Nurse Licensure Research Articles

Employability of Nursing Graduates of Canossa College San Pablo City Inc. Batch 2008 to 2022: A Comprehensive Tracer Study

Every graduate tells a story, a tracer study tells the narrative. As the frontline warriors of patient care, the journey of nurses from academia to professional practice is a significant shift that shapes the future of healthcare delivery. The study utilized SDG 4: Quality Education and SDG 17: Partnership for the goals. This tracer study examined the employment outcomes of graduates and assessed whether the quality of education they received aligns with international standards. It also identifies areas that contribute to their successful employment outcomes. The study used a quantitative research design. A statistician reviewed and validated two questionnaires, which the study combined and altered. The data gathering was conducted online through the use of Google Forms. There are 480 nursing graduates between 2008 and 2022. As a result, the survey garnered 375 responses, representing 74% of the population. Overall, the study revealed that the Philippine Nursing Licensure Examination results of the graduates have consistently been above the national passing rate. A significant number of graduates have obtained nursing licensure abroad, with the United States being the leading country where most nursing graduates are employed. Majority of the graduates take only zero to five months to land their first jobs. Hence, respondents claimed that the employment success is highly influenced by the personal qualities they developed at the institution, as these qualities not only make graduates more employable but also ensure they can effectively meet the demands of their profession, enhancing both their career prospects and quality of healthcare service.

Knowledge, Attitude, And Practices on Infection Control Among Nursing Students in Biliran Province State University

Background: Nursing students in the Philippines have to undergo clinical rotation not only in Hospital wards but also at other hospital departments such as (DR) Delivery Room and OR Operating Rooms. These areas that they need to be skillful with as it is part of their requirements before graduation thus giving them a chance for eligibility to take the Philippine Nursing Licensure Examination. Good role modeling and clinical supervision are key to developing a strong commitment to strict adherence to Infection prevention and control protocols for nursing students. Hence, this study aimed to determine the knowledge, attitudes, and practices regarding infection control among Biliran Province State University student nurses. Methods: This study used a descriptive correlational research design. Survey questionnaires were administered to collect data from 255 BSN students at Biliran Province State University. Participants ranged from second-year to fourth-year students. Most were 19-21 years old, female, and single Roman Catholics. Results: The findings were therefore able to identify regard of knowledge as well as attitudinal towards infection control among the respondents. Over time majority of the students followed standard precaution measures most of the time. Interestingly, none of the six socio-demographic factors were found to have any relationship with the respondents’ level of knowledge, attitudes, and practices. Moreover, no correlation was evident which suggests that these variables are separate from each other between Knowledge, Attitude, and Practice. Conclusions: The research presented herein highlights the need for further advances made in the tweaking of the education interventions in matters concerning support and reinforcement of IPC measures despite boasting a healthcare safety environment.

Performance of ChatGPT on Nursing Licensure Examinations in the United States and China: Cross-Sectional Study.

