Optimizing NCLEX-RN Pass Rate Performance Using an Educational Microsystems Improvement Approach

Improvement methods were applied to optimize NCLEX-RN first-attempt pass rates in an Accelerated Bachelor of Science in Nursing (ABSN) program. An improvement team was formed comprising nursing faculty, a student, faculty leading a course in the ABSN program involved in preparing students for NCLEX-...

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Bibliographic Details
Published in:The Journal of nursing education 2018-05, Vol.57 (5), p.265-274
Main Authors: Oliver, Brant J, Pomerleau, Mimi, Potter, Mertie, Phillips, Andrew, Carpenter, Susan, Ciesielski, Steve, Pusey-Reid, Eleanor, Marcous, Alexia, Grobecker, Pat
Format: Article
Language:English
Subjects:
Academic achievement
Committees
Data collection
Educational Resources
Educational Strategies
Enrollments
Feedback
Health care policy
Nursing
Nursing education
Nursing schools
Professions
Quality
Standardized Tests
Strategic planning
Students
Teaching Methods
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Summary:Improvement methods were applied to optimize NCLEX-RN first-attempt pass rates in an Accelerated Bachelor of Science in Nursing (ABSN) program. An improvement team was formed comprising nursing faculty, a student, faculty leading a course in the ABSN program involved in preparing students for NCLEX-RN, and a faculty expert in improvement science. Two Plan-Do-Study-Act (PDSA) cycles aimed at increasing practice and mastery were conducted. Effects were assessed using inferential statistics and statistical process control analyses. One hundred eighty-four ABSN students participated over two semesters. Average practice questions per student per semester increased from 1,000 questions at baseline to 2,130 questions (p < .01) postintervention, average practice examinations from 2.9 to 3.2 (p < .05), and average practice test mastery from 6.8 to 7.2 on an 8-point scale (p < .05). First-attempt NCLEX-RN pass rates increased from 76.7% to 86.2% (p < .05). ABSN NCLEX-RN performance improved subsequent to this microsystem-based improvement effort. [J Nurs Educ. 2018;57(5):265-274.].
ISSN:0148-4834
1938-2421
DOI:10.3928/01484834-20180420-03