Education Commons^™

Reimagining Associate Degree Nursing Education: An Insider’S View, Ntiense E. Otu

Theses and Dissertations

The demographics of nursing students in the Associate Degree Nursing (ADN) program are diverse, hence the need for nurse educators to prepare and handle the challenges faculty face in the ADN program. Although many pieces of literature have addressed different modalities of instructional delivery and teaching methods in nursing education, transition experience of nurse educators, and teaching preparation and readiness, these are not evident in the ADN programs in the Rio Grande Valley (RGV). The teaching preparation of nurse educators and their utilization of instructional methods in the ADN program in the RGV is limited in the literature. This study …

Impacting Positive Breastfeeding Attitudes Of Prelicensure Nursing Students Using An Evidence-Based Breastfeeding Module, Stephanie D. Uhr

Theses and Dissertations

Background: Robust evidence demonstrates optimal breastfeeding behaviors provide unmatched short- and long-term health outcomes. Therefore, breast milk feeding is more than a feeding decision; it is a significant public health concern. Breast milk is species-specific nutrition for a developing infant. The health impact of providing breastmilk extends to the lactating parent. However, the existing breastfeeding education is often inadequate to support the care of the breastfeeding dyad. The dissertation examines the role breastfeeding plays in prelicensure nursing education and analyzes the use of an evidence-based breastfeeding educational module (EBBM) on breastfeeding attitudes.Method: An integrative review analyzed the current state of …

The Contributing Factors To Student Nurse Medication Administration Errors And Near Misses In The Clinical Setting As Identified By Clinical Instructors, Kristen M. Selig

Theses and Dissertations

The report, To Err is Human, by the Institutes of Medicine (IOM, 2000) brought attention to medication safety in the United States healthcare system. While advances have been made in patient safety, including electronic medication dispensing systems, electronic medication administration records, and scanning systems, it is estimated that 7,000 to 9,000 people die each year due to medication errors (Tariq et al., 2019). The medication administration process involves steps from prescribing to administration. However, nurses administering the medications are the final check point. James Reasons’ Swiss Cheese Model of Accident Causation illustrates the role that systems play in medical errors. …

Simulation Facilitator Competency: Validity And Reliability Of A Self-Assessment Tool, Mary (Molly) Kellgren

Theses and Dissertations

The use of simulation as a teaching and learning strategy continues to grow in nursing education. Standards of Best Practice, certification criteria, and simulation theory support the notion that facilitation of simulation requires a specialized skill set that differs from traditional classroom and clinical teaching. The discipline of nursing has already established valid and reliable tools for teachers within the classroom and clinical environments to complete self- and/or peer evaluation to inform teaching effectiveness. The National League for Nursing/Kellgren Simulation Facilitator (NLN/KSF) tool fills a gap in the literature by providing a valid and reliable tool to self-assess comprehensive facilitator …

Older Adult Caregivers’ Lived Experiences With Debilitated Chronically Ill Relatives In A Rural Southern County, Nancy J. Dameron

Theses and Dissertations

By 2030, the last of the baby boomer generation will reach the age of 65, which will expand the older adult population to more than 70 million in the United States. Based on the inflated numbers of the older adult population and the noted decreased birth rate in the younger population, fewer health-care providers will be available to teach, prepare, train, and assist caregivers in the ongoing care of their ill relatives.

The problem investigated in the study involved the present upsurge of the older adult population living longer and contributing to a shortage of health-care providers for older adults. …

The Persistence Of The Associate Degree Nursing Student: The Lost Nurse, Stella A. Barber

Theses and Dissertations

There is controversy surrounding the entry-level degree to the profession of nursing. This study had the focus of showing the persistence of the associate degree nursing student as a way of giving evidence to maintaining this pathway as entry to nursing. Narrative inquiry was used to interview 10 students and 3 faculty on the persistence of the nursing student. Callista Roy's Coping Adaptation Processing Scale was taken by 51 students enrolled in the same nursing program. The overarching themes of the student interviews were goals, learning environment, and admission criteria. The overarching theme as a result of the Coping Adaptation …

A Preliminary Evaluation Of An Academic Support Program, James Colin Bumby

Theses and Dissertations

The responsibility for graduating students is a school responsibility. A large urban Midwestern research university created the Nursing Endeavor Program (NEP) to ensure that students from underserved minorities, first generation, and/or low income are enabled to graduate successfully. There is a 100% retention rate for the period from admission to the nursing major in the junior year; however, in the pre-nursing years, the retention rate is only 50%. The role transition from pre-nursing student to student nurse can be challenging and stressful. A qualitative phenomenographic research approach was utilized to identify the factors facilitating and the factors hindering this transition. …

