Seeking congruence between scores achieved on standardized examinations and NCLEX-RN pass rates.
NCLEX-RN pass rates were below the acceptable standard for Arizona and the program was under discipline.
Rigor was increased on faculty written examinations and in the classroom. Faculty were taught the basics of psychometrics and testing guidelines to provide valid and reliable examinations. Students were encouraged to take ownership of their education and use these examinations as a means to build confidence and assurance prior to the NCLEX. A cooperative culture of learning and achieving excellence has been introduced into the program.
In 2014, the average HESI score was 869, and the NCLEX pass rate was 77.5. In 2015, the average HESI score was 785, with the NCLEX pass rate of 73.33. There is a direct correlation between HESI scores and NCLEX pass rates. As average HESI scores climbed to 876 and 921 in 2018, the NCLEX pass rates climbed to 97.62. This includes the cohort that completed in May 2018 with a 100% pass rate. See attachment.
It is important not to become complacent. Faculty can continue to grow in active learning strategies that develop clinical reasoning and nursing judgment. Students and faculty can use the standardized examinations as a reflection of progress. As the healthcare industry continues to evolve and become more complex, testing will continue to increase in difficulty, with the Next Generation of NCLEX currently being developed.