Lyman Bret, Smith Emily L, George Kaitlyn C
College of Nursing, Brigham Young University, Provo, Utah, USA.
Intermountain Medical Center, Intermountain Healthcare, Murray, Utah, USA.
J Nurs Manag. 2022 May;30(4):1069-1077. doi: 10.1111/jonm.13586. Epub 2022 Mar 21.
To develop a valid, reliable research instrument to measure mechanisms associated with organisational learning in hospitals.
A valid, reliable instrument for measuring mechanisms of organisational learning would enable nurse leaders and researchers to improve health care through facilitation and study of organisational learning.
The Organizational Learning in Hospitals model was used as a framework to develop the Organizational Learning Instrument-Mechanisms. Cognitive interviews and expert reviews were used to refine and evaluate item-level and scale-level content validity. The instrument was distributed by email to a random sample of nurses working in inpatient hospitals in Utah (n = 1253). Confirmatory factor analysis was used to assess construct validity, and coefficient alpha was used to assess internal reliability.
Item-level content validity scores were .88 to 1.0, and scale-level content validity was .98 (maximum score = 1.0). Standardized factor loadings were .539-.956, with model fit statistics as follows: comparative fit index (CFI) = .975, Tucker-Lewis index (TLI) = .973 and root mean square error of approximation (RMSEA) = .059. Coefficient alpha scores were .77-.95 for the instrument's five factors.
Initial testing indicates the Organizational Learning Instrument-Mechanisms has adequate levels of reliability, content validity and construct validity.
Hospital leaders and researchers may begin using this instrument to improve and study the mechanisms of organisational learning in hospital units.
开发一种有效、可靠的研究工具，以测量与医院组织学习相关的机制。
一种用于测量组织学习机制的有效、可靠工具，将使护士领导者和研究人员能够通过促进和研究组织学习来改善医疗保健。
以医院组织学习模型为框架，开发组织学习工具-机制部分。采用认知访谈和专家评审来完善和评估项目层面和量表层面的内容效度。通过电子邮件将该工具分发给犹他州住院医院工作的护士随机样本（n = 1253）。采用验证性因素分析评估结构效度，并用α系数评估内部信度。
项目层面的内容效度得分在0.88至1.0之间，量表层面的内容效度为0.98（满分 = 1.0）。标准化因素负荷为0.539 - 0.956，模型拟合统计如下：比较拟合指数（CFI）= 0.975，塔克-刘易斯指数（TLI）= 0.973，近似误差均方根（RMSEA）= 0.059。该工具五个因素的α系数得分在0.77至0.95之间。
初步测试表明，组织学习工具-机制部分具有足够的信度、内容效度和结构效度。
医院领导和研究人员可开始使用该工具来改善和研究医院各科室的组织学习机制。
