The purpose of this study was to understand changes in knowledge and opinions of underserved American Indian and Hispanic high school students after attending a 2-week summer pipeline program using and testing a pre/post survey. The research aims were to: a) psychometrically analyze the survey to determine if scale items could be summed to create a total scale score or subscale scores; b) assess change in scores pre/post program; and c) examine the survey to make suggestions for modifications and further testing to develop a valid tool to measure changes in student perceptions about going to college and nursing as a result of pipeline programs. Psychometric analysis indicated poor model fit for a 1-factor model for the total scale and majority of subscales. Non-parametric tests indicated statistically significant increases in 13 items and decreases in 2 items. Therefore, while total scores or sub-scale scores cannot be used to assess changes in perceptions from pre- to post-program, the survey can be used to examine changes over time in each item. Student did not have an accurate view of nursing and college, and underestimated support needed to attend college. However students realized that nursing was a profession with autonomy, respect, and honor.
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