Education Commons^™

Horizontal Violence In The Nursing Work Environment: Beyond Oppressed Group Behavior, Therese M. Mendez

University of New Orleans Theses and Dissertations

The United States has been experiencing a nursing shortage since the mid-1990s. The shortage is expected to deepen as the provisions of the 2010 Patient Protection and Affordable Care Act are enacted. Horizontal violence is a negative phenomenon in the nursing workplace that contributes to difficulty in recruiting and retaining nurses in hospitals. Horizontal violence has been described as a form of mistreatment, spoken or unspoken, that is threatening, humiliating, disrespectful or accusatory towards a peer. The effects of this nurse on nurse aggression can be devastating for the nurse involved and also for the patients under the nurse's care. …

Factors Which Influence The Use Of Active Learning Strategies By Nursing Faculty, Deborah Lowell Shindell

UNLV Theses, Dissertations, Professional Papers, and Capstones

Nursing education is facing a crisis. Anachronistic teaching methods are no longer keeping up with the needs of new graduates entering practice. Despite a body of knowledge which supports the use of active learning in higher education, nursing faculty continue to rely on lecture as their primary pedagogical approach. Previous study of the use of research products in clinical nursing practice identified systematic factors such as characteristics of the communication of research findings and characteristics of the organization form the greatest barrier to use. This study discovers if these same barriers face nursing educators.

Using Roger‟s Theory of Diffusion of …

The Utilization And Effectiveness Of The Hesi E(Square) Exit Exam As A Graduation Requirement Toward Increasing Nclex-Rnrtm Pass Rates In Baccalaureate Nursing Programs, Debra Henline Sullivan

UNLV Theses, Dissertations, Professional Papers, and Capstones

Due to a desire to better prepare BSN students for the Nurse Council Licensure Examination for Registered Nurses (NCLEX-RN^® ) and to increase first-time pass rates, nursing programs across the US are using predictive testing to implement policies that require students to pass a standardized exit exam to graduate (National League for Nursing, 2010). Evolve Learning Systems owned by Elsevier, Inc. offers such an exit exam named the HESI E ² , which recommends a benchmark score to predict success on the NCLEX-RN^® . To offset an expected decrease in NCLEX-RN^® pass rates due to recent changes …

Job Stress, Mentoring, Psychological Empowerment, And Job Satisfaction Among Nursing Faculty, Catherine Emily Ebersole Chung

UNLV Theses, Dissertations, Professional Papers, and Capstones

The National League for Nursing (NLN) endorses mentoring throughout the nursing faculty career trajectory as the method to recruit nurses into academia and improve retention of nursing faculty within the academy (NLN, 2006). One way mentoring assists faculty is by easing socialization to the culture of the employing institution and decreasing faculty stress (Lewallen, Crane, Letvak, Jones, & Hu, 2003). Mentoring can also be a facilitating factor of an individual's psychological empowerment. Academia is an environment able to foster psychological empowerment, a state in which faculty may be self-directed, highly productive, confident, and find a meaningful connection to their work …

Impact Of Home Hospital Program On Empowerment And Professional Practice Behaviors, Marcille Jo Jorgenson

UNLV Theses, Dissertations, Professional Papers, and Capstones

The purpose of this study was to evaluate the impact of a Home Hospital Clinical Placement program on professional behaviors of nursing staff within the Home Hospital and professional behaviors of baccalaureate nursing students enrolled in the Home Hospital Clinical Placement program. The study used a conceptual model developed and tested by Manojlovich (2003).

The study was a non-experimental, cross-sectional design to compare selected attributes between students enrolled in a Home Hospital Clinical Placement and students enrolled in a traditional clinical placement and between registered nurses with high levels of teaching interaction with home hospital students and registered nurses with …

The Development And Validation Of A Tool To Measure Self-Confidence And Anxiety In Nursing Students While Making Clinical Decisions, Krista Alaine White

UNLV Theses, Dissertations, Professional Papers, and Capstones

Clinical decision making (CDM) is a cornerstone skill for nurses. Self-confidence and anxiety are two affective influences that impact the learning and adeptness of CDM. Currently, no instruments exist that measure perceived self-confidence and anxiety level of undergraduate nursing students related to CDM. The purpose of this research was to develop, test, and establish psychometric properties for a quantitative instrument that measures the levels of self-confidence and anxiety experienced by undergraduate nursing students while making clinical decisions. The new tool is entitled the Nursing Anxiety and Self-Confidence with Clinical Decision Making (NASC-CDM) scale. The tool is a self-report, Likert-type instrument …

