Optimizing NCLEX-RN Pass Rate Performance Using an Educational Microsystems Improvement Approach

摘要

Background: Improvement methods were applied to optimize NCLEX-RN first-attempt pass rates in an Accelerated Bachelor of Science in Nursing (ABSN) program. Method: An improvement team was formed comprising nursing faculty, a student, faculty leading a course in the ABSN program involved in preparing students for NCLEX-RN, and a faculty expert in improvement science. Two Plan-Do-Study-Act (PDSA) cycles aimed at increasing practice and mastery were conducted. Effects were assessed using inferential statistics and statistical process control analyses. Results: One hundred eighty-four ABSN students participated over two semesters. Average practice questions per student per semester increased from 1,000 questions at baseline to 2,130 questions (p .01) postintervention, average practice examinations from 2.9 to 3.2 (p .05), and average practice test mastery from 6.8 to 7.2 on an 8-point scale (p .05). First-attempt NCLEX-RN pass rates increased from 76.7% to 86.2% (p .05). Conclusion: ABSN NCLEX-RN performance improved subsequent to this microsystem-based improvement effort.