The purpose of this descriptive, ex post facto study was to examine possible relationships between demographic, pre-programmatic, and programmatic factors with success in a final Advanced Medical-Surgical nursing course and the National Council Licensure Examination for Registered Nurses, as well as their predictive abilities. Data were obtained from the academic records of 209 full-time and part-time nursing program graduates who completed an upper-division baccalaureate nursing degree at a mid-Atlantic private urban university. Descriptive and inferential analyses were utilized to discover possible relationships between the two dependent variables and the various independent variables in groupings suggested by Carroll's (1963) model of School Learning. Two models were derived to predict success in the nursing program as evidenced by successful completion of the final Advanced Medical-Surgical nursing course and passing the NCLEX-RN on the first attempt. The first model identified age at entrance to the nursing program and repeating a science course as the two factors that explained approximately 49% of the variance in the Advanced Medical-Surgical course performance. The second model was able to predict 97.2% correctly those graduates who would be successful on the NCLEX-RN, and only identify 43.8% of those candidates likely to fail. The overall classification ability by the model was 89%. Implications for nursing educators are that more attention needs to be given to admission policies/procedures, and that students entering nursing programs require routine standardized evaluation, identification and remediation of nursing content gaps in order to be successful throughout their nursing studies and ultimately on the NCLEX-RN. / Educational Psychology

The aging population in the United States has led to an increased demand for registered nurses. Nursing program administrators must examine ways to increase nursing program completion, which will increase the supply registered nurses. The purpose of this study was to determine the associations among length of time between core science course completion and nursing program admission, on-time completion, and National Council Licensure Examination for Registered Nurses (NCLEX-RN) success for students at a southeastern community college. A convenience sample of 288 community students admitted to an associate degree level nursing (ADN) program between 2007 and 2012 was selected. The guiding research questions examined if the length of time from completion of core science courses, Anatomy and Physiology, and admission to a selective admission nursing program was associated with on-time completion as well as passing the NCLEX-RN examination on first attempt. Using Karen's gatekeeping theory as the theoretical foundation, this nonexperimental, nonparametric, quantitative design tested for statistical significance. A Pearson chi square with phi coefficient was utilized for data analysis. The results indicated a statistically significant association between on-time completion and completion of core science courses (X2 (4, N = 288) = 19.730, p = .001, ɸ .262); however, passing the NCLEX-RN on the first attempt was not significant (X2 (4, n = 178) = 4.182, p = .382). The study contributes to positive social change by providing research-based findings on the association between core science course timing and program completion. This knowledge may impact course scheduling and increase the number of registered nurses, which will have a positive impact on meeting the healthcare needs of society.

The purpose of this study was to examine efficacious instructional strategies that the New England Community College (NECC) nursing program could implement in the curricula to improve National Council Licensure Examination Registered Nurse (NCLEX-RN) first-time pass rates. Effective strategies from students and nursing program faculty had used were investigated. Such strategies support student nurses in their efforts to succeed on the first administration of the exit examination. The rationale for this study and resulting project was that they could improve NCLEX-RN first-time pass rates and positively impact the local hiring of qualified nurses. Guided by Knowles's adult learning theory, key results of the study and resulting project were developed from effective instructional strategies discovered from former NECC students. The central research question focused on identifying which teaching-learning strategies in the NECC nursing curricula improved students' critical thinking skills and problem solving skills. A qualitative case study design was employed with a purposeful sample of 15 former NECC nursing program graduates. Participant focus groups and annual program/accreditation documents were used to collect data to address how student nurses learn best in order to be successful on the exit examination. The project was the creation of a 3-day seminar in the first semester curriculum that focuses on effective licensure preparation instructional strategies to establish and maintain high NCLEX-RN pass rates. Implications for positive social change include, but are not limited to, improving students' problem solving skills and application of critical thinking strategies in order to positively impact the lives of the patients whom they will serve.

Despite the implementation of various strategies to improve outcomes, the pass rates for the National Council Licensure Exam for Registered Nurses (NCLEX-RN) for an associate degree nursing (ADN) program continue to decrease. This study examined the use of a supplemental computer-assisted formative assessment (SCAFA) as a strategy for NCLEX-RN success. A qualitative case study with a theoretical framework based on constructivism was designed to investigate nurse educators' perspectives of this particular strategy for successful outcomes. To explore these perspectives, data were collected from face-to-face interviews with nurse educators and from program documents from 1 ADN program in the southeastern United States. Guiding research questions explored nurse educators' perceptions of SCAFA and determined if and how data from these assessments were utilized. The data were analyzed using lean coding to determine emerging themes. The findings showed that a lack of consistency in the use of this tool diminishes the effectiveness of this supplemental strategy. Additional themes that emerged: educator and student attitudes, orientation and SCAFA process, resource allocation, training and preparation, and data-driven decision making. These findings were used to design a professional development project focused on the effective use of SCAFA throughout the nursing program. The study and project are expected to promote positive social change by contributing to the body of evidence on computer-assisted formative assessment, bolstering student and nurse educator learning, increasing the number of nursing students who are prepared to successfully pass the NCLEX-RN, improving program outcomes, and contributing to the professional nursing workforce.

This ex post facto study sought to examine: the efficacy of Mosby's Assess Test as a valid predictor of NCLEX (National Council of State Boards of Nursing Licensure Examination) scores; significant correlations among semester averages, semester tests failed, Nelson Denny Reading Test scores, and NCLEX scores; and differences in NCLEX outcomes in relation to ethnicity, age, and prior practical nursing licensure for 558 associate degree nursing graduates who wrote the NCLEX in 1983 and 1984. Significant positive relationships were found among Mosby scores, Nelson Denny scores, semester averages, and NCLEX scores. A significant negative relationship was found between number of semester tests failed and NCLEX scores. The mean NCLEX score of older graduates was higher than the mean NCLEX score of younger graduates. LPN graduates had a higher mean NCLEX score than non-LPN graduates. White graduates' mean NCLEX score was greater than the average score for black graduates. Combined predictor variables which yielded the best estimate of the criterion variable (NCLEX scores) for all graduates included mean semester average, Mosby scores, age above thirty-three, and Nelson Denny scores, respectively. The most important predictor of black graduates' NCLEX success was prior practical nursing licensure. Other significant predictors for black graduates' NCLEX success were mean semester average, Mosby scores, mean number of semester tests failed, age above thirty-three, and Nelson Denny scores, respectively. Mean semester average, mean score of the Mosby test, mean number of semester tests failed, and age above thirty-three were the most significant predictors of white graduates' NCLEX success. Older graduates had a higher mean Mosby score, a higher mean semester average, and failed fewer semester tests than younger graduates. The study results will be of interest to nurse educators and counselors who are concerned with curricular revision, student counseling, and remediation procedures as these relate to enhancement of graduates' potential for success on the NCLEX.

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