Healthcare Information System Self-Efficacy Perception (HISSEP) Questionnaire: An Instrument Development and Validation.
详细信息
文摘
Nurses serve as an integral part of interdisciplinary leadership teams within healthcare organizations. Due to changing workforce dynamics,many nurse leaders are remaining in the workforce past the traditional retirement age. Workforce shortages of qualified nurses with technology skills in healthcare are necessary to maintain a high level of patient care and healthcare operations. One of the main challenges faced by healthcare organizations is providing healthcare information system training conducive to all employees regardless of age while considering gerontology issues for older workers. The purpose of the study was to validate the Healthcare Information System Self-Efficacy Perception (HISSEP) questionnaire,a self-assessment tool for measuring an older working nurse's perception of self-efficacy of healthcare information system training within a healthcare environment. The self-efficacy framework provides a theoretical perspective on individual perception of internal belief of capability attributes necessary to succeed in tasks pursued. This study is the first of its kind to recognize the salient training differences that exist for older workers in a healthcare setting. The instrument was developed using a focus group and pilot study and validated with registered nurses in a single-site healthcare organization located in the northeastern region of the United States. The sample (N ＝ 162) was assessed via email using an online survey tool. After face validity was established for HISSEP,a principal component factor analysis was conducted to determine content validity. Internal consistency reliability was measured using Cronbach's alpha coefficients. The principal component factor analysis revealed HISSEP had two unique factor patterns with high factor loadings creating simple structure. Factor 1 interpretation suggested a scale that measures perception of organizational training supports. The factor loadings for Factor 2 reflected variables that measure perception of healthcare information system training. The findings reported HISSEP had good internal consistency reliability for the entire scale (alpha ＝ .90) and strong internal consistency reliability for Scale 1 (alpha ＝ .94) and Scale 2 (alpha ＝ .87). The manuscript provides methods of scale development followed by recommendations regarding use of HISSEP as a tool for healthcare information system training curriculum development and facilitation for healthcare workers,specifically older working nurses.