The Effects Of A Preceptor Coaching Intervention On Use Of Clinical Judgment By New Graduate Nurses, Sue A. Schuelke

Theses & Dissertations

This work attempts to evaluate a preceptor intervention on the development of critical thinking/clinical judgment from the new graduate’s point of view as well as from the preceptor’s point of view. Manuscript 1 is a systematic review of the literature related to preceptor’s interventions and its effect on clinical judgment. Manuscript 2 describes the results of focus group interviews of preceptors and the viewpoint on clinical judgment and related concepts. Results of a pilot study: The effects of a preceptors coaching on new graduates clinical judgement, is reported in Manuscript 3. Each section includes an overview of each manuscript, a …

Faculty-To-Faculty Incivility As Perceived By Nursing Faculty, Melinda Lofton Sills

Dissertations

The purpose of this research was to determine the perceived presence of workplace incivility among nursing faculty in associate, baccalaureate, and graduate nursing programs and whether there was a significant difference between workplace incivility behaviors, occurrence of incivility, extent of incivility, and engagement of incivility among the three groups. A convenience sample of faculty from nursing programs accredited by Accreditation Commission for Education in Nursing and Commission of Collegiate Nursing Education in Alabama, Arkansas, Florida, Louisiana, and Tennessee completed the Incivility in Nursing Education-Revised (INE-R) survey. The final sample included 169 nursing faculty.

Based on the results of the study …

Group Empowerment Capacity And Capability In Associate Degree Schools Of Nursing In The United States, Christy Lee Savell

Dissertations

The purpose of conducting this research was to determine the perception of group empowerment capacity (EC) and group empowerment capability (E) among faculty and administrators in associate degree nursing programs (ADN) in the United States (U.S.), whether there was a significant difference in the scores of EC and E between the two groups and if there was a significant relationship between the mediating variables and EC. The study was conducted online with administrators and faculty of ADN programs throughout the United States (U.S.). Information letters with questionnaire links were sent to all members of the Organization of Associate Degree Nurses …

Enhancing Vegetable Intake In Infants And Toddlers Through Parental Complementary Feeding Education, Sophia Testa

The Eleanor Mann School of Nursing Undergraduate Honors Theses

This research project investigated the outcomes of educating parents of infants between the ages of 6 months and 12 months on the importance of including vegetables in complementary feedings on the infant’s vegetable consumption. The efficiency of teaching was measured by comparing physical measurements and quantity of vegetables consumed by infants whose parents received education with the same data from infants whose parents did not receive education on inclusion of vegetable in complementary feedings. The results found contributed to Dr. Shreve’s research on childhood obesity in the Northwest Arkansas population and to the knowledge of parental education with regard to …

Nursing Students’ Nonacademic Barriers To Success On High Stakes Exams, Jennifer Bussen Bussen

UNLV Theses, Dissertations, Professional Papers, and Capstones

Every nursing program wants its graduates to pass the NCLEX-RN licensure examination the first time they take it. For those who fail, entry into practice is delayed until they can pass the NCLEX-RN. The nursing programs that graduated students who fail may experience a loss of reputation, decreased numbers of potential applicants, and, ultimately, state board of nursing sanctions. In an effort to determine which students are likely to be successful in taking the NCLEX-RN, many programs have turned to end-of-program predictor exams such as the Health Education System Inc. (HESI) exit examination (E2) (Lauer & Yoho, 2013; Nibert & …

The Impact Of Nursing Crew Resource Management Training On The Patient Safety Self-Efficacy Of Nursing Students, Deanne Marie Donaway

UNLV Theses, Dissertations, Professional Papers, and Capstones

Quality health care and optimal health outcomes begin by assuring patient safety. This is a shared responsibility of all health care providers. However, nurses have a fundamental obligation to assure patient safety, given their constant presence with patients requiring care. Patients who are cared for by nurses with insufficient or outdated patient safety education and knowledge can and often experience costly and catastrophic outcomes (Institute of Medicine (IOM), 2011). Medical errors now rank as the third leading cause of death in the United States and cost over 17.1 billion dollars/year (Makary & Daniel, 2016; Andel, Davidow, Hollander & Moreno, 2012). …

