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Student Desire To Stay In A Program: The Influence Of Faculty Caring And Cultural Identification With Faculty, Elizabeth Ann Cunniff

Dissertations

The Future of Nursing 2020-2030 report (National Academies of Sciences, Engineering, and Medicine, 2021) stated nurses should reflect the characteristics of the people they serve to ensure individuals receive culturally competent and equitable health care. Over the next decade and beyond, the U.S. population will become more racially and ethnically diverse, but the nursing workforce has not kept pace with the changing demographics (American Association of Colleges of Nursing, 2023). To increase diversity among nurses, nursing schools need more diverse graduates from prelicensure nursing programs, but attrition is greater among students with diverse racial, ethnic, and cultural backgrounds (Barbé et …

Exploring The Relationship Among Clinical Judgment, Academic Resiliency, Student Predictors, And Exam Remediation In Prelicensure Nursing Students Preparing For Next Generation National Council Licensure Examination [For] Registered Nurses, James Franklin Oberlander

Dissertations

As the field of nursing becomes increasingly more complex, nursing students are psychologically challenged as they progress through a program of study, prepare for the licensure examination, and enter professional practice. Identifying factors that influence student outcomes is necessary for faculty to effectively guide students toward successful completion of nursing school and passing the National Council Licensure Exam for Registered Nurses (NCLEX-RN). Along with academic and nonacademic demographic variables, the main objective of this exploratory, quantitative research study was to investigate the relationship between clinical judgement, academic resiliency, exam remediation, and NCLEX-RN first attempt pass rates. One hundred six senior, …

Undergraduate Faculty Expectations Of New Graduate Nurses’ Entry-Level Competencies, Bridgette Lynn Bochner

Dissertations

This qualitative descriptive study sought to describe undergraduate faculty expectations of new graduate nurses’ entry-level competencies. By gaining valuable insight from nursing faculty, essential knowledge gained from this faculty perspective will benefit nursing students, nursing education, and all stakeholders in providing safe, quality care and establishing congruent entry-level competencies for new graduate nurses. Eleven faculty from the central and eastern portions of the United States participated in this study. In-depth interviews using open-ended questions were conducted, recorded, and transcribed by the researcher. A thematic analysis was conducted to identify recurring themes. The themes were validated by the participants using a …

Evaluation Of Simulation On Medication Errors In The Pediatric Intensive Care Unit, Carrie Clark

Dissertations

Problem: Medical errors are the third leading cause of death in the United States, the most common medical error being medication error. Pediatric patients are at an increased risk of medication error due to medication dosage calculation and the use of frequent high hazardous drugs.

Methods: The quality improvement (QI) project implemented the use of descriptive observational design using retro and prospective data. The data was collected over a 4-week and 4-week period by gathering data via safety and environmental management survey (SEMS).

Results: The data gathered consisted of an increase in medication errors of 150%. The data collected yielded …

Faculty’S Experience Providing Nursing Student Support: An Interpretative Phenomenological Analysis, Emily Brower

Dissertations

The nursing workforce shortage continues to grow. The effects of the shortage are significant, contributing to patient morbidity and mortality. Retaining nursing students is one way the nursing workforce could be increased. Faculty support is one factor that contributes to nursing student success. Faculty do not always provide the support needed for students to be successful; however, the contributing factors to providing adequate support by faculty are unclear. The retention of nursing faculty is also a pertinent contributor to increasing nurses in the workforce. The purpose of this study was to better understand the phenomenon of student support by exploring …

A Comparison Of Registered Nurses’ Motivation And Knowledge Levels Between Gamified And Traditional Courses, Amanda Crim Rossley

Dissertations

Registered nurses (RNs) working in today’s healthcare environment must consistently learn new knowledge and skills, keep abreast of practice changes, and implement strategies to improve patient outcomes. However, healthcare organizations face significant challenges as they attempt to facilitate efficient training. Nursing professional development practitioners miss opportunities to leverage learner motivation, which drives investment, knowledge retention, and practice application. Gamification, which strategically embeds game elements and mechanics into an educational design to boost motivation, offers a potential solution. It aims to increase learner engagement by presenting learners with challenges, tracking their progress, and offering feedback, ultimately leading to knowledge retention and …