The Effect Of Concept Mapping On Baccalaureate Nursing Students' Knowledge Acquisition, Pamela S. Laskowski

Theses and Dissertations

This dissertation is a series of three papers on the effect of concept mapping on baccalaureate nursing students’ knowledge acquisition. The first paper is an integrative review of the literature on the use of concept mapping in nursing education. The review evidences that concept mapping has been effective in nursing education for increasing students’ critical thinking. However, it shows that no studies addressing the level of nursing knowledge gained using concept mapping were identified, indicating a need for research in the area of the use of concept mapping for nursing knowledge acquisition. The second paper is a feasibility study of …

Promoting Meaningful Learning Through The Use Of Concept Maps, Duaa Amr Hafez

Theses and Dissertations

Background and significance: There have been dramatic changes in the healthcare system with the high use of technology. The healthcare needs of patients have increased due to the chronic diseases, and an increase in the number of the older population. These changes require nurses with high levels of thinking, knowledge and skills. It is vital to reconsider the teaching and learning methods used in nursing schools to ensure graduating nurses are capable of working in these challenging environments. The purpose of this naturalistic inquiry descriptive study is to explore the experiences and perspectives of undergraduate and graduate nursing students and …

Understanding The Experiences Of Adjunct Nursing Faculty In The Curriculum Development Process: A Qualitative Case Study, Laurie Ann Colborn

Theses and Dissertations

This qualitative case study examines the experiences of adjunct nursing faculty within the curriculum development process at universities granting a bachelor's degree in nursing within the Philadelphia five-county region, and the state of New Jersey. Seven adjunct nursing faculty members participated in this study providing detailed input of their experiences in this process. Five themes were uncovered during analysis including: assembling a critical foundation, value added, incidental collaboration, a seat at the table, and trial by fire. These themes helped to provide a deeper understanding of the opportunities, rewards, and challenges experienced by these adjunct nursing faculty members in the …

A Qualitative Case Study On Delegation Of School Nursing Practice: School Nurses, Teachers, And Paraprofessionals Perspectives, Sharon L. Schofield

Theses and Dissertations

For the past decade, there have been many changes to school nursing with the implementation of unlicensed assistant personnel now known as paraprofessionals. This process has brought about several concerns such as mode of delegation, education, training, ability to monitor health-care needs, and organizational effects that trended downward without direction. This qualitative inquiry gave an interpretative meaning to the process of delegation in school nursing, the factors that hinder the delegation process as well as components that are needed to effectively delegate and utilize support staff (paraprofessionals) without detrimental effects to students. This study interviewed 20 participants.

Results of this …

Perceptions Of The Nursing Faculty Shortage: A Case Study Of One College’S Adjunct Faculty’S Perception Of Doctoral Education, Donna Shaw

Theses and Dissertations

The problem addressed in this qualitative case study was the nurse faculty shortage and associated consequences of a shortage of nurses available to care for an aging population with multifaceted healthcare needs in a complex healthcare system. Because of the nurse faculty shortage, numerous qualified applicants are unable to enroll in nursing programs across the country. One of the key reasons for the nurse faculty shortage is a lack of nurse educators with doctorate degrees to fill the vacant positions. Adjunct nursing faculty were interviewed to ascertain their perceptions about the nurse faculty shortage and messages conveyed by full-time nurse …

The Supervision Of School Nurses In New Jersey: Parallel Needs, Actions, And Impacts On Student Care, Lee-Ann Halbert

Theses and Dissertations

New Jersey Certified School Nurses (NJ-CSNs) practice in an environment of parallel needs and actions where the primary goal is the education of the students in the building, yet the health and safety of each student are paramount. The research presented here evaluates how the supervision provided to the NJ-CSNs affects their clinical practice and other areas of decision-making in the school setting. This mixed methods research study of 557 NJ-CSNs reveals that school nurses who are supervised by an educator whose background includes being a registered nurse are better able to provide the optimal support for the nurses, and …

An Evaluation Of Critical Resources In Nurse Anesthesia Educational Programs, Lois E. Stewart

Theses and Dissertations

Advanced practice nurses fill a vital need in the U.S. by increasing access to needed healthcare. Certified Registered Nurse Anesthetists (CRNAs) are one type of advanced practice nurse with a long history of safe and effective peri-anesthetic care. Nurse anesthetists have a rich tradition of providing anesthetic care for rural and underserved communities, and are a primary provider of anesthesia for active and retired military personnel. CRNAs comprise over one-half of the actively practicing U.S. anesthesia workforce currently, and are able to function in any anesthetic care model. Nurse anesthesia educational programs (NAEPs) are the single source for new graduate …

Nurse Educators’ Perceptions Of Using High-Fidelity Simulation In Teaching, Marlene Whigham

Theses and Dissertations

Nurse Educators’ Perceptions of Using High-Fidelity Simulation in Teaching. Marline Whigham, 2017: Applied Dissertation, Nova Southeastern University, Abraham S. Fischler College of Education. Keywords: nursing education, learning strategies, simulation, staff development, teaching styles.

