13 / 36
Page 68
Notes:
Journal of Palliative Care & Medicine | ISSN: 2165-7386 | Volume 8
August 27-28, 2018 | Boston, USA
4
th
International Conference on
Palliative Care, Medicine and Hospice Nursing
Preliminary analysis: Nursing turnover rates, nursing students, self-efficacy, continuous self-
improvement, and coping skills
Dale M Hilty
Mount Carmel College of Nursing, USA
H
alter and colleagues (2017) reviewed primary research articles using the Nursing Turnover Cost CalculationMethodology
and found the turnover rate was 27% (Duffield et al, 2014) in the United States. Halter and colleagues (2017) summarized
Li and Jones' (2013, p. )
Findings:
"This review was based on ten studies, eight of which were in acute hospital settings, all conducted in the USA,
with one also in each of Australasia and Canada. The review reported costs of per nurse turnover ranging from $10,098 to
$88,000…” The purpose of this educational intervention was to determine whether high and moderate-low scores on self-
efficacy differentiated coping skills with a sample of nursing students.
Instrumentation:
Self-Efficacy (Schwarzer & Jerusaslem, 1995), Wooden's Competitive Greatness (Hilty, 2017) construct (i.e.,
being the best you can be when your best is needed, continuous self-improvement, appreciating difficult challenges), and
Greenglass' et al. (1999) proactive coping, reflective coping, and strategic planning. If nursing students reported different
levels of continuous self-improvement and coping skills in relation to self-efficacy, it may be possible to track these students
following graduation to determine the relationship between turnover rates and these research constructs. A sample of Bachelor
of Science in Nursing (BSN) traditional students were divided into two groups using the self-efficacy scales. Hypothesis 1:
There would be a difference between self-efficacy (high and moderate-low scoring groups) when compared to the Proactive
Coping, Reflective Coping, Strategic Planning scales (SPSS 25, Independent t-test). Hypothesis 2: A difference would be found
using self-efficacy as the dependent variable and competitive greatness (i.e., continuous self-improvement) as the predictor
variable (SPSS 25, linear regression). Independent t-test (N=61) analyses found significant differences between Proactive
Coping (p=.001 ), Reflective Coping (p=.001), and Strategic Planning (p=.001) scales. The linear regression analysis confirmed
the hypothesis 2 prediction and produced a correlation between self-efficacy and competitive greatness of .515 (r square = .265)
which is significant (F (1, 59)=21.307, p=.001). Higher levels of self-efficacy are associated with higher levels of continuous
self-improvement.
Biography
Dale M Hilty, Associate Professor, received his PhD in counseling psychology from Department of Psychology at the Ohio State University. He has published
studies in the areas of psychology, sociology, and religion. Between April 2017 and April 2018, his ten research teams published 55 posters at local, state, regional,
national, and international nursing conferences.
dhilty@mccn.eduDale M Hilty, J Palliat Care Med 2018, Volume 8
DOI: 10.4172/2165-7386-C3-021