The Lived Experience Of Registered Nurses And Registered Midwives In St. Kitts And Nevis, Raiden Alexandra Gaul

Dissertations

At the beginning of the 20th century, St. Kitts and Nevis had one of the highest infant mortality rates in the Caribbean. However, unlike some Caribbean nations with similar historical and socioeconomic factors that continue to suffer from significant health disparities, St. Kitts and Nevis implemented strategic health reforms that have led to dramatic improvements in maternal and neonatal health outcomes. One of the strategic reforms designed to address these poor health outcomes was to mandate that all registered nurses in St. Kitts and Nevis pursue certification in the post-basic midwifery program. The purpose of this study was to examine …

Clinical Nurse Educator Needs: A Mixed Methods Study Of Confidence To Perform Competencies In Clinical Nurse Educators, Sarah Ann Wallace

Dissertations

Clinical nurse educators oversee students in clinical practice settings to teach safe and effective patient care. Current national shortages require schools to utilize novice nurse educators to fill these roles. Clinical nurse educators enter academia with varying backgrounds, experiences, and educational preparations. Novice nurse educators might struggle with role ambiguity with increasing levels of stress during the transition process. Recent national competencies were created to clarify the clinical nurse educator role. This study explored clinical nurse educators’ perceived self-confidence in performing competencies through a mixed methods approach using the Clinical Nurse Educator Skill Acquisition Assessment (CNESAA) and interviews. Seventeen participants …

Factors Influencing Political Self-Efficacy And Political Astuteness In Undergraduate Nurse Educators, Mark William Longshore

Dissertations

The profession of nursing, 3.9 million strong, continues to lag in taking an active role in the development of health policy. Reasons for that include lack of time, a lack of knowledge, and perceived competence of political action. The factors of knowledge and the related perceived competence, or in the case of this study, self-efficacy, could be improved through education. To that end, it was important to identify if nurse educators had the political astuteness, or knowledge, and self-efficacy. If not, how would nurses learn the necessary skills and gain confidence to be more active politically? The purpose of this …

Exploring Teacher Self-Efficacy In Nurse Educators: A Mixed Method Study, Wendi Noelle Liverman

Dissertations

In the face of a rapidly changing healthcare environment and a nursing shortage, schools of nursing are pressed to produce higher numbers of fully prepared nurse graduates. In other disciplines, teacher self-efficacy has been linked to better student outcomes, faculty instructional methods, and student engagement. This construct has not been well studied in nursing education. This mixed methods study investigated how current faculty perceive their teacher self-efficacy as measured by the Self-Efficacy Towards Teaching Inventory-Nursing Education (SETTI-NE) survey and identified contributing factors, followed by interviews gathering qualitative data from nine faculty members of varying SETTI-NE scores as well as varying …

Investigating Nurses’ Career Choice Through The Social Congnitive Career Theory’S Self-Management Model, Tina Howard

Dissertations

The United States is in a healthcare crisis. There is a substantial shortage of nurses (Buerhaus et al., 2017). Making matters worse is the nurse faculty shortage (Daw et al., 2018). As the population ages and uses more resources, there is a need for even more nurses. The aging population includes nursing faculty. The average age of a nurse faculty member is approximately ten years from retirement (Oermann et al., 2015). The exodus of nurses from the profession adds to the problem because the number of students graduating from nursing school already falls short. The crisis can become catastrophic if …

Political Astuteness Of Nurse Educators, Gail Marie Hanson Brenner

Dissertations

Nurses comprise the largest segment of the healthcare workforce. Although nurses have advocated for patients since Florence Nightingale’s time, advocating for changes in health policies that affect populations on a larger scale has not changed over time (Rasheed et al., 2020). Professional nursing associations, nurse educators, and the Institute of Medicine have all identified the need to educate nurses in advocacy and health policy. With the recent revision of the American Association of Colleges of Nursing’s Essentials publication, health policy has moved from an essential to a featured concept that is found in the competencies and subcompetencies of the domains. …

Conducting A Needs Assessment To Inform The Development Of A Burnout Mitigation Program For Critical Care Nurses, Leighann Marie Brock

