Problem-based, small-group learning (PBL) has been found to engage students in learning in underg... more Problem-based, small-group learning (PBL) has been found to engage students in learning in undergraduate nursing education. However, adapting to this learning approach can be challenging and students have complained of inconsistency across groups, which could be considered the antithesis of PBL. Despite faculty attempts at making expectations more explicit, complaints of inconsistency have contributed to student dissatisfaction. This research explored perceptions of consistency among students and faculty within a PBL-based nursing program. The study used an interpretive descriptive qualitative design and a researcher not involved in the BScN program conducted focus groups and in-depth interviews with 31 student and faculty participants. Data analysis was conducted using Morse & Field's four intellectual processes of comprehending, synthesizing, theorizing, and recontextualizing. Less experienced students were more likely to describe consistency in terms of sameness and fairness. More experienced students and faculty had a higher tolerance for ambiguity and valued learning experiences adapted to students' learning needs. All agreed that violating core expectations and academic regulations were problematic. Positive strategies for increasing consistency included clear communication and faculty development. This exploration of the meaning of consistency has provided an opportunity to develop strategies to increase student satisfaction earlier in PBL programs.
Diabetes distress has been shown to be highly prevalent in adults living with type 1 and type 2 d... more Diabetes distress has been shown to be highly prevalent in adults living with type 1 and type 2 diabetes with important implications for glycemic control, self-care, and self-management behaviors. Despite considerable focus on self-management and glycemic targets during pregnancy, current literature lacks information on diabetes distress in pregnancy, particularly in women with type 2 diabetes. This article outlines an explanatory sequential mixed methods research protocol to examine diabetes distress during pregnancy in women with pre-existing diabetes. The aims of the study were to: (1) establish the prevalence and correlates of diabetes distress in women attending a diabetes and pregnancy clinic; (2) use this quantitative data to inform development of an interview guide and plan for sampling for telephone interviews; and (3) explore and describe the experiences of diabetes distress during pregnancy. The quantitative strand was a cross-sectional survey of 76 women using self-repor...
Little is known about the student experience in collaborative college/university programs, where ... more Little is known about the student experience in collaborative college/university programs, where students are enrolled in two institutions simultaneously in integrated curriculum designs. This interpretive, descriptive, qualitative study explored these students’ perspectives. Sixty-eight participants enrolled in one of four collaborative programs from three different faculties engaged in student researcher-led focus groups. Results revealed that while all participants valued their respective academic programs, their day-to-day life experiences presented a different story. Some students had perceptions of belonging and thrived in a dual world. Others had perceptions of ambiguous belonging, which contributed to them perceiving themselves through a perpetual lens of being less than university-only students. Issues of how students are invited to engage in the university and college cultures, perceptions of power and control, and daily reminders of being different all contributed to posi...
ABSTRACT Aim: Among those with schizophrenia, hope in a fulfilling future and belief in one’s own... more ABSTRACT Aim: Among those with schizophrenia, hope in a fulfilling future and belief in one’s own competence are two subjective dimensions of recovery. Our aim in this study was to determine the correlation among stigma, social support, illness severity, and duration of illness with the two recovery dimensions, hope and self-efficacy. Method: We administered the Miller Hope Scale, Sherer’s Self-Efficacy Scale, the Norbeck Social Support Questionnaire, the Link Perceived Stigma Questionnaire, the Positive and Negative Syndrome Scale (PANSS), and the Beck Depression Scale to 70 individuals diagnosed with schizophrenia/ schizoaffective disorder. Results: As expected, hope and self-efficacy were highly intercorrelated (r=.58). Only perceived stigma, however, was significantly associated with both constructs. Conclusions: In this population, feeling hopeful about the future and feeling effective go together. The perception that mental illness is stigmatized diminishes both hope and efficacy and, in this way, hinders recovery.
