Development of a career-orientation scale for public health nurses

Abstract

Objective: The purpose of this study was to develop a career-orientation scale for public health nurses (PHNs) and to validate the scale. Methods: Self-administered questionnaires were sent to 7170 PHNs in 10 prefectures. A retest survey was sent to 252 participants. Results: The valid responses from 2003 PHNs in the first survey were analyzed for major factors by varimax rotation. The analysis resulted in five orientation factors and 19 items being selected. The cumulative contribution ratio was 46.9%, and Cronbach’s coefficient alpha was 0.863. The exact match ratio of test-retest was 59.7% (from 47.7% to 72.1% for each item and from 12.0% to 92.0% for each participant). Conclusions: The reliability and validity of this survey were confirmed; however, further research is required to confirm the reproducibility. This scale can be used as a self-assessment tool when managers need to advise their staff on career development.

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Okura, M. , Noro, C. and Arai, H. (2013) Development of a career-orientation scale for public health nurses. Open Journal of Nursing, 3, 16-24. doi: 10.4236/ojn.2013.31003.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] Olovares-Tirado, P., Tamiya, N., Kashiwagi, M., et al. (2011) Predictors of the highest long-term care expenditures in Japan. BMC Health Service Research, 11, 103. doi:10.1186/1472-6963-11-103
[2] Yoshioka, K.K. (2008) Strategies for assessing the feasibility to develop new needs-oriented services by public health nurses. Journal of Nursing Management, 16, 284290. doi:10.1111/j.1365-2834.2007.00782.x
[3] Lin, C.-J., Hsu, C.-H., Li, T.-C., et al. (2010) Measuring professional competency of public health nurses: Development of a scale and phychometric evaluation. Journal of Clinical Nursing, 19, 3161-3170. doi:10.1111/j.1365-2702.2009.03149.x
[4] Harrington, C., Crider, M.C., Benner, P.E., et al. (2005) Advanced nursing training in health policy: Designing and implementing a new program. Policy, Politics, & Nursing Practice, 6, 99-108. doi:10.1177/1527154405276070
[5] Saeki, K., Izumi, H., Uza, M., et al. (2007) Factors associated with the professional competencies of public health nurses employed by local government agencies in Japan. Public Health Nursing, 24, 449-157. doi:10.1111/j.1525-1446.2007.00655.x
[6] Gouldner, A.W. (1957) Cosmopolitans and locals: Toward an analysis of latent social roles 1. Administration Science Quarterly, 2, 281-306. doi:10.2307/2391000
[7] Gouldner, A.W. (1958) Cosmopolitans and locals: Toward an analysis of latent social roles 2. Administration Science Quarterly, 2, 444-480. doi:10.2307/2390795
[8] Kotter, J.P. (1985) Power and influence. Free Press, New York, 55-116.
[9] Schien, E.H. (1978) Career dynamics: Matching individual and organizational needs. Addison-Wesley, Massachusetts, 124-172.
[10] Schien, E.H. (1990) Career anchor: Discovering your real values. Jossey-Bass Inc., Pfeiffer, 3-64.
[11] Sovie, M.D. (1982) Fostering professional nursing careers in hospitals: The role of staff development, part 1. The Journal of Nursing Administration, 12, 5-10.
[12] Sovie, M.D. (1983) Fostering professional nursing careers in hospitals: The role of staff development, part 2. The Journal of Nursing Administration, 13, 30-33. doi:10.1097/00005110-198301000-00008
[13] Kleinknecht, M.K. and Hefferin, E.A. (1982) Assisting nurses toward professional growth: A career development model. Journal of Nursing Administration, 12, 30-36. doi:10.1097/00005110-198207000-00008
[14] Benner, P.E. (2001) From novice to expert; excellence and power in clinical nursing practice (Commemorative ed.). Prentice-Hall Inc., Upper Saddle River, 2-38.
[15] Toth, J. (2011) Development of the basic knowledge assessment tool for medical-surgical nursing (MED-SURG BKAT)? and implications for in-service educators and managers. Nursing Forum, 46, 110-116. doi:10.1111/j.1744-6198.2011.00216.x
[16] Godden, B. (2011) Orientation, competencies, skills fairs: Sorting it all out. Journal of PeriAnesthesia Nursing, 26, 107-109. doi:10.1016/j.jopan.2011.01.006
