M.Cur. / Please refer to full text to view abstract

The primary purpose of this study was to test the theory of experiential learning by measuring to what extent work experience predicts the work ethic characteristics of students in baccalaureate nursing programs at three regional universities in Texas, including Midwestern State University in Wichita Falls, Tarleton State University in Stephenville, and West Texas A&M University in Canyon. Work experience is the amount full-time or part-time on-the-job experience. Work ethic attributes are referred to as considerate, ambitious, dependable, and cooperative. Results generated in this study failed to reject the null hypotheses, which means that work experience, does not provide evidence of the ability to predict the development of work ethic characteristics in baccalaureate nursing students who participated in this research study. Knowledge generated in this study provided alternative directions for future research with respect to the relationship between work experiences and work ethic characteristics in nursing students. Such research may be useful to nursing educators and trainers in the design and delivery phases of the educational process for nurses.

This study examined the effectiveness of a training program on the ability of registered nurse students to write complete nursing diagnoses. A comparison group was used as a control. There were 47 participants in the training group and 51 participants in the comparison group who received no training. Five hypotheses were used to examine the (1) complete nursing diagnoses, (2) labels, (3) clarifiers, (4) etiologies, and (5) mislabeled medical diagnoses or clinical problems as nursing diagnoses. As a pretest and posttest, participants in both groups viewed a video tape of a nursing situation and were asked to write nursing diagnoses. The training group received nine clock hours of classroom instruction on the nursing process of which three hours were on nursing diagnosis with a focus on the inclusion of label, clarifier, and etiology necessary for a complete nursing diagnosis. In the clinical component of the educational program the training group wrote nursing diagnoses as part of the nursing process. It was assumed that the comparison group did not receive comparable education. The mean difference of proportions between the pretest and posttest was computed for each group on the item tested by the hypotheses and for the difference between the two groups. Three of the five hypotheses tested in the study were accepted. The training group did have a significant increase in the average (mean) difference of proportions in the number of complete nursing diagnoses and etiologies and a significant decrease in the number of mislabeled nursing diagnoses. There was no significant difference in the number of labels and clarifiers. The training group did show a percentage increase in the number of labels and clarifiers written. There was little or no change in the comparison group over the time period of the study.

Purpose To understand the factors that influence nursing students’ use of evidence-based pain management guidelines in their clinical placements. Methods/Design Guided by educational and knowledge translation theory, multiple approaches were used: 1. A scoping review of the literature to identify and describe educational strategies to promote evidence-based practice (EBP) by nursing students in the clinical setting, along with associated barriers and facilitators from the literature. 2. A process to develop indicators of the use of pain guidelines in clinical practice. 3. A descriptive case study to determine the gap between evidence-based guideline recommendations and actual practice and to understand the clinical and educational contextual factors that influence nursing students’ use of pain management practice guidelines. Findings The scoping review identified 37 papers in total, 14 descriptive and 23 evaluation studies. Commonly identified barriers were lack of EBP knowledge and skills and lack of support in the clinical setting. EBP projects were the most frequently evaluated educational interventions, alone, or in combination with workshops or journal clubs. During the indicator development process, eleven guidelines were reviewed for quality, resulting in three quality guidelines. From these three guidelines, 12 recommendations were extracted. Quality indicators were then identified by a consensus process, resulting in 24 discrete indicators for the chart audit. For the descriptive case study, fifty-four charts were audited, and interviews were conducted with nine students, seven nurses, one professor, and one clinical instructor. Multiple documents were reviewed, and a site visit was conducted. There are gaps between pain guideline recommendations and practice in the clinical setting. Examples of barriers include the perception that guidelines are not applicable for the clinical setting, lack of knowledge regarding guidelines and an emphasis on task completion in the clinical setting. Facilitators included access to resources, curriculum changes, and the integration of guidelines in policies and procedures. These findings can inform the development, implementation and evaluation of evidence based educational strategies that take into account the multiple actors that impact nursing students’ experience, namely, in-class professors, clinical instructors, and staff nurses. Future education and research approaches should be rooted in knowledge translation and education theory.

Transgender people still face various types of discrimination, threat and violence on a global level. Even though the work against this societal problem proceeds in Sweden, studies have shown that transgender people often feel disrespected and discriminated within the health care context. This study aims to find a deeper understanding of discrimination against transgender people within the Swedish health care system, by analyzing and interpreting the stories of nursing students on the treatment of transgender people. In addition to this, the study aims to understand which social norms and values that are taught to the students in relation to discrimination against transgender people, and how the students relate and present themselves in relation to the social norms and values.  In order to analyze the results of the study various theories and concepts are being used, such as queer theory, new institutionalism, stigma and Goffman’s dramaturgical perspective. The study is based on semi-structured interviews with eight nursing students, studying semester three to six at various universities in Sweden. The outcome of the study shows that three main norms and values seem to be of importance to the maintenance of institutional discrimination against transgender people within the Swedish health care system. These are the societal heteronorm, knowledge gap about transgender people, and stigmatization. The nursing students carry varying degrees of knowledge about trans gender people, but all participants seem to be open and receptive to the thought of meeting and caring for a transgender person in their future worklife.

