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Reliability and Validity of NCLEX-RN© State Pass Rate Standards
1About the Author Stephen Foreman, PhD, JD, MPA, is a professor of health administration and economics, Robert Morris University School of Nursing and Health Science, Moon Township, Pennsylvania. For more information, contact him at foreman@rmu.edu.
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.
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.
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