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确定社区学院护理学生的流失风险并评估干预措施

作者:Devadatta V. Tata,MS,MBA

主要顾问:Craig W. Johnson,博士

委员会成员:

Masters thesis, The University of Texas School of Biomedical Informatics at Houston.

抽象的:

In recent years, there has been a growing demand to cater to the vast number of high school graduates pursuing undergraduate studies. In a paper addressing Student Support Services in a community college, Cooper (Cooper, 2010)has emphasized the benefits of a community college setting citing open-admission policies, convenient locations, course schedules, close relationships with local business and industry, and lower costs relative to other institutions. Cooper highlights these factors in explaining increased accessibility to community colleges for millions of students. However, providing facilities alone does not guarantee the success of students once they are enrolled. In the recent past, there has been a growing concern regarding student attrition and loss of students prior to completion of academic programs. Efforts to develop and implement ameliorative procedures directed towards nursing and health sciences education programs have been described by (Johnson, Johnson, Kim, & McKee, 2009).

美国教育部(2002年)进行的一项研究发现,在招生意图获得证书/学位或转移到四年制机构的社区大学的学生中,几乎一半在六个之内没有达到这一目标年。社区大学报告的中位数和平均第一年的保留率为56%,中位数完成率为23%(法案,2010年)。此外,已经表明,社区大学中有超过59%的学生需要参加至少一个发展教育课程(Bailey,2009年)。

Studies in the past have suggested that to identify and reduce attrition and early drop outs, it is imperative that cognitive and noncognitive factors be addressed (Clewell, deCohen, Deterding, & Tsui, 2006; Tracey & Sedlacek, 1984). A number of authorities have indicated that regular faculty-student contact is the most important factor in student involvement and motivation. Faculty can provide students with needed support to get through tough times and keep working towards academic success (Chickering & Gamson, 1987; Glennen & Vowell, 1995). Current community college retention and graduation percentages are not sustainable nor are they meeting the supply needs of our health system to address the demands for quality service. While there are a myriad of factors that influence graduation rates at the community college level, one of the simple solutions is to focus institutional efforts towards student retention programs that could result in student success.

Retention programs come in a variety of approaches. Institutional support service programs include academic, social, and financial support. These programs are often aimed at tutoring academic subjects, implementing skill-based and career workshops, and providing counseling for class scheduling or advice on personal matters (ACT, 2010). For top Community Colleges, advising and student assessment were among the top 10 practices and services offered, as well as among the top 9 practices that make the greatest contribution to retention (ACT, 2010). Review of the literature on the impact of counseling on student retention, found that counseling increases retention of students with high dropout risk factors(Summers, 2003). Research also indicates that students who have more meaningful and frequent interactions with advisors in the first year of enrollment significantly increase their chances of retention (Jaeger & Eagan, 2010). Despite having recommendations encouraging retention measures, many institutional academic service programs lack effective means and methods towards reducing attrition (ACT, 2010).

Given the above theoretical and empirical context, the Personal Background Preparation Survey (PBPS) instrument has been designed to early identify and diagnose student risks for academic success and recommend interventions for amelioration and subsequent prevention of progression into non-advancement and attrition.

For this study, the PBPS was administered along with two other commonly employed testing methods for nursing students, which are the HESI and the Hardiness Tests. Further information about these testing methods is provided later in the paper. This paper addresses the degree to which PBPS, HESI, and Hardiness Scale covariates; and jump start, counseling, retention, and tutoring interventions; predict adverse academic status events (AASE) and non-advancement adverse academic status events (NAASE) for 1st-semester and 2nd-semester students enrolled in a community college nursing school.

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