Nursing research summary

First Generation College Students' Resilience for Repeating a Nursing Course

This dissertation explores how first-generation nursing students who fail and then repeat a nursing course draw on resilience, using the 'push through' framework, to succeed and transform through the experience. Using an interpretative phenomenological approach, the author found participants described causes of disengagement, reasons for staying, self-control strategies, and personal transformation, with implications for nurse educator support and future clinical resilience.

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In brief

This dissertation explores how first-generation nursing students who fail and then repeat a nursing course draw on resilience, using the 'push through' framework, to succeed and transform through the experience. Using an interpretative phenomenological approach, the author found participants described causes of...

What this article is about

Quick Answer

This dissertation explores how first-generation nursing students who fail and then repeat a nursing course draw on resilience, using the 'push through' framework, to succeed and transform through the experience. Using an interpretative phenomenological approach, the author found participants described causes of disengagement, reasons for staying, self-control strategies, and personal transformation, with implications for nurse educator support and future clinical resilience.

Student takeaways

Key Takeaways

  • Participants described specific causes that led to their disengagement from the nursing course they ultimately failed.
  • Participants who repeated the course explained their reasons for staying in the nursing program rather than withdrawing after failing.
  • Participants described how they maintained self-control and focus throughout the experience of repeating the failed course.
  • Participants acknowledged undergoing a personal transformation as a result of failing and then repeating the course.
  • Participants offered advice for other first-generation nursing students who might face a similar experience of course failure and repetition.

Student summary

Why This Research Matters

First-generation college students (FGCS) are often the first in their families to attend university, and in nursing programs they carry a heavy load of academic and personal responsibilities at once. This dissertation by Gina A. Canny looks at a specific and painful moment in that journey: what happens when an FGCS nursing student fails to meet the passing standard, or "matriculation," requirement for a nursing course, and then has to decide whether to repeat it. The study asks a focused question: how do first-generation nursing students who repeat a failed course draw on resilience, described here as the drive to "push through" adversity, to eventually succeed?

To answer this, the researcher used an interpretative phenomenological approach. Unlike a method that simply describes what happened, interpretative phenomenology tries to understand the deeper meaning participants make of a lived experience. Here, that experience is failing a nursing course as a first-generation student and then choosing to try again. The "push through" framework, drawn from an earlier Canadian grounded theory study of how baccalaureate nursing students "push through" adversity, guided the interpretation: it treats resilience not as a fixed personality trait some students have and others lack, but as a process that unfolds in stages as students face, sit with, and move past an academic setback.

Participants in the study talked about several connected parts of this experience. First, they described what caused their disengagement from the course in the first place — the moment things started to go wrong. Second, they explained why they chose to stay in the nursing program and repeat the course rather than leave, even though repeating meant delay, extra cost, and the emotional weight of having failed once already. Third, they described how they kept their self-control and focus through the repeated attempt, managing the stress of trying again while still carrying the same academic and personal demands that contributed to the first failure. Finally, participants reflected on how the experience changed them: they acknowledged a personal transformation, and many offered advice for other first-generation nursing students who might find themselves in the same position.

The abstract does not give a numeric sample size, exact institution-level details of participant recruitment, or a breakdown of demographic data beyond identifying participants as first-generation nursing students who repeated a failed course. That is an important gap to keep in mind: the findings describe the lived meaning these particular participants made of their experience, not a measurable rate of success or a generalizable statistic about how many FGCS nursing students succeed after repeating a course.

Why does this matter for you as a nursing student or future nurse? Resilience, the dissertation argues, is not just a personal survival skill for getting through a hard semester. It is connected to becoming the kind of practitioner who can handle the unpredictable stress of clinical practice. The author connects the classroom experience of pushing through a failed course to the professional skills nurses need later — thinking clearly under pressure, staying flexible when a plan does not work, and reflecting honestly on mistakes rather than being paralyzed by them. If you are a first-generation student, or you support students who are, this research suggests that failing a course is not necessarily a dead end; how a student is supported through the disengagement, decision to repeat, and self-management stages may shape whether they eventually succeed and how they carry that experience into practice.

