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viii Chapter 1: Introductions  1 Definitions of Terms  2 Current State and Outlook in Nursing  5 Increase in nursing information  5 Increase in number of nurses and in number of nurses needed..  7 Affordable Care Act  9 Expanded role of nurses in American health care  11 Evidenced based practice  11 Information Literacy  13 Defining and analyzing information literacy.  13 Library association division structures of information literacy  15 AASL.  15 ACRL.  17 Competency Standards 17 Nursing Association References to Information Literacy  24 Information Literacy Requirement for Student Nurses at the College  25 Establishment of the requirement.  25 LIB 101.  25 Nursing faculty interest in the research.  26 Library faculty interest in the research  27 Pre-Dissertation Research  28 Overview of Dissertation  29 Literature Review and Research Question  29 Overview of the Methodology.  32 Overview of the Findings 33 iv Contribution to the field.  34 Chapter 2: Literature Review  36 Theories and Frameworks  36 Anomalous States of Knowledge.  37 Competency and Confidence  39 Metaliteracy.  39 Anxiety.  40 High Reliability Organizational Culture.  41 Small Worlds and Information Poverty.  43 Undergraduate Information Literacy Studies 46 Assessment Tool.  46 Interviews, Focus Groups, and Observations.  47 Nursing and Evidence Based Practice (Nursing Information Literacy Studies) 48 Barriers to EBP.  49 Re-envisioning Nursing Education.  51 Integrated Curriculum.  52 Online Tutorials.  53 Ongoing Library Instructional Sessions 54 Tutorials Combined with Librarian Instruction.  56 Evaluating Information from Websites.  57 Summary.  57 Chapter 3: Methods  60 Quantitative Investigation  65 Knowledge-based assessment.  65 Measures/Variables.  66 Assessment Tool.  68 Participants.  70 Samples.  70 Recruitment.  71 Procedure.  72 Data analysis.  73 v Qualitative Investigation.  73 Semi-structured interviews and/or focus groups.  73 Sample 74 Recruitment.  75 Data analysis.  76 Inductive Analysis Process.  76 Deductive Analysis Process.  77 Summary  77 Chapter 4: Findings.  79 Quantitative Results.  80 Individual Information Literacy Questions and Responses  80 Sources Used.  80 Overall Correct Answers 86 SPSS Analyses.  88 Chi-Square.  88 Point-Biserial Correlation.  89 Multiple Regression Analysis  90 Qualitative Results.  92 Emergent themes.  93 Emergent Theme 1: The dependence on search engines, especially from “my phone” for information.  93 Emergent Theme 2: Disappointment that sought information is not found.  93 Emergent Theme 3: Frustration with information found via Google that may be unreliable or biased.

The effects of pre-requisite library research instruction on the information seeking knowledge and behavior of community college students in an introductory nursing course