Maintaining high levels of academic integrity in nursing programs is critical to student success and the transition to professional practice. Integrity encompasses the values of trustworthiness and honesty. Nursing faculty need to determine if they are providing students with the resources and communication needed to maintain a culture of integrity. It is important for faculty to determine if students tend to rationalize or neutralize the psychological effects of dishonest behaviors. Finally, it is important to determine methods to eliminate violations of academic integrity in nursing education. The overall design of the dissertation provides three distinct articles designed to stand alone as potential articles for publication. This dissertation is a part of a larger collaborative effort with two other Teachers College Doctoral students. The methods and procedures are the same for all principal investigators. Chapters I through III and Chapter V are all uniquely my own. Chapter IV represents the collaborative effort presented in this dissertation. In a cross-sectional, quantitative study design, McCabe’s Academic Integrity Survey- Modified for Nursing Students (MAIS-MNS), a Knowledge Assessment of Academic Integrity, and a Demographics Questionnaire were completed by 442 pre-licensure nursing students. In the individual portion of this study, the relationships between perceived faculty support of academic integrity policies; perceived faculty response to cheating; neutralization; and age are examined to determine if relationships exist between the variables. Additionally, in the collaborative chapter, the variables of severity and perceived faculty support of academic integrity policies were compared to the willingness to report peer violations and program-wide strategies to improve a culture of integrity. Data were analyzed using IBM SPSS Statistics version 27 (IBM Inc., Armonk, NY, USA). Results indicated students who have higher perceived faculty support of academic integrity policies are less likely to rationalize academically dishonest behaviors. It was also found that younger students were more likely to rationalize dishonest behaviors. It is also important to consider from which source students are receiving academic integrity information. Course syllabi, first-year orientation, program counselors, faculty, deans and other administrators, and other students were all found to be significant predictors related to student perception of faculty support of academic integrity policies. Students who have higher perceptions of severity scores and higher perceptions of faculty support of academic integrity policies scores were found to be more willing to report peers. Additionally, having program-wide interventions, such as an honor code, could help strengthen the overall culture of integrity. Frequent communication and consistent academic integrity policies are vital for faculty to maintain throughout nursing programs Faculty should remain vigilant to changing trends in how students violate academic integrity violations and provide consistent messages.

Bakgrund: Sjuksköterskeutbildningen formar studenterna inför sin framtida profession som legitimerad sjuksköterska. Allmän omvårdnad är ett av sjuksköterskans arbetsområden, vilket innebär omvårdnadsaktiviteter som är viktiga för patienterna. Dessa innefattar till exempel hjälp med påklädning, mobilisering, personlig hygien och matning. Vårdpersonalens attityder till den allmänna omvårdnaden kan ha en påverkan på vårdkvalitén. Syfte: Att beskriva sjuksköterskestudenters attityder till att som sjuksköterska utföra allmän omvårdnad. Metod: En induktiv empirisk studie med en kvalitativ enkät användes. Materialet analyserades utifrån en kvalitativ innehållsanalys. Resultat: Informanterna har både positiva och negativa attityder till att utföra allmän omvårdnad i sin framtida profession. Det anses inte vara en självklarhet huruvida allmän omvårdnad egentligen tillhör sjuksköterskans profession. Informanterna har stött på situationer där sjuksköterskan inte varit delaktig i den allmänna omvårdnaden och menar att det kan bero på deras attityd till ämnet, tidsbrist eller hierarki. Konklusion: Både positiva och negativa attityder till den allmänna omvårdnaden förekommer. Det är tydligt att den allmän omvårdnaden är ett problemområde och att framtida sjuksköterskors attityder till ämnet kan påverka framtidens hälso- och sjukvård / Background: The nursing education shapes students for their future profession as a licensed nurse. Basic care is one of the nurse's areas of work, which means nursing activities that are important to patients. These include, for example, help with dressing, mobilization, personal hygiene and feeding. The attitudes of care staff towards basic care can have an impact on the quality of care. Aim: To describe nursing students' attitudes to performing basic care as a nurse. Method: An inductive empirical study with a qualitative questionnaire was used. The material was analyzed on the basis of a qualitative content analysis. Findings: The informants have both positive and negative attitudes to performing basic care in their future profession. It's not considered a matter of course whether basic care actually belongs to the nursing profession. The informants have encountered situations where the nurse hasn't been involved in the basic care and believe that it may be due to their attitude to the subject, lack of time or hierarchy. Conclusion: Both positive and negative attitudes to basic care occur. It's clear that basic care is a problem area and that future nurses' attitudes tothe subject can affect future healthcare

Thesis (Master of Nursing)--Cape Peninsula University of Technology, 2019 / Nursing is a practice-based discipline, which makes experiential learning an important part of nursing education. The main purpose of experiential learning is to give students an opportunity to transfer theory into practice. It also equips the undergraduate student nurse with the skills and knowledge needed to provide high-quality care based on patients'/clients' needs and to produce competent and confident decision makers who are ready to accept personal and professional accountability. Experiential learning is accomplished by placing the undergraduate nursing students within a clinical learning environment. The success of the nursing programmes depends on appropriate clinical experience. The purpose of this research was to explore and describe the experiences of undergraduate nursing students during experiential learning in healthcare facilities at the Boland Overberg Campus in the Western Cape. A qualitative, exploratory, descriptive design was applied. Data collection was done using focus-group interviews to ascertain the undergraduate student nurses' experiences during clinical practice in healthcare facilities in the Boland Overberg area. Thirty-eight undergraduate nursing students from Boland Campus were selected, using purposive sampling. The ethical principles relevant to this study were observed. Colaizzi's method of coding and thematic content analysis were used to interpret the data. The results of this study revealed that students were not satisfied with the clinical learning environment, which was not conducive to their learning. The students were not supported and supervised by the registered nurses in the facilities. This resulted in a lack of theory and practice integration. Furthermore, the results revealed that the students faced challenges during clinical practice. One of the most challenging factors was negative staff attitudes. It was evident that even though being in clinical settings was sometimes very challenging and frightening, there were also joyful moments. Seeing the patient recover gave students satisfaction and a reason to return the next day.

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