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Related Experiment Videos

Recommending a minimum English proficiency standard for entry-level nursing.

Thomas R O'Neill1, Richard J Tannenbaum, Jennifer Tiffen

  • 1National Council of State Boards of Nursing, Chicago, IL 60601, USA. toneill@ncsbn.org

Journal of Nursing Measurement
|January 13, 2006
PubMed
Summary

Internationally educated nurses require English proficiency for U.S. practice. A panel recommended a Test of English as a Foreign Language (TOEFL) score of 220 for entry-level nursing competence.

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Area of Science:

  • Nursing Education
  • Healthcare Professional Licensure
  • Linguistic Assessment

Background:

  • International nurses must demonstrate English proficiency for competent practice in the U.S.
  • Establishing a standardized English proficiency benchmark is crucial for nurse licensure.

Purpose of the Study:

  • To inform the National Council of State Boards of Nursing (NCSBN) in setting a defensible English proficiency standard for internationally educated nurses.
  • To determine the minimal English proficiency required for entry-level nursing competence.

Main Methods:

  • Convened a panel of 25 nurses and nurse regulators.
  • Utilized the Simulated Minimally Competent Candidate (SMCC) procedure and the Examinee Paper Selection Method.
  • Combined standard-setting procedures to generate recommendations.

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Main Results:

  • The NCSBN Examination Committee reviewed panelist recommendations and collateral information.
  • An NCSBN recommended standard of a Test of English as a Foreign Language (TOEFL) score of 220 was established.
  • Individual states are responsible for adopting this standard.

Conclusions:

  • A TOEFL score of 220 is recommended as the minimum English proficiency standard for entry-level nurses educated internationally.
  • The NCSBN provides documentation and answers questions regarding the recommended standard.
  • State adoption is key to implementing the English proficiency standard.