Historically, nurses have been expected to be role models of health promotion, conceptualized and operationalized narrowly and indirectly as the practice of healthy behaviors. The purpose of the current study was to develop and test an instrument (The Self as Role Model for Health Promotion [the SARMHEP]) to measure nurses’ perceptions of themselves as role models. Data were collected from nurses working in public health, nursing education, and general practice with a 56% return rate. A series of exploratory factor analyses elicited a five-factor solution that accounted for 44% of the variance and approximated the theoretical dimensions that guided the instrument’s development. Cronbach’s alpha for the total scale was .91. The new multidimensional SARMHEP was shown to have beginning validity and reliability.
Borchardt, G.L. ( 2000). Role models for health promotion: The challenge for nurses . Nursing Forum, 35(3), 29-32.
2.
Brenchley, T., & Robinson, S. ( 2001). Outpatient nurses: From handmaiden to autonomous practitioner . British Journal of Nursing, 10, 1066-1072.
3.
Centers for Disease Control and Prevention. ( 2005). Healthy People 2010. Retrieved from http://www.ndhealth.gov/HealthyPeople2010/HP2010_2005.pdf
4.
Clarke, A.C. ( 1991). Nurses as role models and health educators. Journal of Advanced Nursing, 16, 1178-1184.
5.
Connolly, M.A., Gulanick, M., Keough, V., & Holm, K. ( 1997). Health practices of critical care nurses: Are these nurses good role models for patients? American Journal of Critical Care, 6(4), 261-266.
6.
Curtin, L.L. ( 1986). The case of the reluctant role model: From health to heresy. Nursing Management, 17(7), 7-8.
7.
Dalton, J.A., & Swenson, I. ( 1986). Nurses and smoking: Role modeling and counseling behaviors . Oncology Nursing Forum, 13(2), 45-48.
8.
Dempster, J.S. ( 1990). Autonomy in practice: Conceptualization, construction, and psychometric evaluation of an empirical instrument (Unpublished doctoral dissertation). University of Utah, Salt Lake City.
9.
DiIorio, C., Holcombe, J., Belcher, L., & Maibach, E. ( 1994). Use of the cognitive assessment method to evaluate the adequacy of sexually transmitted disease history questions. Journal of Nursing Measurement, 2, 107-116.
10.
Ewles, L., & Simnett, T. ( 1992). Promoting health: A practical guide (2nd ed.). London, UK: Scutari Press .
11.
Gobble, D., & Mullen, K. ( 1983). Relationships between wellness role modeling and professional training in health education. Health Values: Achieving High Level Wellness, 7, 19-24.
12.
Haughey, B.P., Mathewson-Kuhn, M.A., & Dittmar, S.S. ( 1992). Health care of critical care nurses: Health practices of critical care nurses. Heart and Lung: The Journal of Critical Care, 21, 203-208.
13.
Hasselfield, D. ( 1990). Patient assessment. American Operating Room Nurse, 52, 551-557.
14.
Li, G.M., Singh, R.U., Vauski, S., Chi, T.P., & Huo, C.L. ( 2001). Knowledge of risk factors and current health practices of orthopaedic unit nurses in the prevention of osteoporosis. Singapore Nursing Journal, 28(2), 17-25.
15.
Lynn, M.R. ( 1986). Determination and quantification of content validity . Nursing Research, 35, 382-385.
16.
McElligott, D., Siemers, S., Thomas, L., & Kohn, N. ( 2009). Health promotion in nurses: Is there a healthy nurse in the house?Applied Nursing Research, 22, 211-215.
17.
McWilliam, C.L., Spence-Laschinger, H.K., & Weston, W.W. ( 1999). Health promotion amongst nurses and physicians: What is the human experience? American Journal of Health Behavior , 23, 95-105.
18.
Mishel, M.H. ( 1998). Methodological studies: Instrument development. In P. J. Brink & M. J. Wood (Eds.), Advanced design in nursing research (2nd ed., pp. 238-284). Newbury Park, CA: Sage.
19.
Muhlenkamp, A.F., & Brown, N.J. ( 1983, September). The development of an instrument to measure health practices. Paper presented at the American Nurses Council of Nurse Researchers Conference, Minneapolis, MN.
20.
Nagle, A., Schofield, M., & Redman, S. ( 1999). Australian nurses’ smoking behaviour, knowledge, and attitude towards providing smoking cessation care to their patients. Health Promotion International, 14, 133-144.
21.
Nowak, K.B., & Wandel, J.C. ( 1998). The sharing of self in geriatric clinical practice: Case report and analysis. Geriatric Nursing, 19, 34-37.
Petch-Levine, D., Young Cureton, V., Canham, D., & Murray, M. ( 2003). Health practices of school nurses. The Journal of School Nursing, 19, 273-280.
24.
Quayhagen, M.P., & Quayhagen, M. ( 1988, March). Retroductive triangulation: A method for instrument development [Abstract]. Paper presented at the Measurement of Clinical and Education Nursing Outcomes conference, San Diego, CA.
25.
Robinson, S., & Hill, Y. ( 1998). The health promoting nurse. Journal of Clinical Nursing, 7, 232-238.
26.
Rosen, C., & Ashley, M.J. ( 1978). Smoking and the health professional: Recognition and performance of roles. Canadian Journal of Public Health, 69, 399-406.
27.
Rush, K.L., Kee, C.C., & Rice, M. ( 2005). Nurses as imperfect models of health promotion. Western Journal of Nursing Research, 27, 166-183.
28.
Strobl, J., & Latter, S. ( 1998). Qualified nurse smokers’ attitudes towards a hospital smoking ban and its influence on their smoking behavior. Journal of Advanced Nursing, 27, 179-188.
29.
Swenson, I., Dalton, J.A., Nettles-Carlson, B., & Friedman, B. ( 1991). Nurses counseling patients about smoking cessation: Why, when, and how. Hospital Topics, 69(4), 27-29.
30.
Tabachnick, B.G., & Fidell, L.S. ( 1996). Using multivariate statistics (3rd ed.). New York, NY: Harper & Row.
31.
Tones, B.K. ( 1992). The theory of health promotion: Implications for nursing . In J. Wilson Barnett & J. MacLeod Clark (Eds.), Research in health promotion and nursing (pp. 3-12). London, UK: Macmillan.
32.
United States Department of Health, Education and Welfare. ( 1979). Healthy people: The surgeon general’s report on health promotion and disease prevention (DHEW [PHS] Publication No. 79-55071) . Washington, DC: Author.
33.
Valentine, A.S., & Hadeka, M.A. ( 1986). Do nurses practice what they preach? A study of nurses’ health behaviors. Vermont Registered Nurse, 52(2), 3-4.
34.
Whiting, L.S. ( 2001). Health promotion: The views of children’s nurses . Paediatric Nursing, 13(3), 27-31.
35.
Williams, A. ( 1993). Community health learning experiences and political activism: A model for baccalaureate curriculum revolution content. Journal of Nursing Education, 32, 352-356.
