Medicine and Health Sciences Commons^™

Self-Reported Professional Competencies Of Rn-To-Bsn Students, Nicole Thompson

Honors Theses

Groundbreaking research by Aiken et al. (2003) and subsequent researchers has determined increased educational preparation and Bachelor of Science in Nursing (BSN) degree obtainment of Registered Nurses (RNs) to be associated with improved patient safety and outcomes. Other organizations, such as the World Health Organization (WHO), have demonstrated professional competency to be an important indicator of quality nursing care. The purpose of this study was to evaluate self-reported professional competency of RN-to-BSN students at the point of graduation in order to investigate the added value of baccalaureate degree obtainment to the actual nursing practice of RN-to-BSN program graduates. The Nurse …

Openpediatrics: Integrating Technology Into Pediatric Healthcare Education, Marisa Albert

Senior Honors Projects

In contemporary times, the dissemination of knowledge across specialties has become convenient through the use of computer technology and the internet. Technology has been integrated into educational systems worldwide and has become invaluable in the advancement of healthcare. Nursing practice and education has utilized modern technology as a resource for continuing education such as through the use of online RN-BSN programs and sharing improvements in healthcare practice. A great part of a nursing student’s education is understanding the importance of a nurse’s professional commitment to lifelong learning by utilizing critical thinking skills to support evidence-based practice to improve standards of …

Organizational Learning In A College Of Nursing: A Learning History, Bret Lyman, Lisa A. Cowan, Hannah C. Hoyt

Faculty Publications

Background: College of nursing leaders can foster organizational learning as a means of achieving their desired organizational outcomes. Organizational learning has not previously been studied in colleges of nursing, leaving college administrators and faculty little guidance as they strive to improve outcomes in their own colleges.

Objectives: The purpose of this study was to discover new insights related to organizational learning in a college of nursing.

Design: The learning history method was used to document and describe organizational learning in a college of nursing.

Setting: This study was conducted with a college of nursing situated in a private, religious-based university …

Using Case Study To Examine Simulation In A Problem-Based Course, Joanna Pierazzo, Mary Allan, Grace Mclaren, Dorothy Baby

Quality Advancement in Nursing Education - Avancées en formation infirmière

Background: In the last decade, simulation-based learning has flourished with the context of professional practice and education. Within this development, the value of enhancing problem-based learning (PBL) with technology, specifically high-fidelity simulation has not been well-investigated. More specifically, baccalaureate nursing students’ perspectives in using a high-fidelity simulation (HFS) activity during a theoretical problem-based nursing course have not been examined. Purpose: This study explored the perceptions of second year nursing students when HFS and PBL were integrated in a theoretical nursing course. Method: In this study, a descriptive, qualitative research design, specifically case study methodology (Stake, 2005) was used to explore …

A Retrospective Analysis Of Nursing Students' Clinical Experience In An All-Male Maximum Security Prison., Mary T. Bouchaud, Madeline Brooks, Beth Ann Swan

College of Nursing Faculty Papers & Presentations

Prisons provide an ideal learning experience to prepare prelicensure students with the knowledge and skill set needed for practice in the 21st century. Beginning descriptive evidence demonstrates that correctional health is an innovative community resource to educate nursing students in today's changing model of health care delivery and practice. This article shares results from a retrospective analysis of the perceptions and experiences of nursing students during their community clinical rotation in an all-male maximum security prison.

Implementation Of An Evidenced-Based Practice Curriculum To Improve Nursing Practice For Epidural Administration And Monitoring, Chatty O'Keeffe

Master's Projects and Capstones

Abstract

Epidural analgesia (EA) is one inpatient pain management option prescribed by Acute Pain Services (APS) at VA Puget Sound Health Care Services (VAPSHCS). Historically, EA nursing care at VAPSHCS has been managed by surgical units. However, in the last two years, facility restructuring and budget constraints have led to reorganization and consolidation of units. The reduction in units providing nursing EA care has resulted in an overflow of EA patients to the medical intensive care unit (MICU). A previous gap analysis of the compliance in nursing performance of EA nursing care on the surgical acute care unit demonstrated poor …

Clearing The Pathway To Chemotherapy Certification For Inpatient Nurses, Shari Lee Kellen Rn, Ocn, Onn

Master's Projects and Capstones

Abstract

A clinical nurse leader (CNL) project was conducted, in a medical-surgical oncology unit in a community-based hospital, to evaluate and improve upon the decreasing number of chemotherapy certified nurses. A Likert survey of the nurses provided a self-assessment of competency in handling chemotherapy patients, and perceived barriers to achieving chemotherapy certification. The surveys revealed that nurses felt fearful of exposure to hazardous medications, that chemotherapy assignments were too stressful, and that there was minimal chemotherapy competency amongst leadership. An education program was implemented, covering proper use of personal protective equipment (PPE) and safe handling, practicing resilience to mitigate stress, …

