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Nursing students and graduates may experience academic grief after failing exams or the NCLEX-RN. A new instrument, the Perceptions of Academic Grief (PAG), was developed to measure this grief in nursing program completers.

Keywords:
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Area of Science:

  • Nursing Education
  • Psychology
  • Instrument Development

Background:

  • Nursing students and graduates often face significant emotional distress, including grief, when encountering academic setbacks such as failing to meet curricular benchmarks or pass the NCLEX-RN examination.
  • Academic failure in nursing programs can lead to profound psychological impact, necessitating the development of tools to understand and measure this experience.

Purpose of the Study:

  • To develop and validate the Perceptions of Academic Grief (PAG) instrument.
  • To measure academic grief among baccalaureate nursing program completers who have experienced academic failure.

Main Methods:

  • Content analysis was employed to generate initial items for the instrument, ensuring face validity.
  • Focus group interviews and expert judgment were utilized to establish content validity.
  • A pilot test was conducted on a 40-item instrument with a sample of 70 registered nurses and nursing students.

Main Results:

  • The highest-ranked items indicated feelings of disappointment, a strong desire to persevere, acknowledgment of life investment in nursing education, and fear of future failure.
  • The developed instrument demonstrated a high internal consistency with a Cronbach's alpha coefficient of .94.
  • Pilot testing provided initial evidence of the PAG instrument's reliability and validity.

Conclusions:

  • The Perceptions of Academic Grief (PAG) instrument was successfully developed to assess academic grief in nursing students and registered nurses.
  • The PAG instrument shows promising initial reliability and validity, suggesting its potential utility in evaluating the emotional impact of academic failure in nursing education.
  • Further testing and validation are recommended to solidify the instrument's psychometric properties for broader application.