Nursing Masters Theses

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Comparison of Burnout and Empowerment Between New Graduate and Experienced Nurses Employed in Acute Care
(North Dakota State University, 2014) Schaeffer, Kolby Lee
The nursing profession is expected to experience massive staff shortages due to experienced nurses reaching retirement and new nurses leaving the profession related to feelings of burnout. This study describes quantitative and qualitative perceptions of new graduate and experienced nurses employed in acute care. Two measurement tools, the Maslach Burnout Inventory (MBI) and the Conditions for Work Effectiveness Questionnaire (CWEQ-II), were administered using an online survey. An overall moderate level of burnout and empowerment were identified. Unit clusters differed in both burnout and empowerment subscale responses. New graduates differed in some responses regarding burnout, specifically depersonalization. Additionally, two open-ended questions provided insight about the participants' opinions regarding burnout and empowerment. Four burnout themes were identified: challenging work milieu, need for better compensation, desire for increased managerial support, and toll of professional demands. Four empowerment themes were also identified: feeling valued, positive communication, nurse retention, and wholesome relationships.
The Impact of Simulation Experiences on Nursing Student’s Satisfaction and Self-Confidence in Learning
(North Dakota State University, 2013) Graening, Shelly
Previous research has shown that high fidelity simulation experiences impact the satisfaction and self-confidence of nursing students. The purpose of the study was to examine the student satisfaction and self-confidence in learning of students in the pre-licensure baccalaureate nursing track and the associate to Bachelor of Science in Nursing (BSN) track at North Dakota State University. The data was obtained from two different courses in two different semesters of study. The surveys used in the descriptive, comparative study included a tool to collect demographic data and the Student Satisfaction and Self-Confidence in Learning Tool. The data revealed that nursing students were satisfied and self-confident in their learning during simulation experiences. The results will assist nurse educators to recognize the importance of providing nursing students opportunities to care for complex, high-risk patients in a low-stakes setting. Nurse educators can then assist in bridging the gap between classroom and clinical practice.
Lived Experiences of Stigma: Nurses Who Work in Abortion Clinics
(North Dakota State University, 2015) Jacobs, Rosa Leigh
The profession of nursing is respected and trustworthy, but certain nursing specialty fields are looked at less favorably than others. Abortion nursing can be highly stigmatized because of society’s ethical, religious, and legislative arguments about abortion. This qualitative study with ten licensed nurses who work in abortion care in the United States sought to answer two research questions, “What are the lived experiences of nurses who work in abortion clinics?” and “How do nurses who work in abortion clinics experience stigma?” Three stigma themes and seven lived experience themes emerged from the research. The stigma themes pertain to participants’ experiences with stigma and were identified as: experiences with public stigma, occupation disclosure, and job satisfaction. The lived experience themes detail the broader experiences of nurses who work in abortion clinics. Those themes were identified as: feminism/women’s rights, lack of education, providing support, positive impact, challenging experiences, resilience, and social support.
Midwest Medical Center Employee Perceptions of Workplace Breastfeeding Experiences
(North Dakota State University, 2015) Brown, Michelle Ann
The privilege of motherhood establishes additional temporary occupational needs for women who choose to breastfeed an infant and continue full time employment. The purpose of the study was to assess the holistic needs of employed lactating women. A Perceptions of Workplace Breastfeeding Experiences Questionnaire (PWBE-Q) was developed using Bronfenbrenner’s theory of social ecology and implemented with employees working in a Midwest medical center. The study included a physical survey of the facility’s lactation rooms. Three designated lactation rooms were assessed. Ninety five employees responded to the survey. Study results determined the facility’s existing designated lactation space was functional. Employees perceived a need for more convenient lactation spaces along with improved policy and information defining acceptable lactation practices. Recommendations were made suggesting how to expand company lactation support. Applying lactation interventions is shown to be in the best interest for a company and sets a good example for other businesses.