As with any single qualitative dissertation, read this as an in-depth account of one group's experience rather than a proven formula. It is a starting point for asking better questions about how nursing programs identify, support, and mentor first-generation students who stumble on the way to matriculation, rather than a checklist guaranteed to produce resilience in every student who repeats a course.

Source abstract

Study Overview

First generation college students (FGCS) have a multitude of responsibilities both academic and personal. Most nursing programs are challenging and may result in not every student passing the preset nursing curricula. Consider being a FGCS who is eagerly pursuing a nursing degree but fails to meet matriculation. For those FGCS in nursing who, choose to repeat the nursing courses and are more successful, demonstrate resilience or a drive to rise above adversity. The aim of the study was to explore the FGCS in nursing ability to push through and be resilient when repeating a failed nursing course. The "push through" framework offered insight into the nursing students' understanding and enactment of resilience when obstacles occurred. An interpretative phenomenological approach was used to understand the meaning of human existence and not just describe. The participants stated the causes of their disengagement from the nursing course, why they stayed and repeated, and how they maintained self-control throughout the experience. The participants acknowledged their transformation and offered advice to others about this experience. Resilience is an important concept for both nurse educators and nursing students to understand to manage the challenges and stressors in higher education. Nurses are presented with unique challenges in the health care environment and with resilience, the management of these issues assists with promoting safe, competent care. The development of resilience during higher education has a positive influence on forming mature, confident practitioners. Resilience leads to nurses who think logically, are flexible, and who engage in self-reflection to manage stress. [The dissertation citations contained here are published with the permission of ProQuest LLC. Further reproduction is prohibited without permission. Copies of dissertations may be obtained by Telephone (800) 1-800-521-0600. Web page: http://www.proquest.com/en-US/products/dissertations/individuals.shtml.]

Study type: Dissertations/Theses - Doctoral Dissertations

Evidence appraisal

Main Findings

  • Participants described specific causes that led to their disengagement from the nursing course they ultimately failed.
  • Participants who repeated the course explained their reasons for staying in the nursing program rather than withdrawing after failing.
  • Participants described how they maintained self-control and focus throughout the experience of repeating the failed course.
  • Participants acknowledged undergoing a personal transformation as a result of failing and then repeating the course.
  • Participants offered advice for other first-generation nursing students who might face a similar experience of course failure and repetition.

Practice transfer

Clinical Relevance

  • Nurse educators can use insight into why students disengage from coursework to design earlier, more targeted academic support before a student reaches the point of failure.
  • Understanding first-generation students' reasons for choosing to stay and repeat a course can help programs strengthen retention supports rather than assuming withdrawal is inevitable after failure.
  • The self-control strategies students describe using during a repeated course may be teachable skills that programs can reinforce through mentoring or academic coaching.
  • Because the dissertation links resilience built during coursework to the demands of later clinical practice, programs may consider framing course repetition as a developmental opportunity rather than only a disciplinary setback.
  • Nurses who have practiced pushing through academic adversity as students may be better prepared to manage stress, stay flexible, and self-reflect under the pressures of clinical care, though this connection is presented as the author's interpretation rather than a measured clinical outcome.

Faculty notes

Educational Relevance

Gina A. Canny's dissertation, First Generation College Students' Resilience for Repeating a Nursing Course, addresses a practical and recurring problem in nursing education: first-generation college students (FGCS) who fail to meet matriculation requirements in a nursing course and must decide whether to repeat it. The study's aim was to explore how these students demonstrate resilience — understood through the "push through" framework — when they choose to repeat a failed nursing course rather than leave the program.

Methodologically, Canny used an interpretative phenomenological approach, a design intended to surface the meaning participants assign to a lived experience rather than merely describing its surface features. This is a defensible choice for a question about how students make sense of failure, persistence, and identity transformation, since the goal is understanding rather than measurement or generalization. The "push through" framework the study draws on originates in a 2015 constructivist grounded theory study of resilience conducted with 38 students in a four-year baccalaureate nursing program in Ontario, Canada (published in the Journal of Advanced Nursing), which characterizes resilience as a dynamic process — moving through phases such as stepping into a challenge, staying the course, and acknowledging the outcome, with a transient disengaging phase when students struggle — rather than a fixed trait. That the framework itself was developed in a Canadian baccalaureate nursing setting gives it direct relevance for Canadian nurse educators, even though the dissertation does not report where its own participants were recruited. Instructors reviewing this dissertation with students should note that this framework is supplementary context for interpreting the dissertation's approach, not a finding the dissertation itself generated.

