Occupational stress in remote area nursing

Development of the remote area nursing stress scale (RANSS)

Tessa Opie, Maureen Dollard, Sue Lenthall, Sabina Knight

    Research output: Contribution to journalArticleResearchpeer-review

    Abstract

    Background and Purpose: The purpose of this study was to develop a measure that would adequately and sensitively measure the occupational stress experience of nurses working in very remote health care facilities. Because no existing nursing stress tool is suitable to assess the unique stressors of remote nursing practice, the aim was to address this gap in psychometric measurement capacity and develop the Remote Area Nursing Stress Scale (RANSS). 

    Method: A focus group (n = 19) of remote area nurses identified potential questionnaire items through open discussion and by later listing the stressors they experienced individually in their day-to-day functioning. Subsequently, the Delphi method was employed to further refine the questionnaire (n = 12 experts). The RANSS was successfully pilot tested and was afterward administered to nurses working in very remote Australia in 2008 (n = 349) and in 2010 (n 5 433). 

    Results: Principal components analysis and confirmatory factor analysis were performed for both waves of survey administration, demonstrating a robust 7-factor structure consistent across samples and accounting for significant variance in dependent measures. 

    Conclusion: The development and validation of the RANSS is a significant advancement in remote area nursing research. The RANSS should be administered on an ongoing basis to monitor occupational stress among nurses working in very remote Australia. The RANSS should also be administered internationally in countries that also accommodate remote health care facilities. This would determine whether the RANSS is a psychometrically valid stress measure beyond the context of very remote Australia.

    Original languageEnglish
    Pages (from-to)246-263
    Number of pages18
    JournalJournal of Nursing Measurement
    Volume21
    Issue number2
    DOIs
    Publication statusPublished - 2013

    Fingerprint

    Nursing
    Nurses
    Health Facilities
    Delivery of Health Care
    Nursing Research
    Principal Component Analysis
    Focus Groups
    Psychometrics
    Statistical Factor Analysis
    Surveys and Questionnaires

    Cite this

    Opie, Tessa ; Dollard, Maureen ; Lenthall, Sue ; Knight, Sabina. / Occupational stress in remote area nursing : Development of the remote area nursing stress scale (RANSS). In: Journal of Nursing Measurement. 2013 ; Vol. 21, No. 2. pp. 246-263.
    @article{b2bb47a6c78b4b19b125b7e9d8a1e9b4,
    title = "Occupational stress in remote area nursing: Development of the remote area nursing stress scale (RANSS)",
    abstract = "Background and Purpose: The purpose of this study was to develop a measure that would adequately and sensitively measure the occupational stress experience of nurses working in very remote health care facilities. Because no existing nursing stress tool is suitable to assess the unique stressors of remote nursing practice, the aim was to address this gap in psychometric measurement capacity and develop the Remote Area Nursing Stress Scale (RANSS). Method: A focus group (n = 19) of remote area nurses identified potential questionnaire items through open discussion and by later listing the stressors they experienced individually in their day-to-day functioning. Subsequently, the Delphi method was employed to further refine the questionnaire (n = 12 experts). The RANSS was successfully pilot tested and was afterward administered to nurses working in very remote Australia in 2008 (n = 349) and in 2010 (n 5 433). Results: Principal components analysis and confirmatory factor analysis were performed for both waves of survey administration, demonstrating a robust 7-factor structure consistent across samples and accounting for significant variance in dependent measures. Conclusion: The development and validation of the RANSS is a significant advancement in remote area nursing research. The RANSS should be administered on an ongoing basis to monitor occupational stress among nurses working in very remote Australia. The RANSS should also be administered internationally in countries that also accommodate remote health care facilities. This would determine whether the RANSS is a psychometrically valid stress measure beyond the context of very remote Australia.",
    keywords = "Confirmatory factor analysis (CFA), Delphi method, Principal component analysis (PCA), Remote area nursing stress scale (RANSS), Structural equation modelling (SEM)",
    author = "Tessa Opie and Maureen Dollard and Sue Lenthall and Sabina Knight",
    year = "2013",
    doi = "10.1891/1061-3749.21.2.246",
    language = "English",
    volume = "21",
    pages = "246--263",
    journal = "Journal of Nursing Measurement",
    issn = "1061-3749",
    publisher = "Springer Publishing Company",
    number = "2",

    }

    Occupational stress in remote area nursing : Development of the remote area nursing stress scale (RANSS). / Opie, Tessa; Dollard, Maureen; Lenthall, Sue; Knight, Sabina.