The creation of large language models (LLMs) such as ChatGPT is an important step in the development of artificial intelligence, which shows great potential in medical education due to its powerful language understanding and generative capabilities. The purpose of this study was to quantitatively evaluate and comprehensively analyze ChatGPT's performance in handling questions for the National Nursing Licensure Examination (NNLE) in China and the United States, including the National Council Licensure Examination for Registered Nurses (NCLEX-RN) and the NNLE. This study aims to examine how well LLMs respond to the NCLEX-RN and the NNLE multiple-choice questions (MCQs) in various language inputs. To evaluate whether LLMs can be used as multilingual learning assistance for nursing, and to assess whether they possess a repository of professional knowledge applicable to clinical nursing practice. First, we compiled 150 NCLEX-RN Practical MCQs, 240 NNLE Theoretical MCQs, and 240 NNLE Practical MCQs. Then, the translation function of ChatGPT 3.5 was used to translate NCLEX-RN questions from English to Chinese and NNLE questions from Chinese to English. Finally, the original version and the translated version of the MCQs were inputted into ChatGPT 4.0, ChatGPT 3.5, and Google Bard. Different LLMs were compared according to the accuracy rate, and the differences between different language inputs were compared. The accuracy rates of ChatGPT 4.0 for NCLEX-RN practical questions and Chinese-translated NCLEX-RN practical questions were 88.7% (133/150) and 79.3% (119/150), respectively. Despite the statistical significance of the difference (P=.03), the correct rate was generally satisfactory. Around 71.9% (169/235) of NNLE Theoretical MCQs and 69.1% (161/233) of NNLE Practical MCQs were correctly answered by ChatGPT 4.0. The accuracy of ChatGPT 4.0 in processing NNLE Theoretical MCQs and NNLE Practical MCQs translated into English was 71.5% (168/235; P=.92) and 67.8% (158/233; P=.77), respectively, and there was no statistically significant difference between the results of text input in different languages. ChatGPT 3.5 (NCLEX-RN P=.003, NNLE Theoretical P<.001, NNLE Practical P=.12) and Google Bard (NCLEX-RN P<.001, NNLE Theoretical P<.001, NNLE Practical P<.001) had lower accuracy rates for nursing-related MCQs than ChatGPT 4.0 in English input. English accuracy was higher when compared with ChatGPT 3.5's Chinese input, and the difference was statistically significant (NCLEX-RN P=.02, NNLE Practical P=.02). Whether submitted in Chinese or English, the MCQs from the NCLEX-RN and NNLE demonstrated that ChatGPT 4.0 had the highest number of unique correct responses and the lowest number of unique incorrect responses among the 3 LLMs. This study, focusing on 618 nursing MCQs including NCLEX-RN and NNLE exams, found that ChatGPT 4.0 outperformed ChatGPT 3.5 and Google Bard in accuracy. It excelled in processing English and Chinese inputs, underscoring its potential as a valuable tool in nursing education and clinical decision-making.

Performance of GPT-4 on Chinese Nursing Examination: Potentials for AI-Assisted Nursing Education Using Large Language Models.

The performance of GPT-4 in nursing examinations within the Chinese context has not yet been thoroughly evaluated. To assess the performance of GPT-4 on multiple-choice and open-ended questions derived from nursing examinations in the Chinese context. The data sets of the Chinese National Nursing Licensure Examination spanning 2021 to 2023 were used to evaluate the accuracy of GPT-4 in multiple-choice questions. The performance of GPT-4 on open-ended questions was examined using 18 case-based questions. For multiple-choice questions, GPT-4 achieved an accuracy of 71.0% (511/720). For open-ended questions, the responses were evaluated for cosine similarity, logical consistency, and information quality, all of which were found to be at a moderate level. GPT-4 performed well at addressing queries on basic knowledge. However, it has notable limitations in answering open-ended questions. Nursing educators should weigh the benefits and challenges of GPT-4 for integration into nursing education.

Highlights of the Nurse Licensure Compact Survey Findings: Nurses’ Needs, Experiences, and Views

Highlights of the Nurse Licensure Compact Survey Findings: Nurses’ Needs, Experiences, and Views

Factors influencing the success in Nurse Licensure Examination among Bachelor of Science in Nursing graduates in Jolo

Factors influencing the success in Nurse Licensure Examination among Bachelor of Science in Nursing graduates in Jolo

Social processes influencing nursing students in passing the nursing licensure examination: A grounded theory approach.

To explore the strategies used by nursing students in passing the nursing licensure examination. This study uses a classic grounded theory design to explore the social processes influencing a nursing license examination. Eight graduate students participated in this research study and were interviewed in-depth twice. The Classic Grounded Theory method of Glaser was applied to collect and analyse the data until saturation was reached. The findings revealed that students who passed the nursing licensure examination described the strategies as a preliminary model comprising a core category, Reviewing (Phase 1), which consisted of two sub-categories: Entering Time and Reviewing Styles. Additionally, two other main categories emerged: the Tutoring category (Phase 2) and the Testing Practice category (Phase 3). It was observed that each course (subject) does not necessarily follow a specific order in traversing these phases; they may move back and forth between them until the conclusion of the examination. Furthermore, it was found that the time allocated to Entering Time and completing the three phases significantly influences the successful passing of the nursing licensure examination.

