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Nursing advocacy for patients is
considered to be an important function of nursing
practice. The research surrounding nursing advocacy
is relatively new, with few psychometric instruments
developed to measure nursing advocacy. The purpose
of this study was to determine the psychometric
properties of the Protective Nursing Advocacy Scale
(PNAS) and provide measures to support validity.
The study design was a descriptive
correlational design using a randomly selected
sample of 419 medical-surgical registered nurses in
the State of Texas. The PNAS items were analyzed
using an exploratory factor analysis along with
other psychometric descriptions of the data.
The PNAS analysis resulted in the items
loading onto four significant and theoretically
connected components, subsequently referred to as
subscales. The overall reliability of the PNAS
demonstrated an acceptable level of reliability, as
did the four subscales.
Implications for nursing include using with
practicing nurses to improve their advocacy skills,
which may help improve patient outcomes.