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Establishing a secure, collaborative nurse-patient relationship is crucial for delivering high-quality care. This relationship, founded on trust, respect, and honesty, enhances the patient's comfort and willingness to share vital health information. For example, a nurse who listens actively and without judgment provides clear information about health conditions and treatment options and respects patient decisions, which builds a trusting relationship.
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Variation in State Education Regulations for RNs.

Patricia Pittman, Margaret Ziemann, Drishti Pillai

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    Summary

    Accreditation and national standards can improve nursing education quality, as measured by first-time NCLEX-RN pass rates. For-profit nursing programs in business-friendly states showed lower pass rates.

    Area of Science:

    • Nursing Education Research
    • Healthcare Policy Analysis

    Background:

    • Nursing education quality varies across the U.S., impacting first-time NCLEX-RN pass rates (FTPR).
    • Existing research often focuses on program-level factors influencing nursing program performance.

    Purpose of the Study:

    • To investigate the relationship between state-level policies and FTPR for associate and baccalaureate nursing degrees.
    • To identify specific policies that may enhance the quality of nursing programs.

    Main Methods:

    • Utilized ordinary least squares regression analyses at both state and program levels.
    • Examined interactions between state policies and program characteristics.
    • Analyzed FTPR data for associate and baccalaureate nursing programs.

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    Main Results:

    • Accredited for-profit nursing programs demonstrated a 24% higher FTPR compared to nonaccredited for-profit programs.
    • For-profit programs located in states with more business-friendly policies were associated with an 11.8% lower FTPR.

    Conclusions:

    • Implementing national standards for licensure pass rates and mandating accreditation for all nursing programs could elevate RN program quality.
    • States with pro-business policies should consider the impact on the quality and outcomes of for-profit nursing schools.