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Leslie Hussey


Clinical education is an essential portion of prelicensure nursing education throughout the United States. There is a lack of research examining clinical education in nursing programs and minimum competency for entry into practice as measured by the National Council Licensure Exam (NCLEX) results and differences in levels of care between associate degree (ADN) nurses and bachelor’s degree (BSN) nurses. The purposes of this study, guided by Benner’s novice to expert theory, were to determine whether the total number of clinical hours, program type (ADN vs. BSN) ,simulation hours, patient care clinical hours, and skills lab hours between ADN and BSN predict NCLEX pass rates. Data included 119 responses for Research Questions 1 and 3, and 168 responses for Research Question 2. Overall multiple linear regression model was not statistically significant, meaning the predictors (program type, the total number of clinical hours, patient care clinical hours, simulation hours and skills lab hours) did not predict NCLEX pass rates. There was a significant difference in the total number of clinical hours and patient care clinical hours between ADN and BSN programs. More research is needed to determine the ideal number of clinical hours which are needed to adequately educate new nurses from both ADN and BSN programs for practice. These results can promote positive social change by informing nursing education about clinical hours so that nurses are better prepared for practice.

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