Development and Validation of the Strengths-Based Nursing and Healthcare Leadership Scale

Frechette, Julie; Boies, Kathleen; Lavoie-Tremblay, Mélanie; Clausen, Christina; Ens Manning, Kimberley; Mastroberardino, Meghan; Lavigne, Geneviève; Gottlieb, Laurie N.

doi:https://doi.org/10.62212/snahp-sips.142

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Abstract

Introduction: The healthcare system is currently facing significant human resource challenges. Strengths-Based Nursing and Healthcare Leadership (SBNH-L), a unique, value-driven leadership approach, holds great potential in creating healthy workplaces in healthcare.

Objective: To develop and validate a scale to measure SBNH-L.

Methods: The development and validation of the SBNH-L scale followed a rigorous process including 3 stages: 1) Item generation, 2) Scale development, and 3) Construct validation. For construct validation, a quantitative psychometric design, with two cross-sectional samples, was used (the first sample in February 2021, n = 194 North American healthcare managers and the second sample in April 2022, n = 357 Canadian healthcare workers).

Results: The scale showed good psychometric properties (notably, Cronbach’s alphas ranged from .73 to .96) as well as evidence of construct validity; data showed satisfactory fit with the hypothesized 8-factor structure (χ2 = 747.43, df = 224, p<.001), and one-factor long (χ2 = 811.87, df = 252, p <.001) and short versions (χ2 = 97.70, df = 20, p <.001). The scale predicted organizational support (r =.40, p < .01) and work satisfaction of workers (r = .51, p < .01), two key outcomes, beyond other common leadership approaches.

Discussion and Conclusion: The SBNH-L Scale is theoretically and structurally strong: the principal component analysis and the confirmatory factorial analyses results aligned with SBNH-L theory and the SBNH-L Scale demonstrated high internal consistency. The scale provides a unique way to tap into the protective potential of SBNH-L and can be used for evaluative and formative purposes of healthcare leaders and their organizations.

Keywords:

strengths-based leadership,
scale development,
validation,
CFA,
nursing,
healthcare professionals

Résumé

Introduction : Le système de la santé est actuellement confronté à d’importants défis en matière de ressources humaines. Le Leadership en sciences infirmières et de la santé fondé sur les forces (L-ASFF), une approche unique de leadership ancrée dans des valeurs humanistes, représente un grand potentiel pour la création d’environnements de travail sains dans le secteur de la santé.

Objectif : Développer et valider une échelle de mesure du L-ASFF.

Méthodes : Le développement et la validation de l’échelle L-ASFF ont suivi un processus rigoureux comprenant 3 étapes : 1) la génération d’items, 2) le développement de l’échelle et 3) la validité de construit. Pour la validité de construit, un modèle psychométrique quantitatif, avec deux échantillons transversaux, a été utilisé (le premier échantillon en février 2021, n = 194 gestionnaires de soins de la santé nord-américains et le second échantillon en avril 2022, n = 357 travailleurs de la santé canadiens).

Résultats : L’étude a démontré de bonnes propriétés psychométriques de l’échelle (notamment, les alphas de Cronbach varient de 0,73 à 0,96) ainsi que des preuves de validité de construit; les données ont montré une adéquation satisfaisante avec la structure hypothétique à 8 facteurs (χ2 = 747. 43, df = 224, p<.001), ainsi qu’aux versions longue (χ2 = 811.87, df = 252, p <.001) et courte (χ2 = 97.70, df = 20, p <.001). L’échelle prédit le soutien organisationnel (r = .40, p < .01) et la satisfaction au travail (r = .51, p < .01), deux résultats clés, au-delà d’autres approches courantes en leadership.

Discussion et conclusion : L’échelle L-ASFF est solide sur le plan théorique et structurel : les résultats de l’analyse en composantes principales et de l’analyse factorielle confirmatoire sont cohérents avec la théorie du L-ASFF et l’échelle présente une cohérence interne élevée. L’échelle L-ASFF offre une opportunité unique d’explorer le potentiel protecteur du L-ASFF et peut être utilisée à des fins d’évaluation et de formation des leaders dans le secteur de la santé et de leurs organisations.

Mots-clés :

leadership fondé sur les forces,
développement d’une échelle,
validation,
CFA,
sciences infirmières,
professionnels de la santé

