Facilitating the workforce success of internationally educated occupational therapists
NCLEX-RN® preparation success for the internationally...
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NCLEX-RN® preparation success for the internationally educated nurse Susan Sanders, DNP, RN, NEA-BC: Kaplan Nursing Dawn Catlin, EdD (c), MSN, RN: Kaplan Nursing Introduction Internationally educated nurses (IENs) historically underperform on the NCLEX-RN®. Bahari (2015), identified that anxiety, language proficiency, knowledge, and lack of test-taking strategies are key factors contributing to the low pass rate. Lujan and Little (2010), further identified IENs have difficulty understanding the level of autonomy that is expected of US nurses making answering higher level NCLEX- RN® questions difficult. Literature Cited Bahari, G. M. (2015). A plan to promote NCLEX-RN success of Saudi Arabian nurse graduates. Austin Journal of Nurse Health Care. 2(1), 1014- 1021. Bosher, S.D. & Bowles, M. (2008, May-June). The effects of linguistic modification on ESL students’ comprehension of nursing course test items. Nursing Education Perspectives, 29(3), 165-172. Lujan, J. & Little, K. (2010). Preparing underemployed Latino U.S. nurses through the Mexico NCLEX-RN® program. Journal of Nursing Education. 49(12), 704-707. Mathew, L., McFarquhar, C., & Wright, R. (2015). Facilitating NCLEX-RN success using model achieve in a community based program for internationally prepared nurses. International Journal of Nursing Education. 7(1), 116-119. National Council of State Boards of Nursing (2017). Exam statistics and publications. Retrieved from https://www.ncsbn.org/exam-statistics- and-publications.htm NYU News Release (2016). Foreign educated nurses seeking work in the U.S. sheds new light on global nurse migration trends. Retrieved http://www.nyu.edu/about/news-publications/news/2016/july/new- nyu-study-about-foreign-educated-nurses-seeking-work-in-the-us-sheds- new-light-on-global-nurse-migration-trends.html on October 3, 2016. Richmond, C. (2013). Does the NCLEX®-RN pass the test for cultural sensitivity? Minority Nurse Magazine, March 30, 2013. Retrieved from http://minoritynurse.com/does-the-nclex-rn-pass-the-test-for-cultural- sensitivity/ on October 3, 2016. Background Challenges for IENs to become licensed in the United States through the NCLEX-RN® q Squires (NYU, 2016) noted decline in IEN pass rates on the NCLEX-RN® declined from 58% in 2004 to 32% in 2015. q Language is one of the issues with IENs but cultural differences also create a gap in knowledge and/or ability to answer the NCLEX-RN® items (Richmond, 2013). q Bosher and Bowles (2008) identified a 40% disparity in NCLEX-RN® pass rates despite academic performance. q Mathew, McFarquhar, and Wright (2015) identified IENs display content weaknesses in pharmacology, dosage calculation, and fluid and electrolytes. IENs also have difficulty with alternate format questions. Success Measures q The initial cohorts of N=132 students completed the International NCLEX-RN® program and review with a resulting 67% first time pass rate on the NCLEX-RN® q Repeat students (N=20) § Passed 16 § Failed 4 § Repeat Pass rate = 80% For further information contact: [email protected] www.KaplanNursing.com 0.00% 10.00% 20.00% 30.00% 40.00% 50.00% 60.00% 70.00% 80.00% 90.00% 100.00% 2010 2011 2012 2013 2014 2015 Pass Rate NCLEX-RN® Outcomes US Educated Internationally Educated (IEN) IEN Repeat Source: National Council of State Boards of Nursing (2015). 2015 NCLEX-RN Table of Pass Rates 2015. Retrieved from: https://www.ncsbn.org/Table_of_Pass_Rates_2015_(3).pdf Kaplan NCLEX-RN® Prep for International Nurses: § 21 hrs. of classroom instruction § Qbank online practice questions § (7) Question trainer online practice tests § Topical seminars § 500 page Kaplan NCLEX-RN® Content Review Guide § Diagnostic, Practice and Readiness Tests 16 Week International, Nursing content, English, and NCLEX-RN® Preparation English language resources: § Plain English for nursing. § Alternate wording on Practice Tests Nursing content, and testing resources: § Kaplan Nursing Focused Review unsecured practice tests § Content remediation assets § Kaplan Nursing unsecured Integrated Tests § Mid-Fidelity computerized clinical case scenarios § Kaplan Nursing The Basics nursing content textbook **NCLEX-RN® readiness is determined by: § Review of performance data by Nurse Educator § Completion of the CGFNS International® Credentials Evaluation § Individual State Boards of Nursing NCLEX-RN® Exam** Program Progression International Resources: § Orientation to resources § Discussion Nursing in the US § International Workbook 0 20 40 60 80 100 120 1st Attempt 2nd Attempt % Kaplan Partner Program IEN NCLEX-RN® Pass Rates Fail Pass 67% 80% Description Utilizing McDowell’s (2006) KATTS framework, a structured on-line international program was developed which included content review, practice and standardized testing, language review, and an NCLEX-RN® review course. Methodology The IENs start the program with a live online orientation. During the orientation the Nurse Educator discusses Nursing in the US, the NCLEX-RN® exam, the online resources, principles of the study plan, and how to review/reflect questions for increased critical thinking. The IENs are assigned a Kaplan trained guide to monitor their progress and provide feedback throughout the program. Week 1- 7: the IENs work through the practice questions in the Workbook for International Nursing Seminars to include Dosage and Calculations, US nursing, and therapeutic communication. The IENs will also work through the Fundamental, medical surgical, Maternity, Pediatric, Pharmacology, and Psychosocial content. They will utilize The Basics book to review content and have the focused review tests in each system to practice test questions. After completing the corresponding content, the IENs will take the content specific integrated test. The IENs are encouraged to review the missed topics on the integrated test before moving to the next content area. Week 8-10: Kaplan’s Phase 1 NCLEX® Prep. In this phase the IENs work on question trainers 1, 2 and 3, take the 180-question Diagnostic exam, and review/reflect on missed topics to fill in knowledge gap areas. Week 11: Kaplan’s Phase 2 NCLEX ® prep where the IENs attend the 4-day Live Online review course. Week 12- 16: Kaplan’s Phase 3 of the NCLEX ® Prep program. This phase includes question trainers 4, 5, 6, and 7, 1600+ Qbank, and a 180-question Readiness exam. Student Feedback Upon completion of the program, students were surveyed. Listed below are samples of student responses: q “no problem following 3-month intense study programme” q “Surprisingly I use (the Decision Tree) as part of my nursing care DAILY, even teach my colleagues about it” q “The day of NCLEX ® …was like doing another Kaplan Question Trainer 7, the color, the timed, test, the question were so similar... all nervousness and anxiety quickly disappeared by question 10” *NCLEX® is a registered trademark of National Council of State Boards of Nursing (NCSBN), which neither sponsors nor endorses this product. All other test names are registered trademarks of their respective owners. None of the trademark holders endorse or are affiliated with Kaplan.
Transcript of NCLEX-RN® preparation success for the internationally...
NCLEX-RN® preparation success for the internationally educated nurse
Susan Sanders, DNP, RN, NEA-BC: Kaplan NursingDawn Catlin, EdD (c), MSN, RN: Kaplan Nursing
Introduction
Internationally educated nurses (IENs) historically underperform on the NCLEX-RN®. Bahari (2015), identified that anxiety, language proficiency, knowledge, and lack of test-taking strategies are key factors contributing to the low pass rate. Lujan and Little (2010), further identified IENs have difficulty understanding the level of autonomy that is expected of US nurses making answering higher level NCLEX- RN® questions difficult.
Literature CitedBahari, G. M. (2015). A plan to promote NCLEX-RN success of Saudi Arabian nurse graduates. Austin Journal of Nurse Health Care. 2(1), 1014-1021.
Bosher, S.D. & Bowles, M. (2008, May-June). The effects of linguistic modification on ESL students’ comprehension of nursing course test items. Nursing Education Perspectives, 29(3), 165-172.
Lujan, J. & Little, K. (2010). Preparing underemployed Latino U.S. nurses through the Mexico NCLEX-RN® program. Journal of Nursing Education. 49(12), 704-707.
Mathew, L., McFarquhar, C., & Wright, R. (2015). Facilitating NCLEX-RN success using model achieve in a community based program for internationally prepared nurses. International Journal of Nursing Education. 7(1), 116-119.
National Council of State Boards of Nursing (2017). Exam statistics and publications. Retrieved from https://www.ncsbn.org/exam-statistics-and-publications.htm
NYU News Release (2016). Foreign educated nurses seeking work in the U.S. sheds new light on global nurse migration trends. Retrievedhttp://www.nyu.edu/about/news-publications/news/2016/july/new-nyu-study-about-foreign-educated-nurses-seeking-work-in-the-us-sheds-new-light-on-global-nurse-migration-trends.html on October 3, 2016.
Richmond, C. (2013). Does the NCLEX®-RN pass the test for cultural sensitivity? Minority Nurse Magazine, March 30, 2013. Retrieved fromhttp://minoritynurse.com/does-the-nclex-rn-pass-the-test-for-cultural-sensitivity/ on October 3, 2016.