Within that framework, participants described four connected elements of their experience: the causes of their initial disengagement from the nursing course; their reasons for staying in the program and repeating rather than withdrawing; the strategies they used to maintain self-control through the repeat attempt; and, finally, their acknowledgment of a personal transformation, alongside advice they would offer other FGCS nursing students facing the same situation.

For teaching purposes, this dissertation is well suited to seminar discussion of qualitative design choices: how phenomenological interviewing captures the texture of a single difficult academic transition, what interpretative phenomenology can and cannot claim relative to descriptive phenomenology or grounded theory, and how a theoretical framework borrowed from prior resilience research shapes both the interview protocol and the interpretation of findings. It also opens a conversation about equity in nursing education: FGCS face documented structural disadvantages (less family familiarity with higher education systems, competing work and caregiving obligations), and this dissertation frames course failure and repetition as a site where those disadvantages and student resilience intersect.

Appraisal-wise, the abstract available for this record does not specify sample size, recruitment site, data saturation, or coding procedures, which limits how confidently faculty can assess methodological rigor without the full text. As a dissertation distributed through ProQuest, full-text access is typically restricted to institutional subscribers, and the ERIC record (ED642019) reflects only the abstract and bibliographic metadata reviewed here. Faculty assigning this source should frame it explicitly as a single-institution qualitative study whose transferability, rather than statistical generalizability, is the relevant standard, and should pair it with the broader resilience literature it draws on for students who want to place its themes in a wider empirical context.

Critical appraisal

Limitations

  • The available abstract does not report a sample size, so the number of participants and the depth of data collected cannot be independently assessed from this record.
  • As an interpretative phenomenological study of a single population (first-generation nursing students who repeated a course), findings describe lived meaning for these participants and are not statistically generalizable to all FGCS nursing students.
  • The abstract does not specify the institution(s), nursing program level, or geographic setting where participants were recruited, limiting assessment of context and transferability.

Classroom use

Discussion Questions

  • What does the abstract suggest were the main causes of participants' disengagement from their nursing course, and how might nurse educators intervene earlier at those points?
  • Why did the first-generation students in this study choose to stay and repeat the course rather than withdraw from the nursing program?
  • What strategies did participants describe using to maintain self-control while repeating a previously failed course?
  • How does the "push through" framework used in this dissertation differ from viewing resilience as a fixed personal trait?
  • In what ways might being a first-generation college student add unique stressors to failing and repeating a nursing course, compared to a continuing-generation student?
  • What personal transformation did participants describe, and how might that transformation influence their later professional identity as nurses?
  • What advice did participants offer to other first-generation nursing students facing course failure, and how could a program formalize that peer advice into structured support?
  • Given that resilience is described as something that can be developed rather than innate, what specific supports could a nursing program build to help students develop it during a repeated course?
  • What information is missing from the publicly available abstract (e.g., sample size, institution, recruitment method) that would be needed to fully appraise this study's rigor?
  • How might findings from this interpretative phenomenological study be used to inform retention policy for first-generation students, while still respecting that the findings are not statistically generalizable?

Knowledge check

Quiz

1. What population does this dissertation focus on?

  1. International nursing students on clinical exchange
  2. First-generation college students repeating a failed nursing course
  3. Nursing faculty experiencing burnout
  4. Second-degree nursing students in accelerated programs
Answer: First-generation college students repeating a failed nursing course
Rationale: The abstract states the aim was 'to explore the FGCS in nursing ability to push through and be resilient when repeating a failed nursing course.'

2. What research design did the author use?

  1. A randomized controlled trial
  2. A descriptive cross-sectional survey
  3. An interpretative phenomenological approach
  4. A meta-analysis of prior studies
Answer: An interpretative phenomenological approach
Rationale: The abstract states: 'An interpretative phenomenological approach was used to understand the meaning of human existence and not just describe.'

