Perceptions of Instructor Caring Behaviors, Self-Esteem, and Perceived Clinical Competence: A Model of the Attitudinal Component of Professional Nurse Autonomy in Female Baccalaureate Nursing Students
Review TypeNone: Degree-based Submission
Repository Posting Date2019-03-01T19:59:42Z
Author(s)Wade, Gail Holland
Author DetailsGail Holland Wade, PhD
Lead Author Sigma AffliationBeta Xi
Level of EvidenceOther
Research ApproachQuantitative Research
CINAHL HeadingsProfessional Autonomy; Caring; Self Concept; Clinical Competence; Student Attitudes; Students, Nursing, Baccalaureate; Faculty, Nursing; Watson's Theory of Caring
This model testing correlational study was designed to specify a model of predictors of the attitudinal component of professional nurse autonomy and to test three carative factors embedded in Watson's Theory of Transpersonal Caring. The carative factors tested were: transpersonal teaching-learning, sensitivity to self and others, and creative problem solving process. These factors were operationalized as perceptions of instructor caring, self-esteem and perceived clinical competence. Proportional quota sampling was used to collect data from a national sample of 317 second semester senior nursing students from 20 generic NLNAC accredited BSN programs. Data were collected using the Autonomy, the Caring Perspective (ACP) instrument, Perceptions of Instructor Caring Behaviors (PICB) semantic differential scale, the Perceived Clinical Competency Scale (PCCS), Rosenberg's Self-Esteem Scale (RSES), and a researcher designed demographic data form. Alpha coefficients ranged from .77 to .94. Model testing, using hierarchial multiple regression, was performed after determining that age significantly influenced study scores. With age added to the fourth step of the regression equation, self-esteem (R 2 = .071, p < .0001), perceived clinical competence (R2 = .050, p < .0001), and age (R2 = .021, p < .011) together explained 14.2% of the variance in the attitudinal component of professional nurse autonomy. Initial path analysis of the hypothesized model revealed that it was just-identified. By removing the nonsignficant paths, findings from the trimmed over-identified model indicated that 19.1% of the variance in perceived clinical competence was explained by self-esteem and perceptions of instructor caring behaviors. Perceptions of instructor caring behaviors, self-esteem, and perceived clinical competence, however, only contributed 11.1% to the variance in the attitudinal component of professional nurse autonomy. Although the revised model of the attitudinal component of professional nurse autonomy was testable, its relationship to Watson's Theory of Transpersonal Caring was not supported. Findings provide a baseline for understanding the development of the attitudinal component of professional nurse autonomy. A large percentage of the variance in the attitudinal component of professional nurse autonomy remains unexplained suggesting the need to study other possible contributing variables.
DescriptionThis dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 9994186; ProQuest document ID: 304776441. The author still retains copyright.
Degree GrantorWidener University
NotesThis item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
Copyrighted materials in this document have not been filmed at the request of the author. They are available for consultation in the author’s university library.
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