Nursing school ownership status as a predictor of first-time NCLEX pass rates

IF 4.2 4区医学 Q1 NURSING

Journal of Nursing Regulation Pub Date : 2025-04-01 DOI:10.1016/j.jnr.2025.03.002

Lara Climer , Kaye Shelton , J. Kenneth Young , Ruthie Robinson

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引用次数: 0

Abstract

Background

Since 2009, private for-profit nursing programs have proliferated and far outpaced public and private nonprofit sector growth. Additionally, NCLEX first-time pass rates have differed among these three types of institutions.

Purpose

Following a previously published study, the purpose of this quantitative study was to further investigate the relationship between ownership status (public, private nonprofit, and private for-profit) and first-time pass rates for bachelor of science in nursing (BSN), associate degree in nursing (ADN), and licensed practical nursing/licensed vocational nursing programs in the United States while controlling for school and program characteristics.

Methods

Five years of data (2017–2021) obtained from nursing regulatory agencies and the Integrated Postsecondary Education Data System database were used to construct multiple linear regression models. Ownership status was the independent variable, first-time pass rate was the dependent variable, and covariates included a variety of school and program characteristics.

Results

Among all program types, we obtained 11,003 observations from 48 states and the District of Columbia. There was a statistically significant relationship between ownership status and first-time pass rates, holding all else constant. Compared to public institutions, private nonprofit schools had pass rates 2.7 % lower in BSN programs and 3.5 % lower in ADN programs. Private for-profit schools had the lowest pass rates across all three program types, with pass rates 3.5 %, 13.8 %, and 7.4 % lower than the pass rates of public institutions in BSN, ADN, and LVN programs, respectively.

Conclusions

This study demonstrates an ongoing trend of private institutions having lower first-time NCLEX pass rates. Additional monitoring of this trend in the post-pandemic era is warranted, particularly in light of the recent transition to the Next Generation NCLEX testing format and the impending “enrollment cliff.” It is also incumbent on nursing education regulators to proactively focus policy development and resource allocation in favor of higher performing programs, especially during times of crisis.

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护理学校所有权状况作为NCLEX首次通过率的预测因子

自2009年以来，私人营利性护理项目激增，远远超过了公共和私人非营利部门的增长。此外，NCLEX的首次通过率在这三种类型的机构中有所不同。根据先前发表的一项研究，本定量研究的目的是在控制学校和项目特征的情况下，进一步调查美国护理学学士（BSN）、护理学副学士（ADN）和执业护理/执业护理课程的所有权状况（公立、私立非营利和私立营利性）与首次通过率之间的关系。方法采用护理监管机构2017-2021年5年数据和高等教育综合数据系统数据库构建多元线性回归模型。所有权状态是自变量，首次通过率是因变量，协变量包括各种学校和项目特征。在所有的项目类型中，我们获得了来自48个州和哥伦比亚特区的11,003个观察结果。在其他条件不变的情况下，持有量和首次通过率之间存在统计学上显著的关系。与公立学校相比，私立非营利性学校的BSN课程通过率低2.7%，ADN课程通过率低3.5%。私立营利性学校在所有三种课程类型中的通过率最低，通过率分别比公立机构在BSN、ADN和LVN课程中的通过率低3.5%、13.8%和7.4%。本研究表明，私立学校的NCLEX首次通过率较低。在大流行后时代，有必要对这一趋势进行进一步监测，特别是考虑到最近过渡到下一代NCLEX检测格式和即将到来的“入学悬崖”。护理教育监管机构也有责任积极关注政策制定和资源分配，以支持更高绩效的项目，特别是在危机时期。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Nursing Regulation NURSING-

CiteScore

4.60

自引率

12.50%

发文量

审稿时长

54 days

期刊介绍： Journal of Nursing Regulation (JNR), the official journal of the National Council of State Boards of Nursing (NCSBN®), is a quarterly, peer-reviewed, academic and professional journal. It publishes scholarly articles that advance the science of nursing regulation, promote the mission and vision of NCSBN, and enhance communication and collaboration among nurse regulators, educators, practitioners, and the scientific community. The journal supports evidence-based regulation, addresses issues related to patient safety, and highlights current nursing regulatory issues, programs, and projects in both the United States and the international community. In publishing JNR, NCSBN''s goal is to develop and share knowledge related to nursing and other healthcare regulation across continents and to promote a greater awareness of regulatory issues among all nurses.