Türkiye'de Hemşireler için Liderlik Uygulamaları Envanterinin Geçerlilik ve Güvenirliğinin Değerlendirilmesi

Amaç: Bu metodolojik çalışmanın amacı, Türkiye'de hemşireler için Liderlik Uygulamaları Envanteri'nin geçerlilik ve güvenirliğinin değerlendirilmesidir. Yöntem: Araştırmanın örneklemini 97 servis sorumlu hemşiresi (SSH) ve 98 servis hemşiresi oluşturmuştur. Veriler, Liderlik Uygulamaları Envanteri- Öz Değerlendirme ve Gözlemci Değerlendirmesi (Leadership Practices Inventory -LPI) kullanılarak toplanmıştır. Verilerin analizinde Doğrulayıcı Faktör Analizi ve Cronbach Alpha kat sayısı kullanılmıştır. ve toplam üç model sınanmıştır. Modellerin uyum değerlendirilmesinde Ki Kare uyum testi (X2), İyilik Uyum İndeksi (GFI), Ayarlanabilen İyilik Uyum İndeksi (AGFI), Yaklaşık Hata Karaler Ortalamasının Karekökü (RMSEA), Standartize Edilmiş Hataların Ortalama Karelerinin Karekökü (S-RMR), Karşılaştırmalı Uyum İndeksi (CFI) ve Normlaştırılmamış Uyum İndeksi (NNFI) kullanılmıştır. Sonuç: Geliştirilen modellerden üçüncü modelin Ki-kare değerinin (x2= 826.88, p= 0.25) anlamlı olduğu görülmüştür. Uyum indeksi değerleri ise RMSEA= 0.00, NNFI= 0.94, CFI= 1.00, I GFI= 0.89 ve SRMR= 0.052 olarak bulunmuştur. Uyum indeksi değerleri modelin iyi uyum verdiğini göstermektedir. İç tutarlılık incelemesi sonucunda Liderlik Ugulamaları Envanteri'nin Cronbach Alpha kat sayısı lider formu için 0,92, gözlemci için 0.97 bulunmuştur. Öneriler: Bu değerler gözönüne alındığında Liderlik Uygulamaları Envanteri'nin Türkçe formunun, hemşirelerin liderlik uygulamalarını ölçebilecek, yeterli geçerlilik ve güvenilirliğe sahip olduğu bulunmuştur.

Assessing Validity and Reliability of the Leadership Practices Inventory (LPI) for Nurses in Turkey

Aim: The aim of this methodological study was to examine the psychometric properties of the Leadership Practices Inventory (LPI) for nurses in Turkey. Methods: Sample of this study consisted 97 unit charge nurses (UCN) and 98 staff nurses (observers) from two university hospitals. Data were collected through Nurses Data Sheet and LPI-Self and Observer. Confirmatory Factor Analysis and Cronbach alpha coefficients were used to test three alternate models of transformational leadership. c2, Goodness of Fıt Index (GFI), Comparative Fit Index (CFI), Nonnormed Fit Index (NNFI) , Standardized Root Mean Square Residual (SRMR), and Root Mean Square Error of Approximation (RMSEA) were used to evaluate the models. Results: Third model was found to have a good fit when χ2/df ≤ 2.0, fit indices (CFI, NNFI etc) ≥ .95, RMSEA ≤ .06, and SRMR ≤ .08. According to the χ2/df, fit indices, RMSEA, and SRMR values, third model provided better fit than the other models. The internal reliability of the LPI for nurses was 0,92 for leader and 0,97 for observer. Recommendations: When all of these values were taken into account, validity and reliability of the LPI Turkish version was found sufficient to measure nurses' leadership practices.

