Download the full-sized PDF of An assessment of the state of measurement science underpinning research utilization in nursingDownload the full-sized PDF



Permanent link (DOI):


Export to: EndNote  |  Zotero  |  Mendeley


This file is in the following communities:

Graduate Studies and Research, Faculty of


This file is in the following collections:

Theses and Dissertations

An assessment of the state of measurement science underpinning research utilization in nursing Open Access


Other title
Research Utilization
Measurement Science
Type of item
Degree grantor
University of Alberta
Author or creator
Squires, Janet
Supervisor and department
Estabrooks, Carole (Nursing)
Examining committee member and department
Hayduk, Leslie (Sociology)
Newburn-Cook, Christine (Nursing)
Myrick, Florence (Nursing)
Streiner, David (External, Department of Psychiatry, University of Toronto)
Gierl, Mark (Educational Psychology)
Faculty of Nursing

Date accepted
Graduation date
Doctor of Philosophy
Degree level
Background: Nurses’ use of research findings is essential to the provision of quality patient care. As a result, a need to better understand how to implement research into nursing practice has emerged, triggering requirements for its measurement. Purpose: The purpose of this thesis was to provide an assessment of the state of measurement science underpinning research utilization in nursing. Methods: The thesis consisted of four inter-related studies: (1) a systematic review of the psychometric properties of instruments used to measure research utilization in healthcare, (2) a systematic review update of individual factors that are associated research utilization by nurses, (3) an item response theory assessment of the precision of a newly developed research utilization scale (the Conceptual Research Utilization Scale) when completed by unregulated nursing care providers in long-term care (nursing home) settings, and (4) a traditional psychometric assessment (reliability, validity, acceptability) using classical test score theory of the Conceptual Research Utilization Scale when completed by unregulated nursing care providers in long-term care settings. A unitary approach to validity was undertaken following the Standards for Educational and Psychological Testing (the Standards) whereby evidence is accumulated from four sources to build a construct validity argument: (1) content, (2) response processes, (3) internal structure, and (4) relations to other variables. Findings and Conclusions: Findings revealed that there is significant under development in the measurement of research utilization in nursing and that substantial methodological advances focusing on construct clarity, use of measurement theory, and conducting standard and advanced psychometric assessments is needed. Findings also suggest that: (1) adopting a unitary perspective of validity results in a substantially more comprehensive and accurate validity assessment compared to a traditional perspective of validity (which states that validity exists or not); (2) the Standards provides a useful framework for grouping instruments according to established validity sources, as well as for conducting and reporting findings from an instrument validation study; and, (3) item response theory is an appropriate method for evaluating precision of research utilization instruments, which can provide additional psychometric information that is not provided in traditional classical test score theory assessments.
License granted by Janet Squires ( on 2010-11-18T23:00:08Z (GMT): Permission is hereby granted to the University of Alberta Libraries to reproduce single copies of this thesis and to lend or sell such copies for private, scholarly or scientific research purposes only. Where the thesis is converted to, or otherwise made available in digital form, the University of Alberta will advise potential users of the thesis of the above terms. The author reserves all other publication and other rights in association with the copyright in the thesis, and except as herein provided, neither the thesis nor any substantial portion thereof may be printed or otherwise reproduced in any material form whatsoever without the author's prior written permission.
Citation for previous publication

File Details

Date Uploaded
Date Modified
Audit Status
Audits have not yet been run on this file.
File format: pdf (Portable Document Format)
Mime type: application/pdf
File size: 2407352
Last modified: 2015:10:12 10:22:23-06:00
Filename: Squires_Janet_Spring 2011.pdf
Original checksum: a6ee7db7f08221c0cbdd46c196a9d92d
Well formed: false
Valid: false
Status message: Invalid page tree node offset=2403303
Status message: Invalid object number or object stream offset=1987645
Activity of users you follow
User Activity Date