Teaching And Learning Courageous Followership: An Action Research Study, Karen Walker Schwab

Theses & Dissertations

Followership has been shown to be a developmental stage of leadership. Yet, there is a lack of followership theory in the health-care context. The purpose of this qualitative action research study was to explore how introducing Chaleff’s dimensions of courageous followership influences the undergraduate nursing students’ views of the follower role and informs their nursing practice. Secondary research questions asked how knowledge of these dimensions influences the nursing students’ views while advocating, collaborating, and addressing lateral violence. Using purposeful sampling, 12 participants were recruited for this study. After attending a followership seminar, they completed online reflections and participated in individual …

Use Of Flipped Classroom Methods In Nursing Education: A Narrative Review Of Literature, Shanthi Ramasubramaniam Ms, Vijayalakshmi Gopalan Nair Ms, Jayanthi Radhakrishnan Dr

Manipal Journal of Nursing and Health Sciences

Introduction: Deployment of flipped lecture room techniques in undergraduate nursing program can be a very useful tool in increasing the student’s attention and learning process. It brings in a lot of accountability for selflearning among nursing students. Aim: The main aim of this review was to identify studies that have been conducted in nursing education using flipped classroom methods or techniques, to identify the benefits achieved by students and faculty members, to describe the current practice from studies reviewed and to develop a feasible model for practice. Materials and methods: The review was done using the electronic data bases including …

Coping Strategies Of Prelicensure Registered Nursing Students Experiencing Student-To-Student Incivility, Robin A. Foreman

Electronic Theses and Dissertations

Incivility is rude or discourteous behavior that demonstrates a lack of respect for others. Some nurses ignore the dictates of professionalism and exhibit a total disregard for colleagues and peers by purposefully targeting each other with uncivil behaviors. Incivility has invaded the nursing educational environment with deleterious results. Uncivil behaviors perpetrated by nursing students against other nursing students cause psychological and physiological distress for victims and witnesses. The purposes of this quantitative descriptive study were to identify the behaviors that constituted lateral student-to-student incivility, determine the frequency of experienced student-to-student incivility, and describe the coping strategies employed by prelicensure registered …

Curriculum Development Of California Correctional Institution (Cci) Nursing Staff Performance During Simulation Training Related To Cardiac Emergency Response, Dina Wang

Doctoral Projects

The Cycle 4 OIG medical reports published in January 2016 for California Correctional Institution (CCI) noted emergency medical response (EMR) inadequacies. Nursing was specifically called out for EMR care deficits. Chest pain and respiratory distress were amongst the top signs and symptoms identified as having substandard nursing care issues within the report. The cycle 4 OIG medical inspection report gives specific incidences of patient care inadequacies.

As a result of the EMR portion results of the cycle 4 OIG reports, there was a need for improvement planned interventions. The Doctor in Nurse Practice (DNP) project is a quantitative quasi-experimental study …

The Perceptions Of Registered Nurse To Bachelor Of Science In Nursing Students Of Motivational Interviewing, Christie M. Smart

Doctoral Projects

Purpose: The purpose of this study was to collect information on the perceptions of motivational interviewing (MI) among Registered Nurse (RN) to Bachelor of Science in Nursing (BSN) students and whether or not the students felt it could increase holistic practice. Methodology: A qualitative descriptive study was used to collect data through semi-structured one on one interviews from six RN-BSN students post a module taught on MI. Qualitative content analysis was utilized to process the data. Findings: The students felt that MI was a useful tool for practice in improving patient communication and would contribute to holistic practice.

A Motivational Profile Of Nurses Who Pursue Doctoral Education, Tomekia Yvette Luckett

Dissertations

The need for nurses to pursue doctoral education is imperative to the professionalization of the discipline of nursing in light of the changing healthcare environment. Presently, < 1% of the nursing workforce possesses a doctoral degree (“Transforming Nursing Education,” 2016), albeit recommendations from the Institute of Medicine (IOM) (2010) admonish the need to increase the number of doctoral-prepared nurses. The need to understand characteristics of nurses who seek doctoral education is critical in planning long-term strategies for nursing education in the United States (US) (Kovner, Brewer, Katigbak, Djukic, & Fatehi, 2012). In conjunction with describing characteristics of nurses pursuing doctoral education, this research describes the motivational orientation and factors of registered nurses (RNs) pursuing doctoral education.

