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State standards for nursing program pass rates on the National Council Licensure Examination for Registered Nurses (NCLEX-RN) show significant variation and instability. These findings suggest potential issues with the validity and reliability of current NCLEX-RN pass rate standards.

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Area of Science:

  • Nursing Education
  • Regulatory Standards
  • Psychometrics

Background:

  • State regulatory bodies mandate minimum National Council Licensure Examination for Registered Nurses (NCLEX-RN) pass rates for nursing education programs.
  • Existing pass rate standards may present validity and reliability challenges.

Purpose of the Study:

  • To assess the validity and reliability of state-imposed NCLEX-RN pass rate standards for nursing education programs.
  • To analyze the consistency and stability of NCLEX-RN pass rates across different states and over time.

Main Methods:

  • Utilized a database of statutes and regulations establishing state pass rate standards.
  • Analyzed NCLEX-RN pass rates for 2,157 nursing programs across 45 states from 2010 to 2016.
  • Computed descriptive statistics and reliability coefficients to evaluate the standards.

Main Results:

  • Observed substantial variation in state-specific NCLEX-RN pass rate standards.
  • Nursing program pass rates demonstrated instability over the study period, indicating potential reliability and validity concerns.
  • Significant differences in standards and pass rates were noted across states.

Conclusions:

  • State nursing boards should revise NCLEX-RN pass rate standards to enhance consistency.
  • Revisions are recommended to improve the reliability of determinations regarding pass rate violations.
  • Current standards may not accurately reflect program quality due to variability and instability.