Reliability and validity of the Multidimensional Measure of Leader–Member Exchange Japanese version for staff nurses
Funding information
This study was supported by a research grant from the Health Care Science Institute in 2016 and Michi Takahashi Scholarship for Postgraduate Education (Nursing Management).
Abstract
Aim
To verify the reliability and validity of Multidimensional Measure of Leader–Member Exchange Japanese version (LMX-MDM-J) for staff nurses.
Background
Staff nurses who have a high-quality relationship with nurse managers tend to have low turnover intention. However, the validity and reliability of LMX-MDM Japanese version have not been confirmed.
Methods
Staff nurses (n = 870) working in wards of four Japanese hospitals were surveyed using self-administered questionnaires. Reliability was tested by internal consistency. Validity was tested by the confirmatory factor analysis for construct validity and relationships with external criteria for criterion-related validity.
Results
There were 450 valid responses. Cronbach's α coefficients of the overall scale and each dimension were 0.97 and 0.86–0.95, respectively. The goodness-of-fit indices of the confirmatory factor analysis showed CFI = 0.981 and RMSEA = 0.076. Correlation coefficients with external criteria were 0.57 for job satisfaction, 0.80 for relationship satisfaction with the nurse manager and −0.36 for turnover intention (all p < .001).
Conclusion
The reliability and validity of LMX-MDM-J were determined to be adequate for staff nurses.
Implications for Nursing Management
LMX-MDM-J can accurately measure the quality of the dyadic relationship between nurse managers and staff nurses. This measurement indicates whether nurse managers are providing leadership.
