Electronic Theses and Dissertations

Date

2024

Document Type

Dissertation

Degree Name

Doctor of Philosophy

Department

Nursing

Committee Chair

Dana El Hajj

Committee Chair

Martha Gunter

Committee Member

Dana G El Hajj

Committee Member

Martha D Gunter

Committee Member

Martha Gunter

Committee Member

Barbara S McClanahan

Committee Member

Meghan B Taylor

Abstract

Abstract Background Turnover is a chronic phenomenon which has plagued nursing since Florence Nightingale’s time (West et al., 2007). Nursing has conducted research on resilience with the intent to find a way to support nurses (Fleming & Ledogar, 2008). There are multiple phenomena that may contribute to sustained resilience (Haase, & Phillips, 2017; Heinze et al., 2021; Rushton et al., 2021; Yilmaz, 2017) Objectives This study will examine the background of resilience and how it relates to new graduate nurse turnover. It will explore the concepts of resilience, spirituality through meaning and purpose in the workplace, moral resilience, ethical dilemmas, moral distress, burnout, and Benner’s first two stages of nursing development. This study examines assumptions and limitations for further study of senior graduating student nurses’ resilience. Methods This study used two quantitative measurement tools to evaluate the effectiveness of a pilot intervention with pre- and post- design. The two measurement tools are the Rushton Moral Resilience Tool and Finding Meaning and Purpose (Rushton et al., 2021; Ashmos and Duchon, 2000). The pilot education intervention was based on Benner’s theoretical framework and prior resilience studies (Benner, 1984; Rushton et al., 2021). Results Conclusion Senior graduate student nurses need resilience skills to survive the challenges found in their future practice environment. If the healthcare system does not support their development and continued cultivation of nurses’ resilience, the system will continue the cycle of losing this valuable human resource.

Comments

Data is provided by the student.

Library Comment

Dissertation or thesis originally submitted to ProQuest.

Notes

Open access.

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