Psychometric testing of the clinical nurse leader staff satisfaction instrument

Lee Anna Spiva, Patricia L. Hart, Mary Lou Wesley, Erin Gallagher, Frank McVay, Jessica Waggoner, Nicole Jarrell, Jamie Lyall Threatt

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


Background and Purpose: Patient care is changing rapidly with increased complexity of care, patient volumes, and financial constraints with rising health care costs and limited reimbursements. In response, the clinical nurse leader (CNL) role was developed. No appropriate instrument exists to measure staff satisfaction with the CNL role. This study describes the development and testing of an instrument designed to measure staff satisfaction with implementation of the CNL role. Methods: The psychometric properties and factor structure of the Clinical Nurse Leader Staff Satisfaction (CNLSS) instrument was examined. Results: A 2-factor solution was discovered for the CNLSS. Cronbach's alpha coefficients were acceptable for the subscales and instrument. Conclusion: The CNLSS is a valid and reliable instrument. Future research should focus on establishing test-retest reliability and construct validity.

Original languageEnglish (US)
Pages (from-to)302-311
Number of pages10
JournalJournal of Nursing Measurement
Issue number2
StatePublished - Jan 1 2014
Externally publishedYes


  • Clinical nurse leader
  • Nurse perceptions
  • Psychometric
  • Satisfaction
  • Survey development

ASJC Scopus subject areas

  • Nursing(all)


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