Lara Climer , Kaye Shelton , J. Kenneth Young , Ruthie Robinson
{"title":"Nursing school ownership status as a predictor of first-time NCLEX pass rates","authors":"Lara Climer , Kaye Shelton , J. Kenneth Young , Ruthie Robinson","doi":"10.1016/j.jnr.2025.03.002","DOIUrl":"10.1016/j.jnr.2025.03.002","url":null,"abstract":"<div><h3>Background</h3><div>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.</div></div><div><h3>Purpose</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":46153,"journal":{"name":"Journal of Nursing Regulation","volume":"16 1","pages":"Pages 28-36"},"PeriodicalIF":4.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144184734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Khadejah F. Mahmoud , Deborah S. Finnell , Susan M. Sereika , Dawn Lindsay , Ann M. Mitchell
{"title":"Identifying demographic, personal, and professional predictors of nurses’ alcohol and opioid use–related motivation using a national sample of professional nurses: Implications for nursing education","authors":"Khadejah F. Mahmoud , Deborah S. Finnell , Susan M. Sereika , Dawn Lindsay , Ann M. Mitchell","doi":"10.1016/j.jnr.2025.03.003","DOIUrl":"10.1016/j.jnr.2025.03.003","url":null,"abstract":"<div><h3>Background</h3><div>A highly motivated nursing workforce is needed to contribute to reducing the prevalence of and consequences associated with alcohol and opioid use in the United States. Understanding factors that influence nurses’ motivation to care for patients with alcohol and opioid use–related problems can inform recommendations for nurse educators to motivate current and future nurses to care for this patient population.</div></div><div><h3>Objective</h3><div>To examine demographic/background characteristics, personal perceptions, and professional attitudes as predictors of professional nurses’ motivations to care for patients with alcohol and opioid use–related problems.</div></div><div><h3>Methods</h3><div>This online national survey of a sample of professional nurses utilized a cross-sectional correlational design. Nursing professionals who participated in the study were aged 18 years or older and were current members of one of the four selected nursing organizations.</div></div><div><h3>Results</h3><div>A total sample of 460 professional nurses were included in the final analysis. Predictors of professional nurses’ motivation to provide alcohol and opioid use–related care consisted of working in a community-based setting, perceived dangerousness, considering alcohol and opioid use as a disease, substance use work experience, and work satisfaction. The study also identified several significant two-way interactions for motivation relative to alcohol and opioid use care.</div></div><div><h3>Conclusions</h3><div>Using the findings of the present study, the authors highlight insights and recommendations for nurse educators to promote professional nurses’ alcohol and opioid use–related motivation.</div></div>","PeriodicalId":46153,"journal":{"name":"Journal of Nursing Regulation","volume":"16 1","pages":"Pages 17-27"},"PeriodicalIF":4.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144184733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Legislative measures to keep the nursing workforce strong","authors":"Thomas Harrington","doi":"10.1016/j.jnr.2025.03.004","DOIUrl":"10.1016/j.jnr.2025.03.004","url":null,"abstract":"","PeriodicalId":46153,"journal":{"name":"Journal of Nursing Regulation","volume":"16 1","pages":"Pages 53-55"},"PeriodicalIF":4.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144184736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A critical juncture: Reimagining nursing professional identity and regulation in the ethical integration of innovation and technology in healthcare","authors":"Elizabeth A. Johnson , Benjamin J. Galatzan","doi":"10.1016/j.jnr.2025.03.005","DOIUrl":"10.1016/j.jnr.2025.03.005","url":null,"abstract":"<div><h3>Background</h3><div>The professional identity of nursing has been rooted in the nursing metaparadigm concepts of person, health, environment, and nursing. These concepts include values and beliefs that guide both clinical and research initiatives to generate new knowledge and the implementation of new approaches that improve patient care and nursing well-being. In the age of technology, complexities have arisen with nonhuman entities, devices, and algorithms informing or overriding traditional pathways of nursing clinical decision-making, which has shed light on legal and ethical challenges not yet addressed in a cohesive regulatory response or framework.</div></div><div><h3>Purpose</h3><div>The purpose of the present article is to identify critical priorities for nursing education institutions, professional organizations, and regulatory bodies to address through self-advocacy while emphasizing the value proposition of nursing voices in the co-development of technological advancements in healthcare.</div></div><div><h3>Methods</h3><div>Recommendations for expanded awareness of the impact of technology on nursing practice and professional identity are outlined with examples of local, state, and federal activism and legislation.</div></div><div><h3>Results</h3><div>Critical priorities are outlined to reimagine a modernized professional identity that integrates technology into the nursing metaparadigm.</div></div><div><h3>Conclusion</h3><div>Findings affirm the place of the nursing profession as an invaluable leading voice in technology and innovation development.</div></div>","PeriodicalId":46153,"journal":{"name":"Journal of Nursing Regulation","volume":"16 1","pages":"Pages 10-16"},"PeriodicalIF":4.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144184731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tim Porter-O’Grady , Kathy Malloch , Kathy Scott , Joey Ridenour
