Publications by authors named "Regina W Urban"

Using an observational design, new graduate nurses' perceptions of job satisfaction and resignation ideation during COVID-19 were explored. Higher job satisfaction was associated with higher self-confidence, lower stress, and working in first choice of unit. A higher likelihood of resignation ideation was associated with coworker incivility, higher stress, and not working in first choice unit.

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Work engagement, burnout, and well-being in nursing professional development practitioners during the second year of COVID-19 were explored. Increased levels of work engagement were associated with decreased burnout and higher levels of well-being. Significant differences were noted in work engagement and burnout among those with more than 1 year of nursing professional development experience.

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Background: During the COVID-19 pandemic, acute care nurse managers functioned in a critical role by helping to advance the mission and goals of their organization while navigating a rapidly evolving healthcare landscape. This resulted in high levels of ongoing job-related stress which is linked to negative physical, psychological, and job-related outcomes. Little is known about the perceptions regarding their own professional well-being during this time.

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Background: Prenursing students represent the future pipeline of nursing students, yet their perceptions of how COVID-19 affected their experience as prenursing students are unknown.

Method: Short-answer data ( n = 289) in US prenursing students were collected in fall 2020. Deductive thematic analysis was applied according to the social determinants of learning (SDOL™) framework.

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Introduction: During the first 2 years of the pandemic, visitors for patients with COVID-19 were prohibited from emergency departments in the United States with few exceptions, leaving patients without their caregivers and advocates. Little is known about emergency nurses and nursing assistive personnel beliefs regarding this issue. Therefore, this study's purpose was to describe and assess relationships among emergency nursing and assistive personnel attitudes and perceptions regarding emergency department "no-visitor policies" for patients with COVID-19.

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Background: To increase retention of prelicensure nursing students, several routes are used for admission to nursing programs. Students can be accepted as an early matriculation (EM) student at the point of university admission or they can follow a traditional competitive approach (TR) for admission.

Method: A retrospective matched cohort study design was used to explore the differences among selected academic variables in two groups of prelicensure undergraduate students ( = 136) in the same program.

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Background: Nurse managers have experienced tremendous stress during the COVID-19 pandemic, contributing to negative psychological outcomes. Positive professional well-being is a construct that can be promoted to mitigate poor psychological outcomes and burnout in nurses. Little is known about the health, healthy behaviors, effects of stress on homelife, and well-being of nurse managers in the United States (U.

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Aim: The aim of this study was to describe online prelicensure nursing students' experiences of incivility during COVID-19.

Design: Qualitative descriptive. Five optional open-ended questions were presented to nursing students to share their experiences with incivility during the pandemic.

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Background Transitioning to practice during the COVID-19 pandemic multiplied the stressors and challenges typically encountered by new graduate nurses (NGNs), yet research exploring mental health variables of this subset of nurses remains sparse. Method This study used an observational design and convenience sampling. NGN alumni ( = 192) from a pre-licensure nursing program were surveyed during the summer of 2021 regarding their experiences with resilience, anxiety, depression, and stress while transitioning to practice during the COVID-19 pandemic.

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Aim: To explore pre-nursing students' experiences and identify factors influencing their well-being as learners during COVID-19.

Design: A qualitative descriptive design was used.

Methods: Short answer study data (n = 289) were collected in Fall 2020 as part of a larger IRB-approved survey-based study focused on pre-nursing students.

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Nursing students face unique academic and clinical workloads linked to increased stress. Previous studies indicate formal and informal mindfulness meditation provide stress-reducing benefits. This practice aligns with holistic nursing core values of self-care and self-reflection; little is known about meditation practice in nursing students.

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Objective: To explore birth and at-home postpartum experiences of individuals with lower extremity nerve injury (LENI) related to childbirth.

Design: Mixed-methods, descriptive, cross-sectional survey with open-ended questions.

Setting: Closed Facebook support group.

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Background: The coronavirus disease-2019 (COVID-19) pandemic has created personal, financial, and academic challenges for prenursing students, which may hinder academic persistence. Understanding and supporting their well-being is important, as they prepare to apply to nursing programs.

Purpose: The purpose of this study was to explore relationships among stress, resilience, and academic persistence in prenursing students intending to apply to either an on-campus or accelerated online nursing program.

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Background: This study sought to identify demographic, personal, and emotional characteristics of undergraduate nursing students who have discontinued their program and determine predictors of their intention to reenroll.

Method: Students who discontinued from a prelicensure BSN or RN-to-BSN program were invited to participate in this study. Survey data collected included factors associated with the decision to discontinue, ratings of emotional distress, and intentions for the future.

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Background: Nursing students are at increased risk for the consequences of stress on wellbeing. Little is known about nursing students' health promoting behaviors and how these relate to health, stress, and well-being.

Purpose: The purpose was to describe perceived stress and measures of well-being (self-compassion, happiness, and life satisfaction) along with self-reported health promoting behaviors and health status in order to identify factors that could affect stress and well-being in nursing students.

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Although incivility in nursing education is linked with negative physical and psychological effects on students, it is unclear how resilience and stress interact and relate to student incivility. The purpose was to understand the role of resilience and stress with peer incivility in a sample of prelicensure nursing students during coronavirus disease 2019. The study design was cross-sectional and correlational.

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Background: Developing successful targeted interventions to reduce incivility for undergraduate nursing students and educators will require understanding the differences in their unique experiences. Although resilience may act as protective buffer against stressors, little is known about the relationships between stress, resilience, and perceptions of the frequency of incivility in the academic environment.

Purpose: The purpose of this study was to compare relationships among and differences between perceptions of incivility frequency and self-reported stress and resilience levels in undergraduate nursing students and faculty during the COVID-19 pandemic.

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This qualitative study is based on individual interviews with 16 new graduate nurses during their 8th to 10th month of employment. Four themes emerged from the data that reflected their lived experience: well on my way, finding my family, good days/bad days, and in recovery…moving forward. Nursing professional developers play an important role in continuing to support new graduate nurses to complete the transition to practice.

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New graduates' adjustment to high-acuity specialty areas was evaluated using qualitative methods in a hospital system that uses the Versant New Graduate Residency Program. Subjects were interviewed at baseline in person, answered interview questions at 6 months via computer, and were interviewed at 12 months in person. Twelve themes emerged from the interviews, reflecting intrinsic and extrinsic factors affecting new graduate nurse adjustment.

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This qualitative study is based on individual interviews with 15 new graduate nurses during their first few months of independent practice. Three themes emerged from the data that reflected their lived experience: feeling overwhelmed, navigating work-based relationships, and finding their flow. Nursing professional development specialists who work with these newly independent nurses are uniquely situated to offer ongoing educational support and to conduct evidence-based conversations with them about the transition to practice.

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Background: To achieve the growth of RN-to-Bachelor of Science in Nursing (BSN) programs in the face of ongoing faculty shortages, many large online RN-to-BSN programs have embraced the use of academic coaches to assist with course delivery.

Method: An associational analysis of data collected from academic coaches and their student and faculty evaluators was performed on a sample of academic coaches who were teaching students enrolled in a large online RN-to-BSN program.

Results: The multilevel data consisted of 94 coaches who taught in 166 courses.

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This study addresses the development of a modified early warning system (MEWS) to predict hospital admissions from emergency departments (EDs) using the 2010 National Hospital Ambulatory Medical Care Survey (NHAMCS). A MEWS score was created for each patient in the NHAMCS data set using the vital signs recorded at admission. Multiple logistic regression analyses indicated that for every 1 unit increase in the MEWS score, patients were 33% more likely to be admitted to the hospital for further care even after controlling for demographics.

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