Bariatric Surgery Weight-Loss Maintenance Among Hispanics: A Multiple Case Study, Minerva Aguilera

Nursing Theses and Dissertations

Obesity significantly contributes to human illness and to subsequent rising healthcare expenditures. Bariatric surgery has been identified as the only effective option to achieve the weight loss necessary for those who are morbidly obese. Previous research indicated that maintaining significant weight loss has been a problem for individuals who undergo bariatric surgery. The number of bariatric surgeries is increasing and factors that contribute to or interfere following bariatric-surgery weight-loss maintenance need to be determined. Research on weight-loss maintenance following bariatric surgery is very limited, particularly among the Hispanic population. This case-study research used an explanatory, multiple-case-study design to gain greater …

Examining Content Validity Of The Nurse Competence Scale In The United States, Jessica B. Shearer

USF Tampa Graduate Theses and Dissertations

Nursing competence is a necessity as it affects public health, safety and welfare; however there are very few reliable and valid tools that measure nursing competence. The Nurse Competence Scale has been used in many different countries outside of the United States and is based on Benner’s Novice to Expert theory. The purpose of this study was to examine the content validity of the Nurse Competence Scale using a mixed methods approach. Descriptive statistics were used to report results of the frequency of use scale and the critical to practice scale. Nursing faculty indicate Prioritizing My Activities Flexibility According to …

Tuning "The System": An Evaluation Or Restorative Practices In San Lorenzo School District, Amber White

Master's Projects and Capstones

In 2013, The Director of Student Support Services for the San Lorenzo Unified School District (SLZUSD) implemented a Restorative Practices program in an effort to improve relationships on campus and decrease suspension and expulsion rates in SLZUSD. The Directors push for RP was fueled by the passing of Assembly Bill 1729 (AB-1729), when the California Education Code changed to allow for alternative disciplinary actions. States nationwide have passed bills similar to AB-1729 and allowed schools to use alternative punitive practices. Despite good natured intentions there were many faculty members who did not respond with enthusiasm and there has since been …

Health Literacy As A Moderator In The Relationship Between Diabetes Knowledge And Diabetes Outcomes, Jameshyia Ballard Thompson

Dissertations

The purpose of this research was to determine if health literacy was a moderator in the relationship between diabetes knowledge and diabetes outcomes, and explore the relationship between diabetes knowledge and health literacy. The target population included adults living in Mississippi with a diagnosis of diabetes at any point in life. A pilot study was performed to determine if the Functional Communicative Critical Health Literacy scales (FCCHL) and the Spoken Knowledge in Low Literacy in Diabetes scale (SKILLD) were appropriate for use in a population of adults in Mississippi with a diagnosis of diabetes. Participants for the pilot study were …

The Influence Of Transcultural Humility Simulation Development Activities On The Cultural Competence Of Baccalaureate Nursing Students, Teresa Hamilton

Theses and Dissertations

One way to mitigate health disparities in the provision of nursing care and impact social justice with vulnerable populations is the development of cultural competence. Although addressed in nursing curricula, gaps in how to best address cultural competence remain. A study was undertaken to determine whether participation in a researcher-designed intervention, entitled Transcultural Humility Simulation development, based on components of Campinha-Bacote’s model with an emphasis on “becoming” culturally competent, improved cultural competence in graduating baccalaureate nursing students. A longitudinal, descriptive, quasi-experimental, pretest-posttest comparison group design using embedded mixed methods was used. A total of 57 student participants from one baccalaureate …

To Foster A Culture Of Curiosity: A Hermeneutic Study Of The Experienced Nurse Educator And Student Intellectual Curiosity In The Online Learning Environment, Bedelia H. Russell

Electronic Theses and Dissertations

Skills of inquiry are essential outcomes from a baccalaureate nursing education. Students who demonstrate intellectual curiosity can develop effective skills of inquiry. Nurse educators must place emphasis on teaching and learning strategies which engage student intellectual curiosity. However, the concept of intellectual curiosity is not well-studied across multiple contexts of teaching and learning environments within nursing education. In addition, there is little known about the experienced nurse educator and the meaning of student intellectual curiosity across multiple teaching and learning environments. With the increased emphasis on online teaching and learning in nursing education as a solution for expanding student access …

