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Learning Objective 1: The learner will be able to describe challenges and rewards associated with cross-cultural replication of research studies.
Learning Objective 2: The learner will be able to describe rationale for demographic differences between Israeli and US Charge Nurses.
This descriptive-correlational study compared results between 263 registered charge nurses from a mid-western US health system with 793 registered nurses from six Israeli hospitals. The anonymous survey featured 50 stressful scenarios encountered by charge nurses with Lickert response scaling. Survey data from American and Israeli Hospitals were combined for analysis. Factor analyses were conducted to determine the presence of sub-scales. Scale means as well as scores for the top 10 items were compared within and between each country as well as between hospitals within each country.
American charge nurses were significantly older, more likely to work full time, be female, and have less experience and lower levels of education than Israeli nurses. Factor analyses were conducted initially for the sample as a whole and secondarily with the Israeli sample with a confirmatory factor analysis conducted with the American sample. Four factors emerged with Cronbach’s alphas ranging from 0.9-0.78 with less than 0.02 differentiating item means of the two samples. Goodness of Fit indices primarily supported the confirmatory factor analysis. The factors represented patient and family complaints, lack of resources, responsibility and burden, and professional conflict. Stress levels were similar between and among the various hospitals and countries, especially when considering the size of the hospital unit. There were more similarities between large (>400) and smaller (<400) bed hospitals from the US and Israel than between the two samples as a whole. The findings support the use of the Charge Nurse Stress Questionnaire in US hospitals.