Student Theses, Dissertations and Capstones

Document Type


Degree Name

Doctor of Philosophy (PhD) in Nursing Education

Copyright Statement

All rights reserved. This publication is intended for use solely by faculty, students, and staff of Nova Southeastern University. No part of this publication may be reproduced, distributed, or transmitted in any form or by any means, now known or later developed, including but not limited to photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the author or the publisher.


College of Nursing

First Advisor

Jacqueline Marshall

Second Advisor

Holly Madison

Third Advisor

Julia Aucoin

Fourth Advisor

Marcella Rutherford

Publication Date / Copyright Date



Nova Southeastern University


Background: The art of nursing is enjoying renewed interest due to changes in the healthcare reimbursement models in the U.S. Value-based reimbursement strategies utilize quality metrics to determine payments. Quality metrics are linked to the art of nursing.

Purpose: The purpose of this study was to gather information about practicing nurses and senior baccalaureate nursing students’ interpretation of the human, social, and economic value and their experiences and perceptions of the art of nursing. This information supports changes in practice, policy, and education.

Theoretical Framework: Alligood’s theory of the art of nursing (2002) is the theoretical basis for the study. The major concepts of this theory are respect, responsibility, and empathy.

Methods: An interpretive phenomenological design was selected using semi-structured individual interviews. The sample was comprised of practicing registerednurses and senior baccalaureate nursing students.

Results: Four major themes developed: nursing/caring behaviors including caring, compassion, empathy, human connection, communication, and the impact ofCOVID; perceptions of value including positive outcomes, negative influences, and understanding of economic value; the core of nursing identity including duty, being in the moment, and individual art; and learning the art of nursing including minimal didactic education, clinical observation, being learned in professional practice, and new nurses lacking art.

Conclusions: This study demonstrates the need for further research regarding the value of the art of nursing and how nurses understand value. An evaluation ofcurrent curricula in nursing education is warranted. There is an opportunity for nurses and professional nursing organizations to lead public policy development and discussion.




Art of nursing, Nursing, Nursing education, Nursing value, Value-based reimbursement



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Nursing Commons