Nursing workforce predictions warn of a nursing shortage that will have damaging effects on patient outcomes. Perioperative Nursing (PN) is in critical need of nurses and will have to compete vigorously to attract nurses who will sustain the future provision of PN care. Perioperative nursing must look to Newly Graduated Nurses (NGN) for recruitment because this approach does not leave knowledge gaps in other areas by luring away experienced nurses. However, most NGNs do not choose perioperative nursing. The reasons behind the avoidance are not comprehensively known.

Student nurses’ perceptions and intention regarding PN are explored in this dissertation. Additionally, factors that influence the intention to choose PN are validated. Furthermore, an instrument to measure Student Nurse Intention (SNI) toward PN is tested. Identifying student nurse perceptions and factors that influence their intent to choose PN provides insights that will inform the development of interventions. An instrument that measures SNI toward PN provides a tool for evaluating the effectiveness of recruitment interventions.

The Theory of Planned Behavior (TPB) is the framework for this exploratory sequential design study, which resulted in three relevant manuscripts. The first is a concept analysis of value as a primary concept in maintaining the PN workforce. The second describes the qualitative sequence that resulted in the development of an instrument and identification of varied student perceptions. The third outlines the quantitative sequence used to validate factors influencing SNI to choose a career in PN.

Date of publication

Spring 3-6-2019

Document Type

Dissertation (Local Only Access)



Persistent identifier


Committee members

Dr. Danita Alfred, Dr. Gloria Duke, Dr. Shih-Yu “Sylvia” Lee, Dr. Shelly Marmion


PhD - Nursing