Thesis (doctoral)--Lund University, 1996. / Added t.p. with thesis statement (in English) inserted. Includes bibliographical references.

Thesis (PH.D.)--Syracuse University, 2003. / "Publication number AAT 3081631."

Thesis (M.S.)--Boston University

The allegation that students in hospital schools of nursing were exploited has not been adequately supported by research. This examination of the financial relationship between Worcester Hahnemann Hospital (WHH) and Worcester Hahnemann Hospital School of Nursing (WHHSON), from the school's founding in 1900 until both hospital and school closed in 1989, begins to fill this gap in the history of nursing education. The study explores the effects of historical events on WHHSON while focusing on the development of the educational program and the financial relationship between school and hospital. Classic and contemporary writings about nursing and nursing education, including the work of Dock and Nutting (1907), Robb (1907), Goldmark (1923), Nutting (1926), Burgess (1934), Brown (1948), Stewart (1950), Kalisch and Kalisch (1995), and Donahue (1996) were sources of contextual material. The WHHSON archives, a rich source containing letters, brochures, annual reports, yearbooks, newspaper clippings and photographs, was the primary source of data on WHH and WHHSON. The study follows Stewart's (1950) chronology of nursing education until 1932. From 1933–1989 the chronology is based on national economic events which impacted nursing education. Chapters move from the general to the particular, beginning with contextual events, continuing with developments in nursing and nursing education, and finally relating this material to developments at WHH and WHHSON. The study found that the relationship between the students and the hospital was more complex than one of simple exploitation. While WHH depended on the cheap labor of student nurses to balance its budget in the early years, students received a good education, achieved entry into nursing practice, and fulfillment of basic human needs. The hospital consistently funded educational improvements mandated by accreditation standards for WHHSON. In later years these costs were covered by insurance reimbursements and by shifting educational expenses to students. The study concluded that not only one hospital, but the whole health care system in the Worcester area was subsidized by the labor of student nurses in a relationship characterized by dependency, enmeshment, symbiosis, and synergy.

Simulation is an effective pedagogy used extensively in prelicensure nursing education. Advanced practice nursing (APN) programs use simulation even though APN accreditation and certification organizations do not allow substitution of simulation hours for the minimum 500 clinical hours. There is a lack of rigorous research supporting the benefits or describing the outcomes of using simulation in APN programs. This presentation will present the results of a descriptive survey on the current use of simulation in APN programs. A descriptive survey was sent to all APN program Directors in the United States and Canada. Data obtained from the survey provide a baseline for current simulation use, as well as data on the use of International Nursing Association for Clinical Simulation and Learning (INACSL) Standards of Best Practice as an organizing framework for the implementation of simulations in APN programs. Data on the barriers and resources required to support the provision of simulation in APN programs will also be provided. The information obtained will inform the stakeholders in APN education on current use of simulation, general information on adherence to INACSL’s Standards, perceptions of the value of simulation, and barriers and resources to conducting quality simulations in APN education. The results from this study can provide a base to build further rigorous research on how simulation can enhance the education of APN students, improve knowledge transfer, impact behaviors, and improve outcomes. In addition, the outcomes of this study may help educators develop training and support systems that can enhance quality APN simulations.

Indiana University-Purdue University Indianapolis (IUPUI) / Clinical judgment provides the basis for nurses’ actions and is essential for the provision of safe nursing care. Tanner’s Clinical Judgment Model and its associated instrument, the Lasater Clinical Judgment Rubric (LCJR) have been used in the discipline of nursing, yet it is unclear if scores on the rubric actually translate to the completion of an indicated nursing action. This is important because clinical judgment involves identifying and responding to patient situations through nursing action, and then evaluation of such actions. The purpose of this observational study was to explore the relationship between clinical judgment, as measured by the LCJR, and the completion of an indicated nursing action, as measured by a nursing action form. The clinical judgment and completion of an indicated nursing action was measured in 92 participant students at a Midwestern university school of nursing who were enrolled in an adult medical/surgical nursing course that included simulation and debriefing during which scoring occurred. This study explored whether clinical judgment, as measured by the LCJR, was related to the completion of an indicated nursing action. In addition, this study evaluated whether Responding, as measured by the LCJR was related to the completion of an indicated nursing action. The data revealed that a very weak relationship was present between clinical judgment, as measured by the LCJR, and the completion of an indicated nursing action; however, these findings were not statistically significant. The data also revealed that a very weak relationship was present between the dimension Responding, and the completion of an indicated nursing action; however, these findings were also not statistically significant. This study expands upon previous clinical judgment research in nursing and identifies a need for additional methods of evaluating clinical judgment in baccalaureate nursing students including action appraisal so that deficiencies are established and targeted for improvement.

Thesis (M.S.)--Boston University

Thesis (M.S.)--Boston University

Thesis (M.S.)--Boston University / PLEASE NOTE: Boston University Libraries did not receive an Authorization To Manage form for this thesis or dissertation. It is therefore not openly accessible, though it may be available by request. If you are the author or principal advisor of this work and would like to request open access for it, please contact us at open-help@bu.edu. Thank you. / 2031-01-01

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