Embracing the future: Integrating ChatGPT into China’s nursing education system

This article delves into the role of ChatGPT within the rapidly evolving field of artificial intelligence, especially highlighting its significant potential in nursing education. Initially, the paper presents the notable advancements ChatGPT has achieved in facilitating interactive learning and providing real-time feedback, along with the academic community’s growing interest in this technology. Subsequently, summarizing the research outcomes of ChatGPT’s applications in nursing education, including various clinical disciplines and scenarios, showcases the enormous potential for multidisciplinary education and addressing clinical issues. Comparing the performance of several Large Language Models (LLMs) on China’s National Nursing Licensure Examination, we observed that ChatGPT demonstrated a higher accuracy rate than its counterparts, providing a solid theoretical foundation for its application in Chinese nursing education and clinical settings. Educational institutions should establish a targeted and effective regulatory framework to leverage ChatGPT in localized nursing education while assuming corresponding responsibilities. Through standardized training for users and adjustments to existing educational assessment methods aimed at preventing potential misuse and abuse, the full potential of ChatGPT as an innovative auxiliary tool in China’s nursing education system can be realized, aligning with the developmental needs of modern teaching methodologies.

Barriers and motivating factors for licensed practical nurses to pursue a bachelor's degree in nursing

BackgroundConnecticut License Practical Nurses (LPNs) face unique challenges in pursuing higher education. Understanding these challenges is essential for addressing the current nursing shortage and enhancing the nursing workforce's educational level. PurposeThis project aimed to identify the barriers preventing Connecticut LPNs from pursuing higher education and the factors motivating them to obtain a Bachelor of Science degree in Nursing (BSN) and Registered Nurse (RN) licensure. MethodA survey was administered to 13,684 LPNs in Connecticut after Institutional Review Board (IRB) approval. Of these, 1791 LPNs consented to participate, with 1424 completing at least one survey question. The survey was designed to identify the top three motivators and barriers influencing LPNs' decisions to pursue further education. ResultsThe primary motivators identified were the desire for college credits for completed LPN coursework (96.7 %), a simplified BSN enrollment procedure (93.8 %), and potential salary increases (93.7 %). Conversely, the top barriers were current financial position (76.4 %), personal responsibilities (71.1 %), and the requirement to repeat previously taken courses (65.9 %). An unexpected finding was that 63 participants expressed readiness to immediately pursue a BSN degree, indicating a strong latent demand for advanced nursing education. ConclusionThe study highlights the eagerness of LPNs to advance their education, contingent on receiving credit for previous coursework, financial aid, tuition reimbursement, and flexible schooling options. These findings suggest the need for tailored educational programs and support systems to facilitate LPNs' transition to higher educational levels, addressing both the motivators and barriers identified.

Effectiveness of an Informationized Teaching-management Strategy to Enhance Performance in National Nursing Licensure Examination: A Quasi-experimental Study

Objective: This study was to verify the effectiveness of an information-based teaching-management strategy applied during students’ clinical internship, designed to improve their performance in the National Nursing Licensure Examination (NNLE) Methods: All nursing students of eleven classes from grade 2017 in a vocational school were included (n=547). Considering the convenience of operational interventions, the experimental group consisted of students from Class 8, where the teacher in charge is the first author (n=49). The control group (n=498) comprised individuals selected from the other ten classes, with each class serving as an independent control group. From January 2020 to April 2021, a teaching-management strategy containing two stages was implemented in both groups from the students’ one-year clinical internship until the overall review period. In addition to this, a cloud-based knowledge-review program (e.g., layered teaching, four-step method, and paired assistance) was used in experimental group. The main outcome measures were the scores and pass rate of each examination. Results: Experimental group performed better than control group in both the simulation tests and the NNLE, in which the pass rate was 100%, showing a statically significant difference (P&lt;0.01). Conclusion: Information-based teaching-management strategy is beneficial for long-distance education during students’ clinical internship, and it can effectively help students prepare for the NNLE to get a higher score.

Human Trafficking Education: An Asynchronous Approach to Improve Nurses' Knowledge and Application.

Nurses as healthcare professionals are in key positions to identify trafficked persons. Assessment of nurse knowledge shows the benefit of using asynchronous human trafficking education as a means for learning. Recommendations from this study for professional development educators include garnishing nurse executive support and use of case-study, evidence-based approaches. Support for state-mandated human trafficking education requirements for initial and ongoing licensure of nurses is necessary as human trafficking knowledge may decrease over time.