    In: Journal of Nursing Measurement, Vol. 21, No. 2, 2013, p. 246-263.

    Research output: Contribution to journalArticleResearchpeer-review

    TY - JOUR

    T1 - Occupational stress in remote area nursing

    T2 - Development of the remote area nursing stress scale (RANSS)

    AU - Opie, Tessa

    AU - Dollard, Maureen

    AU - Lenthall, Sue

    AU - Knight, Sabina

    PY - 2013

    Y1 - 2013

    N2 - Background and Purpose: The purpose of this study was to develop a measure that would adequately and sensitively measure the occupational stress experience of nurses working in very remote health care facilities. Because no existing nursing stress tool is suitable to assess the unique stressors of remote nursing practice, the aim was to address this gap in psychometric measurement capacity and develop the Remote Area Nursing Stress Scale (RANSS). Method: A focus group (n = 19) of remote area nurses identified potential questionnaire items through open discussion and by later listing the stressors they experienced individually in their day-to-day functioning. Subsequently, the Delphi method was employed to further refine the questionnaire (n = 12 experts). The RANSS was successfully pilot tested and was afterward administered to nurses working in very remote Australia in 2008 (n = 349) and in 2010 (n 5 433). Results: Principal components analysis and confirmatory factor analysis were performed for both waves of survey administration, demonstrating a robust 7-factor structure consistent across samples and accounting for significant variance in dependent measures. Conclusion: The development and validation of the RANSS is a significant advancement in remote area nursing research. The RANSS should be administered on an ongoing basis to monitor occupational stress among nurses working in very remote Australia. The RANSS should also be administered internationally in countries that also accommodate remote health care facilities. This would determine whether the RANSS is a psychometrically valid stress measure beyond the context of very remote Australia.

    AB - Background and Purpose: The purpose of this study was to develop a measure that would adequately and sensitively measure the occupational stress experience of nurses working in very remote health care facilities. Because no existing nursing stress tool is suitable to assess the unique stressors of remote nursing practice, the aim was to address this gap in psychometric measurement capacity and develop the Remote Area Nursing Stress Scale (RANSS). Method: A focus group (n = 19) of remote area nurses identified potential questionnaire items through open discussion and by later listing the stressors they experienced individually in their day-to-day functioning. Subsequently, the Delphi method was employed to further refine the questionnaire (n = 12 experts). The RANSS was successfully pilot tested and was afterward administered to nurses working in very remote Australia in 2008 (n = 349) and in 2010 (n 5 433). Results: Principal components analysis and confirmatory factor analysis were performed for both waves of survey administration, demonstrating a robust 7-factor structure consistent across samples and accounting for significant variance in dependent measures. Conclusion: The development and validation of the RANSS is a significant advancement in remote area nursing research. The RANSS should be administered on an ongoing basis to monitor occupational stress among nurses working in very remote Australia. The RANSS should also be administered internationally in countries that also accommodate remote health care facilities. This would determine whether the RANSS is a psychometrically valid stress measure beyond the context of very remote Australia.

    KW - Confirmatory factor analysis (CFA)

    KW - Delphi method

    KW - Principal component analysis (PCA)

    KW - Remote area nursing stress scale (RANSS)

    KW - Structural equation modelling (SEM)

    UR - http://www.scopus.com/inward/record.url?scp=84882754734&partnerID=8YFLogxK

    U2 - 10.1891/1061-3749.21.2.246

    DO - 10.1891/1061-3749.21.2.246

    M3 - Article

    VL - 21

    SP - 246

    EP - 263

    JO - Journal of Nursing Measurement

    JF - Journal of Nursing Measurement

    SN - 1061-3749

    IS - 2

    ER -