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Updated: Apr 21, 2026

Problem-Solving Before Instruction PS-I: A Protocol for Assessment and Intervention in Students with Different Abilities
Published on: September 11, 2021
A multifaceted progression approach to enhancing student success
Leslie G Cole1, Marsha H Adams
1Author Affiliations: Assistant Professor (Dr Cole), Capstone College of Nursing, The University of Alabama, Tuscaloosa; Professor and Dean (Dr Adams), College of Nursing, The University of Alabama in Huntsville.
A faculty developed a positive progression approach to enhance student success on standardized exams. This method improved critical thinking, clinical judgment, and exam performance, evidenced by aggregate student data.
Area of Science:
- Medical Education
- Nursing Education
Background:
- Standardized examinations are critical for assessing nursing student competency.
- Developing effective strategies to improve student performance on these high-stakes assessments is essential.
Purpose of the Study:
- To describe a faculty-developed positive progression approach to enhance student success on standardized specialty and comprehensive examinations.
- To foster critical thinking, clinical judgment, student self-assessment, and individualized plans of action.
Main Methods:
- Implementation of a positive progression approach by faculty.
- Discussion of specific strategies employed within this approach.
- Analysis of aggregate student data including course grades and examination scores.
Main Results:
- Aggregate student data, including course grades and exit examination scores, support the effectiveness of the approach.
- Improved NCLEX pass rates are associated with this innovative student success strategy.
Conclusions:
- The positive progression approach is an effective, innovative strategy for promoting student success in nursing education.
- This approach fosters key competencies such as critical thinking and clinical judgment, leading to better examination outcomes.
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