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Xerox University Microfilms 300 North Zeob Road Ann Arbor, Michigan 48106 I I 73-18,915 KINTGEN, Jean Katherine, 1927- DEVELOPING GUIDELINES FOR SEQUENCING CURRICULUM CONTENT FOR CAREER ADVANCEMENT IN NURSING. The Ohio State University, Ph.D., 1973 Education, adult University Microfilms, A XEROX Company, Ann Arbor, Michigan ; THIS DISSERTATION HAS BEEN MICROFILMED EXACTLY AS RECEIVED. DEVELOPING GUIDELINES FOR SEQUENCING CURRICULUM CONTENT FOR CAREER ADVANCEMENT IN NURSING DISSERTATION Presented in Partial Fulfillment of the Requirements for the Degree Doctor of Philosophy in the Graduate School of the Ohio State University By Jean Katherine Kintgen, B.S., M.S. ***** The Ohio State University 1973 Approved by College of Education ACKNOWLEDGMENTS My list of acknowledgments is a long one, but the pro­ cess, too, has been long and many have helped. Sincerest appreciation is expressed to the following: Professor l . O. Andrews whose scope of knowledge is remarkable but surpassed by the keenness of his interest in what he knows, which, in turn, is surpassed by the depth of his concern about people. The other committee members, Professor James K. Duncan who was able to penetrate the haze and draw out order and direction at some crucial points, and Professor Julia I. Dalrymple who has been unusually generous in applying her particular expertise to some of the problems of this study. ’Professor Imogene M. King, formerly Director of the Ohio State University School of Nursing, who was quick to support the right to pursue an unconventional approach to curriculum development and instructors in the School of Nursing who were conscientious reviewers of the sample nursing care analyses developed in this study. Many Ohio State University people in Science Education, Elementary Education, Health Education, and the ERIC Science and Mathematics Education Clearinghouse who generously as­ sisted in identifying pertinent materials. Colleagues in several Columbus hospitals who assisted in relation to the "real world" aspects of the problem, particularly those at St. Anthony's where data for the nurs­ ing care analyses were collected and, very particularly, Jeanne Anderson, Director of Nursing, and Ann Pox, nurse clinician in in-service education. My good friends, Mary Foley whose iriipressive knowledge of physiological principles basic to nursing was so helpful and Virginia Williams who directed me in a marathon of proofreading and almost made .it a joy. The entire Redding family, good fri^rnds who provided shelter, nourishment, good conversation, and play therapy at all the right times. Members of my family who responded tjo a variety of needs and, most important, my mother who firmly believed in the value of this effort and encouraged it at all points along the way. VITA May 24, 1927 ....... Born - Chicago, Illinois 1950 ..................... B.S, in Nursing, St. Xavier College, Chicago, Illinois 1950-5 1.............. Staff Nurse, United States Public Health Service Hospital, • Chicago, Illinois 1951-5 8 ................... Instructor, Chicago area schools of nursing 1957 . ................. M.S. in Nursing Education, De Paul University, Chicago, Illinois 1958-62........ .. Assistant Director of Nursing Service, Mercy Hospital,'Chicago, Illinois 1962-66 Director, Proviso Township School of Practical Nursing 1966-67 Associate Administrator, Illinois Nurses' Association, Chicago, Illinois 1967-70................... Research Associate, The Ohio State University Center for Vo­ cational and Technical Educa­ tion, Columbus, Ohio 1970-72................... Chairman, Division of Health Technologies, Columbus Techni­ cal Institute, Columbus, Ohio 1972 ........... Assistant Professor, Health Occupations Education, Depart­ ment of Vocational-Technical Education, University of Illinois, Champaign-Urbana, Illinois