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The growing number of candidates for allied health programs and the continued quest for identification of ideal candidates increases the pressure for allied health programs to continually improve their selection process. Despite past and recent research and the significant amount of literature on admission criteria for selective allied health programs, there is limited research on faculty perceptions of the interview as part of the admission criteria. For this study, interviews were conducted with fifteen allied health faculty members who teach in a program with selective admissions. The interviews consisted of seven open-ended questions and were audio-recorded, then transcribed through Temi.com. The transcriptions were analyzed for common themes. The participants agreed that an interview is an important component of the selective admissions criteria particularly for assessing the candidate’s ability to communicate and interact with others.

The undergraduate major change or declaration process can be cumbersome for students who find themselves in unknown territories when making decisions or seeking help during this transition. One of the most challenging groups of students to assist through this transition are those who are denied access to their intended program of study. These students are often pursuing selective degree programs with limited enrollment and competitive admission requirements. Research on students pursuing selective degree programs is largely outdated, with most studies being older than ten years. The purpose of this qualitative study was to explore how undergraduate students experience leaving selective health profession interest areas in dental hygiene, nursing, and radiologic sciences at a public research university located in Tennessee. This qualitative study included the experiences of 12 third and fourth-year college students at one institution who applied for a selective degree program, were not accepted, and remained enrolled at the institution. It included semi-structured, open-ended individual interviews to investigate these undergraduate students’ experiences when undergoing an undergraduate major change away from a selective degree program. The results aligned with the theoretical framework of Schlossberg’s transition theory (Schlossberg, 1981; Schlossberg, 1991; Schlossberg et al., 1995). The students leaving selective health profession interest areas in dental hygiene, nursing, and radiologic sciences placed importance on college and career choice, experienced change of major difficulties, used campus and other support resources, and developed new strategies for success throughout the change of major process. Recommendations for further study include expanding the sample size and adding other selective degree programs to gain a more holistic picture, developing studies at multiple institutions that follow students throughout the entirety of their undergraduate careers, and investigating students’ coping strategies to identify ways to foster resiliency.

Questa tesi è una raccolta di due capitoli che indagano due temi distinti di ricerca in economia del lavoro e dell'istruzione. Nel primo capitolo, si studiano gli effetti causali di una nuova politica di ammissione selettiva introdotta presso il Dipartimento di Economia di una importante università private situata nel nord d'Italia. Si trovano significativi miglioramenti nei risultati accademici degli studenti del primo anno che sono esposti alla nuova politica di ammissione in termini di una riduzione del tasso di abbandono scolastico e di un aumento dei crediti compiuti. Nel secondo capitolo di questa tesi, da un'altra parte, si fornisce un'evidenza recente sulla struttura dinamica e di autocovarianza del reddito di lavoro maschile italiano e si caratterizzano gli shock sul reddito del lavoro per tutto il ciclo di vita sfruttando dei dati amministrativa di grande scala provenienti dagli archivi dell'INPS. Osserviamo un aumento sostanziale della varianza del reddito degli individui di età compresa tra 50 e 60 anni. Tali risultati suggeriscono che questo aumento della varianza è guidato dall'aumento della varianza sia del componente transitorio che permanente della disuguaglianza di reddito. Tuttavia, l'accelerazione per gli individui sopra i 50 anni è causato dalla fluttuazione della varianza dei shock transitori. / This thesis is a collection of two chapters that investigate two different research topics in labor and education economics. In the first chapter, we study the causal effects of a new selective admission policy introduced in the Department of Economics at a leading private university located in the North of Italy. We find significant improvements in the academic outcomes of first year students who are exposed to this new admission policy in terms of reduction in the drop-out rate and increase in the average credits. In the second chapter of this thesis, on the other hand, we provide up-to-date evidence on the dynamic and autocovariance structures of Italian males' labor income and characterize labor income shocks over the life-cycle by exploiting a large-scale administrative data from the archives of Italian Social Security Administration (INPS). We observe a substantial increase in the variance of log-incomes of individuals between the ages of 50 and 60. Our results suggest that the latter increase in the variance is driven by the increases in the variances of both transitory and permanent components of income inequality. However, the accelerating pattern after age 50 is caused by the fluctuations in the variance of transitory shocks.

