The purpose of this research was to evaluate the extent to which graduates from the Bachelor of Nursing (BN) program at the University of Technology, Sydney were adequately prepared for the nursing role in the current Australian health care system. This question was examined by adapting the illuminative evaluation method developed by Parlett and Hamilton (1977), and a meta-evaluation is provided of the model that was developed. Data were gathered from academic staff, clinical facilitators, curriculum and clinical experts and students. Course mileau and documentation were also assessed. The results indicate that graduates from the BN were adequately prepared to fulfil the nursing role. However, during the research a number of critical issues emerged which led to the development of an alternative model of curriculum. Although the conclusions support the continuance of a generic preparatory course, a number of changes to the course are recommended and two areas of future research identified. The first relates to exploring the depth, breadth and extent of knowledge that is required of a beginning registered nurse. The second involves evaluating the curriculum changes proposed here to assess whether this model is able to achieve improved outcomes in graduates / Doctor of Philosophy (PhD)

Every new nursing graduate is challenged to successfully transition from student to professional nurse. The stress involved in that transition can manifest itself as performance anxiety, a type of anxiety occurring when someone is the focus of attention and is fearful of interactions or of being humiliated or embarrassed. It occurs only in specific situations. The new graduate's performance is the focus of attention and evaluation. Further, the need to interact with other professionals, patients, and families can create anxiety about performance. No studies have examined performance anxiety in graduate nurses. Use of cognitive behavioral therapy, progressive muscle relaxation, and reflective journaling has demonstrated reduction of performance anxiety in musicians and actors. There have been no studies evaluating these interventions in new graduate nurses or in combination to reduce performance anxiety in any population. Peplau's theory of interpersonal relations suggests that relationships play a significant role in mediating anxiety. Because most graduate nurses work with a registered nurse preceptor, it is likely that relationships with preceptors and the level of perceived support from those preceptors could influence the success of transition as well as new graduates' anxiety. Using a quasi-experimental, mixed method design, the sample was drawn from 2 classes of new graduates participating in a 6-month nurse residency program. Participants self-administered instruments measuring performance anxiety, preceptor relationships, and perceptions of preceptor social support, and were asked to journal weekly. Open-ended questions indicated their feelings about the intervention and its usefulness. This study verified the presence and level of performance anxiety in the sample. Results revealed a decrease in performance anxiety in both treatment and control groups but no significant influence of preceptor relationship or perceived preceptor support. Analysis of qualitative data revealed that the majority of participants were not engaged in the intervention and did not value it. Performance anxiety did not appear to negatively impact new graduate transition. No additional insight was gained about the preceptor and newgraduate relationship because the majority of participants' interactions remained at the initial level identified in Peplau's theory.

This ex post facto study sought to examine: the efficacy of Mosby's Assess Test as a valid predictor of NCLEX (National Council of State Boards of Nursing Licensure Examination) scores; significant correlations among semester averages, semester tests failed, Nelson Denny Reading Test scores, and NCLEX scores; and differences in NCLEX outcomes in relation to ethnicity, age, and prior practical nursing licensure for 558 associate degree nursing graduates who wrote the NCLEX in 1983 and 1984. Significant positive relationships were found among Mosby scores, Nelson Denny scores, semester averages, and NCLEX scores. A significant negative relationship was found between number of semester tests failed and NCLEX scores. The mean NCLEX score of older graduates was higher than the mean NCLEX score of younger graduates. LPN graduates had a higher mean NCLEX score than non-LPN graduates. White graduates' mean NCLEX score was greater than the average score for black graduates. Combined predictor variables which yielded the best estimate of the criterion variable (NCLEX scores) for all graduates included mean semester average, Mosby scores, age above thirty-three, and Nelson Denny scores, respectively. The most important predictor of black graduates' NCLEX success was prior practical nursing licensure. Other significant predictors for black graduates' NCLEX success were mean semester average, Mosby scores, mean number of semester tests failed, age above thirty-three, and Nelson Denny scores, respectively. Mean semester average, mean score of the Mosby test, mean number of semester tests failed, and age above thirty-three were the most significant predictors of white graduates' NCLEX success. Older graduates had a higher mean Mosby score, a higher mean semester average, and failed fewer semester tests than younger graduates. The study results will be of interest to nurse educators and counselors who are concerned with curricular revision, student counseling, and remediation procedures as these relate to enhancement of graduates' potential for success on the NCLEX.