Date of Graduation

5-2026

Document Type

Dissertation

Keywords

undergraduate, nursing student, self-care, mHealth, self-care agency

Degree Name

Doctor of Nursing Practice (DNP)

Degree Level

Graduate

Advisor/Mentor

Patton, Susan

Committee Member

Patton, Susan

Second Committee Member

Taylor, Megan

Abstract

Background: Self-care is an American Association of Colleges of Nursing (AACN) competency for new graduate nurses and functions as a protective factor against burnout. Progress toward achieving self-care is difficult to define and assess within undergraduate nursing curricula. Local problem: Faculty expressed uncertainty regarding how existing curricular efforts supported student self-care education.

Methods: A six-week quality improvement initiative was implemented during Fall 2025 at a public university in the South-Central United States. First-semester prelicensure nursing students (N = 100) received access to the Moodfit mobile application. Academic motivators and participation facilitators were tailored to support engagement. Self-care agency was assessed pre- and post-intervention using the Appraisal of Self-Care Agency Scale–Revised. Process measures evaluated feasibility and fidelity. Results: Self-care agency improved significantly (mean score increase = 1.49, p = .013). Greater academic facilitator use was associated with larger improvements. Conclusions: A brief, app-based intervention integrated into early nursing education improved self-care agency with minimal faculty burden, supporting feasibility and alignment with American Association of Colleges of Nursing self-care competency standards.

Available for download on Thursday, April 29, 2027

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Nursing Commons

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