Thesis--University of Michigan. / Includes bibliographical references (leaves 104-107).

Thesis (M.S.)--University of Michigan, 1973.

Thesis (M.S.)--University of Michigan, 1988.

A pre-test post-test group design was used to determine whether student nurses who received a relationship-building intervention would rate their relationship with the instructor higher than those who received a placebo/ whether student nurses who received the intervention would have less state anxiety than those who received a placebo/ and whether there was a relationship between ratings of state anxiety and student-instructor relationships. The intervention was designed to occur over a three-day period. Data were collected from a homogenous sample of 30 control nursing students and 31 experimental nursing students. Effectiveness of the intervention was determined by measuring student anxiety levels using the State-Trait Anxiety Inventory (Spielberger/ Gorsuch/ & Lushene/ 1970) and by measuring the student-instructor relationship using the Relationship Questionnaire (adapted from Truax & Carkhuff/ 1967). Additional data were collected from a Stressful Event Questionnaire/ a demographic data form/ and a debriefing session with participating instructors. Analysis of data indicated a treatment main effect was statistically significant. Members of the experimental group rated the perceived relationship with the instructor higher than members of the control group. There was no significant difference between groups in their ratings of anxiety. There was a trend/ however/ for those in the experimental group to have lower state anxiety than those in the control group. Correlations between the student-instructor relationship scores and the anxiety scores were low but were in the anticipated negative direction. / Applied Science, Faculty of / Nursing, School of / Graduate

This study examines the stress and coping behaviors of registered nurses returning to school to pursue a baccalaureate degree in nursing (returning RNs). The sample included 72 volunteers who were returning RNs currently enrolled in a nursing program. Data were collected using the Ways of Coping Checklist and the Personal Strain Questionnaire which assessed the causes of stress related to attending school/ the use of specific coping behaviors, and the effectiveness of those coping behaviors in reducing stress. The major sources of stress included: 1. school-related stressors such as lack of academic skills and concerns with the program and faculty, 2. social and domestic concerns, 3. lack of time, and 4. lack of money. The study concludes that coping strategies used most frequently were also rated as most effective. These coping strategies dealt directly with the stressor or the emotional reaction to it by problem-solving or seeking social support. Coping strategies seldom used and rated as ineffective, on the other hand, avoided dealing with the stressor, for example, by the use of wishful thinking. After an initial term at school, returning RNs, who had not been students for at least two years, had no more distress than returning RNs who had attended school recently. Returning RNs In the fourth year of the program were less stressed by school-specific stressors such as study skills and managing school assignments than were students in the third year. This implies that these students learn to cope with stressors, a process which could perhaps be facilitated through an orientation program. In summary, the majority of returning RNs cope quite well in the present structure by using the strategies of problem-solving and seeking social support. Implications for nursing education are discussed and areas for further research are identified. / Applied Science, Faculty of / Nursing, School of / Graduate