High-fidelity simulation in nursing refers to the use of computerized manikins to offer realistic hands-on training to nursing students. The problem addressed by this dissertation was resistance among some faculty to the use of new computerized simulation technology in the nursing curriculum. The research question for this case study investigated how faculty members can incorporate simulation into the curriculum and barriers faced in setting the stage for …

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 …

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. …

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 …

Recruitment And Retention Of Hispanic Nursing Students: Through The Lens Of Associate Degree Nursing Program Administrators And Hispanic Nursing Students, Debra Jean Handlos Devoe

Theses and Dissertations

The Hispanic population in the United States is changing and will constitute 30% of the population in 2050; however, the Hispanic registered nurse population is less than 3%. Cultural differences between patients and nurses may cause harm and a mistrust that can affect patient outcomes. A mixed methods convergent research study was done by an electronic survey, non-electronic surveys, telephone interviews, and focus groups to compare the perceptions of nursing program administrators at seven community colleges in a Mid-Atlantic state, in the United States, and the perceptions of 15 Hispanic nursing students regarding the challenges, barriers, and obstacles of Hispanic …

Does Simulation Improve Nursing Student Knowledge, Skills, And Attitudes In Identifying Delirium Superimposed On Dementia?, Sheryl A. Kelly

Theses and Dissertations

This dissertation is comprised of three manuscripts, to be submitted for publication, exploring the use of simulation in geriatric nursing education. The first manuscript is a literature review. Although, a number of articles exist on the use of simulation in nursing education, there is a paucity of research using simulation emphasizing the care of patients with dementia and delirium as a pedagogical strategy or those using a stringent research design.

The second manuscript provides an overview of two conceptual frameworks (National League for Nursing (NLN)/Jeffries Simulation Framework and situated cognition learning framework) and recommends merging them to guide researchers as …

Exploring The Phenomenon Of Presence In An Online Educational Environment Through The Lived Experiences Of Graduate Nursing Faculty, John G. Rosselli

Theses and Dissertations

In this dissertation, the phenomenon of presence in an online educational environment is explored through the lived experiences of graduate nursing faculty who teach online.

Greater understanding of the phenomenon of presence in online educational environments may lead to better learner-instructor relationships, higher levels of inquiry and critical thinking on the part of faculty and students, and ultimately better student outcomes. Utilizing principles of Hermeneutic Phenomenology and deductive inquiry, and based on the learner-centric Being There for the Online Learner Model, the author conducted in-depth interviews with a purposive sample of 13 graduate nursing faculty members who teach online at …

Simulation Design Characteristics: Perspectives Held By Nurse Educators And Nursing Students, Jane Brekke Paige

Theses and Dissertations

Simulation based learning (SBL) is pedagogical method poised to innovate nursing educational approaches. Yet, despite a growing body of research into SBL, limited investigation exists regarding assumptions and beliefs that underpin SBL pedagogy. Even though key simulation design characteristics exist, the particular methods nurse educators use to operationalize simulation design characteristics and how these choices are viewed from the perspective of nursing students is unknown. Without understanding what motivates educators to design simulations as they do, it is difficult to interpret the evidence that exists to support chosen methods. Through the exploration of perspectives (points-of-view), underlying beliefs can be uncovered. …

Reading Comprehension And Nursing Education: A Missing Variable Associated With Nursing Student Attrition?, Debra L. Lajoie

Theses and Dissertations

ABSTRACT

READING COMPREHENSION AND NURSING EDUCATION:

A MISSING VARIABLE ASSOCIATED WITH

STUDENT ATTRITION?

by

Debra L. Lajoie, MSN

The University of Wisconsin-Milwaukee

December, 2013

Under the Supervision of Susan Dean-Baar, PhD, RN, FAAN

The goals of nursing faculty and administrators are to select students most capable of completing the nursing program and to provide academic support needed for program completion. However, despite stronger entrance requirements, educators are still baffled by the persistent attrition from nursing education programs. The purpose of this study was to describe and compare the level of reading comprehension of two groups of students, a pre-nursing student …