A descriptive correlational design was utilized to examine concepts relating to motivational orientation of RNs pursuing doctoral education. Participants were divided into two categories: (a) RNs seeking the Doctor of Philosophy (Ph.D.) degree and (b) RNs pursuing the Doctor of Nursing Practice (DNP) degree. A total of 173 RNs enrolled in either a Ph.D. or DNP program in the Gulf South region of the US comprised the final sample. Binary logistic regression was utilized …

Improving Lgbt Cultural Competence In Senior Nursing Students, Hallie Orgel

Evidence-Based Practice Project Reports

LGBT (lesbian, gay, bisexual, transgender) health care is considered a national priority by The Institute of Medicine (IOM, 2011) and HealthyPeople 2020 (2013). The shortage of LGBT culturally competent health care providers is a top contributor to the oppression and discrimination affecting LGBT health (2013). The purpose of the evidence-based practice (EBP) project was to improve the cultural competence of nursing students by improving their knowledge, attitudes, and skills in working with the LBGT population. A multi-method intervention was provided to seniors in a baccalaureate program. The project took place at a private Midwestern university and utilized a pretest/post-test design. …

Cultural Competence Of Pre-Licensure Nursing Faculty, Colleen Marzilli, Beth Mastel-Smith

Nursing Faculty Publications and Presentations

The purpose of this study was to determine the level of cultural competence (CC) in Texas pre-licensure nursing faculty and examine the relationships between demographics and CC scores. The researchers conducted a study to determine if demographics predicted the level of CC and explored the perceptions of CC. A convergent parallel mixed-methods design used data from a 2014 online survey with a qualitative interview component. Demographics were evaluated with descriptive statistics and CC was measured with The Nurses’ Cultural Competence Scale (NCCS). Qualitative data were analyzed using a constant comparative method. The level of CC was low to moderate. Three …

Flipped Approach On Student Outcomes, Christina Johnson

Nursing (graduate) Student Scholarship

The flipped classroom approach guided by Constructivist Theory uses active learning strategies to promote student critical thinking. Active learning strategies include activities that promote student engagement and application of knowledge. The purpose of this evidence-synthesis project focused on conducting a review and critical appraisal of literature on the flipped classroom approach and its effects on student satisfaction and learning outcomes. The themes discussed are teaching strategies, student satisfaction, theoretical support, and learning. The author of this paper presented findings of fourteen research studies including reviews which discussed student satisfaction and student outcomes. Swart and Wuensch (2016) suggested the flipped classroom …

Transprofessional Education – An Asynchronous Approach, Courtney Reinisch

School of Nursing Faculty Scholarship and Creative Works

Creating an opportunity inter-professional educational for nursing students involves challenges in logistics and resources.

Rn To Bsn Education For Future Nurse Leaders, Janice Smolowitz, Courtney Reinisch

School of Nursing Faculty Scholarship and Creative Works

No abstract provided.

Innovations In Rn To Bsn Education Through Inter-Professional Partnership, Courtney Reinisch, Janice Smolowitz

School of Nursing Faculty Scholarship and Creative Works

No abstract provided.

Innovations In Rn To Bsn Education Through Inter-Professional Partnership, Courtney Reinisch, Janice Smolowitz

School of Nursing Faculty Scholarship and Creative Works

No abstract provided.

Use Of Dimensional Analysis In An Associate Degree Nursing Program, Bridget Maley, Patricia Ford Garofalo

Publications and Research

The aim of this retrospective study was to show the use of dimensional analysis increased associate degree nursing students’ mathematical computation competency and may reduce nursing medication errors in practice. A recent report compiled by Mackary and Daniel from John Hopkins, stated that medical error is the third leading cause of death in the United States [1]. The most commonly cited estimate of annual deaths from medical error in the United States is a 1999 Institute of Medicine (IOM) report which is possibly limited and now outdated [2]. Medication errors contribute to patients’ deaths, whereas nurses administer either incorrect medication, …

Joining Forces: The Status Of Military And Veteran Health Care In Nursing Curricula, Brenda Elliott, Barbara Patterson

Nursing (Graduate) Educator Scholarship

© 2016 Elsevier Inc. According to the Department of Veterans Affairs, there are approximately 23 million veterans living in the United States. In 2012, the Joining Forces initiative highlighted the need to enhance nursing education for the military and veteran population. With the drawdown of 2 long, large-scale conflicts, a young cohort of veterans presented new challenges in health care. Although not necessarily a traditional vulnerable population, given their emergent health care needs, they are vulnerable. Purnell's Model for Cultural Competence provided a framework for this exploratory descriptive study. A national on-line survey of 123 nursing programs that pledged to …

The Relationship Between Clinical Teaching Effectiveness And Emotional Intelligence In Clinical Nurse Faculty In Pre-Licensure Baccalaureate Programs In New York State, Caroline K. Mosca

