The effect of acute care orientation coaching on perceived self-efficacy among new graduate nurses

UNCW Author/Contributor (non-UNCW co-authors, if there are any, appear on document)
Sandra M O'Donnell (Creator)
The University of North Carolina Wilmington (UNCW )
Web Site:
RuthAnne Kuiper

Abstract: This study explores the degree of perceived self-efficacy related to the performance of specific nursing behaviors among new graduate nurses who began their formal acute care institution orientation program in southeastern North Carolina during the summer of 2005. The theoretical framework for the study is Bandura’s Theory of Self-Efficacy (1997). A quasi-experimental single-group pretest, posttest design is used to examine self-efficacy perceptions of new graduate nurses across time and compare 6 nursing domains with various demographic characteristics. The study methods evaluate what influence prior nursing practice experience may have on self-perception of self-efficacy and to what degree the self-efficacy perceptions change over the course of 6 months. The study methods also evaluate for differences which may exist between self-efficacy perceptions within 6 nursing domains (Nurse-Client Relationship, Health Promotion, Illness/Injury Prevention, Curative/Supportive Care, Rehabilitative Care and Professional Practice) as measured by the Self-Efficacy for Professional Nursing Competencies Questionnaire (Babenko-Mould et al, 2004). There were 71 new nurse graduates who volunteered to complete the questionnaire during their first week of acute care institution orientation Forty of these new nurse graduates volunteered to complete the questionnaire again 6 months later. Significant differences (p<.001) in self-efficacy perceptions are found from pretest to posttest. These findings highlight the importance of the coaching activities for new graduate nurses and validate self-efficacy sources as proposed in Bandura’s theory. Insights gained from this study may assist nursing educators in planning curricula, clinical experiences, and orientation programs to meet learning needs of nursing students in preparation for the new graduate nurse role.

Additional Information

A Thesis Submitted to the University of North Carolina Wilmington in Partial Fulfillment Of the Requirements for the Degree of Master of Science in Nursing
Language: English
Date: 2009
Intensive care nursing, Nursing, Research project (Nursing)
Intensive care nursing
Research project (Nursing)

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