量表的六个一阶因素（期望、行为、团队合作、沟通、满意度、承诺）（比较拟合指数0.93）和一个二阶因素——总体文化得分。给出了使用rwg(J)统计量对观察到的组内方差与预期随机方差进行的汇总设施层面比较。提供了常模分数和累积排名百分比，以及NCAT在实施计划变革中如何使用。