Diante das evidências de que o estresse está presente entre os universitários de enfermagem e os malefícios que o estresse crônico pode ocasionar à saúde física e mental, o objetivo deste estudo foi avaliar a influência de fatores pessoais e ambientais relacionados ao estresse recente em universitários de enfermagem, assim como avaliar a ocorrência, os fatores associados e preditores do estresse recente. Foi realizado um estudo epidemiológico, transversal, analítico, com abordagem quantitativa em duas instituições privadas de ensino superior, com 209 universitários de enfermagem do primeiro ao último ano. Foram utilizados como instrumentos de coleta de dados um questionário sociodemográfico, de condições ocupacionais e de saúde, o -Questionário sobre Traumas na infância? (CTQ), a -Escala de Estresse Percebido? (Perceived Stress Scale- PSS), o -Inventário de Sintomas de Stress? para adultos (ISSL), a -Escala de Autoestima de Rosenberg? e a -Escala de Reajustamento Social de Homes-Rahe?. Para a análise dos dados foi realizada a estatística descritiva, medidas de tendência central, teste Qui-quadrado de Person (?²) ou o teste exato de Fisher quando violadas as suposições matemáticas para o teste Qui-quadrado e regressão logística binária, utilizando o software SPSS, versão 21, e o nível de significância adotado em toda a análise foi 5% (alfa=0,05). Observou-se que, entre os universitários de enfermagem, 164 (78,5%) apresentam estresse e a maioria na fase de resistência, 121(57,9%), principalmente com manifestações de sintomas psicológico, 121(57,9%); 77 (36,8%) vivenciaram estresse precoce, com predomínio de abuso emocional, 42(20,5%); e 40(20%) apresentam fortes chances de adoecer. A maioria apresenta autoestima média, 106 (50,7%), ou alta, 95 (45,5%). O estresse recente teve associação com problemas de saúde, uso de medicamentos, autorrelato de estresse, percepção de estresse e exigências de reajustamento social. Além disso, realizar atividade física, tabagismo, alta autoestima, vivências de estresse precoce e ter religião foram apontados como preditores de estresse. Enquanto média e alta percepção de estresse, ser casado, trabalhar, trabalhar na área da saúde, ter atividades de lazer semanal representam menores chances para o estresse nos universitários de enfermagem do estudo. Conclui-se que fatores pessoais como problemas de saúde, uso de medicamentos, autorrelato de estresse, percepção de estresse e o fator ambiental exigências de reajustamento social influenciam no estresse recente em universitários de enfermagem / In light of the evidence that stress is present among university nursing students and the evils that chronic stress can cause to physical and mental health, this study was aimed at assessing the influence of personal and environmental factors related to the recent stress in university nursing students, as well as to assess the occurrence, the associated factors and the predictors of the recent stress. We performed an epidemiological, cross- sectional and analytical study, with a quantitative approach, in two private higher education institutions, with 209 nursing students from the first to the last year. Regarding the data collection tools, we used a sociodemographic questionnaire about occupational and health conditions, the -Childhood Trauma Questionnaire? (CTQ), the Perceived Stress Scale (PSS), the -Inventory of Symptoms of Stress? for adults (ISSL), the -Rosenberg Self-Esteem Scale? and the -Holmes-Rahe Social Readjustment Scale?. In order to analyze the data, we used descriptive statistics, measures of central tendency, Pearson Chi-square test (?²) or Fisher exact test, when the mathematical assumptions for the Chi-square test were violated, and binary logistic regression, using the SPSS software, version 21. The level of significance adopted throughout the analysis was 5% (alpha = 0.05). We have observed that, among university nursing students, 164 (78.5%) presented stress, and most in the resistance stage, 121 (57.9%), especially with manifestations of psychological symptoms, 121 (57.9%); 77 (36.8%) experienced early stress, with a predominance of emotional abuse, 42 (20.5%); and 40 (20%) present strong chances of becoming ill. Most of them have medium or high self-esteem, 106 (50.7%) and 95 (45.5%), respectively. The recent stress was associated with health problems, use of medication, selfreport of stress, perception of stress, and demands for social readjustment. Moreover, performing physical activity, smoking, high self-esteem, experiences of early stress and having religion were signalized as predictors of stress. Conversely, medium and high perceived stress, being married, working, working in the health area and having weekly leisure activities represent lower chances of suffering from stress in the surveyed university nursing students. We have concluded that personal factors such as health problems, use of medication, self-report of stress, perception of stress and the environmental factor demands for social readjustment influence on the recent stress in university nursing students

