Book Description

The level of nursing education has been shown to influence nursing care with a direct correlation between higher nursing education and improved patient outcomes. However, only 16--20% of Associate Degree (AD) nurses return to school for a higher degree in nursing. Studies have focused on barriers why practicing AD nurses do not pursue further education, though, no study to date has looked at motivational factors for AD nursing students to continue education. This quantitative structural equation modeling (SEM) study investigates the relationship between motivational factors, professional values and the intent to continue formal post-AD nursing education for AD nursing students in their last semester. The framework for the study is based on the conceptual framework of Deci and Ryan's Self-Determination Theory (SDT), elements of a literature review, which provides linkages between intention to attain a post-AD nursing degree, motivational style, and professional values to create the theoretical framework. A sample of 62 AD nursing students in their last semester of nursing at major community colleges in New York City participated. Self-administered questionnaires included the Academic Motivation Scale (AMS C-28), the Nursing Professional Values Scale Revised (NPVS-R), and a personal questionnaire developed by the researcher. Data analysis showed that AD nursing students with high professional values were self-determined with high intrinsic motivation. The majority of AD nursing students intended to pursue further education, however, intrinsic motivation did not have a direct effect in their intent decisional process. Finally, professional values did not have a direct effect on intent to continue education, but indirectly, professional values were a supportive factor of intrinsic motivation. Implications of this study support the enhancement of professional values in the AD nursing curriculum. Additional factors in the intent decisional process, including extrinsic motivators, should be explored in future research.