Enhancing The Cultural Competence Of Women’S Health Nurses Via Online Continuing Education, Ella T. Heitzler

UNLV Theses, Dissertations, Professional Papers, and Capstones

By 2050, current minority groups will comprise almost half of the US population further challenging healthcare providers and nurses to deliver culturally competent care. Numerous organizations have published documents supporting cultural competence and its incorporation into nursing curricula has been encouraged since 1986. However, practicing nurses, specifically those providing care to childbearing women and families, continue to acknowledge their lack of cultural competence. This is concerning as large health disparities exist between culturally diverse women and cultural competence can lead to greater health equality and better client care. Studies have shown face-to-face education increases the cultural competence of healthcare providers; …

Graduating Bsn Students' Ebp Knowledge, Ebp Readiness And Ebp Implementation, Ludy Sm. Llasus

UNLV Theses, Dissertations, Professional Papers, and Capstones

Emphasis on evidence-based practice (EBP) in healthcare delivery increased the expectation that nurses utilize research findings to make informed clinical decisions, and guide their nursing actions and interactions with clients in a constantly changing and increasingly complex healthcare environment. Increasing demand for patient safety and quality healthcare requires that translation of best possible evidence into practice is needed to ensure improved patient outcomes. Nursing education is responsible for preparing and providing society with knowledgeable and competent nurses who are ready to engage in EBP for improved patient outcomes.

The purpose of this non-experimental, descriptive, correlational, cross-sectional study was to describe …

Faculty’S Perceptions Of Students’ Abilities To Utilize Self-Regulated Learning Strategies To Improve Critical And Reflective Thinking In Making Clinical Decisions: A Methodological Study, Amber Lynn Donnelli

UNLV Theses, Dissertations, Professional Papers, and Capstones

With the rapidly changing health care system, new nurses are expected to be able to collect pertinent data, access resources, prioritize information, solve problems, and ultimately make sound clinical decisions (Kuiper, 2005). Supporting evidence has shown that using self-regulated learning strategies (SRLS) increases the development of critical and reflective thinking within the clinical reasoning context (Kuiper & Pesut, 2004). Despite the fact that instruments have been developed to examine students’ perception of the use of SRLS, there is no existing instrument to measure nursing faculty’s perceptions of a student’s ability to utilize self-regulated learning strategies in the clinical setting. This …

The Association Of Mentorships And Leadership Practices With Nursing Faculty Retention, Lisa M. Rettenmeier

Walden Dissertations and Doctoral Studies

The lack of mentored relationships among nursing educators has the potential to negatively influence perceptions of leadership practices and could decrease the numbers of nursing faculty staying in academia. The purpose of this study was to investigate the perceptions of mentorships and leadership practices of nursing faculty teaching in academia. Watson's caring theory was the theoretical foundation to explain the congruence between mentored relationships, leadership practices, and the association with faculty retention. The first research question focused on differences between mentoring experience, assistance, and characteristics by mentor training type. Question two assessed the relationship between leadership practices by mentor training …

Parental Perception Of Childhood Obesity And The School's Role On Prevention And Interventions In Childhood Obesity, Monique Jones

Nursing Theses and Capstone Projects

Childhood obesity is a major health crisis that is becoming an epidemic among children and adolescents. Interventions must begin early and focus on prevention strategies to achieve the goal of increasing quality years of life for today's children and families. Parents with children in a local after school Boys & Girls club were surveyed regarding their perception of childhood obesity, the causes of childhood obesity, and the school's role in the prevention and treatment of childhood obesity. More than 90% of the participants identified inactivity, poor eating behavior, eating too much, and lack of money to buy nutritious foods as …

Leadership Styles And Nursing Satisfaction Rates, Wilma Lee Jones

Walden Dissertations and Doctoral Studies

The purpose of this project was to translate evidence-based literature into policy and practice guidelines in order to improve leadership standards and skills among nurse managers and improve patient outcomes and the quality of care. Guided by the American Nurses Credentialing Center Magnet Model and Lewin's change theory, which sets the framework for creating exceptional nursing leaders, a literature search was conducted from studies ranging from 2010 to 2012 from several databases. Inclusion criteria were based on the presence of one or more leadership styles discussed in the articles and the impact of leadership style on nursing satisfaction. A total …

