• Entrance Criteria for Nursing Programs

      Primrose, Pamela B.
      The acute nursing shortage across the nation is compounded by underrepresented minorities in health care in light of the growing diversity of America‟s citizenry. These issues are converging into a major debate in higher education regarding admission policies and practices to ensure entry of most qualified students to meet the growing demand for nurses. While nursing programs have been charged with increasing the diversity of students admitted into their programs, it has not yet come to fruition. This investigation evaluates entrance criteria for RN associate of science degree nursing programs (ASN) at two-year institutions using an ex post facto design to determine if nurse entrance criteria provide for equal opportunity for admission or results in de facto discrimination. The research examines the effect of nurse entrance criteria of overall Total Quality Points (TQP) for non-science, non-math, math, and science courses, and nurse entrance exam scores, specifically the Test of Academic Assessment Skills (TEAS) to determine how they impact the admission of minority students, specifically African American students, into the nursing program. Admissions criteria of TEAS only, TEAS plus TQP, TEAS and TQP separately, and TQP only are assessed to determine which criteria maximize the admission rate of minority students into nursing programs along with regression studies to identify which demographics or characteristics significantly impact the success of African American students‟ performance on the TEAS test or to determine if de facto discrimination is present. Identification of various stages of elimination of students from the applicant pool as it is narrowed down will aid in determining which levels of the admissions criteria may require intervention during the pre-nursing preparation phase. This study will investigate the role of standardized tests as a barrier to minority enrollment. Data analyses revealed discrimination against African American students seeking entrance into the ASN program at three community colleges. The TEAS test was a serious barrier to African American student inclusion in the final applicant pool and consideration for admission into the ASN program. Students who did not pass all TEAS subsets did not move forward for inclusion in the final applicant pool. Those African American students in the applicant pool were also negatively impacted by the TEAS test as well as TQP after controlling for first generation status, age, high school rank, and high school rigor. Thus, the admission process for the ASN program using TEAS as an admission criterion is discriminatory against African American students.
    • High-Fidelity Manikin-Based Simulation: A Study of Implications for Interprofessional Healthcare Practitioner Education at the Associate Degree Level of Study

      Fowler, Luster
      Healthcare practitioner training programs, specifically at the associate degree level of study, have historically focused practitioner training efforts on discipline-specific programming and curricula. However, these institutions have now begun to examine the utility and efficacy of incorporating interprofessional experiences into their programs. One of the current pedagogical approaches being investigated is the use of high-fidelity manikin-based simulation in the training of their healthcare students. This study examined the use of interprofessional high-fidelity versus low-fidelity simulation within associate degree-granting institutions and examined potential differences in self-efficacy and learning outcomes of participants incorporating a preand post-assessment. A convenience sample of 75 students participated in this study, which included associate degree-seeking nursing students (n = 36) and associate degree-seeking respiratory care students (n = 39). Participants were divided into two groups: a high-fidelity group (n = 52) and a lowfidelity group (n = 23). Each group was composed of both nursing and respiratory care students. A subsequent assessment of pre-intervention and post-intervention self-efficacy and learning outcomes was also performed that examined students by course of study, identified as either nursing students or respiratory care students. Differences in self-efficacy between the high-and low-fidelity groups were not significant on pre-assessment or post-assessment, p = .529 and p = .246. Additionally, differences between nursing and respiratory care students were not significant on pre-assessment or post- assessment, p = .079 and p = .779 respectively. Differences in perceived learning outcomes between the high-and low-fidelity groups were not significant on pre-assessment or post-assessment, p = .747 and p = .219. Additionally, differences between nursing and respiratory care students were not significant on pre or postassessment,p = .408 and p = .611 respectively.
    • The Experience of Baccalaureate Degree Seeking Nursing Students Undergoing The Process of Clinical Evaluation Appraisal

      McCutchan, Judith A.
      This phenomenological qualitative study examines the experiences of nine baccalaureate nursing students undergoing the clinical evaluation process at two institutions. The clinical performance appraisal (CPA), an identified challenge for faculty and students alike, is a tool utilized for assessing nursing students‟ behaviors in the clinical setting. The national need for registered nurses that is projected to increase 22.2% by the year 2018 is cause for alarm. The importance for nursing faculty to understand and implement the clinical evaluation process is an important part of meeting this need while facilitating student learning. The lived experiences of nine student nurses were collected by way of semi-structured, digitally recorded, and in-depth interviews. Based upon the analysis of data, four major themes emerged: (a) the impact of an absent instructor; (b) all instructors are different; (c) input into the evaluation process; and (d) the evaluation process is a formality. Implications and recommendations for higher education are presented. To complete the study, recommendations for research and conclusions are made.
    • The Impact of Remedial Education on Nursing Student Success

      Peters, Laurie F.
      The purpose of this study was to examine the impact of remedial education on nursing student success. This quantitative, retrospective study utilized Alexander Astin’s (1993) Input-Environment-Outcomes (I-E-O) model to explore the relationship between demographic variables (inputs) and the number and type of remedial courses taken (environmental variables) on final cumulative grade point average (GPA) and first-time pass rates on the NCLEX-RN state licensure examination (outcomes). The study examined 1,678 associate degree nursing (ADN) graduates between 2004 and 2007 in a state-wide community college system. The analysis identified MAT 050/Basic Algebra as the only remedial course to have the statistical power to be included in the model as a predictor of final cumulative GPA. However, the model only accounted for .4% of the variance indicating there are other factors influencing students’ GPA besides the MAT 050 course. Results suggest that female students are less likely to need remediation in ENG 032/Reading Strategies for College II and more likely to need remediation in MAT 050/Basic Algebra. Ethnicity and age were found to be weak predictors of final cumulative GPA and pass/fail performance on the NCLEX-RN examination. Number and type of remedial courses showed no statistically significant, predictive relationships with pass/fail rates on the NCLEX-RN examination. Understanding the impact of remedial education on nursing student success can ultimately influence the number of nurses available to meet the needs of an aging population.