3. According to the abstract, what did participants describe about their experience?

  1. Only their reasons for leaving the nursing program permanently
  2. The causes of their disengagement, why they stayed and repeated, and how they maintained self-control
  3. Their scores on a standardized resilience questionnaire
  4. Comparative outcomes between first-generation and continuing-generation students
Answer: The causes of their disengagement, why they stayed and repeated, and how they maintained self-control
Rationale: The abstract states participants 'stated the causes of their disengagement from the nursing course, why they stayed and repeated, and how they maintained self-control throughout the experience.'

4. What framework did the study use to understand resilience?

  1. The "push through" framework
  2. The health belief model
  3. Maslow's hierarchy of needs
  4. The biopsychosocial model
Answer: The "push through" framework
Rationale: The abstract states: 'The "push through" framework offered insight into the nursing students' understanding and enactment of resilience when obstacles occurred.'

5. Besides describing disengagement and repetition, what else did participants acknowledge?

  1. Their intent to change academic majors
  2. A personal transformation and advice for others in the same situation
  3. Dissatisfaction with tuition costs
  4. Preference for online over in-person coursework
Answer: A personal transformation and advice for others in the same situation
Rationale: The abstract states: 'The participants acknowledged their transformation and offered advice to others about this experience.'

6. Why does the dissertation argue resilience matters for nurse educators and students?

  1. It improves standardized test scores
  2. It helps manage the challenges and stressors of higher education
  3. It is required for licensure renewal
  4. It reduces tuition costs for repeating students
Answer: It helps manage the challenges and stressors of higher education
Rationale: The abstract states: 'Resilience is an important concept for both nurse educators and nursing students to understand to manage the challenges and stressors in higher education.'

7. How does the abstract connect classroom resilience to nursing practice?

  1. It states resilience has no connection to clinical practice
  2. It links resilience development to forming mature, confident practitioners who think logically and self-reflect
  3. It claims resilient students earn higher salaries as nurses
  4. It says resilience only matters during nursing school orientation
Answer: It links resilience development to forming mature, confident practitioners who think logically and self-reflect
Rationale: The abstract states: 'The development of resilience during higher education has a positive influence on forming mature, confident practitioners. Resilience leads to nurses who think logically, are flexible, and who engage in self-reflection to manage stress.'

8. What key piece of methodological detail is missing from the publicly available abstract?

  1. The study's title
  2. The specific sample size and recruitment site of participants
  3. The name of the resilience framework used
  4. The general topic of the study
Answer: The specific sample size and recruitment site of participants
Rationale: The abstract does not report a numeric sample size or the institution/setting where participants were recruited, which limits methodological appraisal.

9. What type of source is this record, according to its metadata?

  1. A peer-reviewed randomized trial published in a clinical journal
  2. A doctoral dissertation indexed by ERIC and distributed via ProQuest
  3. A government clinical practice guideline
  4. A conference poster abstract
Answer: A doctoral dissertation indexed by ERIC and distributed via ProQuest
Rationale: The metadata identifies the study type as 'Dissertations/Theses - Doctoral Dissertations,' with the source record from ERIC and full-text distribution noted through ProQuest LLC.

10. Why should the findings of this dissertation be interpreted cautiously in terms of generalizability?

  1. Because it is a large randomized controlled trial with no limitations
  2. Because it is a qualitative, interpretative phenomenological study describing meaning for a specific group of participants, not a statistically representative sample
  3. Because the abstract was written in a language other than English
  4. Because the study measured only physiological outcomes
Answer: Because it is a qualitative, interpretative phenomenological study describing meaning for a specific group of participants, not a statistically representative sample
Rationale: The abstract describes an interpretative phenomenological approach aimed at understanding meaning rather than producing generalizable statistics, and does not report a sample size or broader representativeness.

Study cards

Flashcards

What group of students is the focus of this dissertation?

First-generation college students (FGCS) in nursing who repeated a failed nursing course.

What was the aim of the study?

To explore FGCS nursing students' ability to push through and be resilient when repeating a failed nursing course.

What framework guided the study's understanding of resilience?

The "push through" framework.