Impact of military nurse instructor on the academic performance of eligible corpsman in an online NCLEX-PN training program

This study explored the use of an intervention to increase test success of corpsmen in pursuit of the LVN license. Corpsmen who pursue California Licensed Vocational Nurse (LVN) licensure and sit for the National Council Licensure by Examination- Practical Nurse (NCLEX-PN) historically pass with a 50% rate. It is not understood how the combination of formalized test preparation and faculty facilitation of course impact test success. Using a quantitative design, we explored the effectiveness of the course and relationship between individual intervention outcomes for 12 military corpsmen. Student mean scores on the pretest were 58.0%, while comprehensive exam scores were 84.2%. This gain represents a 45% increase and comprehensive exam scores that could have likely satisfied 2021 NCLEX-PN passing scores. The findings suggest that a model with a nurse-led facilitation of NCLEX-PN test plan content shows promise in helping corpsmen close the theory to practice gap in passing the NCLEX-PN.

University Competency-based Courses for Internationally Educated Nurses (IENs) in Ontario: A Pilot Education Pathway to Registered Nurse (RN) Licensure

In 2014, a team of nurse educators and champions of internationally educated nurses (IENs) in Ontario, Canada, came together to address the issue of supporting IEN transition to practice as one route to help address nursing shortages. Courses were developed with funding from the Government of Ontario, and policy and coordination support from the Council of Ontario Universities, to pilot an educational bridging pathway for IENs. The faculty team across four Ontario universities used a consortium approach to coalesce province-wide expertise in IEN education. What began as a selection of targeted, competency-based courses has since evolved into a full Competency-Bridging Program of Study for Internationally Educated Nurses in Ontario, aligned with other IEN bridging program offerings across the province. This paper describes the initial process of the group, from 2015 to 2018, to create foundational learning and competency-based courses to meet targeted entry-to-practice (ETP) competencies for Registered Nurse (RN) registration with the College of Nurses of Ontario (CNO). The barriers to IENs in meeting ETP requirements and how the gap in the existing Ontario IEN bridging to a Bachelor of Science in Nursing (BScN) education to meet regulatory requirements are also addressed. This article explores how Ontario may respond to the increasing nursing shortages and the need to engage ethically and retain IENs in practice. Lessons learned from competency-course development add to the growing body of knowledge about IEN program experiences in Canada to enable more IENs to enter the Ontario nursing workforce.

The Nurse Licensure Compact's Effect on Telemedicine Usage.

As a result of a shortage of primary care physicians, considerable portion of patients in the US have difficulty accessing primary care. Telemedicine allows healthcare professionals to reach patients in shortage areas, but state-based occupational licensing laws make interstate practice difficult. The Nurse Licensure Compact (NLC) was designed to improve interstate practice for Registered Nurses (RNs), including telemedicine. Our preliminary analysis does not find evidence that the NLC is able to significantly increase telemedicine usage from out-of-state providers. Policymakers cannot rely on just the NLC to encourage the adoption of telemedicine; other regulations currently limit its adoption.

Indonesian Nurses' Journey in Passing the Japan National Nursing Licensure Examination.

Despite the significant number of Indonesian nurses joining the Japanese National Nursing Licensure Examination (JNNLE), only a few of those were successful. Indonesian nurses as one of active migration player to Japan's market remain a critical support in supporting human resources for health in Japan. However, the successful nurses' perspectives have yet to be understood entirely. This study aimed to explore the experiences of Indonesian nurses who successfully passed the JNNLE. This study used a descriptive qualitative approach. The participants were twenty Indonesian nurses who have passed the licensure examination. This study was carried out by semi-structured interviews conducted virtually. The data were analyzed using thematic content analysis. Five themes were discovered in this study: language ability as the key to succeeding in the exam, strategies to passing the exam, supporting resources as factors to increase the passing rate, understanding the nature of nursing exam, and internal motivation to be recognized as a professional nurse in a foreign country. Indonesian nurses who passed the Japanese national nursing licensure examination tend to deploy planned strategies. Honing the language skills while working and living in Japan is very important, while structured support systems in the hospital, government, and social network are imperative to learning the new knowledge in the area of nursing care in Japan.

