Thesis (M. A.) - George Washington Univ. / Includes bibliographical references (leaves 123-128).

Thesis (M.S.)--Catholic University of America. / Bibliography: p. 77-80.

Thesis (M.S.)--University of Wisconsin--Madison, 1992 / Typescript. eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references (leaves 72-78).

Thesis (MA)--University of Chicago. / Includes bibliography.

The approaches taken in teaching reflection to adult student nurses varies across the UK despite national curriculum outcomes from the professional statutory and regulatory body, The Nursing and Midwifery Council (NMC). This study highlights pertinent aspects of the various approaches to teaching, the inclusion of theory and the roles of the student, mentor and nurse lecturers in the utilisation of reflection to develop professional knowledge from experiences. Ethical approval was gained to conduct the study, utilising a case study approach, including nurse lecturers and curriculum documentation from a range of NMC accredited Higher Education Institutes across the UK. Semi structured interviews were conducted face to face with all participants in their home sites. Curriculum documentation used with students such as lecture notes, slides, module and programme handbooks and practice assessment documents were also collated in order to understand and analyse the approaches taken to teaching reflection. These two main data sources (interviews and curriculum documents) were also complemented by the use of field notes and a researcher journal in order to gain deeper understanding of the detail during data collection. A thematic analysis of the interview data and curriculum documents was undertaken to highlight and explore patterns and assist in the emergence of a theme and subthemes. Following in depth data analysis, the findings of this study detail an overarching theme of safe and caring practices, alongside three subthemes: II  Personal and Professional Dimensions of Reflection  Dimensions of Reflection in Nurse Education  Articulation of Practice Although the publication of the Francis Inquiry (2013) was unanticipated at the inception of this research, it has shown to be a very important factor in analysing the data. The issue of patient safety that arose during data collection and became evident during analysis align closely to the publication of this significant report. The findings from this study are timely as the review of standards for nurse education and mentoring are underway. The findings from this study will also contribute to strengthening the student nurse role in assuring the best standards of care in the practice setting are achieved in order to improve patient safety through thoughtful approaches.

<p> Empathetic communication enhances the nurse-patient relationship and improves patient outcomes and needs to be taught and evaluated during simulated clinical experiences. Experience in healthcare education has shown students&rsquo; empathy levels decrease over time. The purpose of this quasi-experimental pretest posttest, study was to compare nursing students&rsquo; empathy levels, self-confidence, and satisfaction with simulation between the use of the high-fidelity manikin simulator (HFMS) and a standardized patient (SP) used during their simulated clinical experience. Kolb&rsquo;s experiential learning theory was used to guide the study through the four phases specific to simulation and learning. Convenience sampling was used to recruit 135 nursing students in the pre-simulation survey; 123 participants completed the post-simulation survey with 64 in the control group (HFMS) and 59 in the experimental group (SP). Data were analyzed using an independent <i>t</i>-test to determine if there were any mean differences between the HFMS and SP groups in terms of empathy, satisfaction, and self-confidence. Empathy was measured using the Jefferson Scale of Empathy-Health Professions Student and the NLN&rsquo;s Satisfaction and Self-Confidence Scales. Results revealed there were no significant difference in students&rsquo; empathy levels, self-confidence, and satisfaction. Positive social change through prioritizing nursing students&rsquo; empathetic communication in patient care may be enhanced in the simulated clinical environment with various approaches. Recommendations for future research are to determine what interventions best develop nursing students&rsquo; empathy, satisfaction, and self-confidence in patient care. </p><p>

<p> This qualitative study examines nursing faculty perceptions related to the use of collaborative testing in nursing education. Collaborative testing, also called group testing or team testing provides opportunities for cooperative learning as students work in groups discussing test questions and choosing answers. Research identifies increased student learning, enhanced communication skills, and improved critical thinking with collaborative testing. However nursing education has been resistant to the use of collaborative testing. </p><p> Nursing faculty participants describe perceptions of collaborative testing by means of an anonymous electronic questionnaire with open-ended questions. Nursing faculty perceptions of collaborative testing include: communication, student progression, NCLEX-RN&reg; performance, and limited use. Faculty perceive advantages of collaborative testing use include: low-performer advantage and learning. Faculty identify two disadvantages with collaborative testing: grade inflation and nonparticipation.</p><p> Nursing faculty views of collaborative testing could promote understanding of low collaborative testing use in nursing education. The nursing faculty perceptions of collaborative testing revealed in this study present an initial look into nursing faculty views of collaborative testing. The identified nursing faculty perceptions provide a stepping-stone for future research into collaborative testing use in nursing education.</p><p>

