Publication Date


Degree Type

Master's Project

Degree Name

Master of Science (MS)



First Advisor

Daryl L. Canham

Second Advisor

Chia-Ling Mao,


Self-efficacy, or confidence, as an outcome behavior has been identified as influencing nursing job satisfaction and retention. Clinical learning environments and teaching strategies that build and support perceived self-efficacy are critical aspects of preparing new nurses for their entry and continuing role as professional nurses in today's information-intensive data-management healthcare environment. The purpose of this pre-test post-test study is to measure, using the C-scale (Grundy, 1992), nursing students' self-efficacy to perform patient assessment in Nurse Managed Centers (NMC) after one semester of using the Omaha System documentation framework. Nursing students' attitudes of preparation for using Standardized Nursing Languages (SNL) in the future was also examined. Bandura's (1977, 19986) theoretical model of self-efficacy provided the conceptual framework. Students' overall self-efficacy scores increased significantly over the 12 week study. Use of the Omaha System 'prepared a little' to 'very prepared' 90% of student nurses for future use of SNL. Continued use of the Omaha System documentation framework in Nurse Managed Center clinicals as a tool for understanding SNL is recommended..

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