Background Clinical nurses have multiple challenges in conducting high-quality nursing research t... more Background Clinical nurses have multiple challenges in conducting high-quality nursing research to inform practice. Theoretically, the development of a community of practice on nursing research centered on the concept of hope is an approach that may address some of the challenges. Purpose This article describes the delivery and evaluation of a hope research community of practice (HRCoP) approach to facilitate research expertise in a group of advanced practice nurses in one hospital. It addressed the question: Does the establishment of a HRCoP for master’s prepared nurses increase their confidence and competence in leading nursing research? Method Using interpretive descriptive qualitative research methodology, five participants were interviewed about their experiences within the HRCoP and facilitators engaged in participant observation. Results At 13 months, only four of the original seven participants remained in the HRCoP. While all participants discussed positive impacts of parti...
The practical concerns of well siblings of persons with schizophrenia were examined in a descript... more The practical concerns of well siblings of persons with schizophrenia were examined in a descriptive study that included a needs assessment survey and a workshop designed to increase well siblings' knowledge about schizophrenia. A questionnaire focusing on needs for information, support, and practical skills was completed by 88 well siblings and 19 of their spouses. The results indicated a desire for more specific information about schizophrenia, particularly prognosis, and difficulties in communicating and problem solving with siblings with schizophrenia. Although respondents to the questionnaire were neutral about the need for support from other well siblings, participants at the workshop indicated that they found the opportunity to meet and share experiences with other well siblings to be the workshop's strongest feature. The study indicates that well siblings of persons with schizophrenia have specific needs that may differ from those of other family members.
This qualitative study identifies factors that influence staff hopefulness in their work with ind... more This qualitative study identifies factors that influence staff hopefulness in their work with individuals with schizophrenia. Fifteen mental health professionals from both inpatient and community settings were interviewed via a semi-structured questionnaire. Subjects described the following as important to their hopefulness: knowing clients as people, sharing client successes, and receiving recognition for their accomplishments. Several educational, research, and system issues were also identified as influencing hopefulness. Respondents also described barriers to hopefulness arising from clients, coworkers and public attitudes. The relevance of these findings to promoting hopeful working environments is discussed.
Problem-based, small-group learning (PBL) has been found to engage students in learning in underg... more Problem-based, small-group learning (PBL) has been found to engage students in learning in undergraduate nursing education. However, adapting to this learning approach can be challenging and students have complained of inconsistency across groups, which could be considered the antithesis of PBL. Despite faculty attempts at making expectations more explicit, complaints of inconsistency have contributed to student dissatisfaction. This research explored perceptions of consistency among students and faculty within a PBL-based nursing program. The study used an interpretive descriptive qualitative design and a researcher not involved in the BScN program conducted focus groups and in-depth interviews with 31 student and faculty participants. Data analysis was conducted using Morse & Field's four intellectual processes of comprehending, synthesizing, theorizing, and recontextualizing. Less experienced students were more likely to describe consistency in terms of sameness and fairness. More experienced students and faculty had a higher tolerance for ambiguity and valued learning experiences adapted to students' learning needs. All agreed that violating core expectations and academic regulations were problematic. Positive strategies for increasing consistency included clear communication and faculty development. This exploration of the meaning of consistency has provided an opportunity to develop strategies to increase student satisfaction earlier in PBL programs.
Diabetes distress has been shown to be highly prevalent in adults living with type 1 and type 2 d... more Diabetes distress has been shown to be highly prevalent in adults living with type 1 and type 2 diabetes with important implications for glycemic control, self-care, and self-management behaviors. Despite considerable focus on self-management and glycemic targets during pregnancy, current literature lacks information on diabetes distress in pregnancy, particularly in women with type 2 diabetes. This article outlines an explanatory sequential mixed methods research protocol to examine diabetes distress during pregnancy in women with pre-existing diabetes. The aims of the study were to: (1) establish the prevalence and correlates of diabetes distress in women attending a diabetes and pregnancy clinic; (2) use this quantitative data to inform development of an interview guide and plan for sampling for telephone interviews; and (3) explore and describe the experiences of diabetes distress during pregnancy. The quantitative strand was a cross-sectional survey of 76 women using self-repor...