Nursing Student Stress
(North Dakota State University, 2015) Kulland, Emily Pohribnak
Nursing students experience multiple stressors as they are expected to apply theoretical learning and develop critical thinking skills while in the professional environment. Perceived overwhelming negative stressors can lead to absenteeism, job dissatisfaction, and a high employment turnover rate. This research compared levels of stress between sophomore, junior and senior nursing students at a public university and a private college, utilizing the Student Nurse Stress Index (SNSI, Jones and Johnson, 1999) and the Nursing Student Demographic Survey. Summary scores from the SNSI suggest that private college students report higher levels of stress than public students in four main areas including: “exams and/or grades”, “amount of classwork to be learned”, “difficulty of classwork to be learned”, and “lack of free time”. Key words: nursing student stress, college student stress, mature college student stress, student anxiety.
Perception of Nursing Empowerment and Intent to Stay
(North Dakota State University, 2013) Schmaltz, Joyce Marie
Nursing turnover and the evolving nursing shortage has continued to receive much attention from health care organizations. It is predicted that there will be 1.2 million job openings in nursing by 2020. Work empowerment has been associated with organizational commitment and intent to stay in current job. The purpose of this study was to evaluate if there is a relationship between the perception of organizational structural empowerment and intent to stay. The theoretical framework utilized was Kanter's Structural Theory of Organizational Empowerment. The population for the study included 1,159 nurses in a large, nonprofit, Midwest medical center. Data was collected through an online survey with a response rate of 22.7%. The overall results demonstrated perceived moderate levels of structural empowerment. Higher structural empowerment scores were noted in the respondents indicating intent to stay. The research demonstrated a positive correlation between empowerment scores and intent to stay.
The Relationship between Epidural Analgesia during Childbirth and Childbirth Outcomes
(North Dakota State University, 2004) Ramstad, Marsha
Epidural analgesia has increased in usage dramatically in the United States as a means of comfort for labor pain. Prior studies have connected epidural analgesia to an increase in cesarean birth rate, an increase in use of instrumentation, an increase in length of labor, episiotomy rate, and maternal fever. Epidural analgesia has produced additional costs to the patient and society. The purpose of this study is to examine the relationship between epidural analgesia during childbirth and childbirth outcomes. The data for this study were obtained from a retrospective patient record review of 200 systematically selected labor patients who delivered in 2002 at a midwestern hospital. The epidural analgesia rate was 72% at this facility in 2002, a signiﬁcant increase from the previous 5 years. Using the Chi-square test of independence, 3 relationship was established between epidural analgesia and four of the variables examined. A statistically signiﬁcant relationship was found to exist between epidural analgesia and cesarean birth rate, pitocin augmentation, and the ﬁrst and second stages of labor with the total sample. The results of the study are important for healthcare providers who are relaying inﬂuential wellness information to childbearing women and their partners. The results indicate a need for further education for healthcare providers on alternative methods of pain relief for their patients during childbirth.
Stress Levels of Nurses in Oncology Outpatient Units
(North Dakota State University, 2014) Ko, Woonhwa
The purpose of the research was to identify stress levels of outpatient oncology nurses, to investigate stressful factors of nurses at the workplace, to identify differences in stress levels among nurses’ demographic characteristics, and to explore coping behaviors for occupational stress of nurses. Study participants (n=40) included registered nurses and licensed practical nurses who completed the Nursing Stress Scale, three open-ended questions, and demographic questionnaire. Three different levels of stress were identified: 45% (n=18) were considered as ‘no stress or less stressed,’ 52.5% (n=21) were regarded as ‘moderately stressed,’ 2.5% (n=1) were considered as ‘highly stressed.’ The highest sources of stress were the factors of work load and patient death and dying. There were significant differences in stress levels among the demographic characteristics of age (p-value=0.0411) and nursing work experience (p-value=0.0412). The three most frequently used coping behaviors were verbalizing, exercising/relaxing, and taking time for self.

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