BackgroundChallenges for IENs to become licensed in the United States through the NCLEX-RN® q Squires (NYU, 2016) noted decline in IEN pass rates
on the NCLEX-RN® declined from 58% in 2004 to 32% in 2015.
q Language is one of the issues with IENs but cultural differences also create a gap in knowledge and/or ability to answer the NCLEX-RN® items (Richmond, 2013).
q Bosher and Bowles (2008) identified a 40% disparity in NCLEX-RN® pass rates despite academic performance.
q Mathew, McFarquhar, and Wright (2015) identified IENs display content weaknesses in pharmacology, dosage calculation, and fluid and electrolytes. IENs also have difficulty with alternate format questions.
Success Measures
q The initial cohorts of N=132 students completed the International NCLEX-RN® program and review with a resulting 67% first time pass rate on the NCLEX-RN®
q Repeat students (N=20) § Passed 16§ Failed 4§ Repeat Pass rate = 80%
Forfurtherinformationcontact:[email protected]
0.00%
10.00%
20.00%
30.00%
40.00%
50.00%
60.00%
70.00%
80.00%
90.00%
100.00%
2010 2011 2012 2013 2014 2015
Pass
Rat
e
NCLEX-RN® Outcomes
US Educated Internationally Educated (IEN) IEN Repeat
Source: National Council of State Boards of Nursing (2015). 2015 NCLEX-RN Table of Pass Rates 2015. Retrieved from: https://www.ncsbn.org/Table_of_Pass_Rates_2015_(3).pdf
Kaplan NCLEX-RN® Prep for International Nurses:§ 21 hrs. of classroom instruction§ Qbank online practice
questions§ (7) Question trainer online
practice tests§ Topical seminars§ 500 page Kaplan NCLEX-RN®
Content Review Guide § Diagnostic, Practice and
Readiness Tests
16 Week International, Nursing content, English, and NCLEX-RN® Preparation
English language resources:§ Plain English for
nursing. § Alternate wording
on Practice Tests
Nursing content, and testing resources:§ Kaplan Nursing Focused Review
unsecured practice tests § Content remediation assets§ Kaplan Nursing unsecured Integrated Tests§ Mid-Fidelity computerized clinical case
scenarios§ Kaplan Nursing The Basics nursing content
textbook
**NCLEX-RN® readiness is determined by: § Review of performance data by Nurse Educator§ Completion of the CGFNS International® Credentials Evaluation§ Individual State Boards of Nursing
NCLEX-RN® Exam**
Program Progression
International Resources: § Orientation to
resources§ Discussion
Nursing in the US§ International
Workbook
0
20
40
60
80
100
120
1stAttempt 2ndAttempt
%
Kaplan Partner Program IEN NCLEX-RN® Pass Rates
Fail Pass
67%
80%
DescriptionUtilizing McDowell’s (2006) KATTS framework, a structured on-line international program was developed which included content review, practice and standardized testing, language review, and an NCLEX-RN® review course.
MethodologyThe IENs start the program with a live online orientation. During the orientation the Nurse Educator discusses Nursing in the US, the NCLEX-RN® exam, the online resources, principles of the study plan, and how to review/reflect questions for increased critical thinking. The IENs are assigned a Kaplan trained guide to monitor their progress and provide feedback throughout the program. Week 1- 7: the IENs work through the practice questions in the Workbook for International Nursing Seminars to include Dosage and Calculations, US nursing, and therapeutic communication. The IENs will also work through the Fundamental, medical surgical, Maternity, Pediatric, Pharmacology, and Psychosocial content. They will utilize The Basics book to review content and have the focused review tests in each system to practice test questions. After completing the corresponding content, the IENs will take the content specific integrated test. The IENs are encouraged to review the missed topics on the integrated test before moving to the next content area.Week 8-10: Kaplan’s Phase 1 NCLEX® Prep. In this phase the IENs work on question trainers 1, 2 and 3, take the 180-question Diagnostic exam, and review/reflect on missed topics to fill in knowledge gap areas. Week 11: Kaplan’s Phase 2 NCLEX ® prep where the IENs attend the 4-day Live Online review course. Week 12- 16: Kaplan’s Phase 3 of the NCLEX ® Prep program. This phase includes question trainers 4, 5, 6, and 7, 1600+ Qbank, and a 180-question Readiness exam.
Student FeedbackUpon completion of the program, students were surveyed. Listed below are samples of student responses: q “no problem following 3-month intense study programme” q “Surprisingly I use (the Decision Tree) as part of my nursing care DAILY, even teach my colleagues about it”q “The day of NCLEX ® …was like doing another Kaplan Question Trainer 7, the color, the timed, test, the question were so similar...
all nervousness and anxiety quickly disappeared by question 10”
*NCLEX® is a registered trademark of National Council of State Boards of Nursing (NCSBN), which neither sponsors nor endorses this product. All other test names are registered trademarks of their respective owners. None of the trademark holders endorse or are affiliated with Kaplan.