Responses Of Successful Latina Students To Academic Challenges Of Prerequisite Nursing Courses, Julie Wiggins Nadeau

Walden Dissertations and Doctoral Studies

Nursing schools struggle to prepare enough nurses to meet the health care needs of a diverse and aging population in the United States. Many students do not complete their degrees, contributing to the problem. The purpose of this qualitative study was to explore and describe how successful Latina students experience and respond to the academic challenges of prerequisite nursing courses. The nursing shortage; healthcare needs of Hispanic patients; student outcomes; self-efficacy, achievement goal orientation, and academic help-seeking; and Hispanic cultural values framed the study. Using semistructured private interviews, the researcher explored the lived experiences of 6 successful Latina students when …

Assessment Of Admission Criteria And Selection Process For Nurse Education Programs, Mary Ann Jarmulowicz

Walden Dissertations and Doctoral Studies

Qualified student enrollment to nurse education program is limited by admission criteria predetermined by faculty; however, little is known regarding the development and consistency of selection criteria. The purpose of this study was to examine the admission requirements of nursing programs to better understand the philosophical underpinnings and complexity of selection criteria. The conceptual frameworks of teaching philosophy, complexity, and gatekeeping guided this research. This descriptive correlational study used a cross-sectional design to survey a purposeful sample of full-time faculty teaching in nurse education programs in a southeastern state. Descriptive analyses, independent t test, and a Lambda analyses were employed …

Addressing Limited Clinical Experiences For Nursing Students, Shelly Eisert

Walden Dissertations and Doctoral Studies

This descriptive case study addressed the problem that nursing students at a small community college lacked clinical experiences that promoted identification of their strengths and weaknesses in knowledge and skills expected of nurses. The interest in this individual case and purpose of this study was to understand the clinical learning activities nursing students at this site believed were effective strategies for evaluating their strengths and assessing areas needing improvement in their nursing practice. The theoretical foundation of adult learning formed the basis of this descriptive case study using a survey design to assess the students' perceptions of clinical learning activities …

The Relationship Of Mid-Pregnancy Levels Of Cytokines, Stress, And Depression With Gestational Age At Delivery, Melissa Molinari Shelton

USF Tampa Graduate Theses and Dissertations

Pregnancy is a time of alternating states of inflammation. The establishment of pregnancy is marked by controlled inflammation and transition toward an anti-inflammatory state for much of the gestational period before returning to an inflammatory state at the onset of labor. Stress and depression trigger the HPA Axis to produce cortisol and levels are maintained in a state of elevation during pregnancy and continue to rise before parturition.

The aim of this research was to explore the relationship of gestational age at delivery with mid-pregnancy levels of cytokines, stress and depression. Participant samples (N = 122) were collected between 16 …

Objective Physical Activity And Sleep Characteristic Measurements Using A Triaxial Accelerometer In Eight Year Olds, Susan Ann Harrington

Wayne State University Dissertations

Background: Secular trends demonstrate that young children are less active and sleep less. Inequity in an individual's energy balance is known to have poor health outcomes. Academic achievement, academic behavior, and weight status are proxy indicators for health and psychosocial outcomes in this study. Current guidelines in place for sleep and physical activity in childhood are the result of data collected in the form of self-reports. Quantification and qualification of physical activity dimensions and sleep characteristics are essential not only for the purpose of clearly establishing parameters but also for the intent of verifying optimal health outcomes and evaluating interventions …

Persistence To An Associate Of Applied Science Registered Nurse Degree: The Impact Of Placing Into Developmental Education Courses On Student Success, Caroline Clark Rivera

Educational Foundations & Leadership Theses & Dissertations

Student retention and success in nursing school has gained favor in educational research due to an increasing shortage of Registered Nurses. The purpose of this study is to measure the impact of student placement recommendation into developmental education courses on persistence to an Associate of Applied Science Registered Nurse degree. Using ex post facto research methodology rooted in the retention theories of Tinto, Bean and Metzner, and Jeffreys, this study aims to measure the effect of high school diploma type, age, race/ethnicity, and pre-requisite courses on student placement recommendation in developmental education and persistence to an Associate of Applied Science …