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J Nurs Manag. 2019 Jan 19. doi: 10.1111/jonm.12752. [Epub ahead of print]

A Comparative Analysis of NCLEX Pass Rates: Nursing Health Human Resources Considerations.

Author information

1
Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, ON.
2
Faculty of Health Sciences, University of Ottawa, Ottawa, ON.

Abstract

AIMS:

To examine performance differences among different writers of the NCLEX-RN examination in Canada; to compare Canadian and U.S. writer pass rate data; and to identify changes in the Canadian nursing workforce in relation to the introduction of NCLEX-RN.

BACKGROUND:

In January 2015, the entry-to-practice licensing examination changed from the Canadian Registered Nurse Examination to the NCLEX-RN, and pass rates declined.

METHODS:

This comparative analytic study examined NCLEX-RN pass rate data for 2015, 2016 and 2017 using publicly available data. The Canadian data were compared with that from U.S. nurses taking the examination.

RESULTS:

Overall year-end pass rates among Canadian writers improved significantly in 2016 (95% to 96.3%, p < .001, from 2015 to 2016) but declined again from 96.3% to 90.4% in 2017 (p < .001). Pass rates remain significantly lower for first-attempt Canadian writers compared to first-attempt U.S. writers (2015: 69.7% versus 84.5%, p < .001).

CONCLUSIONS:

The change in licensing examination had a significant impact on pass rates for new graduates entering the nursing profession and consequently the number of new nurses entering the profession in Canada.

IMPLICATIONS FOR NURSING MANAGEMENT:

A loss of entry-level workers to the nursing profession in Canada affects workforce management strategies, particularly with respect to worker shortages. This article is protected by copyright. All rights reserved.

KEYWORDS:

NCLEX ; Health Professional Education; Licensure; Nursing; Workforce

PMID:
30659692
DOI:
10.1111/jonm.12752

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