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Measuring Nursing Governance

Hess, Robert G. Jr.


Background: Despite outcomes studies measuring such variables as job satisfaction, autonomy, professionalism, turnover, leadership styles, and more recently, cost-effectiveness, no consistent relationships have been established between shared governance models and outcomes.

Objectives: To define and develop an instrument to measure the governance of hospital-based nurses.

Methods: The 88-item Index of Professional Nursing Governance (IPNG) was developed to measure professional nursing governance of hospital-based nurses. Psychometric properties were tested with 1,162 registered nurses from 10 hospitals.

Results: Content validity after item generation was .95, using Popham's average congruency procedure. Six factors explained 42% of the variance with subscale intercorrelations between .43 and .67. All subscales had a high degree of internal consistency (alphas .87 to .91); test-retest reliability was.77. Construct validity testing showed that scores between shared governance and traditionally governed hospitals were significantly different. A correlation was found between scores on the IPNG and the Hague and Aiken Index of Centralization.

Conclusions: The results of this study support the validity of the 88-item IPNG as a reliable instrument for measuring the distribution of professional nursing governance of hospitals.

Robert G. Hess, Jr., PhD, RN, is an editor and the corporate director of Continuing Education, Nursing Spectrum, King of Prussia, PA.

Accepted May 5, 1997.

Supported in part by grants from Xi (School of Nursing, University of Pennsylvania) and Gamma Nu (College of Nursing, Seton Hall University) chapters of Sigma Theta Tau and the Southeastern Pennsylvania chapter of the American Association of Critical-Care Nurses.

Address reprint requests to Robert G. Hess, Jr., 10 Evergreen Drive, Voorhees, NJ 08043.

© Lippincott-Raven Publishers