Student Motivation, Stressors, And Intent To Leave A Nursing Phd Or Dnp Program: A National Study Using Path Analysis, Delene Renee Volkert

UNLV Theses, Dissertations, Professional Papers, and Capstones

The growing need for nurse scientists and nurse faculty researchers has led to the call to double the number of doctorally prepared nurses by 2020 (Institute of Medicine [IOM], 2010). Nursing has responded with more doctoral degree programs resulting in an increase from 122 DNP graduates in 2007 to 8,184 nurses who hold DNP degrees by 2013. PhD programs have also seen 5,306 graduates between the years 2004 through 2013 (American Association of Colleges of Nursing [AACN], 2014a). One troubling aspect that affects nursing and other doctoral programs is high attrition rates. A recent ten year longitudinal study from the …

Effect Of Sequence Of Simulated And Clinical Practicum Learning Experiences On Clinical Competency, Jamie Hansen

Dissertations (1934 -)

Delivery of clinical education using the traditional model involving faculty supervision of students in a hospital setting has become increasingly difficult for schools of nursing due to factors such as increased student enrollment and decreased clinical site availability. Simulated learning experiences (SLE) have increasingly been used as a supplement or replacement for a portion of nursing students’ traditional clinical learning experiences (CLE). There has been a call for research to ensure that new models for delivery of clinical education are built on a foundation of research. Although SLE have been increasingly used as a supplement to CLE, it is unknown …

Youth Empowerment For Environmental Justice, Mattie B. Brickle

Ed.D. Dissertations in Practice

Woodsmoke pollution is an environmental justice issue for youth living in certain Pacific Northwest cities. Little is understood about how youth may be empowered to address woodsmoke issues in their communities. In this study, I examined youth empowerment in a citizen science study on woodsmoke, using Photovoice methodology. Ten diverse youth collected and analyzed indoor air samples and photos, then presented their findings to the community and policy makers. Entrance and exit surveys revealed an increased sense of empowerment to take action on woodsmoke pollution. Youth also expressed increased optimism and a resolve to become scientists and to combat environmental …

The Effects Of Empowerment On Role Competency And Patient Safety Competency For Newly Graduated Nurse Practitioners, Elsie Duff

Electronic Thesis and Dissertation Repository

Introduction: Role competence and patient safety (PS) competence among healthcare professionals are rapidly developing issues due to increasing patient acuity and complexity in the healthcare system. Upon graduation, nurse practitioners (NPs) provide autonomous healthcare for populations with complex health needs, thus role and PS competence is imperative. In Canada, few studies have examined NP education and role development specific to NP role competence and PS competencies. This study addresses this gap in the research examining educational experiences of new NP graduates.

Aim: The aim of this study is to test a hypothesized model of the relationships between educational structural empowerment, …

Increasing Access To Primary Care Using Np’S: The Framework For An Academic Based Nurse-Managed Center In California, Prabjot (Jodie) Sandhu

Doctor of Nursing Practice (DNP) Projects

The dynamics of health care delivery and the role of health care providers is a changing canvas in the United States. The implementation of the Affordable Care Act (ACA), sets a goal to increase access to health care. The systems that support the ACA are constantly under scrutiny as failing to provide key answers to provider shortage and health care access issues. Nurse Practitioners (NPs) who are recognized by the ACA as a comprehensive part of this revolution are in a unique place to find opportunities to promote increased access to health and primary care services. While NPs in California …

Delirium Education Program For Critical Care Nurses: A Mixed Methods Study, Meredith Padilla Padilla

UNLV Theses, Dissertations, Professional Papers, and Capstones

Approximately 10-30% of hospital admissions develop delirium where nearly 30-40% of the delirium cases are preventable. Non-detection rates by acute care healthcare workers were reported at 72-75%. Hence, it is crucial for hospitals to develop delirium education programs focused on early recognition and prevention. Thus, the purpose of this mixed method study was to develop and evaluate the effect of a delirium education program (DEP) on improving critical care nurses’ knowledge and self-confidence in identifying delirium and the associated risk factors. In the quantitative strand (Phase I) of the study, both the intervention and control groups completed the online pre-tests …

