Theses and Dissertations at Montana State University (MSU)
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Item Grittiness of adolescent residential frontline staff(Montana State University - Bozeman, College of Nursing, 2020) Clark, Jessica Lynn; Chairperson, Graduate Committee: Alice RunningThere are an estimated 48,000 adolescents residing in U.S. residential facilities (Office of Juvenile Justice and Delinquency Prevention [OJJDP], 2019). While this is a 50% reduction in the last two decades (Sickmund, Sladky, Kang, & Puzzanchera, 2017), adolescent residential facilities are housing extremely violent and emotionally disturbed adolescents. Because of the violent nature of these adolescents, turnover rates of staff in this field are as high as 70% (Seti, 2008). There is an abundance of literature assessing burnout, emotional exhaustion, and compassion fatigue in this area but a gap in the literature exists examining individual protective factors, such as grit, of employees who choose to stay despite difficulties associated with the job. Duckworth (2016) describes individuals with high grit as being resilient, tenacious, and having the ability to overcome significant setbacks with high levels of self-control. The aim of this project was to reduce the literature gap and supplement present literature by evaluating grittiness of frontline staff working in an adolescent residential facility as well as determine usefulness of pre-screening future candidates with the use of the Grit Scale. Employees of a Midwest adolescent residential facility who remained in a frontline staff position for greater than one year completed a12-item Grit Scale (Duckworth, 2016) and a demographics questionnaire. Overall, results showed that participants were 'very gritty' with an average grit score of 4.3, falling in the 80th percentile of a large group of adult Americans (Duckworth, 2016). The results of this project are promising and could be used as a foundation for practice change and future research with a larger sample.Item Determinants of intended job turnover in rural nurses(Montana State University - Bozeman, College of Nursing, 1988) Ballantyne, Jean ElizabethItem Distress in nurses following patient death : a local response to the need for debriefing(Montana State University - Bozeman, College of Nursing, 2009) Bickham, Melanie Ann; Chairperson, Graduate Committee: Carolyn Hamlin WengerThe purpose of this clinical project was to determine if nurses in an acute care setting would report a need for debriefing following a patient death. The review of current literature revealed mixed results regarding the effectiveness of debriefing as an intervention. Literature shows that emotional expression is perceived as cathartic by nurses and is viewed as a positive coping mechanism. However, randomized controlled trials of debriefing models did not demonstrate that participation in debriefing prevented distress symptoms. A survey was created to assess nurses' views regarding debriefing following a patient's death. Surveys were placed in mailboxes of Registered Nurses and Licensed Practical Nurses in a 220 bed hospital in Montana. There were 55 respondents. Demographically, the average participant in the survey was 38 years of age, held a bachelors degree, had been a nurse for 9 years, worked in a critical care unit, and had experienced approximately 15 patient deaths over their career. The majority of nurses surveyed felt that an information-sharing and event processing session among peers (debriefing) would be helpful in coping with their emotions after a patient's death. Thirty of those surveyed reported they would be very likely to participate or would definitely participate in a debriefing session if it were available. The overwhelming majority (n=52, 94.3%) reported experiencing one symptom of distress after a patient death. Comments written on the surveys were grouped into themes. These themes included catharsis/sharing, positive coping, past experiences with debriefing, prevention of death, perceived need for formal debriefing, no perceived need for formal debriefing, emotional distancing, and debriefing only for special circumstances. Surveys revealed that the majority of nurses surveyed felt that debriefing sessions would be helpful in processing their emotions following a patient death. The author wrote a nursing policy regarding the use of debriefing in a hospital setting for nurses following a patient death and made this available to the organization surveyed.