scholarly journals A concept analysis of “Reluctance to fail”

2017 ◽  
Vol 7 (8) ◽  
pp. 80 ◽  
Author(s):  
Sarah A. Prichard ◽  
Peggy Ward-Smith

Background: Academic success in programs of nursing requires successful completion of didactic and clinical activities. Failure, in didactic situations, is objectively determined. Clinical failure is determined subjectively, which may expose the competency and reputation of the clinical faculty. This scenario can result in a hesitancy, or a reluctance to fail a student. Graduation may occur in the presence of limited clinical competency resulting in new graduates who are not adequately prepared for professional nursing practice.Methods: Exploring the concept of reluctance to fail will provide a conceptual definition based on uses of the concept found in research studies. Walker and Avant (2011) describe an eight step concept analysis process which will be utilized to determine the defining attributes, antecedents, consequences and empirical referents of the concept of reluctance to fail.Results: The result of this concept analysis is a conceptual model depicting reluctance to fail as a circular phenomenon with various elements. Guided by the intervention needed to address the deficiency, these elements may be placed in one of three categories: education of faculty, role modeling, and peer support.Conclusions: Education of clinical faculty will diminish the unwillingness, and hesitancy elements. Role modeling activities will prevent fear as rationale for reluctance to fail. Peer support provides emotional support when guilt for assigning a failing grade occurs. Future research must be conducted to identify factors responsible for faculty reluctance to assign failing grades, as well as the effectiveness of these interventions. 

2019 ◽  
Vol 43 (1) ◽  
pp. 71-87
Author(s):  
Alexsandra Dubin ◽  
Barry A. Garst ◽  
Tracey Gaslin ◽  
Beth E. Schultz

Background: Summer camps engage millions of youth in enrichment opportunities during the summertime while employing a substantial young adult workforce to provide high-quality programs and services to camp participants. Workplace fatigue has been implicated in camp-related injury and illness events, yet few studies have targeted fatigue among camp employees. Purpose: This study aimed to better understand how fatigue impacted employee performance as well as strategies for reducing the negative impacts of fatigue within camp settings. Methodology/Approach: Focus groups were conducted with camp health care providers and directors, and their responses were analyzed using directed content analysis. The analysis process was guided by sensitizing concepts from the literature. Findings/Conclusions: Emergent themes suggested that camp-related fatigue is conceptualized as a construct of time, types, and causes; is a distinct experience leading to setting-specific outcomes; is managed using administrative and peer supports; and is sometimes perceived in positive ways. Implications: This exploratory study highlighted the unique challenges associated with working in a camp setting and the potential development of fatigue as a starting point informing future research. It suggests that future research should include a broader study population, including frontline staff, as well as possible quantitative measures.


