Location
Virtual
Start Date
1-3-2024 8:00 AM
End Date
1-3-2024 3:30 PM
Keywords:
washington; psph; olympia; spokane; alaska; pamc
Description
Background: Magnet and Pathways to Excellence (PTE) designations through the American Nurses Credentialing Center (ANCC) publicly recognize hospitals achieving outstanding nursing excellence. An issue of special interest to clinical nurses working in Magnet/PTE facilities is the professional identity of nurses, which is hypothesized to positively correlate to nursing satisfaction and delivery of high-quality patient care. A valid and reliable survey tool, called Professional Identity in Nursing Scale (PINS), is a low-cost and low-burden strategy for nurses to measure professional identity in nursing. However, survey attrition rate is a significant barrier to collecting robust and representative data. Little is published regarding what characteristics influence a nurse’s likelihood to complete all PINS survey items, particularly among RNs working in Magnet/PTE versus non-Magnet-designated hospitals. Nurse-led research on professional identity in nursing should identify factors influencing early study termination.
Purpose: To compare occupational and personal characteristics of nurse participants responding to a cross-sectional PINS study who complete versus do not complete all survey items.
Methods: A secondary analysis was performed of an observational study including frontline nurses working in one of 14 hospitals (including 5 Magnet and 1 PTE) within a large healthcare system. Recruitment occurred from June to August 2022 and participating nurses were invited to complete the PINS tool electronically once. Nurses self-reported personal (education level, sex, ethnicity, race), and occupational (shift, shift length, working in Magnet/PTE hospital, hospital bed size, years of experience, nursing specialty) characteristics first, then were asked to complete the 60-item PINS tool. Occupational and personal characteristics were compared between nurses who did not complete the PINS and those who did using two-tailed chi-square tests. A p-value of <0.05 was considered significant.
Results: A total 502 nurses had data analyzed and 336 (67%) completed the PINS. Several significant differences emerged. Proportionally more nurses completed the PINS when reporting: 8-hour shifts versus 10 or longer (p=0.01), 10 or more years of experience versus less (p=0.02), and a Caucasian race versus other (p=0.02). However, sex, education level, ethnicity, shift, working in a Magnet or PTE-designated hospital, hospital bed size, and nursing specialty did not proportionally differ (p<0.05).
Conclusion: In our study, length of shift, years of experience, and race all influenced completion rate of the PINS tool, while Magnet/PTE designation did not. Limitations do include unequal group sizes, particularly for race. Future work is needed to validate characteristics influencing early survey termination when using the PINS tool to help researchers plan for optimal study participation from frontline nurses.
Implications for Practice: Nurses conducting research on professional identity in nursing in a hospital setting may increase representativeness of findings by purposively recruiting populations who may be at risk for early PINS survey termination. For instance, nurse researchers interested in measuring professional identity in nursing using the PINS could request leadership support for frontline nurses to participate in research, such as providing time for nurses working longer shifts to complete the study or advocating to nurses with fewer years of experience on the importance of contributing to the topic.
Recommended Citation
Rangel, Teresa; Billings, Crystal; Timmerman, Rose; and Landis, Tulla, "Characteristics of nursing professional identity survey completers" (2024). Providence Nursing Research Conference 2023 – Present. 6.
https://digitalcommons.providence.org/prov_rn_conf_annual/2024/posters/6
Specialty
Nursing
Included in
Characteristics of nursing professional identity survey completers
Virtual
Background: Magnet and Pathways to Excellence (PTE) designations through the American Nurses Credentialing Center (ANCC) publicly recognize hospitals achieving outstanding nursing excellence. An issue of special interest to clinical nurses working in Magnet/PTE facilities is the professional identity of nurses, which is hypothesized to positively correlate to nursing satisfaction and delivery of high-quality patient care. A valid and reliable survey tool, called Professional Identity in Nursing Scale (PINS), is a low-cost and low-burden strategy for nurses to measure professional identity in nursing. However, survey attrition rate is a significant barrier to collecting robust and representative data. Little is published regarding what characteristics influence a nurse’s likelihood to complete all PINS survey items, particularly among RNs working in Magnet/PTE versus non-Magnet-designated hospitals. Nurse-led research on professional identity in nursing should identify factors influencing early study termination.
Purpose: To compare occupational and personal characteristics of nurse participants responding to a cross-sectional PINS study who complete versus do not complete all survey items.
Methods: A secondary analysis was performed of an observational study including frontline nurses working in one of 14 hospitals (including 5 Magnet and 1 PTE) within a large healthcare system. Recruitment occurred from June to August 2022 and participating nurses were invited to complete the PINS tool electronically once. Nurses self-reported personal (education level, sex, ethnicity, race), and occupational (shift, shift length, working in Magnet/PTE hospital, hospital bed size, years of experience, nursing specialty) characteristics first, then were asked to complete the 60-item PINS tool. Occupational and personal characteristics were compared between nurses who did not complete the PINS and those who did using two-tailed chi-square tests. A p-value of <0.05 was considered significant.
Results: A total 502 nurses had data analyzed and 336 (67%) completed the PINS. Several significant differences emerged. Proportionally more nurses completed the PINS when reporting: 8-hour shifts versus 10 or longer (p=0.01), 10 or more years of experience versus less (p=0.02), and a Caucasian race versus other (p=0.02). However, sex, education level, ethnicity, shift, working in a Magnet or PTE-designated hospital, hospital bed size, and nursing specialty did not proportionally differ (p<0.05).
Conclusion: In our study, length of shift, years of experience, and race all influenced completion rate of the PINS tool, while Magnet/PTE designation did not. Limitations do include unequal group sizes, particularly for race. Future work is needed to validate characteristics influencing early survey termination when using the PINS tool to help researchers plan for optimal study participation from frontline nurses.
Implications for Practice: Nurses conducting research on professional identity in nursing in a hospital setting may increase representativeness of findings by purposively recruiting populations who may be at risk for early PINS survey termination. For instance, nurse researchers interested in measuring professional identity in nursing using the PINS could request leadership support for frontline nurses to participate in research, such as providing time for nurses working longer shifts to complete the study or advocating to nurses with fewer years of experience on the importance of contributing to the topic.
Comments
References:
McCambridge, J., Witton, J., & Elbourne, D. R. (2014). Systematic review of the Hawthorne effect: new concepts are needed to study research participation effects. Journal of clinical epidemiology, 67(3), 267-277.
Fan, W., & Yan, Z. (2010). Characteristics affecting response rates of the web survey: A systematic review. Computers in human behavior, 26(2), 132-139.
Landis, T. (2023). Measuring Professional Identity: A Nursing Practice Perspective. Nurse Leader, 21(2), 166-168.
Landis, T., Godfrey, N., Barbosa-Leiker, C., Clark, C., Brewington, J. G., Joseph, M. L., ... & Weybrew, K. A. (2022). National study of nursing faculty and administrators' perceptions of professional identity in nursing. Nurse educator, 47(1), 13-18.
Fitzgerald, A. (2020, July). Professional identity: A concept analysis. In Nursing forum (Vol. 55, No. 3, pp. 447-472).
Hess, R., DesRoches, C., Donelan, K., Norman, L., & Buerhaus, P. I. (2011). Perceptions of nurses in magnet® hospitals, non-magnet hospitals, and hospitals pursuing magnet status. JONA: The Journal of Nursing Administration, 41(7/8), 315-323.
Powers, J. (2020). Increasing capacity for nursing research in magnet-designated organizations to promote nursing research. Applied Nursing Research, 55, 151286.