Nursing Commons^™

Promoting The Self-Regulation Of Clinical Reasoning Skills In Nursing Students, Ruthanne Kuiper, Daniel J. Pesut, Donald D. Kautz

RuthAnne Kuiper

Abstract: Aim: The purpose of this paper is to describe the research surrounding the theories and models the authors united to describe the essential components of clinical reasoning in nursing practice education. The research was conducted with nursing students in health care settings through the application of teaching and learning strategies with the Self-Regulated Learning Model (SRL) and the Outcome-Present-State-Test (OPT) Model of Reflective Clinical Reasoning. Standardized nursing languages provided the content and clinical vocabulary for the clinical reasoning task.

Materials and Methods: This descriptive study described the application of the OPT model of clinical reasoning, use of nursing language …

Designing A Simulation For Student Evaluation Using Scriven's Key Evaluation Checklist, Shelly Jensen Reed

Faculty Publications

Human patient simulation use has increased dramatically in nursing education over the past 10 years, with many benefits. One advantage is that it allows students to learn by practicing skills in a risk-free environment, with immediate faculty feedback. Another benefit is that it prepares and ensures the competence of student nurses, leading to improved patient safety outcomes. Student opinions gathered in a survey of nursing schools and simulator centers favored use of competency evaluation using simulation in at least some circumstances. As little research concerning use of simulation to evaluate student competency can be found, an established guide such as …

Student Satisfaction With Simulation Experiences, Angeline Abdo, Patricia K. Ravert

Faculty Publications

Background: Some nursing schools use patient simulators to simulate patient scenarios.

Methods: Nursing students participated in five sessions using a patient simulator and then completed a questionnaire related to their experiences.

Results: Participants felt the experiences recreated real-life situations, tested their clinical decision-making, prepared them for the “real-life” clinical setting, and increased their confidence when in the clinical setting.

Conclusions: Patient simulator experiences enhance learning. Further research regarding student perceptions and instrument validation would contribute to an increased understanding of the use of patient simulators in nursing education.

Perceptions Among Students In Online Health Related Courses - A Pilot Study, Kathy Sullivan

Master's Projects

Given the proliferation of online courses in university education, continuous evaluation is imperative to ensure quality. This study utilized a quantitative descriptive design using a questionnaire to explore the perceived adequacy and acceptance of distance learning in undergraduate health related courses. Questions were designed to elicit students' reactions to teaching methods, course content, and how the format influenced their learning. Overall, acceptance of online courses is high. Most of the students were willing to take another online course in the future. Respondents felt that online courses offer more flexibility, encourage both independent and critical thinking skills, and that the course …

Self Perceptions Of Clinical Performance Of Accelerated First Degree And Accelerated Second-Degree Graduates, Neelam N. Murthi

Master's Projects

Currently in the United States, motivated by nursing shortages, numerous ways have been created to recruit nurses in nursing schools. Accelerated nursing programs are increasing rapidly. Colleges and Schools of Nursing around the nation are accepting students seeking their first degree, as well as those with a second degree. This study compared perceptions of clinical performance of accelerated first-degree and accelerated second-degree bachelor of nursing graduates. The intention was to identify whether, after graduation, the two groups held different self-perceptions of performance in the clinical environment. This was to determine if one group has better self-perception of performance than the …

Oncology Nurses' Perceptions Of Obstacles And Supportive Behaviors At The End Of Life, Renea L. Beckstrand, Josie Moore, Lynn Callister, A. Elaine Bond

Faculty Publications

Purpose/Objectives: To determine the magnitude of selected obstacles and supportive behaviors in providing end-of-life (EOL) care to patients with cancer as perceived by oncology nurses.

Design: Cross-sectional survey.

Setting: National survey sample.

Sample: A geographically dispersed national random sample of 1,000 Oncology Nursing Society members who had cared for inpatient patients with cancer, could read English, and had experience in EOL care.

Methods: Eligible respondents received a 68-item questionnaire in the mail adapted from previous studies and were asked to rate the size of obstacles and supportive behavior items in caring for patients with cancer at the EOL.