Dissertations

Burnout among nurses is at monumental levels, contributing to high levels of job dissatisfaction and turnover. Some interventions existed in the literature to support burnout reduction programming among nurses; however, the literature failed to identify effective burnout reduction interventions based upon the specific needs of critical care nurses who face unique stressors related to high patient acuity and other environmental considerations. This project aimed to explore critical care nurses' needs and strategies designed to mitigate burnout in the clinical setting. Outcomes from this assessment would inform future interventions for the early identification and prevention of burnout among critical care nurses. …

It’S More Than Nursing: The Experiences Of Psychological Safety Of Pre-Licensure Nursing Students Who Identify As Black, Indigenous, And People Of Color, Melissa Marie Anozie

Dissertations

The healthcare environment mandates its staff are able to communicate freely and openly to provide high quality patient care leading to positive patient outcomes. As the largest healthcare profession and those who are at the bedside most often with patients, registered nurses play a vital role in ensuring these outcomes. As advocates for the most vulnerable, nurses must communicate often but before doing so, they must feel psychologically safe. Psychological safety is how one perceives the benefits, risks, and consequences of asking a question, sharing an opinion, reporting an error, or revealing one’s true self to others. It is a …

Predicting Nurse Faculty Intent To Stay: A Quantitative Study Of Contributing Factors And Their Influence, Erica Frost

Dissertations

The United States faces a shortage of nursing faculty members, impacting the nation’s ability to meet the demand for more nurses in the workforce. The purpose of this study was to identify factors that predicted nurse faculty members’ intent to stay in academe. Dozens of factors were identified in the literature and grouped using Herzberg’s (1966) motivation-hygiene theory of job satisfaction. An online questionnaire was administered to 402 full-time prelicensure baccalaureate nursing faculty in the United States. The survey measured personal, job, and organizational factors including demographics, emotional intelligence, resilience, educational preparation, self-efficacy, mentoring and orientation, interpersonal relationships, and satisfaction …

Implementing A Standardized Nursing Communication Tool To Improve Inpatient Nursing Communication, Ashley D. Nator

Dissertations

Implementing a Standardized Nursing Communication Tool to Improve Inpatient Nursing Communication

Ashley D. Nator

B.S. Nursing, University of Missouri-St. Louis, 2018

A Dissertation Submitted to The Graduate School at the University of Missouri-St. Louis in partial fulfillment of the requirements for the degree

Doctor of Nursing Practice with an emphasis in Family Nurse Practitioner

August 2022

Advisory Committee

Cathy Koetting, PhD, DNP, APRN, CPNP, PMHS, FNP-C

Chairperson

Sarah Jackson, DNP, APRN, FNP-C

Amy Terbrock, MSN, PCCN, SCRN, RN

Copyright, Ashley D. Nator, 2021

Original: 08/2021 Revised: 09/2021, 10/2021, 04/2022

Abstract

Problem: Patient handovers occur among nurses more than 4,000 times …

Nursing Anxiety Self-Evaluation And Resiliency Methods, Dianne Deck

Dissertations

Abstract

Introduction: Nurses are stressed due to the demands of their job. This study aims to determine whether MICU nurses at a large Midwestern hospital would have reduced stress and anxiety after a 30-day meditation and exercise intervention.

Design and Methods: A quasi-experimental pre-post pilot study design was adopted. The convenience sample consisted of eight Medicine Intensive Care Unit (MICU) nurses in a large Midwestern urban tertiary medical center. Data collected included demographics, pre- post-Beck Anxiety Inventory Scale (BAIS), pre- and post-Single Item Stress Scale (SISS), and weekly diaries on exercise and meditation.

Results: The pre- post-SISS showed statistical significance …

Quality Improvement Competency Development For Correctional Nursing Leaders, Angela Chandler

Dissertations

Nurse leaders are often promoted with little to no leadership development. Lack of development is a leading cause of turnover. Leadership development is crucial to retaining qualified leaders and the National Academy of Medicine identified that quality improvement (QI) competency development for nursing leaders is critical to improved healthcare. To invest in leader development and improve QI competence, a structured, weekly, coaching intervention was used for four consecutive weeks to reinforce QI concepts and assist in development of a QI project plan for nursing leaders. The Beliefs, Attitudes, Skills, and Confidence in Quality Improvement (BASiC- QI) instrument was used before …

