Abstract

Leadership development in undergraduate nursing students is essential for preparing future nurses for entry into practice (ANA, 2021). This study aimed to examine the impact of an active learning approach on leadership development among senior nursing students. A quality improvement methodology was used to analyze the outcomes of a leadership course implemented in an undergraduate nursing curriculum. Pre- and post-course surveys were administered to 874 senior nursing students from 2017 to 2023 to assess their knowledge and experience with various leadership topics and skills. The pre-course survey revealed low baseline knowledge and comfort levels for most leadership concepts, with only 3 out of 15 topics having over 60% of students reporting above-average knowledge/comfort. The leadership course utilized active learning strategies, including experiential activities, group projects, and application of concepts in clinical settings. The post-course survey results showed significant increases in students’ knowledge and comfort across all leadership domains. The largest gain was seen in quality improvement knowledge, which increased from 8% to 93%. Areas with high baseline scores showed improvement, such as patient safety projects, which increased from 80.5% to 96.3%. Key findings include a 42.8% increase in comfort with quality improvement projects (52.6% to 95.4%), and a 37.6% increase in comfort discussing nursing-related politics (48.7% to 86.2%). These results suggest the active learning approach was effective in developing leadership knowledge and skills in senior nursing students. Limitations include the use of a non-validated survey instrument and the potential impact of online course delivery due to COVID-19. Further research comparing in-person and online formats is necessary to determine the impact of online learning during a pandemic. This study demonstrates the positive impact of an active learning leadership course on nursing students' leadership competencies across multiple domains. The complexity of the post-pandemic healthcare industry requires new graduate nurses to have leadership competencies to overcome future challenges (Morse & Warshawsky, 2021). These findings support the use of experiential learning strategies to prepare nursing students as leaders upon entry into practice. Ongoing evaluation of leadership education methods is crucial to equip new nurses with the skills to lead in complex healthcare environments.

Notes

References:

ANA. (2021). Leadership and excellence. https://www.nursingworld.org/continuing- education/ce-subcategories/leadership/.

Morse, V., & Warshawsky, N. E. (2021). Nurse Leader Competencies: Today and Tomorrow. Nursing Administration Quarterly, 45(1), 65–70. https://doi.org/10.1097/naq.0000000000000453

Additional reference list included in attached slide deck.

Description

This session presents findings from a study on the effectiveness of an active learning approach in developing leadership skills among senior nursing students. Participants will learn about significant improvements in students' leadership knowledge and comfort across various domains, supporting the use of experiential learning strategies in nursing education.

Author Details

Thompson Hollingsworth Forbes, III, PhD, RN, NEA-BC; Alexis Spence, MSN, RN

Sigma Membership

Beta Nu

Type

Presentation

Format Type

Text-based Document

Study Design/Type

Other

Research Approach

Other

Keywords:

Teaching and Learning Strategies, Curriculum Development, Policy and Advocacy, Leadership, Leadership Initiatives, Undergraduate Nursing Students

Conference Name

48th Biennial Convention

Conference Host

Sigma Theta Tau International

Conference Location

Indianapolis, Indiana, USA

Conference Year

2025

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record. All permission requests should be directed accordingly and not to the Sigma Repository. All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

Abstract Review Only: Reviewed by Event Host

Acquisition

Proxy-submission

Date of Issue

2025-12-01

Click on the above link to access the slide deck.

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Innovating Leadership Development in Undergraduate Nursing Students: A Multimodal Approach

Indianapolis, Indiana, USA

Leadership development in undergraduate nursing students is essential for preparing future nurses for entry into practice (ANA, 2021). This study aimed to examine the impact of an active learning approach on leadership development among senior nursing students. A quality improvement methodology was used to analyze the outcomes of a leadership course implemented in an undergraduate nursing curriculum. Pre- and post-course surveys were administered to 874 senior nursing students from 2017 to 2023 to assess their knowledge and experience with various leadership topics and skills. The pre-course survey revealed low baseline knowledge and comfort levels for most leadership concepts, with only 3 out of 15 topics having over 60% of students reporting above-average knowledge/comfort. The leadership course utilized active learning strategies, including experiential activities, group projects, and application of concepts in clinical settings. The post-course survey results showed significant increases in students’ knowledge and comfort across all leadership domains. The largest gain was seen in quality improvement knowledge, which increased from 8% to 93%. Areas with high baseline scores showed improvement, such as patient safety projects, which increased from 80.5% to 96.3%. Key findings include a 42.8% increase in comfort with quality improvement projects (52.6% to 95.4%), and a 37.6% increase in comfort discussing nursing-related politics (48.7% to 86.2%). These results suggest the active learning approach was effective in developing leadership knowledge and skills in senior nursing students. Limitations include the use of a non-validated survey instrument and the potential impact of online course delivery due to COVID-19. Further research comparing in-person and online formats is necessary to determine the impact of online learning during a pandemic. This study demonstrates the positive impact of an active learning leadership course on nursing students' leadership competencies across multiple domains. The complexity of the post-pandemic healthcare industry requires new graduate nurses to have leadership competencies to overcome future challenges (Morse & Warshawsky, 2021). These findings support the use of experiential learning strategies to prepare nursing students as leaders upon entry into practice. Ongoing evaluation of leadership education methods is crucial to equip new nurses with the skills to lead in complex healthcare environments.