Main Research …

Commencement Program 2009, Loma Linda University

Commencement Programs

CONTENTS

2 | 2009 Events of Commencement

3 | The Academic Procession

4 | Significance of the Academic Regalia

5 | The Good Samaritan

6 | The Speakers

13 | The University Honorees

19 | The School Honorees

30 | The Program

• School of Medicine, 31
• School of Pharmacy, 46
• School of Dentistry, 51
• School of Science and Technology and School of Religion, 63
• School of Nursing, 71
• School of Allied Health Professions - Physical Therapy, 78
• School of Allied Health Professions, 86
• School of Public Health, 95

Developing And Implementing A Simulation Program: Baccalaureate Nursing Education, Patricia K. Ravert

Faculty Publications

Brigham Young University (BYU) is a private university (owned by the Church of Jesus Christ of Latter-day Saints), established in 1875. The main campus is located in Provo, Utah, 45 miles south of Salt Lake City at the base of the Wasatch Mountains and serves approximately 33,000 students. The College of Nursing (CON) was founded in 1952. The CON offers two programs, the undergraduate Bachelor of Science and the Master of Science; the latter program prepares family nurse practitioners. The CON programs are approved by the Utah State Board of Nursing and are accredited by the National League for Nursing …

Perceptions Of Nursing Students Regarding Evidence-Based Practice, Sheleen Tolentino

Master's Projects

The purpose of this descriptive quantitative study was to explore the nursing students' perceptions of their attitude and knowledge regarding evidence-based practice (EBP). The Research Awareness Questionnaire (RAQ), previously used only with healthcare professionals was slightly modified and piloted with senior nursing students (N=22). Eighty-two percent (n=18) of the participants believe that EBP is part of their role. Only 41% (n=9) were confident to undertake research. On the actual knowledge measures, 96% (n=21) could define qualitative research, and 86 % (n=19) correctly defined quantitative research. Suggestions for revising the RAQ are discussed. With modifications, this instrument could be utilized by …

What Is The Perception Of Preparedness Amongst Accelerated Bsn Students Compared To Traditional Bsn Students?, Sheetal Raman-Love

Master's Projects

With today's economic uncertainty, and nursing shortages, many have decided to join the health care industry in hopes of finding financial stability and job security. The impaction of nursing schools throughout the United States has led to the proliferation of accelerated nursing programs. These programs are designed for motivated students who are able to utilize their prior educational experience enabling them to accelerate and complete their BSN degree in a short period of time (Wu, C.Y., & Connelly, C.E., 1992). This study focused on the examination of the length of time in nursing school and the potential influence it may …

Faculty Perceptions Of Interactions Between Students And Registered Nurses In The Clinical Learning Envirorunent, Laurie M. Rosa

Master's Projects

Perceptions of the relationships between nurses and staff were evaluated from a faculty perspective to uncover the ways that the faculty react, respond, and help to support students. During interviews with faculty, access to practice and clinical unit atmosphere emerged as themes. Faculty described nurses granting access to practice by mentoring students and involving them in the entire care of the patient, or nurses who limited students' access to practice through unprofessional behavior, or "cutting corners." Unit atmosphere influenced learning both positively and negatively depending on inclusion of students, morale, and welcoming behaviors of staff. Faculty acted as guides and …

Psychiatrists' And Psychiatric Aprns' Views Of The Adolescent Mental Health Nurse's Role In The Inpatient Setting, Dana Lehner

Honors Scholar Theses

Current perceptions about nurses’ roles and responsibilities are examined in this study, specifically relating to adolescent inpatient MHNs. Psychiatrists and psychiatric advanced practice registered nurses (APRNs), who work with MHNs and have also published scholarly psychiatric articles, were contacted to request their participation in an anonymous survey hosted by SurveyMonkey.com. This research was conducted to examine the stereotypes that exist against nurses within the health care profession itself, as compared to the pre-existing stereotypes displayed by the media’s view of nurses. Due to investigator time constraints, only six subjects participated in the study. Analysis of survey responses revealed four overarching …

Views About Health Of Russian-Americans Living In Central California, Mark Fiterman

Master's Projects

This quantitative research explored the health views of Russian-Americans to discover information about the health needs of this population. Data were collected via a demographic form and a tool, SF-36 Health Survey. 46 respondents participated and returned completed packets. Results were scored in eight scales representing two different groups of health measurement, physical health and mental health. The scores for each scale and group were compared to the nonn-based scoring for general U.S. population. The mean for the physical component summary (PCS) was 33.31, and the mean for the mental health summary (MCS) was 48.53 indicating that the physical health …

Factors Influencing Nurse Faculty's Job Satisfaction And Intent To Stay, Sally Pulver Ruel

Dissertations

This study of nurse faculty examined the relationship of role conflict, role ambiguity, and work role balance, and their influence on job satisfaction and intent to stay in AACN nursing schools offering baccalaureate and higher degree programs within the United States. In light of the current nursing and nursing faculty shortage, this research was undertaken in an attempt to identify statistically significant predictors of job satisfaction and intent to stay in nursing education.

