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首页> 外文期刊>Journal of Nursing Education and Practice >Canadian NCLEX-RN outcomes: A two-year cross-sectional exploratory study in Ontario
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Canadian NCLEX-RN outcomes: A two-year cross-sectional exploratory study in Ontario

机译：加拿大NCLEX-RN结果：安大略省为期两年的横断面探索性研究

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Background/Objective: In January 2015, 10 of 12 registered nurse regulators in Canada began using the National Council Licensure Exam for Registered Nursing (NCLEX-RN) as the entry-to-practice examination. We examine the NCLEX-RN performance of BScN graduates from three sites of one program across the first 2 years of its use. We aim to investigate the relationship between undergraduate academic performance and NCLEX-RN performance, and to determine predictors of success and/or failure on the exam.Methods: A total of 215 graduates who wrote the 2015 or 2016 NCLEX-RN participated in the study. Course grades, final program percentage grade and GPAs, and students’ time to complete the program are examined against pass/fail performance on the NCLEX-RN. Student’s t test and Chi Square tests are used for comparative analysis. Logistic regression identified the odds ratio and associated 95% confidence interval for each one-unit increase in GPAs as a predictor of success.Results: Overall, 141 of 215 (66%) graduates passed NCLEX-RN and 74 (34%) failed, with no significant difference between the two years. Time to complete the program is significantly lower (p = .002) and graduating GPA is significantly higher (p < .001) among those who passed the NCLEX-RN compared to those who failed. With one exception, all course grades are significantly higher for students who passed, compared to those who failed. The odds of passing the NCLEX-RN increase by 10 (95% CI 4.5, 22.6) for each one-point increase in GPA. At a GPA of 4.0, zero failures on NCLEX-RN are observed.Conclusions: To our knowledge, this is the first Canadian systematic institutional based study examining the relationship between NCLEX-RN performance and academic factors. The study concludes high academic performance remains a strong predictor for NCLEX-RN success. Future, preferably multicenter larger studies, could further the understanding of the performance on this exam in Canada and support practices enhancing students’ success on the NCLEX-RN.
机译：背景/目标：2015年1月，加拿大12个注册护士监管机构中的10个开始使用国民议会注册护理执照考试（NCLEX-RN）作为入门考试。我们在使用该软件的前两年中，从一个程序的三个站点研究了BScN毕业生的NCLEX-RN性能。我们旨在调查本科学习成绩与NCLEX-RN成绩之间的关系，并确定考试成功与否的指标。方法：共有215名2015年或2016年NCLEX-RN的毕业生参加了研究。将根据NCLEX-RN上的通过/不通过性能检查课程成绩，最终课程百分比成绩和GPA，以及学生完成课程的时间。使用学生的 t 检验和卡方检验进行比较分析。 Logistic回归确定GPA每增加1个单位，比值比和相关的95％置信区间可作为成功的预测指标。结果：总体而言，215名毕业生中有141名（66％）通过了NCLEX-RN，74名（34％）未通过，两年之间没有显着差异。与通过NCLEX-RN的那些人相比，完成该程序的时间明显短（ p = .002），毕业GPA显着更高（ p <.001）那些失败的人。除了一个例外，与未及格的学生相比，及格的学生的所有课程成绩都高得多。 GPA每增加1点，通过NCLEX-RN的几率增加10（95％CI 4.5，22.6）。在GPA为4.0时，观察到NCLEX-RN的故障为零。结论：据我们所知，这是加拿大首个系统的基于制度的研究，研究了NCLEX-RN性能与学术因素之间的关系。研究得出的结论是，高学业成绩仍然是NCLEX-RN成功的有力预测指标。未来（最好是多中心的大型研究）可能会加深人们对加拿大这次考试表现的理解，并支持一些实践，以提高学生在NCLEX-RN上的成功率。

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