by Yung Ha-ping, Hilary. / Questionnaire also in Chinese. / Thesis (M.Phil.)--Chinese University of Hong Kong, 1994. / Includes bibliographical references (leaves 92-101). / ACKNOWLEDGEMENTS / ABSTRACT --- p.ii / LIST OF TABLES --- p.vii / LIST OF FIGURES --- p.viii / CHAPTER / Chapter 1. --- INTRODUCTION --- p.1 / Bacground of the Study --- p.1 / Significance of the Study --- p.4 / Purpose of the Study --- p.5 / Chapter 2. --- REVIEW OF LITERATURE AND THEORETICAL FRAMEWORK / Role Conception / Role --- p.6 / Role Conception --- p.7 / Nursing Role Conception --- p.8 / Role Discrepancy --- p.9 / Change of Role Conception --- p.10 / Socilaisation and Role Conception --- p.11 / Socialisation of Baccalaureate Degree Students --- p.12 / Socialisation of Hospital-based Certificate Students --- p.13 / Nursing and Ethics --- p.14 / Ethical Dilemma --- p.15 / Code of Ethics --- p.16 / Moral Development --- p.17 / Moral Reasoning and Moral Behaviour --- p.18 / Decision-making Framework --- p.20 / Ethical Decision-making in Nursing --- p.21 / Ethical Decision-making and Work Environment --- p.23 / Ethical Decision-making and Role Conception --- p.24 / Ethical Decision-making and Education --- p.25 / Learning Climate / Concept of Organizational Climate --- p.26 / Organizational Climate and Leadership --- p.28 / Ward Learning Climate --- p.28 / Ward Teaching and Learning --- p.30 / Role of Ward Staff and School Tutor in Ward Teaching --- p.31 / Role of ward Sister in Ward Teaching --- p.32 / "Relationship among Role Conception, Ethical Decision- Making and Ward Learning Climate" --- p.34 / Chapter 3. --- RESEARCH METHODOLOGY / Design of the Study --- p.38 / Hypotheses --- p.38 / Definitions --- p.39 / Subjects --- p.40 / Procedure --- p.42 / Instruments --- p.42 / Analysis Design --- p.50 / Chapter 4. --- RESULTS / Demographic Characteristics --- p.52 / Differences in Role Conception Types --- p.53 / Differences in Discrepancy Role Conception --- p.60 / Differences in Ethical Decision-making --- p.63 / Differences in Perception of Ward Learning Climate --- p.66 / "Relationship among Ethical Decision-making, Role Conception and Learning Climate" --- p.69 / Chapter 5. --- DISCUSSION / Differences in Professional Role Conception --- p.75 / Differences in Bureaucratic Role Conception --- p.79 / Differences in Service Role Conception --- p.80 / Differences in Ethical Decision-making --- p.81 / Differences in Perception of Ward Learning Climate --- p.83 / "Relationship among Ethical Decision-making, Role Conception and Learning Climate" --- p.84 / Limitations --- p.87 / Chapter 6. --- "CONCLUSION, IMPLICATIONS AND RECOMMENDATIONS" / Conclusion --- p.88 / Implications and Recommendations --- p.89 / Suggestions for Further Research --- p.90 / REFERENCES --- p.91 / APPENDICES / Chapter I. --- Code for Nurses --- p.102 / Chapter II. --- Letter of Request for Approval --- p.103 / Chapter III. --- Questionnaire Instruction --- p.104 / Chapter IV. --- Letter to Students --- p.105 / Chapter V. --- Consent Form --- p.106 / Chapter VI. --- Demographic Data --- p.107 / Chapter VII. --- Nursing Role Conception Inventory --- p.108 / Chapter VIII(A). --- Opinion About Nursing (Role Conception Questionnaire) --- p.110 / Chapter VIII(B). --- Opinion About Nursing - Chinese Version --- p.115 / Chapter IX(A). --- Judgment About Nursing Decision (JAND) (Ethical Decision-making Qusetionnaire) --- p.118 / Chapter IX(B). --- Judgment About Nursing Decision (JAND) -Chinese Version --- p.125 / Chapter X. --- Ward Learning Climate Indicators --- p.132 / Chapter XI(A). --- Ward Learning Climate Questionnaire --- p.135 / Chapter XI(B). --- Ward Learning Climate Questionnaire -Chinese Version --- p.138 / Chapter XII. --- Narrative Responses --- p.140

Thesis (Ph. D.)--University of Washington, 2007. / Vita. Includes bibliographical references (leaves 91-95).

Thesis (Ed.D.)--Teachers College, Columbia University, 1995. / Includes tables. Typescript; issued also on microfilm. Sponsor: L. Lee Knefelkamp. Dissertation Committee: Marie Theresa O'Toole. Includes bibliographical references (leaves 104-108).

Thesis (M.S.)--University of Michigan, 1971.