An online survey was conducted over seven weeks during the fall of 2008 and early spring 2009. A stratified random sample of each of the four regions …

Role Strain Of Nursing Students In Obstetrical Clinical Rotations: Is Role Strain Greater For Male Students?, Teri A. Lind

Master's Projects

As increasing numbers of men enter the career of nursing, it is important that nursing educators identify areas of role strain and learning needs that may be different from their female counterparts This research project examined the role strain factors of nursing students who have completed the maternaVnewbom (obstetrical) clinical experience in a baccalaureate nursing program. The research question addressed in this research project was: Do male nursing students experience greater role strain than female nursing students in the matemaVnewbom setting? A convenience sample of male students (N=23) and a random sampling of female students (N=23) participated in this study. …

Productivity Environmental Preference Survey (Peps) Of Undergraduate Nursing Students - A Generational Perspective, Susana Machado

Master's Projects

A change in the generational demographics of college students is occurring throughout the United States. By 2012, the number of Millennial students, those born from 1982 to 2003, will jump from 44 percent to 75 percent of the total college enrollment. It has been suggested that their methods of learning are different from those of previous generations. The purpose of this study was to identify and compare individual productivity and learning style preferences of undergraduate nursing students that fall into the Generation X and Millennial age cohort. Using the Dunn & Dunn Learning Style Model and the Productivity Environmental Preferences …

Evaluation Of Strategies To Enhance Nclex-Rn Success, Joyce Barnby

Master's Projects

Successful performance on the National Council Licensure Examination for Registered Nurses (NCLEX-RN) is a measure of competence indicating that newly licensed nurses have attained standards to ensure safe nursing practice. Concerned about a declining pass rate, one urban state university implemented multiple strategies over a period of time in order to enhance the success rate of frrst-time test-takers. The purpose of this research project was to focus on the state university's NCLEX-RN pass rates for frrst-time candidates, examined and evaluated new implemented strategies, and determined how the interventions influenced these pass rates. Data were collected using retrospective existing records on …

Self-Directed Learning Readiness Of Baccalaureate Of Science In Nursing (Bsn) Students, Saba Bayanzai

Master's Projects

One of the goals of nursing programs is to prepare students to be self-directed learners and assist them to meet the challenges in today's healthcare environment. Self direction is critical for lifelong learning, and it is imperative that nurses continue their education in order to provide high quality and competent care to patients. Students enter nursing programs with learning styles already established. Nursing faculty presuppose that the learning environment will be mutually respected, collaborative, and supportive. A clash between student learning styles and faculty teaching styles can have a great impact on the ultimate success of the student. This study …

Student Perceptions Of Their Learning Experience In The Clinical Setting: A Pilot Study, Peggy Gnehm

Master's Projects

Clinical experience during nursing education is a valuable learning opportunity, supporting the integration of theory and practice. Positive or negative perceptions of the learning environment potentially affect student retention and recruitment as well as motivation and by extension, possibly learning. The purpose of this pilot study was to explore possible strategies of assessing student perceptions of their overall clinical learning experiences and provide insight into student feelings about specific portions of their experience with goals of nurturing the positive as well as identifying potential areas for improvement within the program. Though students were satisfied overall with their clinical experiences, they …

Class Size And Nursing Students' Perception Of Empowerment, Cynthia T. Keane

Master's Projects

Due to increases in enrollment and budget cuts in many states, college class sizes are reaching unprecedented sizes (Carpenter, 2006). Nursing schools are facing the same challenges. Only limited research has been conducted on the effects of class size on nursing students' perception of empowerment Conger (1989) defines empowerment as the act of reinforcing one's belief in his or her perception of competence. Empowerment is important for nursing students' education (Chally, 1992). To achieve the optimal learning experience in face of increasing class size, it is important to explore how nursing students experience learning in both small and large class …

English Language Acculturation And Academic Achievement Among Junior Year Nursing Students, Leah Lukrich

Master's Projects

Efforts to alleviate the current nursing shortage have focused on recruitment and retention of diverse nursing students. Language acculturation has been identified in the literature as one predictor of academic achievement (Salamonson et al, 2008) PURPOSE: This study examined the relationship between pathophysiology and pharmacology grades and scores on the English Language Acculturation Scale (ELAS) survey for junior-level nursing students (N = 65). The relationship between years living in the United States (U.S.) and pathophysiology and pharmacology grades was examined also. RESULTS: ELAS scores ranged from 7-25, with a mean of22 (SD = 4.27). No statistically significant correlation was found …

Student Nurses' Perceptions About Caring In Early Nursing Courses, Rosa Roman

Master's Projects

This descriptive study explored students' perceptions of caring at the end of their first nursing courses by identifying the caring behaviors they agreed were most important. The 35 item Care Dimensions Inventory (CDI-35) developed by Watson, Deary, and Hoogbruin (2001) was used to explore perceptions of caring of a convenience sample of 71 students enrolled in their first nursing courses in a baccalaureate program. The inventory asked participants to agree or disagree using a Likert scale whether the nursing actions were considered as caring. Most of the nursing actions considered important by the students were in the supporting/intimacy aspects of …

The Case Of The Silent Crippler, Amanda Orme, Karlen E. (Beth) Luthy

Faculty Publications

Thirteen-year-old “Stephanie” has been complaining of bilateral leg pain and increasing lower extremity weakness. Stephanie's teacher recently approached her parents to inform them of concerns that Stephanie is walking differently and seems off balance at school.

