Conceptualization and Measurement of Structurational Divergence in the Healthcare Setting

Abstract

Structurational divergence (SD) is a widespread organizational problem, manifesting as recurrent cycles of unresolved conflict rooted in incompatible meaning structures. Heretofore, the program of research investigating SD has been largely qualitative and descriptive. This study developed and tested a quantitative measurement scale of SD in the nursing context. Candidate scale items were constructed from previous interview data and administered to a sample of 281 nurses. A final scale of 17 items was obtained based on expert screening and both exploratory and confirmatory factor analyses. The scale and its three subcomponents showed strong internal consistency and correlated as expected with several established measures of related concepts.

Keywords:

• Nursing
• Conflict
• Structuration
• Burnout
• Workplace Environment

Acknowledgements

Funding for data collection was received from the George Mason University College of Health & Human Services. Thanks to Carol Filak (PhD, RN) for her assistance with data collection.

Additional information

Notes on contributors

Anne Maydan Nicotera

Anne Maydan Nicotera (PhD), Department of Communication, George Mason University

Margaret M. Mahon

Margaret M. Mahon (PhD), School of Nursing, George Mason University

Xiaoquan Zhao

Xiaoquan Zhao (PhD), Department of Communication, George Mason University