Relationship Between Financial Support And Retention Of Economically Disadvantaged Students In An Undergraduate Baccalaureate Nursing Program, Karen Lynn O'Brien

Theses and Dissertations

Retention in baccalaureate nursing programs has been a concern for administrators and educators for decades. The non-traditional students of the past have become the traditional students of the present and as such lead complex lives. The emerging group of students that requires more attention in nursing education research is the economically disadvantaged students. Economically disadvantaged students typically come to college less prepared for the rigors of higher education and are at-risk for leaving post-secondary education. Retention of economically disadvantaged students can potentially increase the diversity of the nursing workforce since many economically disadvantaged students also come from ethnically diverse background. …

Factors That Influence Classroom Participation Of Junior- And Senior-Level Nursing Students, Mary Tedesco-Schneck

Electronic Theses and Dissertations

The healthcare system is dynamic and complex and requires innovative problem-solving to address inherent challenges and incorporate new knowledge and technology that may impact care. Nurses, as healthcare providers, need to be creative problem-solvers; hence nursing faculty must provide students with a foundation for problem-solving skills during their formative academic years. These skills may be enhanced through pedagogies that foster active learning supported by classroom participation. Feminist pedagogy reforms the faculty/student relationship and empowers students to be active participants in learning.

The purpose of this study situated in feminist pedagogy was to determine factors that influence classroom participation of junior-and …

Effects Of An Educational Intervention On Exclusive Breastfeeding Rates In Marshallese Mothers Residing In The U.S., Bentley S. Snider

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Abstract

Background: The Marshallese are one of the fastest growing migrant populations in the U.S. They have considerable health disparities despite their increasing access to health care. The Marshallese women in this population prefer to breastfeed, but have encountered many cultural barriers that have deterred them from exclusively breastfeeding for a significant amount of time. Breastfeeding is linked to many protective benefits for children’s health, such as decreasing the likelihood of obesity, even into the adult years.

Objective: The purpose was to evaluate the impact on breastfeeding rates through implementation of a culturally significant educational intervention for the …

Breastfeeding Rates In Marshallese Mothers; A Needs Assessment, Olivia N. Pennington

The Eleanor Mann School of Nursing Undergraduate Honors Theses

ABSTRACT

Background. Multiple health disparities are associated with the Marshallese population in Northwest Arkansas. Childhood obesity, linked to a decrease in exclusive breastfeeding, is one of the predominant issues. Since their migration to the United States, exclusive breastfeeding rates of Marshallese mothers have steadily declined throughout the years. Little research has been conducted to help combat this growing health disparity. Due to the increased growth in this population in Northwest Arkansas, it is imperative that measures are taken to decrease these disparities to improve the overall health of the future generations.

Objective: To determine the relationship between maternal age, …

The Relationship Between Clinical Teaching Models And Perceived Clinical Self-Efficacy And Attitude Toward Team Process, Christina H. Plemmons

UNLV Theses, Dissertations, Professional Papers, and Capstones

Nurse educators are called to transform the education of nursing students, a process that is paramount to meet the needs of an increasingly complex health care system. The complexity of health care requires graduate nurses who are self-efficacious, yet also function well as full members of a health care team. In response to this call, clinical instruction, an essential component of nursing education, is receiving increased attention. Clinical education is vital, not only to the development of clinical self-efficacy, but also to the integration of future nurses into a health care team. To further this education process, faculty members from …

Identifying Learning Acquired During Debriefing, Shelly J. Reed

UNLV Theses, Dissertations, Professional Papers, and Capstones

Debriefing, the reflective activity following an experiential learning exercise, has been identified as the most important part of simulation learning and is also important for learning in other activities utilized in nursing education. There is general agreement that debriefing provides learning and improves performance. However, there is little specific evidence about the phenomenon of learning acquired during debriefing, including how it occurs, how it is defined and identified, and how it is evaluated by debriefing facilitators. In addition, there are no instruments or tools specifically measuring learning acquired during debriefing. Without practical and theoretically grounded tools, simulation activities will continue …

Eight Steps To Weight Loss: Development Of An Evidence-Based Collaborative Provider-Patient Workbook For Overweight Or Obese Adults, Katherine Ann Wagner