2021 ◽  
Author(s):  
◽  
Jie Gao

<p>This research sought to investigate the motivation of Chinese undergraduate students. It drew on Higgins’ (2012) conceptualization of motivation, which defined motivation as involving individuals’ simultaneous strivings for value, truth, and control effectiveness. Promotion, prevention, assessment, and locomotion are key general motivation tendencies that measure these three ways of strivings for effectiveness; these motivation tendencies interact to shape motivation effects (Higgins, 2012). This research examined the number and nature of the motivation configurations (i.e., motivation profiles) that mapped the interrelationships among promotion, prevention, assessment, and locomotion for a sample of Chinese undergraduate students. To this end, a mixed methods approach was adopted. First, quantitative data were collected from 886 Chinese undergraduate students at a Chinese university. The quantitative phase identified the motivation profiles and evaluated similarities/differences among the profiles with regard to important motivation factors pertaining to grit, theories of intelligence, critical thinking, effort regulation, and perceptions/evaluations of academic success. Then, the qualitative phase consisted of a multiple-case study of 19 interview participants who were purposefully selected from each of the motivation profiles identified in the quantitative phase.  Analyses of quantitative and qualitative data revealed important findings. Specifically, five distinct motivation profiles were determined in the quantitative phase. The first profile (i.e., C1) was characterized by having high/very high and comparable levels of all four motivation orientations. The C2 profile encompassed very strong prevention and average and comparable levels of the remaining orientations. The C3 profile was characterized by strong/very strong and comparable assessment, locomotion, and promotion, but very weak prevention. The C4 profile was characterized by having low/very low levels of assessment, locomotion, and promotion and below average levels of prevention. The C5 profile encompassed below average and comparable levels of assessment, locomotion, promotion, and somewhat stronger prevention. Subsequent analyses showed that there were statistically significant differences among the profiles with regard to most of the motivation factors investigated. Some of these differences were of medium to large/very large magnitude. The qualitative phase of this research provided an in-depth understanding of the different strategic approaches that students who have a certain motivation profile reported employing in their learning. The qualitative findings showed that the approaches to learning and learning related tasks/activities that were reported by the interview participants were generally in line with the characteristics of their motivation profiles.  Identifying and discussing Chinese undergraduate students’ motivation profiles contribute to understanding how the four general motivation tendencies (i.e., promotion, prevention, assessment, and locomotion) interact and how these interactions shape other motivation factors for this population. Moreover, findings from this research provide salient information regarding the motivation factors that undergird students’ academic success. This knowledge can help teachers/educators better understand students’ motivation and support productive outcomes in learning settings. In conclusion, this research makes important contributions to the existing motivation literature and educational practices. It also opens up novel directions for future research.</p>


Author(s):  
Michelle Krawczyk

People with disabilities use various assistance devices to improve their capacity to lead independent and fulfilling lives. Service dogs can be crucial lifesaving companions for their owners. As the use of service dogs increases, nurses are more likely to encounter them in healthcare settings. Service dogs are often confused with therapy or emotional support dogs. While some of their roles overlap, service dogs have distinct protection under the American Disabilities Act (ADA). Knowing the laws and proper procedures regarding service dogs strengthens the abilities of healthcare providers to deliver holistic, patient-centered care. This article provides background information about use of dogs, and discusses benefits to patients and access challenges for providers. The author reviews ADA laws applicable to service dog use and potential challenges and risks in acute care settings. The role of the healthcare professional is illustrated with an exemplar, along with recommendations for future research and nursing implications related to care of patients with service dogs.


2020 ◽  
pp. 135910452097244
Author(s):  
Mia A Jules ◽  
Donna-Maria B Maynard ◽  
Gillian Lowe ◽  
Garth Lipps ◽  
Roger C Gibson

The extent to which students’ level of depressive and anxiety symptoms and student engagement were predicted by parental emotional support, monitoring and harsh parenting was investigated using a series of multiple regression analyses. Grade six students from public primary schools ( n = 293; 49% females, 51% males; mean age = 10 years) in Barbados completed the Revised Children’s Anxiety and Depression Scale, a Parenting Questionnaire and an adapted Student Engagement scale. Students’ level of depressive symptoms were predicted by parental emotional support and harsh parenting, but not by parental monitoring. With the exception of harsh parenting, neither parental emotional support nor parental monitoring were significant predictors of the anxiety levels of students. Student engagement was predicted by all three types of parenting practices. Limitations, recommendations for future research and practical implications of the study are discussed.


BMJ Open ◽  
2019 ◽  
Vol 9 (10) ◽  
pp. e031343
Author(s):  
Martin Bruusgaard Harbitz ◽  
Helen Brandstorp ◽  
Margrete Gaski

ObjectiveThe aim of this study is to identify and analyse rural general practice patients’ experiences of hazards and harm that comprise adverse events, and their strategies for coping with them.DesignInterview study using systematic text condensation and coping strategy theory in an abductive analysis process.SettingNine rural general practice clinics in Norway.ParticipantsTwenty participants, aged 21–79 years, all presenting with recent onset of somatic and/or psychiatric complaints.ResultsParticipating rural general practice patients described their experiences of a variety of hazards and harms. Their three most discussed cognitive and behavioural coping strategies were: (1) to accept the events; (2) to confront them and (3) to engage in planful problem-solving. While the participants demonstrated a tendency toward accepting hazards and harm that their regular general practitioner created, they were often willing to confront those that locum (ie, substitute) general practitioners created. Participants used planful problem-solving in situations they deemed hazardous, such as breaches of confidentiality or not being taken seriously, as well as during potential/actual emergencies.ConclusionsPatients at rural general practice clinics actively identify and respond to hazards and harm, applying three coping strategies. Thus, patients themselves may serve as an important safety barrier against hazards and harm; their potential contributions to improving patient safety must be appreciated accordingly and reflected in future research as well as in everyday clinical practice.


