"Academic Predictors of National Council Licensure Examination for Regi" by Maybeth J. Elliott

Date of Conferral

2011

Degree

Ph.D.

School

Health Services

Advisor

Dr. Robert Hoye

Abstract

The United States continues to be affected by a severe, long-standing nursing shortage that is not projected to resolve within the next 10 or more years. Unsuccessful passage of the National Council Licensure Examination for Registered Nurses (NCLEX-RN) among graduate nurses remains one of several key contributors to the nursing shortage. The goal of this study was to identify if either cumulative fall semester GPA; the overall prenursing science, mathematics, and English GPA; type of high school background; TOEFL score; clinical pass or fail; and on-time program completion best predicted passage of NCLEX-RN. Archived records from the academic years of 2006-2010 of students/graduates of a small, private BSN program were analyzed. A nonconcurrent, prospective design of secondary data was guided by the theoretical implications of the Seidman retention formula that surmises that early identification of academic problems is a necessary precursor to implementations that promote academic success. Significant, positive correlations were found between GPA of prenursing courses and achievement in clinical courses and on-time nursing program completion. Forward and backward, logistic regression procedures revealed that clinical performance was the strongest predictor of NCLEX-RN success but with an inverse relationship. Implications for positive social change include retention of BSN students to improve graduation rates. This ultimately will foster achievement on the NCLEX-RN, resulting in more graduates will be able to competently serve the health care needs of individuals and communities and alleviation of the nursing shortage.

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