What research design did the author use?

An interpretative phenomenological approach.

What is the goal of interpretative phenomenology, according to the abstract?

To understand the meaning of human existence and lived experience, not just to describe events.

What did participants describe about why they disengaged from the course?

They stated the specific causes that led to their disengagement from the nursing course.

What did participants explain about staying in the program?

They explained why they stayed and chose to repeat the failed nursing course rather than leave.

What did participants describe about managing the repeat attempt?

How they maintained self-control throughout the experience of repeating the course.

What did participants acknowledge about themselves by the end of the experience?

They acknowledged a personal transformation.

What did participants offer to others in a similar position?

Advice to other first-generation nursing students who might face course failure and repetition.

According to the dissertation, why is resilience important for nurse educators and students?

Resilience helps manage the challenges and stressors of higher education.

What broader challenges does the abstract say nurses face in practice?

Unique challenges in the health care environment that resilience helps them manage to promote safe, competent care.

How does the abstract describe resilience's effect on practitioner development?

Developing resilience during higher education has a positive influence on forming mature, confident practitioners.

What three practitioner qualities does resilience support, per the abstract?

Logical thinking, flexibility, and engagement in self-reflection to manage stress.

What is a first-generation college student (FGCS)?

A student who is the first in their family to attend college, often balancing significant academic and personal responsibilities.

What does 'matriculation' mean in the context of this study?

Meeting the preset passing requirements of the nursing curriculum needed to continue or advance in the program.

What kind of source record is this dissertation catalogued under?

An ERIC record (ED642019) for a doctoral dissertation, with full text distributed through ProQuest LLC.

Is a numeric sample size reported in the available abstract?

No, the abstract does not specify a sample size for the study.

What does the theoretical grounding for 'push through' come from, as supplementary context (not part of this dissertation's own findings)?

A 2015 constructivist grounded theory study of 38 students in a four-year baccalaureate nursing program in Ontario, Canada, published in the Journal of Advanced Nursing, describing a 'pushing through' process with phases of stepping into, staying the course, and acknowledging, plus a transient disengaging phase.

Why should faculty and students treat this dissertation's conclusions cautiously?

Because it is a single qualitative dissertation without peer review, with no reported sample size, institution, or coding details available in the public abstract, so its findings describe lived meaning for these participants rather than generalizable statistics.

Search-ready answers

Frequently asked questions

What is this dissertation about?

It explores how first-generation college students (FGCS) in nursing demonstrate resilience when they fail a nursing course and choose to repeat it, using the 'push through' framework to interpret their experience.

What research method did the author use?

An interpretative phenomenological approach, which aims to understand the deeper meaning of a lived experience rather than simply describe it.

What is the 'push through' framework mentioned in the study?

It is a framework used to interpret how nursing students understand and enact resilience when facing academic obstacles, applied here to first-generation students repeating a failed course.

What did participants in the study talk about?

The causes of their disengagement from the course, why they chose to stay and repeat it, how they maintained self-control throughout, and the personal transformation and advice they took away from the experience.

Does the study report how many students were interviewed?

No, the publicly available abstract does not specify a sample size, so the number of participants cannot be confirmed from this record.

Why does resilience matter for nursing students, according to this dissertation?

The abstract states resilience helps students and educators manage the challenges and stressors of higher education, and it later supports nurses in managing the unique challenges of the health care environment.

How does the dissertation connect student resilience to nursing practice?

It states that developing resilience during higher education has a positive influence on forming mature, confident practitioners who think logically, stay flexible, and engage in self-reflection to manage stress.

Can I read the full dissertation for free?

Not based on this record: it is distributed through ProQuest LLC, and full-text access is typically restricted to institutional subscribers or through purchase; the ERIC record (ED642019) provides only the abstract and metadata reviewed here.

Is this dissertation generalizable to all first-generation nursing students?

Not directly. As an interpretative phenomenological study, it describes the lived meaning of the specific participants interviewed rather than producing statistically generalizable findings for all FGCS nursing students.

What is a first-generation college student in this context?

A student who is the first in their family to attend college and who, per the abstract, often carries significant academic and personal responsibilities while pursuing a nursing degree.