Abstract
An acute nursing shortage currently exists in the United States. It is important for nursing programs to prepare nursing students who are able to pass the NCLEX-RN. The purpose of this study was to determine whether a link exists between nursing student performance in program requirements and ultimate success or failure on the NCLEX-RN. A random sample of the nursing students at one community college who graduated in the calendar years of 2017 and 2018 were the population for this study. This comparative study examined data in existence to determine if there were academic factors relating to failure on NCLEX-RN. Chi-square was used to determine a relationship and phi-coefficient was used to determine the strength of that relationship between dependent and independent variables. A weak to moderate association was found between failure on NCLEX-RN and the independent variables: low score on the science portion of the TEAS test, need to repeat the first medical-surgical nursing course, and less than 850 on HESI exit. Future research should focus on the connection between mathematics scores and success in the nursing program and NCLEX-RN. Keywords: Nursing education, NCLEX-RN pass rates, nursing education readiness, healthcare education, student success. DOI: 10.7176/JEP/12-30-01 Publication date: October 31 st 2021
Highlights
Nursing school is a challenging journey from meeting entrance requirements, completing the nursing curriculum, and to taking the National Council Licensing Exam for Registered Nurses (NCLEX-RN) (Glasgow et al, 2019; Ralph et al, 2019)
This study strives to determine the factors that affect NCLEX-RN failure. These questions are: RQ1: Is there an association between failure or passage of NCLEX-RN and whether or not the prerequisite science course was repeated in an associate degree nursing program? RQ2: Is there an association between failure or passage of NCLEX-RN and whether or not the prerequisite math course was repeated in an associate degree nursing program? RQ3: Is there an association between failure or passage on NCLEX-RN and whether or not the www.iiste.org preadmission test was repeated in an associate degree nursing program? RQ4: Is there an association between failure or passage on NCLEX-RN and whether or not a score of
Research Question One/Null Hypothesis One RQ1: Is there an association between failure or passage of NCLEX-RN and whether or not the prerequisite science course was repeated in an associate degree nursing program? H01: There is no association between failure or passage on NCLEX-RN and whether or not the prerequisite science course was repeated
Summary
Nursing school is a challenging journey from meeting entrance requirements, completing the nursing curriculum, and to taking the National Council Licensing Exam for Registered Nurses (NCLEX-RN) (Glasgow et al, 2019; Ralph et al, 2019). The ability to predict if nursing students are at risk for failure on NCLEX-RN could provide nursing programs with information that could prevent failure on NCLEX-RN. Examining nursing program admission requirements, along with results on predictor exams, may provide insight on the ability to predict if a student is at risk for failure on NCLEX-RN. Many factors contribute to this shortage, including an aging and ailing population (Snavely, 2016) This aging and ailing population require more nurses and other healthcare providers in the hospital, in long-term care, and at home (Snavely, 2016; Wessel, 2017). There is pressure on nursing programs to educate and graduate nursing students who can pass the NCLEX-RN and are work ready to lessen the impact of the nursing shortage (Quinn et al, 2018; Randolph, 2016; Robert, 2018)
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