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  • Kouzes MJ, Posner BZ. The leadership challenge. (3.bs.). SanFrancisco: Jossey- Bass A Wiley Impirit; 2003.
  • Huber D. Leadership and nursing care management. (2.bs.). Philadelphia:W.B. Saunders Company; 2000.
  • Murphy L. Transformational leadership: A cascading chain reaction. Journal of Nursing Management 2005; 13 (1): 128-136.
  • Sullivan EJ, Decker PJ. Effective leadership and management in nursing. (5.bs.). New Jersey: Prentice Hall; 2001.
  • Swansburg R, Swansburg R. Introductory management and leadership for nurses. (2.bs.). Massachusetts: Jones and Bertlett Publishers;1999.
  • Yoder-Wise P. Leading and managing in nursing. (3.bs.). Missouri: Mosby; 2003.
  • Searle Leach L. Nurse executive transformational leadership and organizational commitment. Journal of Nursing Administration 2005; May 35(5): 228-237.
  • Loke JCF. Leadership behaviors; effect on job satisfaction productivity and organizational commitment. Journal of Nursing Management 2001; 9(4): 191-204.
  • Savic SB, Pagon M. Individual involvement in health care organizations: differences between professional groups, leaders and employees. Stress and Health 2007; 24(1): 71-84.
  • Savic SB, Pagon M, Robida A. Predictors of the level of personal involvement in an organization: a study of Slovene hospitals. Health Care Management Review 2007; 32 (3): 271-83.
  • Caldwell DF, Chatman J, O’Reilly CA, Ormiston M, Lapiz M. Implementing strategic change in a health care system: The ımportance of leadership and change readiness. Health Care Management Review 2008; 33(2): 124-33.
  • Robbins B, Davidhizar R. Transformational leadership in health care today. The Health Care Manager 2007; 26(3): 234-239.
  • Xirasagar S, Samuels ME, Curtin TF. Management training of physician executives, leadership style and disease management performance: an empirical study, American Journal of Managed Care 2006; 12(2): 765-72.
  • Khatri N, Halbesleben JRB, Petroski GF, Meyer W. Relationship between management philosophy and clinical outcomes. Health Care Management Review 2007; 32(2):128-139.
  • Kouzes JM, Posner BZ. Leadership Practices Inventory facilitator’s guide (3.bs.). San Francisco: Pfeiffer A Wiley Imprint; 2003.
  • Kouzes JM, Posner BZ. The Leadership Practices Inventory: Theory and evidence behind the five practices of examplary leaders. 2002; URL: http://media.wiley.com/assets/61/06/lc_jb_appendix.pdf. November 10, 2010,
  • McNeese-Smith DK. Job satisfaction, productivity, and organizational commitment: The result of leadership. Journal of Nursing Administration 1995; 25 (9): 17-26.
  • McNeese-Smith D. Increasing employee productivity, job satisfaction and organizational commitment. Hospital & Health Services Administration 1996; 41(2): 160-175.
  • Bowles A, Bowles NB. A comparative study of transformational leadership in nursing development units and conventional clinical settings. Journal of Nursing Management 2000; 8 (2); 69-76.
  • George V, Burke LJ, Rodgers B, Duthie N, Hoffmann ML, Koceja V. ve diğerleri. Developing staff nurses shared leadership behavior in professional nursing practice. Nursing Administration Quarterly 2002; 26(3): 44-59.
  • Houser J. A model for evaluating the context of nursing care delivery. Journal of Nursing Administration 2003; 33(1): 39-47.
  • Tourangeau AE, McGilton K. Measuring leadership practices of nurses using the leadership practices ınventory. Nursing Research 2004; 53(3): 182-189.
  • Chen HC, Baron M. “Psychometric Properties of the Chinese Leadership Practices Inventory. International Journal of Nursing Education Scholarship 2007; 4(1):Article 23.
  • Ergin C, Kozan K. Çalışanların temel değerleri ve dönüşümsel ve etkileşimsel. liderlerin çekiciliği. Türk Psikoloji Dergisi 2004; 19(54): 37-51.
  • Tezbaşaran A. Likert tipi ölçek geliştirme klavuzu. Ankara: Türk Psikologlar Derneği Yayını; 1997.
  • Hu LT, Bentler P. Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling 1999; 6 (1): 1-55.
  • Tabachnick BG, Fidell LS. Using Multivariate Statistics, Fourth Edition. Needham Heights, MA: Allyn & Bacon; 2001.
Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi-Cover
  • ISSN: 2148-3590
  • Başlangıç: 2015
  • Yayıncı: Hacettepe Üniversitesi Hemşirelik Fakültesi