The aging population in the United States has led to an increased demand for registered nurses. Nursing program administrators must examine ways to increase nursing program completion, which will increase the supply registered nurses. The purpose of this study was to determine the associations among length of time between core science course completion and nursing program admission, on-time completion, and National Council Licensure Examination for Registered Nurses (NCLEX-RN) success for students at a southeastern community college. A convenience sample of 288 community students admitted to an associate degree level nursing (ADN) program between 2007 and 2012 was selected. The guiding research questions examined if the length of time from completion of core science courses, Anatomy and Physiology, and admission to a selective admission nursing program was associated with on-time completion as well as passing the NCLEX-RN examination on first attempt. Using Karen's gatekeeping theory as the theoretical foundation, this nonexperimental, nonparametric, quantitative design tested for statistical significance. A Pearson chi square with phi coefficient was utilized for data analysis. The results indicated a statistically significant association between on-time completion and completion of core science courses (X2 (4, N = 288) = 19.730, p = .001, ɸ .262); however, passing the NCLEX-RN on the first attempt was not significant (X2 (4, n = 178) = 4.182, p = .382). The study contributes to positive social change by providing research-based findings on the association between core science course timing and program completion. This knowledge may impact course scheduling and increase the number of registered nurses, which will have a positive impact on meeting the healthcare needs of society.

In the realm of higher education, retention is a concept vital to the progression and security of all institutions. This remains true for all nursing programs as well because reports have shown an attrition rate as high as 50% in some nursing programs across the globe. Along with the nursing shortage projected in the next 20 years, retention in nursing programs poses a massive problem for not just higher education but healthcare as well. Therefore, it is important for nursing educators to understand the factors affecting student completion of a nursing program. This two-phase, mixed-methods study sought to answer the overarching research question: What factors contribute to completion of the Southcentral Community and Technical College (SKYCTC) Practical Nursing (PN) program within three semesters? Since the majority of nursing programs utilize a selective admission process for accepting students, the first phase of the study gathered admission criteria on six cohorts of students accepted into the SKYCTC PN program from August 2008 through May 2015. This quantitative data was analyzed to determine if any of the admission criteria were related to completion of the program. For the second phase, qualitative data was gathered through a focus group attended by 11 graduates of the SKYCTC PN program between August 2008 and May 2015. The purpose of the focus group was to gather environmental or academic influences that graduates attributed to their success in completing the program.

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For many years graduate and professional education programs for the health professions have sought to increase the diversity of their student body to include students from a wider variety of backgrounds. Increasing the diversity of healthcare providers is an essential component of addressing inequities in healthcare. However, despite initiatives to increase racial and ethnic diversity in the health professions, these professions remain largely White and female. Previous researchers have sought to identify the reasons that racial and ethnic minorities are underrepresented in healthcare, and the barriers to persistence and success. Little research exists explaining why men are underrepresented in the healthcare professions, though many healthcare professions have historically been perceived as caregiving professions, and therefore, as “female work.” The purpose of this qualitative study was to add to the existing body of literature on underrepresented pre-health students by exploring the experiences of racial/ethnic minority and male undergraduate students on pre-health paths. This study included 11 participants who self-identified as intending to pursue a graduate or professional healthcare program and as African American, American Indian, Alaskan Native, Hispanic, or male; all were enrolled at one mid-sized, regional university in the southeastern United States. I utilized semi-structured interviews to investigate the experiences of the participants. The themes that emerged among the experiences of pre-health students, included common influences on career choice, what pre-health students believe they need to do to be competitive, challenges, fears and worries about the future, motivation to persist, resources and support utilized, and planning (or lack of planning) for alternate career paths.