Diversity in nursing and challenges with the NCLEX-RN

Area of Science:

• Nursing Education
• Health Equity
• Standardized Testing

Background:

• High-stakes standardized testing historically creates barriers for underrepresented minorities and individuals requiring accommodations.
• The National Council Licensure Examination for Registered Nurses (NCLEX-RN) is a critical licensure exam in the nursing profession.

Purpose of the Study:

• To investigate the impact of high-stakes standardized testing, specifically the NCLEX-RN, on diversity, equity, and inclusion (DEI) within the nursing profession.
• To explore the historical context, surrounding perspectives, and data availability related to DEI and the NCLEX-RN.

Main Methods:

• Review of the history and context of standardized testing in relation to DEI.
• Analysis of testing content, format, delivery, and accommodation policies.
• Identification of existing data and data collection gaps concerning DEI and the NCLEX-RN.

Main Results:

• No national data has been published by nursing organizations to evaluate the NCLEX-RN from a DEI perspective.
• Preliminary studies in nursing and other professions suggest disparities in testing outcomes.
• Significant gaps exist in data collection necessary for a comprehensive DEI evaluation of the NCLEX-RN.

Conclusions:

• Nursing must investigate potential disparities in NCLEX-RN testing outcomes for prospective nurses.
• Opportunities exist to advance DEI through enhanced data collection, revised licensure processes, and a broader view of competency assessment.