<p> Clinical reasoning is the cognitive process and strategies used to understand the significant patient data to identify and diagnose actual or potential problems in order to make competent clinical decisions that will affect patient outcomes (Fonteyn &amp; Ritter, 2000). The purpose of the study was to determine if implementing the Outcome-Present State Test Model of Clinical Reasoning with guided reflection activities was an effective method to improve clinical reasoning skills in senior nursing students at a large southeastern university. The overall research questions involve comparing participants Health Sciences Reasoning Test scores before and after implementation of the OPT Model as clinical paperwork, secondly the experimental group was given a guided reflection activity to complete in conjunction with use of the OPT Model during clinical experience. </p><p> Kolb&rsquo;s Experiential Learning Theory is the theoretical framework used throughout this study. Nursing education has historically blended didactic learning with clinical experiences to transfer knowledge. The OPT offers a frame to organize thoughts and guides the learner to decide what data is important to each patient situation. </p><p> This study reports the findings for 62 senior nursing students that completed the HSRT prior to implementation of the OPT Model and a guided reflection activity. Clinical instructor&rsquo;s scored participants using the Lasater&rsquo;s Clinical Judgment Rubric each week. There were no statistically significant differences between the experimental group and the control group. The only statistically significant difference that was identified was in the Lasater&rsquo;s Clinical Judgment Rubric scores between week one and week 2, and week 3 and week 4.</p><p>

Orientador: Wilza Carla Spiri / Banca: Carmen Maria Casquel Monti Juliani / Banca: Maria Madalena Januário Leite / Resumo: O presente estudo teve como objetivo conhecer o significado da liderança para o aluno da graduação em enfermagem, resgatando a expectativa deste conhecimento para sua prática profissional. Para essa finalidade optou-se por uma abordagem qualitativa, na vertente da fenomenologia, pois procura compreender o homem segundo a realidade vivenciada por ele, segundo aquilo que se mostra por si mesmo, o manifesto. Essa metodologia também possibilita desvendar os valores, as percepções e emoções dos sujeitos envolvidos. Utilizou-se de entrevistas com quinze alunos do curso de graduação em enfermagem que constituíram os sujeitos do estudo. A seguinte questão norteadora foi adotada: Qual a compreensão que você tem sobre liderança e como você espera aplicá-la em sua prática profissional? Após as transcrições, os depoimentos foram primeiramente analisados individualmente e após globalmente, resgatando os temas: Significado da Liderança, Instrumentos de Liderança, Estilo de Liderança, Exercício da Liderança e Liderança e Poder. A análise geral visou à compreensão do fenômeno a partir das convergências, divergências e idiossincrasias. O significado atribuído à liderança, pelos sujeitos apreende, enquanto ser que verbaliza o seu próprio vivenciar da liderança, como situação vivenciada na possibilidade de interação com outro ser e na possibilidade de influenciar nas decisões, é passível de ser aprendida com a experiência profissional, baseada no conhecimento das políticas institucionais e dos liderados. O enfermeiro-líder como ser-aí-no-mundo precupa-se com seu desempenho reconhecendo características essenciais para o processo da liderança. Ressalta-se a relevância da interação docente assistencial no ensino da liderança e fundamental no processo de formação do aluno. / Abstract: This study aimed at learning about the meaning of leadership to undergraduate nursing students, thus recovering the expectation of such knowledge for their professional practice. To that end, the qualitative approach was used with basis on phenomenology as it attempts to understand men according to their experienced reality, according to what is shown by itself, that is, the manifest. This methodology also makes it possible to unveil the values, perceptions and emotions of the subjects involved. Interviews with fifteen students from the undergraduate nursing program, who constituted the subjects in this study, were used. The following guiding question was adopted: What does leadership mean to you, and how do expect to apply it in your professional practice? After transcription, the statements were firstly analyzed individually and later globally, thus recovering the following topics: Meaning of Leadership, Leadership Instruments, Leadership Style, Leadership Exercise and Leadership and Power. The general analysis aimed at understanding the phenomenon based on convergences, divergences and idiosyncrasies. The meaning attributed to leadership by the subjects, as individuals who verbalize their own leadership experiences, as a situation experienced in the possibility of interaction with another individual and in the possibility of influencing decisions, can be learned during professional experience based on the knowledge of institutional policies and of those who are led. The leading nurse, as an out-there-in-the-world individual is concerned about his performance and acknowledges the essential characteristics for the leadership process. The relevance of the teaching-care interaction in leadership teaching is fundamental in the student's educational process. / Mestre

<p> Adolescents and young adults use more tobacco than all other adults, yet the percentage of this younger population eventually quitting the use of tobacco is lower. There is little evidence-based research to support adolescent smoking cessation programs. Using social learning theory (SLT) and the stages of change model, the purpose of this project was to evaluate the effectiveness of the Not-On-Tobacco (N-O-T) program, an evidence-based adolescent smoking cessation program, in reducing or preventing the number of cigarettes smoked by high school boarding students and to evaluate how best to individualize the program for this high school going forward. The DNP questions were asked to see to what extent the N-O-T program would reduce the prevalence of student smoking and what changes to the current program curriculum should be made to tailor the program to this particular high school. Pre- and post survey data were obtained from 10 students 15-17 years of age enrolled in the N-O-T program for violating the campus&rsquo; tobacco-free policy. A secondary data analysis using paired samples t test did not determine a statistically significant effect on smoking cessation in this small population of students. The findings did show a significant positive correlation between those who found the program &ldquo;very helpful&rdquo; and a decrease in the number of cigarettes smoked pre- and post program. Content analysis of student data resulted in recommendations to modify the program to make it more effective for this school. Awareness of interactions and relationships with others and successfully dealing with social changes through a program like the N-O-T program will lead to increased life-long health benefits, decreased medical costs, and lost productivity associated with tobacco use. School nurses are in an ideal position to implement a successful smoking cessation program. </p><p>