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Unfolding Case Studies: Improving Nurse Practitioner Students’ Self-Efficacy

Published:September 09, 2022DOI:https://doi.org/10.1016/j.nurpra.2022.07.023

      Highlights

      • Unfolding case studies can be used by faculty to increase nurse practitioner student self-efficacy.
      • Unfolding case studies can be used by faculty to assess diagnostic reasoning and critical thinking skills.
      • Unfolding case studies allow faculty to create and map assignments to competencies

      Abstract

      Faculty use evaluative methods to assess students’ mastery of nurse practitioner competencies but seldom assess students’ self-efficacy. Self-efficacy is one’s belief that an activity can be competently performed, consequently having a positive impact on clinical performance. Graduating students may not feel confident in their ability to manage patients who require frequent treatment changes necessary to manage acute illness and exacerbation of chronic disease. Nurse practitioner students enrolled in their last adult-gerontology primary care didactic course were invited to participate in a study assessing their self-efficacy after completing a mandatory unfolding case study assignment. The participants demonstrated increased self-efficacy in several domains.

      Keywords

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      References

        • National Organization of Nurse Practitioner Faculties
        Nurse Practitioner Core Competencies Content.
        • Bandura A.
        Guide for Constructing Self-Efficacy Scales.
        in: Pajares F. Urdan T. Self-Efficacy Beliefs of Adolescents. Information Age Publishing, 2006: 307-337
        • Jnah A.J.
        • Robinson C.B.
        Mentoring and self-efficacy.
        Adv Neonatal Care. 2015; 15: e3-e11https://doi.org/10.1097/ANC.0000000000000227
        • Neal T.I.
        Mentoring, Self-Efficacy and Nurse Practitioner Students: A Modified Replication.
        (Doctoral dissertation) Ball State University, 2008
        • Steffen A.M.
        • McKibbin C.
        • Zeiss A.M.
        • Gallagher-Thompson D.
        • Bandura A.
        The revised scale for caregiving self-efficacy: reliability and validity studies.
        J Gerontol B Psychol Sci Soc Sci. 2002; 57: P74-P86
        • Ma C.
        • Zhou W.
        Effects of unfolding case-based learning on academic achievement, critical thinking, and self-confidence in undergraduate nursing students learning health assessment skills.
        Nurse Educ Pract. 2022; : 103321https://doi.org/10.1016/j.nepr.2022.103321
        • Peele H.V.
        The Use of an Unfolding Case Study to Enhance Self-Efficacy in Nursing Students, 2015 Students.
        (DNP capstone project) Gardner-Webb University, 2015
        • American Association of Nurse Practitioners
        What’s a Nurse Practitioner?.
        • Matlock D.D.
        • Lewis C.L.
        Evaluation, Management, and Decision Making.
        in: Halter J.B. Ouslander J.G. Studenski S. Hazzard’s Geriatric Medicine and Gerontology. McGraw Hill, 2017: 151-156
        • Scholz U.
        • Dona B.G.
        • Sud S.
        • Schwarzer R.
        Is general self-efficacy a universal construct? Psychometric findings from 25 countries.
        Eur J Psychol Assess. 2002; 18: 242-251
        • Schwarzer R.
        • Jerusalem M.
        Generalized Self-Efficacy Scale. Causal and Control Beliefs.
        in: Weinman J. Wright S. Johnston M. Measures in Health Psychology: A User’s Portfolio. NFER-Nelson, 1995: 35-37
      1. National League for Nursing. Advancing Care Excellence for Seniors. Red Yoder. Accessed May 26, 2022. https://www.nln.org/education/teaching-resources/professional-development-programsteaching-resourcesace-all/ace-s/unfolding-cases/red-yoder-6121c65c-7836-6c70-9642-ff00005f0421

        • National League for Nursing
        Advancing Care Excellence for Seniors.
        • American Association of Colleges of Nursing
        Adult-Gerontology Acute Care and Primary Care NP Competencies.

      Biography

      Both authors are at the School of Nursing, University of Alabama at Birmingham. Natalie R. Baker, DNP, ANP-BC, GNP-BC, CNE, is an associate professor, and can be contacted at [email protected] , and Kala K. Blakely, DNP, NP-C, is an assistant professor.