Little is known about the student experience in collaborative college/university programs, where ... more Little is known about the student experience in collaborative college/university programs, where students are enrolled in two institutions simultaneously in integrated curriculum designs. This interpretive, descriptive, qualitative study explored these students’ perspectives. Sixty-eight participants enrolled in one of four collaborative programs from three different faculties engaged in student researcher-led focus groups. Results revealed that while all participants valued their respective academic programs, their day-to-day life experiences presented a different story. Some students had perceptions of belonging and thrived in a dual world. Others had perceptions of ambiguous belonging, which contributed to them perceiving themselves through a perpetual lens of being less than university-only students. Issues of how students are invited to engage in the university and college cultures, perceptions of power and control, and daily reminders of being different all contributed to posi...
ABSTRACT Aim: Among those with schizophrenia, hope in a fulfilling future and belief in one’s own... more ABSTRACT Aim: Among those with schizophrenia, hope in a fulfilling future and belief in one’s own competence are two subjective dimensions of recovery. Our aim in this study was to determine the correlation among stigma, social support, illness severity, and duration of illness with the two recovery dimensions, hope and self-efficacy. Method: We administered the Miller Hope Scale, Sherer’s Self-Efficacy Scale, the Norbeck Social Support Questionnaire, the Link Perceived Stigma Questionnaire, the Positive and Negative Syndrome Scale (PANSS), and the Beck Depression Scale to 70 individuals diagnosed with schizophrenia/ schizoaffective disorder. Results: As expected, hope and self-efficacy were highly intercorrelated (r=.58). Only perceived stigma, however, was significantly associated with both constructs. Conclusions: In this population, feeling hopeful about the future and feeling effective go together. The perception that mental illness is stigmatized diminishes both hope and efficacy and, in this way, hinders recovery.
Background Clinical nurses have multiple challenges in conducting high-quality nursing research t... more Background Clinical nurses have multiple challenges in conducting high-quality nursing research to inform practice. Theoretically, the development of a community of practice on nursing research centered on the concept of hope is an approach that may address some of the challenges. Purpose This article describes the delivery and evaluation of a hope research community of practice (HRCoP) approach to facilitate research expertise in a group of advanced practice nurses in one hospital. It addressed the question: Does the establishment of a HRCoP for master’s prepared nurses increase their confidence and competence in leading nursing research? Method Using interpretive descriptive qualitative research methodology, five participants were interviewed about their experiences within the HRCoP and facilitators engaged in participant observation. Results At 13 months, only four of the original seven participants remained in the HRCoP. While all participants discussed positive impacts of parti...
The practical concerns of well siblings of persons with schizophrenia were examined in a descript... more The practical concerns of well siblings of persons with schizophrenia were examined in a descriptive study that included a needs assessment survey and a workshop designed to increase well siblings' knowledge about schizophrenia. A questionnaire focusing on needs for information, support, and practical skills was completed by 88 well siblings and 19 of their spouses. The results indicated a desire for more specific information about schizophrenia, particularly prognosis, and difficulties in communicating and problem solving with siblings with schizophrenia. Although respondents to the questionnaire were neutral about the need for support from other well siblings, participants at the workshop indicated that they found the opportunity to meet and share experiences with other well siblings to be the workshop's strongest feature. The study indicates that well siblings of persons with schizophrenia have specific needs that may differ from those of other family members.
This qualitative study identifies factors that influence staff hopefulness in their work with ind... more This qualitative study identifies factors that influence staff hopefulness in their work with individuals with schizophrenia. Fifteen mental health professionals from both inpatient and community settings were interviewed via a semi-structured questionnaire. Subjects described the following as important to their hopefulness: knowing clients as people, sharing client successes, and receiving recognition for their accomplishments. Several educational, research, and system issues were also identified as influencing hopefulness. Respondents also described barriers to hopefulness arising from clients, coworkers and public attitudes. The relevance of these findings to promoting hopeful working environments is discussed.
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Papers by Janet Landeen