Appendices

Bibliography

Asparouhov T., & Muthén B. (2009). Exploratory Structural Equation Modeling. Structural Equation Modeling: A Multidisciplinary Journal, 16(3), 397–438. https://doi.org/10.1080/10705510903008204
10.1080/10705510903008204 Google Scholar
Austin, S., Fernet, C., Trépanier, S. G., & Lavoie‐Tremblay, M. (2020). Fatigue in new registered nurses: A 12‐month cross‐lagged analysis of its association with work motivation, engagement, sickness absence and turnover intention. Journal of Nursing Management, 28(3), 606–614. https://doi.org/10.1111/jonm.12962
10.1111/jonm.12962 Google Scholar
Avolio, B. J., Gardner, W. L., & Walumbwa, F. O. (2007). Authentic Leadership Questionnaire. Mind Garden.
Google Scholar
Barling, J. (2014). The Science of Leadership: Lessons from Research for Organizational Leaders. Oxford University Press.
10.1093/acprof:oso/9780199757015.001.0001 Google Scholar
Bass, B. M. (1998). Transformational leadership: Industrial, military, and educational impact. Lawrence Erlbaum Associates Publishers.
Google Scholar
Carless, S. A., Wearing, A. J., & Mann, L. (2000). A short measure of transformational leadership. Journal of Business and Psychology, 14(3), 389–405. https://doi.org/10.1023/A:1022991115523
10.1023/A:1022991115523 Google Scholar
Crawford, J. A., & Kelder, J.-A. (2019). Do we measure leadership effectively? Articulating and evaluating scale development psychometrics for best practice. The Leadership Quarterly, 30(1), 133–144. https://doi.org/10.1016/j.leaqua.2018.07.001
10.1016/j.leaqua.2018.07.001 Google Scholar
Cummings, G. G., Tate, K., Lee, S., Wong, C. A., Paananen, T., Micaroni, S. P. M., & Chatterjee, G. E. (2018). Leadership styles and outcome patterns for the nursing workforce and work environment: A systematic review. International Journal of Nursing Studies, 85, 19–60. https://doi.org/10.1016/j.ijnurstu.2018.04.016
10.1016/j.ijnurstu.2018.04.016 Google Scholar
Diener, E., Wirtz, D., Biswas-Diener, R., Tov, W., Kim-Prieto, C., Choi, D., & Oishi, S. (2009). New Measures of Well-Being. In: Diener, E. (Ed.) Assessing Well-Being. Social Indicators Research Series (pp. 247–266), vol 39. Springer. https://doi.org/10.1007/978-90-481-2354-4_12
10.1007/978-90-481-2354-4_12 Google Scholar
Durrant, M., Oliver, C., Gottlieb, L., Frechette, J., Lavoie-Tremblay, M., & Cyr, G. (2024). Facilitated engagement approach: A novel approach to guide mentor conversations. Nurse Education Today, 137. https://doi.org/10.1016/j.nedt.2024.106152
10.1016/j.nedt.2024.106152 Google Scholar
Eisenberger, R., Huntington, R., Hutchison, S., & Sowa, D. (1986). Perceived organizational support. Journal of Applied Psychology, 71(3), 500–507. https://doi.org/10.1037/0021-9010.71.3.500
10.1037/0021-9010.71.3.500 Google Scholar
Gottlieb, L. N. (2012). Strengths-Based Nursing Care: Health And Healing For Person And Family. Springer Publishing.
Google Scholar
Gottlieb, L. N., Gottlieb, B., & Bitzas, V. (2021). Creating Empowering Conditions for Nurses with Workplace Autonomy and Agency: How Healthcare Leaders Could Be Guided by Strengths-Based Nursing and Healthcare Leadership (SBNH-L). Journal of healthcare leadership, 13, 169–181. https://doi.org/10.2147/JHL.S221141
10.2147/JHL.S221141 Google Scholar
Gottlieb, L. N., Gottlieb, B., & Shamian, J. (2012). Principles of strengths-based nursing leadership for strengths-based nursing care: a new paradigm for nursing and healthcare for the 21st century. Nursing leadership (Toronto, Ont.), 25(2), 38–50. https://doi.org/10.12927/cjnl.2012.22960
10.12927/cjnl.2012.22960 Google Scholar
Hinkin, T. R. (1995). A Review of Scale Development Practices in the Study of Organizations. Journal of Management, 21(5), 967–988. https://doi.org/10.1016/0149-2063(95)90050-0
10.1177/014920639502100509 Google Scholar
Hubley, P., Gottlieb, L. N., & Durrant, M. (2022). Influencing Work Culture: A Strengths-Based Nursing Leadership and Management Education Program. Nursing leadership (Toronto, Ont.), 35(1), 24–37. https://doi.org/10.12927/cjnl.2022.26752
10.12927/cjnl.2022.26752 Google Scholar
James, A. H., Bennett, C. L., Blanchard, D., & Stanley, D. (2021). Nursing and values‐based leadership: A literature review. Journal of nursing management, 29(5), 916–930. https://doi.org/10.1111/jonm.13273
10.1111/jonm.13273 Google Scholar
Klussman, K., Nichols, A. L., & Langer, J. (2021). Meaning, purpose, and job satisfaction: The importance of making meaning salient during the COVID-19 pandemic and beyond. Journal of Personnel Psychology, 20(2), 97–101. https://doi.org/10.1027/1866-5888/a000268
10.1027/1866-5888/a000268 Google Scholar
