Theses and Dissertations at Montana State University (MSU)
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Item Impact of nurse residency programs on new graduate nurse retention outcomes: an integrative review(Montana State University - Bozeman, College of Nursing, 2023) Evans Nero, Tory Rose; Chairperson, Graduate Committee: Sandra KuntzProblem/Purpose: New graduate nurses are essential employees. Given the nationwide nursing shortage and the turmoil caused by the COVID-19 pandemic, there is a need to focus on new nurses' transition to practice. The transition from an academic setting into real-life practice is often stressful; therefore, nursing organizations have shifted their focus to emphasize new nurse satisfaction, support, and retention through the implementation of nurse residency programs. Nurse residency programs are hospital-implemented programs lasting about a year, and can vary in format, length, and structure. The programs aim to support new nurses' growth in essential skills like critical thinking, prioritization, and delegation. The purpose of this study was to conduct an integrative literature review to identify and evaluate the influence that nurse residency programs have on new graduate nurse attrition and retention outcomes. Procedure/Methods: Electronic database search of CINAHL, PubMed, and Web of Science discovered studies completed in the United States from 2017 to 2022. English-language articles were selected and reviewed for inclusion of registered nurses in an acute care setting that addressed new graduate nurses and intent to leave (attrition or retention) as a primary or secondary measure. Twelve articles met the inclusion criteria. The studies were evaluated for quality using Whittemore and Knafl's (2005) data analysis process. The application of Benner's Novice to Expert (1982) nursing theory provided the framework for the transitional experiences of new nurses. Results: Evidence supports new nurses participating in nurse residency programs experience positive outcomes, including increased confidence, social support, and decreased turnover rates. Workplace challenges and personal stressors were found to negatively impact turnover. Communication, recognition, rewards, and preceptor/mentor support positively influenced retention for at least a year, which provided hospitals with break-even to positive return on investment. Conclusions: New graduate nurses require time to grow and learn during the first year of practice. Three new phases of the novice nurse transition, supported by nurse residency programs, are proposed to enhance the expansion of Benner's theoretical model. The major thematic findings and improved retention rates demonstrate the need for resources and structured support encompassed within nurse residency programs.Item Examining the pathways and supports leading MSSE program graduates into leadership roles(Montana State University - Bozeman, College of Education, Health & Human Development, 2016) Solberg, Kathryn Vaplon; Chairperson, Graduate Committee: Mary LeonardThis study examined the pathways taken by science teachers to move into leadership roles, specifically teachers who had participated in and graduated from the Master of Science in Science Education (MSSE) program at Montana State University. Distributed teacher leadership has been identified as having the potential to improve schools, however, little is known about the pathways teachers take to move into leadership roles, how schools go about distributing leadership, or the supports that help teachers develop leadership skills. There is also a need to better determine how teacher leadership development and progression is supported through graduate programs. This research was a two-level quantitative-qualitative research. The first level used a survey to explore the leadership roles teachers filled and the pathways teacher leaders took to move into leadership roles. The second level focused on creating case studies of eleven MSSE program graduates. Case study data was used to further examine and provide deeper insights into the pathways teachers used and the motivators or supports that encouraged them to move into or take on leadership roles. Case study data was also used to determine the extent to which participants perceived the MSSE program supported or contributed to their leadership development and progression. Specific supports provided by the program were identified. The study provided evidence that the pathways taken by teachers tend to follow two main trends: teachers either volunteer in order to fill a void or address a need, or teachers are recruited by an administrator to fill a leadership role. The formality of the leadership role did not determine the formality of the pathway taken to move into the role. Conclusions include a descriptive framework for pathways taken to leadership and descriptions of specific supports provided by the MSSE program as identified by MSSE program graduates.Item A follow-up of the 1961-1962 northwest Iowa graduates of Nettleton Business Training College(Montana State University - Bozeman, 1963) Galusha, Richard L.Item A follow-up study of former Butte Vocational Technical Center office occupations students with implications for curriculum changes(Montana State University - Bozeman, 1978) Murray, Bonnie DianeItem A follow-up study of master's degree graduates in business education from Montana State University, 1969-1975(Montana State University - Bozeman, 1976) Nau, Robert CharlesItem First position opportunities of Wyoming graduates from selected vocational post-secondary office occupations programs(Montana State University - Bozeman, 1971) Coughenour, Arthur L.Item Predictors of student persistence among technical programs at Montana State University-Northern(Montana State University - Bozeman, College of Education, Health & Human Development, 2000) Hawkinson, Virgil CarolusItem Performance evaluation of ADN and BSN graduates(Montana State University - Bozeman, College of Education, Health & Human Development, 1984) Nicholls, Daniel J.This study determined Directors' of Nursing (DNS) assessment of the preparation of new graduates from associate degree (ADN) and baccalaureate degree (BSN) nursing programs. A sample of 329 Directors from hospitals in the thirteen state,region represented in the Midwest Alliance of Nursing were randomly selected. The questionnaire was developed based on Schwirian's Six Dimension Scale of Nursing, Performance (1978) . This scale was developed by Schwirian who established its reliability and validity. The scale yields a total scale mean score and six subscale mean scores on: Teaching/Collaboration, Planning/Evaluation, Leadership, Critical Care, Interpersonal Relationships/Communications, and Professional Development. Principles from Dillman's Mail and Telephone Surveys: A Total Design Method (1978) were used to design the questionnaire, conduct a pilot study and implement a survey that was conducted during December 1983 and January 1984. A return rate of 293 or 89 percent was achieved. Data analysis was completed on 249 questionnaires or 76 percent. A non-parametric Sign Test indicated baccalaureate graduates were rated higher than associate degree on more items of the Six-D Scale. A Two-Way Analysis of Variance found that there was significant interaction between the initial "type" of RN education of the responding Directors and the ratings they gave ADN and BSN preparation on the total scale score and five of six subscales. The nature of the interaction showed that Directors receiving their initial RN education in ADN and diploma nursing programs rated ADN and BSN graduate preparation closely. Directors who received their initial RN education in BSN programs rated BSN graduates preparation markedly higher and ADN graduates lower. It should be noted that BSN graduates received higher assessments by Directors regardless of their preparation on all measures except when the Directors received their initial RN education in ADN programs. Those Directors rated the preparation of ADN graduates higher than BSN graduates on the Critical Care subscale. A descriptive analysis, grouped by subscale, of the competencies and deficiencies of ADN and BSN graduate preparation was presented. Accompanying tables with item analysis was presented to assist in curricular planning and modification for nursing educators.Item Native American warriors in education : journeys of persistence, stories from the heart(Montana State University - Bozeman, College of Education, Health & Human Development, 1999) Garcia, Florence McGeshickItem An evaluation of the teacher education program at Montana State University by graduates of that program(Montana State University - Bozeman, College of Education, Health & Human Development, 1972) Mattson, Ronald Boyd