Nursing research summary

First Generation College Students' Resilience for Repeating a Nursing Course

ProQuest Dissertations & Theses Published 2021 3 min read

What this article is about

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...

For nursing students

Study summary

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.

Original publication

Source abstract and study details

Read the source abstract

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.

Source type: Dissertations/Theses - Doctoral Dissertations

Reviewed findings

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.

For teaching and learning

Education implications

  • 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.

For educators

Teaching and appraisal notes

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?

Source-based questions

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 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.

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.

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.