Identification and support of at-risk students using a case management model

Area of Science:

• Nursing Education
• Student Support Services
• Academic Intervention

Background:

• Identifying students at risk for nursing program failure is crucial for timely intervention.
• Traditional methods may not adequately capture all at-risk students.
• The NCLEX-RN exam is a critical benchmark for nursing program success.

Purpose of the Study:

• To evaluate the effectiveness of a case management model (CMM) for identifying and supporting at-risk nursing students.
• To assess the impact of the CMM on student performance in nursing courses and on the NCLEX-RN exam.
• To compare self-perceived learning strategies between at-risk and non-at-risk students.

Main Methods:

• Implemented a case management model (CMM) for 183 Bachelor of Science in Nursing students.
• Utilized student self-evaluation and grade assessments, including prerequisite and nursing courses.
• Administered the Motivated Strategies for Learning Questionnaire to assess self-efficacy and metacognition.

Main Results:

• The CMM identified 83 at-risk students; 100% graduation rate achieved.
• Significantly higher science course grades were observed for students passing the NCLEX-RN on the first attempt.
• At-risk students reported significantly higher self-efficacy and metacognition compared to non-at-risk students.

Conclusions:

• The case management model (CMM) proved effective in identifying and supporting at-risk nursing students.
• The CMM contributed to a high overall graduation rate and successful first-time NCLEX-RN pass rates.
• Student self-efficacy and metacognition are key areas for support in at-risk nursing populations.