Laschinger, H. K. S., Finegan, J. E., Shamian, J., & Wilk, P. (2004). A longitudinal analysis of the impact of workplace empowerment on work satisfaction. Journal of Organizational Behavior, 25(4), 527–545. https://doi.org/10.1002/job.256
10.1002/job.256 Google Scholar
Lavoie-Tremblay, M., Boies, K., Clausen, C., Frechette, J., Manning, K., Gelsomini, C., Cyr, G., Lavigne, G., Gottlieb, B., & Gottlieb, L. N. (2024a). Nursing leaders’ perceptions of the impact of the Strengths-Based Nursing and Healthcare Leadership program three months post training. International Journal of Nursing Studies Advances, 6, 100190. https://doi.org/10.1016/j.ijnsa.2024.100190
10.1016/j.ijnsa.2024.100190 Google Scholar
Lavoie-Tremblay, M., Boies, K., Clausen, C., Frechette, J., Manning, K., Gelsomini, C., Cyr, G., Lavigne, G., Gottlieb, B., & Gottlieb, L. N. (2024b). Evaluation of the effectiveness of a Strengths-Based Nursing and Healthcare Leadership program aimed at building leadership capacity: A concurrent mixed-methods study. International Journal of Nursing Studies Advances, 6, 100184. https://doi.org/10.1016/j.ijnsa.2024.100184
10.1016/j.ijnsa.2024.100184 Google Scholar
Lekka, D., Madoglou, A., Karamanoli, V. I., Yotsidi, V., Alexias, G., Orlandou, K., Karakasidou, E., & Stalikas, A. (2022). Hospital Settings and Dehumanization: Systematic Review. Psychology, 13, 734–742.
10.4236/psych.2022.139087 Google Scholar
Liden, R. C., Wayne, S. J., Meuser, J. D., Hu, J., Wu, J., & Liao, C. (2015). Servant leadership: Validation of a short form of the SL-28. The Leadership Quarterly, 26(2), 254–269. https://doi.org/10.1016/j.leaqua.2014.12.002
10.1016/j.leaqua.2014.12.002 Google Scholar
Marsh, H. W., Muthén, B., Asparouhov, T., Lüdtke, O., Robitzsch, A., Morin, A. J. S., & Trautwein, U. (2009). Exploratory Structural Equation Modeling, Integrating CFA and EFA: Application to Students’ Evaluations of University Teaching. Structural Equation Modeling: A Multidisciplinary Journal, 16(3), 439–476. https://doi.org/10.1080/10705510903008220
10.1080/10705510903008220 Google Scholar
Marshman, C., Hansen, A., & Munro, I. (2022). Compassion fatigue in mental health nurses: A systematic review. Journal of psychiatric and mental health nursing, 29(4), 529–543. https://doi.org/10.1111/jpm.12812
10.1111/jpm.12812 Google Scholar
McKeown, B., & Thomas, D. B. (2013). Q methodology (2nd ed.). SAGE Publications, Inc. https://doi.org/10.4135/9781483384412
10.4135/9781483384412 Google Scholar
Myers, N. D., Ahn, S., & Jin, Y. (2011). Sample size and power estimates for a confirmatory factor analytic model in exercise and sport: a Monte Carlo approach. Research quarterly for exercise and sport, 82(3), 412–423. https://doi.org/10.1080/02701367.2011.10599773
10.1080/02701367.2011.10599773 Google Scholar
Niinihuhta, M., & Häggman‐Laitila, A. (2022). A systematic review of the relationships between nurse leaders' leadership styles and nurses' work‐related well‐being. International journal of nursing practice, 28(5), e13040. https://doi.org/10.1111/ijn.13040
10.1111/ijn.13040 Google Scholar
Norris M., & Lecavalier L. (2010). Evaluating the use of exploratory factor analysis in developmental disability psychological research. Journal of autism and developmental disorders, 40(1), 8–20. https://doi.org/10.1007/s10803-009-0816-2
10.1007/s10803-009-0816-2 Google Scholar
O’Driscoll, M. P., & Beehr, T. A. (1994). Supervisor behaviors, role stressors and uncertainty as predictors of personal outcomes for subordinates. Journal of Organizational Behavior, 15(2), 141–155. https://doi.org/10.1002/job.4030150204
10.1002/job.4030150204 Google Scholar
Van Dierendonck, D. (2011). Servant Leadership: A Review and Synthesis. Journal of Management, 37(4), 1228–1261. https://doi.org/10.1177/0149206310380462
10.1177/0149206310380462 Google Scholar
Vésteinsdóttir, V., Reips, U.-D., Joinson, A., & Thorsdottir, F. (2017). An item level evaluation of the Marlowe-Crowne Social Desirability Scale using item response theory on Icelandic Internet panel data and cognitive interviews. Personality and Individual Differences, 107, 164–173. https://doi.org/10.1016/j.paid.2016.11.023
10.1016/j.paid.2016.11.023 Google Scholar
Wild, D., Grove, A., Martin, M., Eremenco, S., McElroy, S., Verjee-Lorenz, A., Erikson, P., & ISPOR Task Force for Translation and Cultural Adaptation. (2005). Principles of Good Practice for the Translation and Cultural Adaptation Process for Patient-Reported Outcomes (PRO) Measures: report of the ISPOR Task Force for Translation and Cultural Adaptation. Value in Health: The Journal of the International Society for Pharmacoeconomics and Outcomes Research, 8(2), 94–104. https://doi.org/10.1111/j.1524-4733.2005.04054.x
10.1111/j.1524-4733.2005.04054.x Google Scholar

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