2020 ◽  
pp. 096973302096182
Author(s):  
Hugo Franco ◽  
Sílvia Caldeira ◽  
Lucília Nunes

Nursing research using concept analysis plays a critical role for knowledge development, particularly when concerning to broad and foundational concepts for nursing practice, such as dignity. This study aimed to synthesize research concerning concept analysis of dignity in nursing care. Based on a literature review, electronic databases were searched (MEDLINE, CINAHL, COCHRANE, SCOPUS, EBSCOhost, and PubMed) using the terms “dignity,” “human dignity,” “concept analysis,” and nurs*. Papers in Portuguese or English were included. The research synthesis was conducted independently by two reviewers. A total of 35 citations were identified and seven papers were included. Six studies were elected using Walker and Avant concept analysis methodology while one applied the Beth Rodgers evolutionary model. The concept of dignity has been studied by nurses, and its attributes, antecedents, consequences, and similar concepts were synthesized into a definition. Dignity emerged as a fundamental concept in nursing ethics and the main attributes synthesized were personhood (intrinsic), sociability (relational/behavioral), respect, and autonomy. The antecedents identified were: facilitators—patient focus care, recognition (of the attributes of dignity), education, and ethical competence; threats—vulnerability and organizational environment. The consequences were positive coping, empowerment, and dignity preservation. The synthesis of these seven studies using concept analysis provided a clear definition of dignity. These findings challenge future research and education, particularly for the study of undergraduate and postgraduate nursing education programs to enhance skills for preserving patient dignity in clinical practice.


2018 ◽  
Vol 24 (2) ◽  
pp. 99-104
Author(s):  
Mykin Higbee

The concept of unintended consequences is widely discussed in the realms of politics or economics, but not as frequently as related to health care. Nursing professionals act with the intent to improve health outcomes for patients; however, with every action, there are risks and consequences that may or may not be anticipated. This article utilizes a modified version of Walker and Avant’s framework for concept analysis (2011) to identify the characteristics, defining attributes, and antecedents of the concept of unintended consequences, present a model case and empirical referents, and provide a practical and theoretical application to nursing. Opportunities for future research related to the concept of unintended consequences include a closer study of nurses’ choices that may affect their well-being or productivity, as well as educational opportunities to better inform nurses of the impact unintended consequences may have on them and the care they provide.


2016 ◽  
Vol 13 (1) ◽  
pp. 127-138 ◽  
Author(s):  
Lisa J. Hayden ◽  
Sarah Y. Jeong ◽  
Carol A. Norton

AbstractThe population of mature age students entering university nursing programs has steadily increased in both Australia and worldwide. The objective of the literature review was to explore how mature age students perform academically and to analyse the factors associated with their academic performance in nursing programs. A literature search was conducted in the following databases: CINAHL, ProQuest, Medline, Cochrane, Mosby’s Index, Joanna Briggs Institute (JBI), and Scopus. Twenty-six (26) research papers published between 2000 and 2014 have met the selection criteria of this review. The key themes identified include; 1) ambiguity in definition of mature age and academic success, 2) age and academic success, 3) intrinsic factors (life experiences, emotional intelligence, and motivation and volition), and 4) extrinsic factors (peer, academic and family support; and learning style, components of the modules and mode of delivery). Current literature provides evidence that mature age nursing students perform at a higher level within the methodological issues discussed in this paper. Future research is warranted to advance the understanding of the complex relationship between extrinsic and intrinsic factors of mature age students and their academic success in higher education. Nursing educators will benefit from novel evidence, ideas and opportunities to explore and implement in nursing education.


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