{"title":"Arizona board of nursing: Translating policy, transforming practice","authors":"Tim Porter-O’Grady , Kathy Malloch , Kathy Scott , Joey Ridenour","doi":"10.1016/j.jnr.2025.04.001","DOIUrl":"10.1016/j.jnr.2025.04.001","url":null,"abstract":"<div><h3>Background and Purpose</h3><div>The Arizona Board of Nursing embraced an opportunity to coordinate legislative funding to enhance preceptor training; increase placement of nursing students, new nurses, and nursing assistants in clinical rotations; and increase the number and retention of nurses and nurse assistants.</div></div><div><h3>Methods</h3><div>The present article describes the grant infrastructure created by 3 appointed national consultants of the grant, the considerations in clarifying the work, the model of change, and the outcomes achieved in the first 18 months of the 3-year grant.</div></div><div><h3>Results</h3><div>In Year 1, 17 healthcare organizations implemented 27 preceptor training programs in 14 of 15 Arizona counties. Furthermore, 3935 preceptors were trained, 6602 preceptees were partnered with the preceptors, and 802,458 h of preceptorship training occurred. In Year 3, the collaborative group involved in this initiative is creating a statewide network called “NurseNet” to advance this work throughout Arizona.</div></div><div><h3>Conclusion</h3><div>Overall, this Arizona initiative is a groundbreaking model for addressing workforce challenges and highlights the potential of scalable, standardized approaches to prepare practice-ready nurses and improve retention rates.</div></div>","PeriodicalId":46153,"journal":{"name":"Journal of Nursing Regulation","volume":"16 1","pages":"Pages 37-43"},"PeriodicalIF":4.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144184732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jacqueline M. Loversidge , Joyce Zurmehly , Gerene S. Bauldoff
{"title":"Face validity of an evidence-informed health policy graphic model: An e-Delphi study","authors":"Jacqueline M. Loversidge , Joyce Zurmehly , Gerene S. Bauldoff","doi":"10.1016/j.jnr.2025.03.001","DOIUrl":"10.1016/j.jnr.2025.03.001","url":null,"abstract":"<div><h3>Background</h3><div>The Evidence-Informed Health Policy (EIHP) model, adapted from an evidence-based practice model, combines the best available evidence with other essential elements to inform and leverage the policymaking dialogue. The EIHP model was first described narratively; a graphic model was later designed but has not yet been evaluated.</div></div><div><h3>Purpose</h3><div>To ascertain the face validity of the graphic representation of the EIHP model.</div></div><div><h3>Methods</h3><div>A two-round e-Delphi method survey was emailed to 18 nurse experts in public health policy. The mixed methods survey used a 5-point Likert scale instrument (1, “strongly disagree,” to 5, “strongly agree”) to ask participants their views about the graphic model's structure and function. For any item scored as 3 or lower, the participant was invited to provide additional comments. A final open-ended item requested additional qualitative feedback.</div></div><div><h3>Results</h3><div>In the first round, 18 participants completed the 14-question survey (7 content-related and 7 process-related), which was accompanied by the graphic model and an explanatory narrative. Seven items achieved a mean score ≥4 (consensus ≥80 %) and were not repeated in the second round. Fifteen individuals completed the second-round survey, which comprised 7 items along with a graphic model that was modified according to first-round quantitative and qualitative feedback; a more detailed model narrative was also included. Fifteen participants completed the second-round survey. Final survey responses revealed that of the 14 items, 12 items reached 80 % consensus. The remaining 2 items reached more than 70 % agreement. Open-ended responses items facilitated a deeper understanding of participants’ perceptions of the graphic model.</div></div><div><h3>Conclusion</h3><div>The present study provides evidence of consensus to support face validity of this EIHP graphic model. Face validity furnishes the model with credibility and thus provides users with a level of confidence regarding its soundness as a guide to the policymaking process.</div></div>","PeriodicalId":46153,"journal":{"name":"Journal of Nursing Regulation","volume":"16 1","pages":"Pages 44-52"},"PeriodicalIF":4.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144184735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}