[17] Okura, M., Saeki, K., Omote, S., et al. (2006) Career orientation of public health nurses working in administrative agencies by qualitative research. Hokuriku Journal of Public Health, 32, 62-72. (in Japanese)
[18] Okura, M., Saeki, K. and Kido, T. (2006) Major structural factors of career orientation for public health nurses working in administrative agencies. Journal of the Tsuruma Health Science Medical Kanazawa University, 30, 11-21.
[19] Ministry of Health, Labour and Welfare of Japan (2004) The number of full-time public health nurses working local administrative agencies in each prefecture. http://www.mhlw.go.jp/toukei/saikin/hw/c-hoken/dl/data_0002.pdf
[20] Ministry of Internal Affairs and Communication of Japan (2004) The number of changes of the number of cities, towns and villages in each prefecture. http://www.soumu.go.jp/gapei/
[21] Kaplan, R., Shmulevitz, C. and Raviv, D. (2009) Reaching the top: Career anchors and professional development in nursing. International Journal of Nursing Education Scholarship, 6, Article 24. doi:10.2202/1548-923X.1482
[22] Bester, C.L. and Mouton, T. (2006) Differences regarding job satisfaction and job involvement of psychologists with different dominant career anchors. Curationis, 29, 50-55. doi:10.4102/curationis.v29i3.1095
[23] Carmine, E.G. and Zeller, R.A. (1979) Reliability and validity assessment. Sage Publications, Newbury Park, 51.
[24] Denise, F.P. and Bernadette, P.H. (2003) Nursing research: Principles and methods. 6th Edition, JB Lippincott Company, Philadelphia, 309-359.
[25] Cohen, J. (1960) A coefficient of agreement for nominal scales. Educational and Psychological Measurement, 20, 37. doi:10.1177/001316446002000104
[26] Rungtusanatham, M. (1998) Let’s not overlook content validity. Decision Line, 29, 10-13.
[27] Peterson, R.A. (1994) A meta-analysis of cronbach’s coefficient alpha. Journal of Consumer Research, 21, 381391. doi:10.1086/209405
[28] Polit, D.F. and Beck, C.T. (2004) Nursing research: Principles and methods. 7th Edition, Lippincott Williams & WIlkins, Philadelphia.
[29] Bloom, J.R., O’Reilly, C.A., III and Parlette, G.N. (1979) Changing images of professionalism: The case of public health nurse. American Journal of Public Health, 69, 4346. doi:10.2105/AJPH.69.1.43
[30] Jack, S.M. (2010) The role of public health in addressing child maltreatment in Canada. Chronic Diseases in Canada, 31, 39-44.
[31] Baker, M.W. and Heitkemper, M.M. (2005) The roles of nurses on inter-professional teams to combat elder mistreatment. Nursing Outlook, 53, 253-259. doi:10.1016/j.outlook.2005.04.001
[32] Merkeley, K.K. and Fraser, A.D. (2008) Effective collaboration: The key to better healthcare. Nursing Leadership, 21, 51-61.
[33] Kopesky, J.W., Veach, P.M., Lian, F., et al. (2011) Where are the males? Gender differences in undergraduates’ interest in and perceptions of the genetic counseling profession. Journal of Genetic Counseling, 20, 341-354. doi:10.1007/s10897-011-9365-x
[34] Okura, M., Saeki, K., Ohno, M., et al. (2004) The image of the public health nurse that beginner public health nurses have at the time of employment: The career choice motive, and the image of the public health nurse. Journal of the Tsuruma Health Science Medical Kanazawa University, 28, 143-150.
[35] Baghban, I., Malekiha, M. and Fatehizadeh, M. (2010) The relationship between work-family conflict and the level of self-efficacy in female nurses in Alzahra Hospital. Journal of Nursing and Midwifery Research, 15, 190194.
[36] Lown, B.A., Newman, L.R. and Hatem, C.J. (2009) The personal and professional impact of a fellowship in medical education. Academic Medicine, 84, 1089-1097. doi:10.1097/ACM.0b013e3181ad1635
[37] Miller, D.B. (1977) How to improve the performance and productivity of the knowledge worker. Organizational Dynamics, 5, 62-80. doi:10.1016/0090-2616(77)90031-6
[38] Ford, G.A. and Lippitt, G.L. (1976) Planning your future: A workbook for personal goal setting. University Associates, San Diego, 83-104.

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