iv PUBLICATIONS Interpretation of Literature on Career Ladders and Lattices in Health Occupations Education.Columbus, Ohio:The Ohio State'University Center for Vocational and Techni- cal Education, 1970. "The Case for Career Ladde r Approaches.” Chart, LXVII (November, 1970), 259-63. FIELD S OF STUDY Fields of study inclu'de Vocational-Technical Education; Teacher Education; and Edub ational Research. Committee mem- bers were Professor Robert M. Reese, Faculty of Vocational- Technical Education; Profe^ sor Emeritus L . O . Andrews, Fac- ulty of Teacher Education; and Professor Desmond L. Cook, Faculty of Educational Res barch. Adviser for the dissertation is Professor L. O. Andrews. Other members of the reading committee include Professor Julia I. Dalrymple, Faculty of Home Economics Education; Professor James K. Duncan, Faculty of Curriculum and Foundations; and Professor Wesly P. Cushman, Faculty of Health Education. TABLE OF CONTENTS Page ACKNOWLEDGEMENTS. ..................... ii.. VITA............................................ iv LIST OP T A B L E S ..................................... viii CHAPTER 9 I INTRODUCTION............................ 1 Background and Need Problem Statement Questions to be Answered Assumptions Scope of Study Definitions of Terms Outline of the Report II:. REVIEW OF THE LITERATURE . .. 13 Overview of the Increasing Interest in the Career Ladder Concept Related Studies III ’METHODOLOGY ......................... 53 Step One: Exploration of Role Definitions and Guides to Curriculum Development in the-Nursing Literature Step Two: Exploration of Elementary and Secondary Level Science and Health Education Literature Step Three: Formulation of Tentative Guidelines Step Four: Assessment of Tentative Guidelines in Terms of Factors in the Actual Nursing Situation Significant Factors Related to Methodology IV RESULTS................................... 82 Step One: Exploration of Role Definitions and Guides to Curriculum Development in the Nursing Literature vi CHAPTER Page Step Two: Exploration of Elementary and Secondary Science and Health Education As a Source of Direction for Guideline Development Step Three: Formulation of Guidelines Step Four: Assessment of Tentative Guidelines^in Terms of Factors in the Actual'Nursing Situation V SUMMARY, RECOMMENDATIONS, AND IMPLICATIONS............................. 116 Summary Recommendations Implications APPENDIXES I . ..................... 137 II...................... 164 III .. 242 IV ................... 267 BIBLIOGRAPHY............................ 272 vii' LIST OP TABLES TABLE Page 1. COMPARISON OF STATEMENTS RELEVANT TO NATURAL SCIENCE CONTENT IN PLANS FOR STATE BOARD TEST POOL EXAMIN­ ATIONS FOR LICENSURE OF PRACTICAL - NURSES AND REGISTERED NURSES ................ 85 2. CLASSIFICATION OF NATURAL SCIENCE ITEMS BASIC TO N U R S I N G ...................... 94 3. GUIDELINES FOR SEQUENCING NATURAL SCIENCE CONTENT IN NURSING CURRICULA TO FACILITATE THE EMERGENCE OF AN EDUCATIONAL CAREER LADDER ................ 98 4. PATIENTS STUDIED ....................... 104 5. LEVELS OF NURSING ACTIVITIES IN NURSING CARE ANALYSES . 109 6. ANATOMY AND PHYSIOLOGY CONTENT BASIC TO NURSING IDENTIFIED IN SELECTED ELEMENTARY AND SECONDARY LEVEL SCIENCE AND HEALTH CURRICULUM MATERIALS; RELATED CLASSIFICATION OF CONTENT ITEMS . 165 7. MICROBIOLOGY CONTENT BASIC TO NURSING IDENTIFIED IN SELECTED ELEMENTARY AND SECONDARY SCIENCE AND HEALTH CURRICULUM MATERIALS; RELATED CLASSIFICATION OF CONTENT ITEMS ................................ 226 8. PHYSICS CONTENT BASIC TO NURSING IDEN­ TIFIED IN SELECTED ELEMENTARY AND SECONDARY LEVEL SCIENCE CURRICULUM MATERIALS; RELATED CLASSIFICATION OF CONTENT ITEMS ................ 234 9. CHEMISTRY CONTENT BASIC TO NURSING IDENTIFIED IN SELECTED ELEMENTARY AND SECONDARY LEVEL SCIENCE CURRICULUM

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