Designing a measure of Complexity Compression in registered nurses

West J Nurs Res. 2011 Feb;33(1):7-25. doi: 10.1177/0193945910383877. Epub 2010 Oct 20.

Abstract

Researchers in Minnesota have described and validated the phenomenon of Complexity Compression in qualitative studies of registered nurses. Analysis of themes from this research led to the design of a survey to assess nurses' agreement with variables that contribute to their experience of Complexity Compression. The survey was administered to a random sample of 199 registered nurses in Minnesota. Exploratory factor analysis was used to evaluate the attributes of Complexity Compression and its underlying structure. Three factors emerged that explained 51.4% of the variance in responses: work of nursing, systems, and personal factors. Internal consistency of the factors ranged from .79 to .89. Validity of the survey for assessment of Complexity Compression in hospital-based nurses was supported. The construct of Complexity Compression and its contributing factors will be tested in future studies with nurses in a variety of health care settings.

Publication types

  • Validation Study

MeSH terms

  • Adult
  • Aged
  • Analysis of Variance
  • Attitude of Health Personnel*
  • Chi-Square Distribution
  • Data Collection / methods
  • Factor Analysis, Statistical
  • Female
  • Focus Groups
  • Humans
  • Male
  • Middle Aged
  • Minnesota
  • Models, Nursing
  • Models, Psychological
  • Nurse's Role / psychology*
  • Nursing Methodology Research / methods
  • Nursing Staff, Hospital / education
  • Nursing Staff, Hospital / organization & administration
  • Nursing Staff, Hospital / psychology*
  • Principal Component Analysis
  • Qualitative Research
  • Quality Improvement
  • Statistics, Nonparametric
  • Surveys and Questionnaires / standards*
  • Time Management / organization & administration
  • Time Management / psychology*
  • Workload / psychology*
  • Workload / statistics & numerical data