Predictors Of Engagement In Nursing Professional Practice: Transforming Organizational Culture In The Post-Covid Healthcare Environment, Jennifer Garnand

Dissertations

Cultivating the shared belief that individuals matter within an organization enhances the empowerment of staff and supports enthusiastic engagement in organizational efforts aimed toward a common mission, vision, and goals (McShane & Von Glinow, 2019). The nursing profession has been plagued by an unprecedented decrease in engagement and diminished job satisfaction, particularly following the prolonged tenure of the COVID-19 pandemic, leading to subsequent attrition amidst a staffing crisis. This quantitative predictive correlational study seeks to determine whether proactive and persevering characteristics, professional identity, and passion of nurses are predictors of engagement in a post-COVID healthcare environment. The research was based …

Implementing Theory-Based Debriefing In The Clinical Learning Environment To Improve Teaching And Learning Outcomes, Adrienne Denise Wilk

Dissertations

For decades, the hallmark of nursing education has been experiential learning in a hands-on clinical environment (Kolb, 1984), allowing students to utilize clinical reasoning and decision-making skills and apply theoretical knowledge to patient encounters (Gubrud-Howe, 2020). To optimize student learning, nurse educators must develop skills to implement teaching methods that promote higher-level reasoning skills in students. One teaching method that is useful in the clinical setting and promotes higher-level reasoning is debriefing. While there were robust findings in the literature about debriefing simulated clinical experiences and the positive effect these had on students’ learning and reasoning (Cantrell, 2008; Dreifuerst, 2012; …

When "First, Do No Harm" Fails: A Restorative Justice Approach To Workgroup Harms In Healthcare, Pedro L. Flores

Dissertations

In healthcare, workgroup mistreatment is a pervasive problem that begins during medical education (medical and nursing school) and becomes embedded in the “hidden curriculum of professionalism,” which dissuades and even punishes learners for talking about abuse they witness. Furthermore, the mistreatment of healthcare providers (HCPs) pervades all disciplines in the healthcare delivery chain due to a combination of cultural factors, systemic pressures, dysfunctional hierarchies, and leadership’s tolerance of intimidating and disruptive behaviors. Not surprisingly, 18% of U.S. HCPs have left the medical field since the start of the COVID-19 pandemic, and burnout, stress, anxiety, and increased workloads have been identified …

The Lived Work Experiences Of Novice, Doctorally Prepared Nurse Educators, Misty Dawn Smith

Dissertations

Nursing literature reflects role confusion about the doctorally prepared nurse educator role. The purpose of this study was to explore the lived work experiences of novice, doctorally prepared nurse educators. An aim of this study was to shed light on the lived work experiences of novice, doctorally prepared nurse educators. This study was completed using a descriptive, phenomenological method using purposive sampling. Participants for this study included 12 nurse educators who had earned either a Doctor of Nursing Practice (DNP) degree or a Doctor of Philosophy (Ph.D.) degree within the last 5 years. Semi-structured interviews using open-ended questions were conducted …

A Descriptive Study Of Health-Related Risks And Outcome Differences By Loneliness Status In A Sample Of Older Veterans, Rachael Beard

Dissertations

There is a need to understand the influences and outcomes related to loneliness in veterans living with complex illness. Patients require self-care to manage complications and exacerbations associated with complex illness. Deficits in self-care result in negative health outcomes and drive resource utilization upward. The identification of potential factors related to self-care is important. Loneliness may be one factor that influences patients’ ability and desire to care for themselves. Descriptive correlational design was used to evaluate loneliness both as a predictor and outcome in veterans admitted to the hospital for three complex respiratory illnesses (heart failure, chronic obstructive pulmonary disease, …

Baccalaureate Nursing Students' Lived Experiences Of A Leadership Role During Clinical Practicum, Gisela E. Schmidt

Dissertations

Problem

Leadership is an essential component of professional nursing practice used in many aspects of the Registered Nurse (RN) role. Baccalaureate nursing (BN) programs have the responsibility of preparing graduating nursing students with leadership orientation and practice. Excellent professional preparation of RNs starts with their education during nursing school. The fast-paced and high-demand healthcare environment needs RNs who can be accountable for patient care that enables excellent patient outcomes and sound patient-centered care. Taking this into consideration, nursing educators are in a special position to promote nursing education which prepares their students with leadership education and training. The purpose of …

