Abstract

This international investigation was conducted to determine curricular factors that may explain the high failure rate on the Nurse Certification Licensure Examination for Registered Nurses (NCLEX-RN) of foreign-educated nurses (FENs) seeking licensure in the United States. The framework was the existence of basic knowledge as a starting point for adapting and modifying practices (Alfano, 1971). Onsite visits were used to conduct a curricular review of basic academic preparation of FENs at 19 nursing programs in 10 selected countries. Curricular factors found common to all schools and country-specific elements may explain the academic difficulties of FENs relative to licensure and nursing practice. Delineated curricular elements discussed can serve as a base for developing continuing education courses for foreign-educated nurses.

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