UNLV Theses, Dissertations, Professional Papers, and Capstones

Despite decades of effort on the part of health care providers and policy makers to reduce the prevalence of obesity, the prevalence of obesity in the United States remains high (CDC, 2015). In the adult population ages 20 years of age and older, 35.7% are considered obese. The annual medical costs for people who are obese are $1,429 higher than people of a healthy weight (CDC, 2013). Obesity increases the risk for chronic health conditions such as hypertension, type 2 diabetes, hypercholesterolemia, coronary heart disease, stroke, asthma, arthritis, and cancer (Hammond & Levine, 2010). Over-weight and obesity are the main …

Predicting Nclex-Rn Performance : An Exploration Of Student Demographics, Pre-Program Factors, And Nursing Program Factors., Heather Davis Mitchell

Electronic Theses and Dissertations

Nursing programs are experiencing a decline in National Council Licensure Examination for Registered Nurses (NCLEX-RN) pass rates among graduates. While researchers have attempted to identify predictors of performance on the NCLEX-RN, identification of predictors remains elusive. Although the literature is replete with studies exploring NCLEX-RN predictors, prediction under the new 2013 NCLEX test plan and passing standards is not well established. Considering the ever-evolving diversity in students, combined with recent changes in the NCLEX-RN, further exploration of predictors of performance is warranted. Using a correlational design, the study sought to identify the predictors of NCLEX-RN performance for Bachelors of Science …

The Effect Of Standardized Patient Encounters On Undergraduate Nursing Student Empathy And Self-Efficacy In Therapeutic Communication, Alana M. Urness

Evidence-Based Practice Project Reports

Therapeutic communication between the nurse and patient is an essential component of optimal nursing care. Current evidence supports the use of standardized patient (SP) encounters to assist students in learning therapeutic communication skills. In addition to offering students an opportunity to practice in an environment free of clinical consequence, SP encounters have been shown to increase clinical knowledge and skill, improve diagnostic reasoning, and improve communication skills and interviewing skills. The purpose of this evidence-based practice project was to assess the effect of SP encounters on undergraduate nursing student empathy and self-efficacy related to therapeutic communication. Secondary outcomes included participant …

Exploring The Relationship Between Severity Of Illness And Human Milk Volume In Very Low Birth Weight And Extremely Low Birth Weight Infants Over Six Weeks, Shannon Leigh Morse

USF Tampa Graduate Theses and Dissertations

Very low birth weight and extremely low birth weight neonates have tremendous risk of mortality. This is a grave concern; however, survival alone is not the goal of neonatal intensive care. Survival, along with a reduction or elimination of life long morbidity is the aim of neonatal intensive care.

Human milk is known as the best nutrition for babies and a growing body of evidence supports that human milk is critical in helping these fragile neonates mitigate the overwhelming risks they face. Therefore, the purpose of this study was to examine the relationship between neonatal severity of illness and human …

Racially And Ethnically Underrepresented Students’ Completion Of Rn Bsn Program: Factors Affecting Success, Patricia Ann Varga

Dissertations (1934 -)

Health care is becoming increasingly complex. This complexity requires the skills of a BSN or higher prepared nurse. The current nursing workforce does not mirror the population demographics of the United States. Because of this, underrepresented racial and ethnic groups are not likely to be cared for by a member of their diverse group. Satisfaction with care and outcomes of care are enhanced when members of underrepresented racial and ethnic groups are cared for by a member of their cultural group. This grounded theory study included 6 RN BSN students who were members of underrepresented racial and ethnic groups and …

Stories Of Becoming And Being An Associate Degree Nurse Educator: A Narrative Inquiry Study Examining How Participants' Ways Of Knowing Evolved Through Their Experiences, Bonnie Jill Ross

Theses and Dissertations

This study explored the stories of the experiences of three associate degree nurse educators and how they evolved in the way they viewed their world as they transitioned in their role from nurse expert to experienced nurse educator. As associate degree nursing education is the most commonly reported initial nursing education of registered nurses in the United States, and, because of the highly affordable and accessible means for educating the next generation of nurses, the purpose of this study was to address the projected nurse and nursing faculty shortage. Through narrative inquiry, this study has provided a means to inform …