State Recognition Of Same-Sex Relationships And Preparations For End Of Life Among Lesbian And Gay Boomers, Brian Devries, Anne Mason, Jean Quam, Kimberly D. Acquaviva

Kimberly D. Acquaviva, PhD, MSW

The authors compared 793 nonheterosexual baby boomers on their relationship status (single or in a civil union) and the state in which they lived (did or did not recognize same-sex civil unions). Analyses revealed patterns attributable to participants’ relationship status, state recognition, and the combination of these variables. Findings showed that state recognition of same-sex unions has an impact not only on nonheterosexual individuals’ current quality of life but also on their future plans and emotional responses to those plans. A lack of legal recognition requires nonheterosexuals to take greater action to ensure that their end-of-life wishes will be carried …

Loma Linda Nurse - Vol. 17, No. 01, Loma Linda University School Of Nursing

Loma Linda Nurse

Contents

2 | From the Dean: Marilyn Herrmann shares her thoughts

Features

4 | Off campus program

6 | Penny Miller

News

8 | Faculty member uses scholarship to assist university in Paraguay

9 | Student receives Jeannette Rankin Foundation scholarship

9 | Anabelle Mills Hills endowment update

Development

10 | Development coordinator joins LLUSN

11 | Meeting needs with planned giving Alumni homecoming

12 | KJN Society Brunch honors friends

13 | LLUSN celebrates alumni and friends with homecoming weekend

14 | Honored classes celebrate during alumni homecoming

15 | A note from the alumni president

16 | LLUSN …

Nps' Perceptions Of Disaster Preparedness Education: Quantitative Survey Research, Milada Tichy, A. Elaine Bond, Renea L. Beckstrand, Barbara Heise

Faculty Publications

Nurse practitioners need to be effective in responding to large-scale natural and man-made disasters. However, disaster core competencies for NPs are largely nonexistent. The purpose of this study was to assess NPs' level of disaster preparedness and determine how NPs acquired knowledge about disaster preparation. Findings suggest that a consistent national NP curriculum for disaster preparedness, including communication with other disaster agencies, is needed. With proper education, NPs can play a major role in disaster management.

Successfully Incorporating Writing Across The Curriculum With Advanced Writing In Nursing, Karlen E. Luthy, Neil E. Peterson, Jane H. Lassetter, Lynn C. Callister

Faculty Publications

The purpose of this article is to explain the concepts of Writing Across the Curriculum, Writing in the Disciplines, and Writing to Learn, and to describe the incorporation of advanced writing into a baccalaureate nursing program and provide suggestions for accessing resources and promoting success. The goals of incorporating Writing Across the Curriculum, Writing in the Disciplines, and Writing to Learn concepts into nursing curriculum are to assist nursing students to achieve competence in clinically relevant writing assignments; to demonstrate critical thinking and communication skills, both oral and written; to execute useful literature searches; to read and understand research reports; …

Older Adults With Traumatic Rib Fractures: An Evidence-Based Approach To Their Care, Blaine A. Winters

Faculty Publications

It is expected that over the next decade the population of older adults in the United States will increase dramatically. As the older adult population increases, the number of older adults involved in traumatic accidents is also expected to climb. The older population is at na increased risk for complications and poor outcomes following trauma. Practitioners caring for these older adults will need to use evidence-based practice guidelines in an attempt to improve outcomes. This article provides a clinical guideline for the assessment and management of pain in older adults with traumatic rib fractures, and an approach for pain assessment, …

Reminder Systems To Reduce The Duration Of Indwelling Urinary Catheters: A Narrative Review, Thomas Blodgett

Thomas Blodgett

Catheter-associated urinary tract infection (CAUTI) is a common and costly problem for hospitalized patients. Policymakers have taken notice of the importance of these infections, and changes to the prospective payment rules of Medicare, Medicaid, and many additional third-party payers have been implemented to hold hospitals accountable for the delivery of poor quality health care services. As key members of the health care team, nurses must be prepared to utilize evidence-based practices to prevent CAUTI in hospitalized patients. This article describes several variable-technology interventions to remind clinicians to remove unnecessary urinary catheters and proposes potential roles for nursing informatics in the …