Self-Determination Theory and Nursing Education: An Innovative Education Program to Motivate Nursing Students to Intervene with their Psychiatric Clients who Use Tobacco

Saturday, 16 November 2013

Rhonda Garrett Schwindt, DNP, RN, PMHCNS-BC
Department of Community & Health Systems, Indiana University School of Nursing, Indianapolis, IN

Learning Objective 1: Analyze the effectiveness of an innovative tobacco education program on the motivation of baccalaureate nursing students to intervene with psychiatric clients who use tobacco.

Learning Objective 2: Create an action plan that integrates tobacco education into undergraduate psychiatric/mental health nursing curricula.

Tobacco use and dependence is a grave public health issue that disproportionately affects individuals with a mental illness. While the prevalence rate in this group of smokers continues to climb, a concomitant, proportionate response by healthcare providers lags behind. Mental health professionals, including psychiatric nurses, are often disinclined to deliver tobacco cessation interventions, due in part, to a general lack of motivation to do so The purpose of this study was to assess the effect of a hybrid online education program using Self-Determination Theory (SDT) as a guiding framework, on the autonomous motivation and perceived competence of baccalaureate nursing students (BSN) to intervene with psychiatric clients who are tobacco dependent. A one-group, pre-test/post-test study design was employed with a sample of 130 junior students enrolled in an undergraduate psychiatric/mental health nursing course at a large, Midwestern, university- affiliated school of nursing. The participants’ autonomous motivation and perceived competence to intervene with psychiatric clients who are tobacco dependent were measured using the Learning Self-Regulation Questionnaire (SRQ-L) and the Perceived Competence Scale (PCS) respectively, prior to and immediately following program completion. Characteristics of the sample were collected using a Demographic Data Questionnaire (DDQ) developed by the researcher. Paired samples t-tests were used to compare pre- and- post-test scores and descriptive statistics to assess the demographics of the sample. It is expected that the posttest autonomous motivation and perceived competence scores will be higher after tobacco dependence education than those derived from pretest results. The data generated in the study will inform future practice and research regarding the use of theory-based, hybrid online tobacco education to motivate BSN students to intervene with psychiatric clients who use tobacco. Final study results will be available in May 2013.