Dissertations, Theses, and Capstone Projects

It is important to evaluate the Clinical Teaching Effectiveness (CTE) of nurse faculty because clinical teaching is one of the most effective pedagogies in nursing education (Billings & Halstead, 2012). However, clinical faculty must be able to manage effectively the stressors of the clinical setting, where lessons can be unpredictable and the environment is often laden with intense emotion (Gerolamo & Roemer, 2011; Ondrejka, 2013; Roberts, Chrisman, & Flowers, 2013). Emotional Intelligence (EI) may facilitate CTE because higher EI has been associated with improved management of stress in both nursing and the general workplace (Goleman, 1995; Görgens-Ekermans & Brand, 2012; …

Bsn Students’ Satisfaction And Self-Confidence In Simulation-Based Learning, Aubrey Winum

Undergraduate Honors Theses

As nurse educators prepare students to enter the real world, they are challenged to create learning methods that develop confident and competent nurses. While new graduate nurses have much to learn, they are expected to be able to work as a team, think critically, and provide a safe environment for patients. A nursing program at a small, liberal arts college in the Foothills of the Blue Ridge Mountains utilized simulation-based learning experiences to prepare students for the many situations they may face as a future nurse. The purpose of this study was to evaluate the impact these experiences had on …

Senior Bsn Students’ Confidence, Comfort, And Perception Of Readiness For Practice, Megan Ashley Wray

Undergraduate Honors Theses

In order for new graduate nurses to practice confidently, senior nursing students must be adequately prepared to assume the role of a nurse in a professional setting. This study, using the Casey-Fink Readiness for Practice Survey, focused on identifying senior Bachelor of Science in Nursing (BSN) students’ level of comfort/confidence performing various skills and perception of readiness for practice as new graduate nurses. All participants had recently completed their senior preceptorship course. Participants completed the survey and descriptive statistics were used to analyze data, while free response answers were studied and key words were identified to categorize responses into themes. …

Nurse Perceptions Of Interactivity During Their Onboarding Orientation: Effect Of An Audience Response System, Angela Perry Wood

Nursing Theses and Capstone Projects

Nurse educators must use effective teaching-learning tools to orient nurses hired into healthcare organizations. There is a vast amount of literature related to teaching-learning strategies such as audience response systems (ARS) in academia, but little research on ARS use in nursing classes outside of academia. The purpose of this research was to determine nurse perceptions of interactivity during lecture utilizing ARS versus lecture without ARS in an initial onboarding nursing orientation, using constructivism as the theoretical framework. A convenience sample of nurses attending an initial onboarding nursing orientation evaluated a PowerPoint based lecture using an interactivity instrument that included four …

Effect Of A Student Success Program On The Academic Success Of First Semester Junior Bsn Students, Ann Hardison Black

Nursing Theses and Capstone Projects

Problem: The expectation of the current nurse workforce is to deliver safe quality care while meeting the demands of an ever-changing healthcare system. More nurses are needed to combat the ongoing nursing shortage, as Baby Boomers reach retirement and the need for health care continues to rise. The healthcare industry has a vested interest in schools of nursing graduation rates as they impact the needed supply of nurses to fill vacant positions. Multiple variables collectively influence student success in a nursing program. Many students do not realize the rigor of a nursing curriculum until they are in the midst of …

Incorporating Caring Competencies In The Academic Setting Through Simulation, Rebecca Marie Cheyne Threatt

Nursing Theses and Capstone Projects

Teaching caring, caring science, and the importance of caring competencies incorporated throughout the academic curriculum is vital in healthcare education. The purpose of this project is to increase the focus and importance of caring through didactic, interactive activities, and simulation experiences to promote the modeling and incorporation of caring competencies throughout the curriculum. Boykin and Schoenhofer's Caring Theory (2001) framework makes the assumption all persons are caring, and notes the caring relationship between the nurse/provider and the patient takes place in both actual practice and the simulated environment. A convenience sample of 32 first year ADN students enrolled in a …

Delivering Culturally Competent Care To The Lesbian, Gay, Bisexual, And Transgender (Lgbt) Population, Evan M. Mcewing

Doctor of Nursing Practice (DNP) Projects

Purpose: To this day, the lesbian, gay, bisexual, and transgender (LGBT) communities still experience negative health outcomes due to social stigma and discrimination. Additionally, nursing has lagged behind other health professions in the promotion of culturally competent care to members of this minority group. Several national authorities on LGBT health have proposed guidelines for providing such care to the LGBT population; however, many nursing schools are not integrating these recommendations into their curricula. Methods: Using these national guidelines, an educational program was developed for BSN students at a large south Florida university to improve competency in providing care for LGBT …

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 …