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Senior NCLEX-RN Coaching Model: Development and Implementation
Maura C Schlairet1, Cynthia Rubenstein
1Author Affiliations: Associate Professor (Dr Schlairet), Georgia Baptist College of Nursing, Mercer University, Atlanta; and Chair and Professor (Dr Rubenstein), Randolph-Macon College, Ashland, Virginia.
Background:
A host of interventions have been used to improve NCLEX outcomes, yet scant evidence exists to show the influence of academic coaching on pass rates.
Purpose:
To improve NCLEX confidence/readiness and pass rates in a baccalaureate nursing program, an NCLEX Coaching Model was developed and implemented.
Method:
Senior students were paired with faculty for 6 weeks of NCLEX coaching. Students self-assessed strengths, risk factors, and challenges related to NCLEX preparation. Coaches and students co-developed the NCLEX Preparation and Success Plan using standardized NCLEX predictor scores. Success plans represented individualized preparation strategies focused on specific NCLEX Client Needs categories.
Result:
National Council Licensure Examination confidence/readiness scores improved significantly, and first-time NCLEX pass rates improved slightly after coaching.
Conclusion:
An NCLEX Coaching Model can build student confidence/readiness and promote NCLEX success among nursing students. Peplau's Theory of Interpersonal Relations was useful in guiding development and implementation of a coaching model.
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