Date Approved


Graduate Degree Type


Degree Name

Nursing (M.S.N.)

Degree Program

College of Nursing


A descriptive, retrospective, correlational study design was used to determine emergency nurses’ perceptions of stress before and after completion of the Emergency Nursing Pediatric Course (ENPC). A sample of 93 randomly chosen emergency nurses completed the Modified Clinical Stress Questionnaire.

Using the paired t-test, differences were found between the before and after mean scores on stress, threat, and challenge (p < .01). Scores were lower after ENPC for stress and threat, but higher for challenge. The t-test was used to compare the mean scores of nurses with and without certification in emergency nursing. The only significant difference between the two groups was on the threat score after ENPC, with the certified group reporting lower perception of threat (t = -2.40, p = .02). Overall, lower perception of stress was reported in all groups following ENPC.


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