Sl. Howell et Cj. Coates, UTILIZING NARRATIVE INQUIRY TO EVALUATE A NURSING DOCTORATE PROGRAM PROFESSIONAL RESIDENCY, Journal of professional nursing, 13(2), 1997, pp. 110-123
Because the University of Colorado (CU) School of Nursing Nursing Doct
orate (ND) Program initiated an innovative nursing educational reform,
emerging program evaluation challenges were addressed to ensure succe
ssful implementation and program quality, The study's purpose was to e
valuate the effectiveness of the ND professional clinical residency (f
ourth and final year) from the students' perspectives, Therefore, this
evaluation was exploratory and inductive to focus on the primary ques
tions: ''How does one become an ND nurse during the residency?'' (proc
ess) and ''What is an ND nurse?'' (outcome), Additionally, an explanat
ion of how interactive processes affected residency experiences was ad
dressed, The narrative inquiry framework made available a special acce
ss to the human experiences of time, order, and change during the resi
dency process, Ten students in the first CU ND Program residency parti
cipated, Narrative data for qualitative analysis were obtained from st
udents' monthly written vignettes and verbal sharing of their clinical
experiences during conferences. Vignette formats directed students to
describe significant residency experiences and share reflections on t
he events, One finding suggested that students' formative progression
through the residency occurred In four phases similar to cognitive dev
elopment theories, Additional findings confirmed students' growth towa
rd and summative attainment of ND outcome behaviors, including holisti
c clinical proficiency, client advocacy, and promotion of professional
growth for colleagues.