NCLEX-RN Predictor Test Scores
and NCLEX-RN
, Table of Contents
List of Tables ............................................................................................................................................ vi
List of Figures ......................................................................................................................................... vii
Section 1: The Problem........................................................................................................................... 1
Introduction ......................................................................................................................................... 1
Definition of the Problem ............................................................................................................... 3
Rationale .............................................................................................................................................. 4
Evidence of the Problem at the Local Level ...................................................................... 4
Evidence of the Problem From the Professional Literature ........................................... 7
Definition of Terms .......................................................................................................................... 9
Significance of the Study .............................................................................................................. 11
Research Questions ......................................................................................................................... 14
Literature Review ............................................................................................................................ 14
Theoretical Framework........................................................................................................... 15
Historical Perspective on the Nursing Shortage .............................................................. 21
National Council of State Boards of Nursing .................................................................. 30
Assessment Technology Institute (ATI) ............................................................................ 31
Health Education Systems Incorporated (HESI) ............................................................. 34
Critical Thinking ...................................................................................................................... 35
NCLEX-RN Test Plan ............................................................................................................ 37
Predictors of NCLEX-RN Success ..................................................................................... 42
Remediation ...................................................................................................................................... 49
i
, Implications ....................................................................................................................................... 51
Summary ............................................................................................................................................ 53
Section 2: Methodology........................................................................................................................ 55
Introduction ....................................................................................................................................... 55
Research Questions ......................................................................................................................... 56
Hypotheses ........................................................................................................................................ 56
Data Collection................................................................................................................................. 57
Design and Data Analysis ............................................................................................................. 58
Descriptive Statistics ...................................................................................................................... 59
Demographic Data .......................................................................................................................... 60
Academic Information ................................................................................................................... 61
Admission (Prenursing) GPA ............................................................................................... 61
Final GPA ................................................................................................................................... 61
ATI Predictor Scores ............................................................................................................... 62
NCLEX-RN Scores ................................................................................................................. 62
Inferential Statistics ................................................................................................................. 63
Multiple Regression Analysis ............................................................................................... 64
Testing of the Hypotheses...................................................................................................... 66
Predictive Ability of Variables ............................................................................................. 70
Findings .............................................................................................................................................. 70
Discussion.......................................................................................................................................... 71
Summary of Key Findings ............................................................................................................ 73
ii
, Descriptive Statistics ............................................................................................................... 73
Inferential Statistics ................................................................................................................. 74
Section 3: The Project ........................................................................................................................... 77
Introduction ....................................................................................................................................... 77
Overview of the Problem/Issue ............................................................................................ 77
Description and Goals ............................................................................................................. 77
Rationale ............................................................................................................................................ 78
Review of the Literature ................................................................................................................ 79
Policy ........................................................................................................................................... 79
Policy Recommendation ........................................................................................................ 80
Retention Interventions .................................................................................................................. 86
Structured Learning Assistance ............................................................................................ 88
Project Overview ............................................................................................................................. 89
Implementation ................................................................................................................................ 90
Potential Resources and Existing Supports.............................................................................. 91
Students ....................................................................................................................................... 91
The School of Nursing ............................................................................................................ 91
Faculty ......................................................................................................................................... 91
Potential Barriers ............................................................................................................................. 91
Roles and Responsibilities of Student and Others ................................................................. 92
Project Evaluation ........................................................................................................................... 92
Implications for Social Change ................................................................................................... 93
iii
and NCLEX-RN
, Table of Contents
List of Tables ............................................................................................................................................ vi
List of Figures ......................................................................................................................................... vii
Section 1: The Problem........................................................................................................................... 1
Introduction ......................................................................................................................................... 1
Definition of the Problem ............................................................................................................... 3
Rationale .............................................................................................................................................. 4
Evidence of the Problem at the Local Level ...................................................................... 4
Evidence of the Problem From the Professional Literature ........................................... 7
Definition of Terms .......................................................................................................................... 9
Significance of the Study .............................................................................................................. 11
Research Questions ......................................................................................................................... 14
Literature Review ............................................................................................................................ 14
Theoretical Framework........................................................................................................... 15
Historical Perspective on the Nursing Shortage .............................................................. 21
National Council of State Boards of Nursing .................................................................. 30
Assessment Technology Institute (ATI) ............................................................................ 31
Health Education Systems Incorporated (HESI) ............................................................. 34
Critical Thinking ...................................................................................................................... 35
NCLEX-RN Test Plan ............................................................................................................ 37
Predictors of NCLEX-RN Success ..................................................................................... 42
Remediation ...................................................................................................................................... 49
i
, Implications ....................................................................................................................................... 51
Summary ............................................................................................................................................ 53
Section 2: Methodology........................................................................................................................ 55
Introduction ....................................................................................................................................... 55
Research Questions ......................................................................................................................... 56
Hypotheses ........................................................................................................................................ 56
Data Collection................................................................................................................................. 57
Design and Data Analysis ............................................................................................................. 58
Descriptive Statistics ...................................................................................................................... 59
Demographic Data .......................................................................................................................... 60
Academic Information ................................................................................................................... 61
Admission (Prenursing) GPA ............................................................................................... 61
Final GPA ................................................................................................................................... 61
ATI Predictor Scores ............................................................................................................... 62
NCLEX-RN Scores ................................................................................................................. 62
Inferential Statistics ................................................................................................................. 63
Multiple Regression Analysis ............................................................................................... 64
Testing of the Hypotheses...................................................................................................... 66
Predictive Ability of Variables ............................................................................................. 70
Findings .............................................................................................................................................. 70
Discussion.......................................................................................................................................... 71
Summary of Key Findings ............................................................................................................ 73
ii
, Descriptive Statistics ............................................................................................................... 73
Inferential Statistics ................................................................................................................. 74
Section 3: The Project ........................................................................................................................... 77
Introduction ....................................................................................................................................... 77
Overview of the Problem/Issue ............................................................................................ 77
Description and Goals ............................................................................................................. 77
Rationale ............................................................................................................................................ 78
Review of the Literature ................................................................................................................ 79
Policy ........................................................................................................................................... 79
Policy Recommendation ........................................................................................................ 80
Retention Interventions .................................................................................................................. 86
Structured Learning Assistance ............................................................................................ 88
Project Overview ............................................................................................................................. 89
Implementation ................................................................................................................................ 90
Potential Resources and Existing Supports.............................................................................. 91
Students ....................................................................................................................................... 91
The School of Nursing ............................................................................................................ 91
Faculty ......................................................................................................................................... 91
Potential Barriers ............................................................................................................................. 91
Roles and Responsibilities of Student and Others ................................................................. 92
Project Evaluation ........................................................................................................................... 92
Implications for Social Change ................................................................................................... 93
iii
