Abstract
Nursing student course repetition is a common occurrence and results in consequences for students and institutions. This study sought to describe the costs of course repetition for nursing students and nursing programs. A qualitative multiple case study approach was used to consider 4 cases, which were analyzed according to Stake's methodology. Students who repeated courses experienced loss of anticipated income, and additional expenses associated with extending their time in school. Institutions tended to have limited economic impact, so long as attrition was prevented. Nursing programs can consider altering policies to help those who repeat, or providing proactive support to prevent students from failing and needing to repeat.
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