ACADEMIC AND DEMOGRAPHIC PREDICTORS OF NCLEX-RN PASS RATES IN FIRST- AND SECOND-DEGREE ACCELERATED BSN PROGRAMS

作者：Kaddoura Mahmoud A^*; Flint Elizabeth P; Van Dyke Olga; Yang Qing; Chiang Li Chi

来源：Journal of Professional Nursing, 2017, 33(3): 229-240.

DOI：10.1016/j.profnurs.2016.09.005

• NCLEX-RN
• Predictor variables
• Nursing education
• Baccalaureate
• Low course grades
• HESI exit exam

Relatively few studies have addressed predictors of first-attempt outcomes (pass-fail) on the National Council Licensure Examination-Registered Nurses (NCLEX-RN) for accelerated BSN programs. The purpose of this study was to compare potential predictors of NCLEX outcomes in graduates of first-degree accelerated (FDA; n = 62) and second-degree accelerated (SDA; n = 173) BSN programs sharing a common nursing curriculum. In this retrospective study, bivariate analyses and multiple logistic regression assessed significance of selected demographic and academic characteristics as predictors of NCLEX-RN outcomes. FDA graduates were more likely than SDA graduates to fail the NCLEX-RN (P = .0013). FDA graduates were more likely to speak English as a second or additional language (P < .0001), have lower end-of-program GPA and HESI Exit Exam scores (both P < .0001), and have a higher proportions of grades <= C (P = .0023). All four variables were significant predictors of NCLEX-RN outcomes within both FDA and SDA programs. The only significant predictors in adjusted logistic regression of NCLEX-RN outcome for the pooled FDA + SDA graduate sample were proportion of grades C (a predictor of NCLEX-RN failure) and HESI Exit Exam score (a predictor of passing NCLEX-RN). Grades of C or lower on any course may indicate inadequate mastery of critical NCLEX-RN content and increased risk of NCLEX-RN failure.

• 出版日期2017-6