Academic and Non-Academic Profile Affecting the Nurse Licensure Examination Performance of the Nursing Graduates of a Higher Education Institution in Davao City

The Nurse Licensure Examination is conducted by the Professional Regulatory Commission to screen Nursing graduates who will be licensed to practice nursing. The study aimed to determine the academic and non-academic profiles of the respondents and their possible correlation to the respondents’ Nurse Licensure Examination performance. Using total enumeration, sixty-seven Nursing graduates of the pioneering batch under CMO 14 s. 2009 were used as respondents. The academic profile included Nursing Care Management (NCM), Nurse Aptitude Test (NAT), English Proficiency, and Nursing Enhancement Program (NEP). The non-academic profile covered Emotional Quotient, the Otis-Lennon School Ability Test (OLSAT), and the Schedule of Examination. The study used the non-experimental descriptive-correlational research design. Frequency and percentage, mean, Pearson r, Chi-Square, and Linear Regression analysis were the statistical tools employed in the study. Results revealed that all individual parameters in the academic profile are significantly correlated to the licensure examination performance. On the other hand, only the OLSAT in the non-academic profile showed a significant correlation to the licensure examination performance. Finally, the regression model obtained in the study is written as NLEP = 18.139 + 0.413 (NCM) + 0.018 (NAT) – 0.195 (EngProf) + 0.399 (NEP).

Legislative Highlight: Indiana House Bill 1003

In fewer than 10 days, Indiana House Bill 1003 (2022) had crossed its first legislative chamber and was barreling toward the Indiana Senate. House Bill 1003, titled “Nursing Indiana Back to Health,” was marketed by supporting lawmakers and stakeholders as a comprehensive package to strengthen the nursing workforce in the state. The bill moved quickly through the legislative process and contained changes to both the licensure and education processes for nurses. As states look to each other for policy ideas and solutions in the present workforce-focused climate, the comprehensive bill, now law, is worth analyzing in depth.

The effect of integrating a nursing licensure examination preparation course into a nursing program curriculum

Background: Nursing licensure examinations (NLEs) are used worldwide to determine nursing students' levels of competence and preparedness to practice nursing. However, despite students' knowledge of nursing concepts, some students struggle with anxiety, pressure, and NLE question style. Preparation courses embedded within nursing students' curriculum may be effective in preparing students to take the NLE. Aim: The aim is to determine the effectiveness of implementing a Saudi Nursing Licensure Examination (SNLE) preparation course into nursing students' curriculum. Setting and Design: A quasi-experimental, repeated measures design was used with 109 undergraduate nursing students in three-branch college of nursing in the western region of Saudi Arabia. Methods: Students completed a 3-month SNLE preparation course integrated into the current curriculum. The course involved practice question preparation, case studies, and online learning videos. Students took an SNLE-style pretest before the course and a posttest one month after the course was completed. Results: Most students were female (70.6%) and 34.9% reported studying 1–2 h per week studying for the course. There was a significant, positive, and strong correlation between the number of hours spent studying and SNLE posttest scores (r = 0.729, n = 109, P &lt; 0.001). Students performed significantly better after taking the SNLE preparation course. Female students scored higher in all domains compared to male students, especially within the maternity and pediatric nursing domain. Conclusions: An NLE preparation course integrated into the nursing curriculum was shown to be effective within this sample of Saudi nursing students. Further research with larger samples may be needed to corroborate these findings.

Nurse Licensure Compact and Mobility

Nurse Licensure Compact and Mobility

DEVELOPMENT OF DELIVERY ROOM (DR) AND OPERATING ROOM (OR) CASE BOOK FOR STUDENT NURSES

This study, development of case book specifically in the Operating Room (OR) and Delivery Room (DR) provide students guidelines on the data that are needed to accomplish while handling the DR and OR cases and serves as monitoring guide on the actual experience of the students in those special areas of the hospital as a requirement of Professional Regulation Commission (PRC) prior to taking the Nurse Licensure Examination (NLE). The Bachelor of Science in Nursing (BSN) program consist of 22 Nursing Care Management (NCM) Professional Courses with emphasis on the nursing concepts with Related Learning Experiences (RLE) for a total of 2,703 required hours as stated in the CMO of the BSN program (CMO 15, series 2017). One among the Program Outcomes is applying guidelines and principles of evidence-based practice in the delivery of care in clinical practice and part of the areas are Delivery Room (DR) and Operating Room (OR). The content of case book composes of OR scrub minor case (ODC Form 2B OR), OR scrub major case (ODC Form 2A OR), DR actual delivery case (ODC Form 1A), DR assisted case (ODC Form 1B), DR cord care case (ODC Form 1C).