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Table 1: Review of the Literature

Authors/ Study Purpose Design/ Evidence Level Major Findings Billingsley et al.

(2007). Healthy student, healthy nurse, a stress management workshop

Describe workshops for student nurse stress management

Descriptive study/Level

IV Stress reduction

workshops can decrease stress and possibly improve retention of nursing students

Bridges et al.

(2013).

Transition to nursing practice of accelerated second- degree baccalaureate students using clinical coaches

Identify the importance of a clinical coach to assist nursing students

Phenomenological

study/Level III Positive findings with a clinical coach, included working one-on-one with the nursing student. Supportive measures increase retention rates Fontaine (2014).

Effects of a retention intervention program for associate degree nursing students

Analysis of an orientation process on managing anxiety and referrals if counseling is needed

Qualitative study/Level

III The program was

successful in implementation of supportive and motivational measures. Further research needs to be completed on structured retention activities

Freitas and Leonard (2011).

Maslow’s

hierarchy of needs and student

academic success

Analyze survival needs that influence student success

Qualitative study/Level II

Maslow’s Hierarchy of needs should be met for student success.

Galbraith and Brown (2010).

Assessing intervention effectiveness for reducing stress in nursing students:

Quantitative systemic review

Describe

Interventions for reducing stress in nursing students

Quantitative systematic review/ Level I

Stress interventions, remediation, and relaxation

techniques assisted students with coping with stressful situations. This study was successful but needs further research

Gibbons et al.

(2008). Stress and

Interpret stress found in nursing

Qualitative study/Level 1I

Interventions such as effective teaching

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eustress in nursing

students students styles, student

support, and empathy can improve retention Hopkins (2008).

Early identification of at-risk nursing students: A student support model

Identify students at risk for failure

Descriptive study/Level VI

Early model of retention with predictions about struggling students

Klainin-Yobas et al. (2013). The mediating effects of coping on the stress and health relationships among nursing students: A

structural equation modeling approach

Analyze the stress and coping on a group of nursing students

Qualitative study/Level 1I

Student stress should be monitored and managed.

Interventions on stress management should be put in place. Further research on stress in nursing

Lundberg et al.

(2011). Perspectives on nursing: Using multimedia interviews to influence career decisions

Analyze information about multimedia and nursing students career decisions

Qualitative study/Level

VI The students found

the videos helpful and found they had gained knowledge about the nursing profession

McKendry et al.

(2014). Why here and why stay?

Students’ voices on the retention strategies of a widening participation university

Analyze data about retention of nursing students

Qualitative study/Level VI

The students found that faculty and peer support were

important for retention. This study prompted change to the nursing

curriculum at a university.

Melincavage (2011).

Student nurses’

experiences of anxiety in the clinical setting

Describe anxiety in the clinical area that effects retention

Qualitative

phenomenological/Leve l VI

Educators worked with nursing

students to decrease anxiety with success

O’Donnell (2011).

Expectations and Decipher why

students left the Qualitative study/Level

VI Study found that

several ex-students

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voluntary attrition in

nursing students nursing program

early had unrealistic

expectations of the nursing program Pullen et al. (2009).

Nursing the numbers through faculty recruitment and student

retention

Describe a model of support for

increasing the number of nurse educators and ADN nursing students

Descriptive study/Level IV

Success and retention with the implementation of a nursing boot camp with online modules, pharmacology care groups,

supplemental instruction, and interactive web- based student support network Ramsburg (2007).

Strive for success: A successful retention program for

associate of science in nursing students

Develop a

successful retention program

Qualitative study/Level VI

Success in

implementation of an advisor to guide nursing students in a positive direction.

Retention rates doubled

Urwin et al. (2010).

Understanding student nurse attrition: Learning from the literature

Describe attrition

from nursing school Descriptive study/Level

V Factors contributing

to attrition can help educators work with students. Several multifaceted influences.

Williams (2010).

Attrition and retention in the nursing major:

Understanding persistence in beginning nursing students

Teach goals and problem-solving abilities to nursing students

Qualitative Study/Level

VI Persistence and

ambition were keys to success with nursing students.

Keeping up, not giving up, doing it, and connecting to resources.

See Table 2 for explanation of the various evidence levels (Melnyk & Fineout-Overholt, 2011).

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