The study is to assess trends in academic performance in the nursing education in nursing institutions in Bauchi State Nigeria. The specific purposes of the study were to examine trends in academic performance in the nursing education in nursing institutions in Bauchi State Nigeria,and to identify factors influencing academic performance of nursing students in nursing institutions in Bauchi State Nigeria. The design used for this study was the descriptive surveyresearch. The population was 387 students and teachers of Aliko Dangote College of Nursing Sciences, Bauchi State and College of Nursing Sciences Abubakar Tafawa Balewa University Teaching Hospital, Bauchi State and all was used as sample for this study. The instrument for data collection is a structured questionnaire designed to elicit responses to answer the research questions that guided the study. The instrument was validated by three experts in terms of face validity while test re-test was use to establish the reliability coefficient of the instrument which yielded a coefficient of 0.84. Data for the study were personally collected by the researchers and 3 research assistants while frequencies and mean statistics was employed to analyzed the data relating to research questions. Based on the findings of the study, the following recommendation were made: the Ministry of Health and Social Welfare should plan and solicit budget for provision of relevant, adequate and updated standardized, technological instructional materials that will be effectively utilized both in classroom and clinical areas teaching, There is a need for Continuous Professional Development through capacity building workshops to enhance teaching ability among less skilled employed nurses among others.