• An Investigation of Predictors of Nclex-Rn Outcomes on the First-Attempt Among Standardized Tests

      Yeom, Yeijin (2012-10-22)
      Nursing shortage is one of the critical issues in the United States. In order to meet increased demands for qualified RNs and prevent negative effects on graduates, nursing programs, stakeholders, and society from graduates’ NCLEX-RN failure, it is important to support nursing students to succeed on the NCLEX-RN. By utilizing effective NCLEX-RN predictors, students at risk for NCLEX-RN failure can be identified, and early remediation can be provided to support them. This study was to investigate effective predictors of NCLEX-RN outcomes on the first-attempt among standardized tests (adult medical-surgical, fundamentals for nursing, pharmacology, maternal-newborn, nursing care of children, mental health, community health, and leadership and management) conducted throughout the nursing program. NCLEX-RN outcomes and individual adjusted scores on the standardized tests of 151 participants, who were composed of 118 graduates who passed the NCLEX-RN on the first-attempt and 33 graduates who failed the NCLEX-RN on the first-attempt, were analyzed by a t-test and logistic regression. The investigation found that there were significant statistical differences between the two groups with NCLEX-RN success and failure in the individual adjusted scores on the adult medical-surgical, pharmacology, maternal-newborn, mental-health, community health, and leadership and management standardized tests. Only in individual adjusted scores on the fundamental and nursing care of children standardized tests, there were no significant statistical differences between the two groups. In addition, the result of logistic regression indicated that the overall regression models were significant in predicting both NCLEX-RN success and failure. Adult medical-surgical, pharmacology, and community health standardized tests were central in the prediction of both NCLEX-RN success and failure; however, a much lower percentage of NCLEX-RN failure than success was classified. It can be concluded that the adult medical-surgical, pharmacology, and community health standardized tests were less effective to predict NCLEX-RN failure than NCLEX-RN success. It is recommended to use different standardized test products as variables, have a larger sample size of those who fail the NCLEX-RN, have a more diverse group of participants, and continue longitudinal and replicated studies for future studies.
    • Entrance Criteria for Nursing Programs

      Primrose, Pamela B.
      The acute nursing shortage across the nation is compounded by underrepresented minorities in health care in light of the growing diversity of America‟s citizenry. These issues are converging into a major debate in higher education regarding admission policies and practices to ensure entry of most qualified students to meet the growing demand for nurses. While nursing programs have been charged with increasing the diversity of students admitted into their programs, it has not yet come to fruition. This investigation evaluates entrance criteria for RN associate of science degree nursing programs (ASN) at two-year institutions using an ex post facto design to determine if nurse entrance criteria provide for equal opportunity for admission or results in de facto discrimination. The research examines the effect of nurse entrance criteria of overall Total Quality Points (TQP) for non-science, non-math, math, and science courses, and nurse entrance exam scores, specifically the Test of Academic Assessment Skills (TEAS) to determine how they impact the admission of minority students, specifically African American students, into the nursing program. Admissions criteria of TEAS only, TEAS plus TQP, TEAS and TQP separately, and TQP only are assessed to determine which criteria maximize the admission rate of minority students into nursing programs along with regression studies to identify which demographics or characteristics significantly impact the success of African American students‟ performance on the TEAS test or to determine if de facto discrimination is present. Identification of various stages of elimination of students from the applicant pool as it is narrowed down will aid in determining which levels of the admissions criteria may require intervention during the pre-nursing preparation phase. This study will investigate the role of standardized tests as a barrier to minority enrollment. Data analyses revealed discrimination against African American students seeking entrance into the ASN program at three community colleges. The TEAS test was a serious barrier to African American student inclusion in the final applicant pool and consideration for admission into the ASN program. Students who did not pass all TEAS subsets did not move forward for inclusion in the final applicant pool. Those African American students in the applicant pool were also negatively impacted by the TEAS test as well as TQP after controlling for first generation status, age, high school rank, and high school rigor. Thus, the admission process for the ASN program using TEAS as an admission criterion is discriminatory against African American students.
    • The Impact of Remedial Education on Nursing Student Success

      Peters, Laurie F.
      The purpose of this study was to examine the impact of remedial education on nursing student success. This quantitative, retrospective study utilized Alexander Astin’s (1993) Input-Environment-Outcomes (I-E-O) model to explore the relationship between demographic variables (inputs) and the number and type of remedial courses taken (environmental variables) on final cumulative grade point average (GPA) and first-time pass rates on the NCLEX-RN state licensure examination (outcomes). The study examined 1,678 associate degree nursing (ADN) graduates between 2004 and 2007 in a state-wide community college system. The analysis identified MAT 050/Basic Algebra as the only remedial course to have the statistical power to be included in the model as a predictor of final cumulative GPA. However, the model only accounted for .4% of the variance indicating there are other factors influencing students’ GPA besides the MAT 050 course. Results suggest that female students are less likely to need remediation in ENG 032/Reading Strategies for College II and more likely to need remediation in MAT 050/Basic Algebra. Ethnicity and age were found to be weak predictors of final cumulative GPA and pass/fail performance on the NCLEX-RN examination. Number and type of remedial courses showed no statistically significant, predictive relationships with pass/fail rates on the NCLEX-RN examination. Understanding the impact of remedial education on nursing student success can ultimately influence the number of nurses available to meet the needs of an aging population.