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Early Indicators of NCLEX-RN performance.
The Journal of Nursing Education
|August 20, 2013
Summary
Introductory Fundamentals Health Education Systems Inc. (HESI) scores, not exit exams, best predict nursing students' National Council Licensure Examination-Registered Nurse (NCLEX-RN) success. Specific nursing course grades also significantly influenced outcomes.
Area of Science:
- Nursing Education
- Health Professions Education
- Student Outcomes Assessment
Background:
- The Health Education Systems Inc. (HESI) exam is a widely used predictor of nursing licensure examination success.
- Identifying key predictors of success on the National Council Licensure Examination-Registered Nurse (NCLEX-RN) is crucial for nursing program improvement.
Purpose of the Study:
- To investigate the predictive validity of various Health Education Systems Inc. (HESI) assessment components and associate degree nursing course grades on National Council Licensure Examination-Registered Nurse (NCLEX-RN) outcomes.
- To determine which specific HESI assessments and nursing coursework are most influential in predicting NCLEX-RN success.
Main Methods:
- A quantitative, correlational study was conducted analyzing Health Education Systems Inc. (HESI) test results, course grades, and National Council Licensure Examination-Registered Nurse (NCLEX-RN) outcomes.
- Statistical analyses, including regression, were employed to assess the predictive power of HESI scores and course grades, controlling for grade point average and high school percentile rank.
Main Results:
- Introductory Fundamentals HESI test scores demonstrated a significant positive prediction of NCLEX-RN outcomes (p < 0.05), outperforming comprehensive HESI Exit Exam scores and other specialty HESI tests.
- Grades in Pediatric Nursing, Medical-Surgical Nursing, and Maternity Nursing courses were found to be the most statistically significant predictors of all examined HESI test scores (p < 0.01).
Conclusions:
- Early foundational knowledge, as measured by introductory HESI scores, is a critical determinant of future licensure success in registered nursing.
- Curriculum design and student performance in core nursing subjects like pediatrics, medical-surgical, and maternity care significantly impact overall student readiness for the NCLEX-RN examination.
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