First Advisor

Claywell, Lora

Thesis Committee Member(s)

Berg, Barbara


Rueckert-Hartman College for Health Professions

Degree Name

Doctor of Nursing Practice


Loretto Heights School of Nursing

Document Type

Thesis - Open Access

Number of Pages

87 pages


The Veterans Administration (VA) recognizes that proficiency in the core concepts of primary care women's health is required to provide comprehensive primary care for women. A potentially superior form of training that has been recently used for care providers is simulation. The examination of the relationship between simulation training through the Mini-Residency Course and increased self-efficacy among Women's Health Primary Care Providers (WH-PCP) is important, as the Mini-Residency Course is designed specifically to fill knowledge gaps and enhance the participant's knowledge and skill.

A single post-test only, two group design was used for this study. The experimental group included those who completed simulation training on how to provide effective, essential healthcare to women veterans. The simulation-based training occurred July, 2012. The study gathered survey data designed to determine the level of self-efficacy of practitioners from a sample who had participated in the Mini-Residency program (Part I, or Parts I and II) and compared the levels of self-efficacy to a sample of practitioners who did not participate in simulations. Limited by a low response rate, the study sample included 23 practitioners. A self-efficacy survey was constructed using Bandura's self-efficacy theory. The self-efficacy score for this analysis used the mean of six discrete skill items. The reliability of this self-efficacy scale was examined using Cronbach's alpha. Results indicated reliability at a = .71. The results failed to demonstrate any statistically significant differences between groups. However, it was noted that a significant result ( p = .10 level) was evident in the differences in mean self-efficacy scores based on standardized patient experience, which suggests the need for future research using a larger sample size.

Date of Award

Fall 2013

Location (Creation)

Denver, Colorado

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