Abstract
IntroductionRecommendations to address US health inequities include increasing nursing workforce diversity. Holistic admissions review (HAR) is a strategy to increase underrepresented student admission. This study's purpose was to evaluate HAR's effect on the cohort's racial composition and the effect of adjusting criteria weight on overall rubric scores. MethodsA retrospective design was used to evaluate data for three admission cycles for an associate degree in nursing program. Racial groups were compared on individual criterion, domain, and overall scores before and after weight adjustment. ResultsStudents who identified as Asian had the highest admission rate (50%), followed by White (40%), Filipino (30%), Latino/a/e (26%), and Black (10%). However, when criterion weight was adjusted, there were no significant racial differences. DiscussionIntegrating imbalanced HAR criteria produced admissions outcomes similar to non-HAR. Qualified underrepresented students are often disqualified when biased academic metrics are used as the primary basis for admissions selection.
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