The Relationship Among Perfectionism, Perceived Stress, And Coping In Baccalaureate Nursing Students, Amanda Finley

Dissertations

Perfectionism in nursing students is an understudied problem that may affect student and workforce success. Perfectionism has been linked to increased stress and less effective coping styles, as well as depression, anxiety and other psychological alterations. However, it has rarely been studied in nursing students. Studying perfectionism in this population is important because it may increase the likelihood that new nurses will struggle with the stress of practice and it could be a significant factor in early career attrition. The purpose of this descriptive, correlational study was to gain a better understanding of the incidence of perfectionism in a nursing …

Comparing Student Nurse Experiences With Developing Psychiatric Mental Health Nursing Competencies In Hospital And Nursing Homes: A Mixed Methods Study, Maria M. Tice

Dissertations

Tice, Maria M. Comparing Student Nurse Experiences with Developing Psychiatric Mental Health Nursing Competencies in Hospital and Nursing Homes: A Mixed Methods Study. Published Doctor of Philosophy dissertation, University of Northern Colorado, 2020. Nurse educators today face many barriers to attracting and retaining an adequate workforce of nurses to serve two significantly underserved and growing populations: elders and persons with mental illnesses. The primary purpose of this study was to compare and contrast how baccalaureate student nurses’ level of engagement and the perceived quality of the learning environments in inpatient mental health units and nursing homes were related to students’ …

The Effects Of Resilience On Student Academic Success In Baccalaureate Nursing, Cassandra Frost

Dissertations

The current rise in nursing student attrition has impeded the future supply of registered nurses. With the shortages projected to continue, this growing problem needs to be addressed. Factors influencing nursing student success are diverse and multidimensional. The purpose of this correlational study was to examine the relationship between resilience and student academic success. A descriptive, correlational design was utilized. The study was conducted in a private nursing college with 300 baccalaureate level nursing students. Based on correlational analysis, a weak positive relationship was found between academic success and resilience. Academic success also demonstrated relationships with cumulative grade point average, …

Implicit And Explicit Sexual Attitude Among United States Baccalaureate Nursing Students, Michael G. Murphy

Dissertations

Recognizing sexual minorities continue to experience discrimination and social, institutional, and health disparities, this study explored implicit and explicit sexual attitude among nursing students. Knowledge of these attitudes is an important step to improve the care provided to this vulnerable population. Yet, there remains little research of implicit sexual attitude among nurses and no research among nursing students. This study addressed this gap in the current literature by comparing measurements of implicit and explicit attitude and identifying demographic attributes that predict these attitudes. Critical cosmopolitan theory (Delanty, 2006), informed this non-experimental, descriptive, correlational study. Implicit attitude wasmeasured using the sexuality …

Impact Of Meaningful Recognition On Work Environment Perception Of Critical Care Nurses, Kristin Meinershagen

Dissertations

Problem: Absence of nursing staff recognition can lead to compassion fatigue, burnout, job dissatisfaction, and increased turnover rate resulting in high costs for hospitals. Meaningful recognition has been found to decrease compassion fatigue and reduce burnout. A meaningful recognition program was implemented over a 3-month period for staff nurses in an Intensive Care Unit (ICU) at a large midwestern, metropolitan hospital to determine its effect on nurse’s perception of work environment and turnover rate in the ICU.

Methods: This was an observational, descriptive, cohort design utilizing the AACN Healthy Work EnvironmentSurvey instrument for assessing results before and after implementation …

Dominican Nursing Students’ Self-Reported Mastery Of International Nursing Competencies, Wady Ramirez

Dissertations

The Dominican health care system has many challenges to meet the legal and the population’s health care expectations (La Hoz, 2018; United States Agency for International Development, 2013). The purpose of this study was to evaluate how well Dominican nursing students, who have completed their internship but not yet defended their final career project, assessed themselves against a set of international nursing competencies. In addition, the purpose was to explore any differences in their self-assessments based on whether these students completed their internship at public health care centers or not. Finally, the goal was to determine to what extent do …