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Re-evaluating the NCLEX-RN passing standard.

Thomas R O'Neill1, Casey M Marks, Michelle Reynolds

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

Journal of Nursing Measurement
|January 13, 2006
PubMed
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The National Council of State Boards of Nursing (NCSBN) established a revised passing standard of -0.28 logits for the NCLEX-RN exam. This standard was determined using multiple methods to ensure fairness and accuracy in nursing licensure.

Area of Science:

  • Nursing Education
  • Psychometrics
  • Health Policy

Background:

  • Establishing passing standards for the National Council Licensure Examination for Registered Nurses (NCLEX-RN) is crucial for ensuring nursing competency.
  • The National Council of State Boards of Nursing (NCSBN) utilizes a rigorous process to determine these standards.
  • Previous standards required re-evaluation to reflect current nursing practice and competency requirements.

Purpose of the Study:

  • To provide comprehensive data to the NCSBN Board of Directors for making an informed decision on the NCLEX-RN passing standard.
  • To detail the methodologies employed by NCSBN in the standard-setting process.
  • To establish a revised, evidence-based passing standard for the NCLEX-RN.

Main Methods:

  • Surveys administered to nursing educators and employers to gather expert opinions.

Related Experiment Videos

  • Modified Angoff procedure and Beuk compromise for expert judgment on item difficulty.
  • Global assessments by content experts and analysis using the Rasch model with a presumed ability distribution.

    • Main Results:

    • The revised passing standard for the NCLEX-RN was determined to be -0.28 logits.
    • A combination of diverse perspectives and methodologies was integrated to establish minimal competence.
    • Fabricated data, clearly marked, was used in instances where confidential information could not be disclosed.

    Conclusions:

    • A multifaceted approach incorporating various methods and expert perspectives is essential for setting appropriate and fair NCLEX-RN standards.
    • The established passing standard of -0.28 logits reflects a consensus on minimal competency for registered nurses.
    • Continuous evaluation and refinement of standard-setting processes are vital for maintaining the integrity of nursing licensure examinations.