Abstract

BackgroundIn pre-licensure nursing education, there is no agreement as to the type, quantity and quality of clinical experiences that are necessary to produce a competent graduate. MethodA descriptive comparative study was conducted across four pre-licensure nursing programs to identify numbers of clinical and simulation hours within targeted clinical courses. Two Associate Degree (ADN) and two Bachelor of Science (BSN) nursing programs participated. ResultsThe final sample consisted of 271 students. Large variabilities in the number of clinical and simulation hours were identified across the four programs. Licensure exam pass rates differed by the individual programs, but there were no significant differences between the ADN and BSN programs on pass rates. ConclusionThese findings suggest that prelicensure nursing programs’ licensure examination results were not commensurate with clinical hours. Future programmatic decisions regarding clinical requirements should be based on empirical evidence instead of sheer quantity of hours.

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