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Understanding the Phenomenon of Fail...

Haines, Alice Jane.

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Understanding the Phenomenon of Failure to Fail in Unsafe Pre-Licensure Nursing Students in the Clinical Setting: A Grounded Theory Approach.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Understanding the Phenomenon of Failure to Fail in Unsafe Pre-Licensure Nursing Students in the Clinical Setting: A Grounded Theory Approach./
Author:	Haines, Alice Jane.
Published:	Ann Arbor : ProQuest Dissertations & Theses, : 2024,
Description:	174 p.
Notes:	Source: Dissertations Abstracts International, Volume: 85-10, Section: A.
Contained By:	Dissertations Abstracts International85-10A.
Subject:	Nursing. -
Online resource:	https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=31145473
ISBN:	9798382307794

Understanding the Phenomenon of Failure to Fail in Unsafe Pre-Licensure Nursing Students in the Clinical Setting: A Grounded Theory Approach.
Haines, Alice Jane.

Understanding the Phenomenon of Failure to Fail in Unsafe Pre-Licensure Nursing Students in the Clinical Setting: A Grounded Theory Approach. - Ann Arbor : ProQuest Dissertations & Theses, 2024 - 174 p.

Source: Dissertations Abstracts International, Volume: 85-10, Section: A.

Thesis (Ph.D.)--Indiana University of Pennsylvania, 2024.

Failure to fail is a significant issue in nursing programs worldwide. It can lead to negative outcomes for students, clients, staff, and the profession if unsafe graduates are permitted to enter practice. This constructivist grounded theory study evaluated the decision-making process utilized by 16 pre-licensure clinical nursing faculty to determine whether a borderline/unsafe student passed or failed a clinical experience. Two semi-structured interviews were conducted with each informant. Following the interviews, they were coded using initial, focused, and theoretical coding and constant comparative analysis. As a result, six unsafe behaviors were identified that caused the informants to want to fail the student: lack of ability to synthesize client plan of care, ineffective interpersonal communication, unacceptable pattern of skill performance, unwillingness to perform assigned role, disrespectful mindset/attitude, and deceitful/amoral conduct. In addition, six reasons for failure to fail emerged from the data: lack of administrative support to fail students, time pressures, ineffective clinical evaluation tools, inconsistent policy enforcement, fear of appeals, grievances and lawsuits, and role conflict.The substantive theory that emerged was the Complex Conundrum of Clinical Evaluation. It included four phases: seeing red flags, seeking validation, selecting an outcome, and failing to fail. The core category that was identified was role conflict.

ISBN: 9798382307794Subjects--Topical Terms:

528444
Nursing.
Subjects--Index Terms:

Nursing students

Understanding the Phenomenon of Failure to Fail in Unsafe Pre-Licensure Nursing Students in the Clinical Setting: A Grounded Theory Approach.
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