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A New Era on the Horizon - Challenges and Implications of the NCLEX-RN Exam in Canada
Current Issue
Volume 1, 2014
Issue 6 (November)
Pages: 46-54   |   Vol. 1, No. 6, November 2014   |   Follow on         
Paper in PDF Downloads: 158   Since Aug. 28, 2015 Views: 2927   Since Aug. 28, 2015
Anousone Rowshan, York University, Faculty of Health, School of Nursing, Toronto, Canada.
Mina Singh, York University, Faculty of Health, School of Nursing, Toronto, Canada.
The decision by the Canadian Council of Registered Nurse Regulators (CCRNR) to adopt the American-based NCLEX-RN exam as the new national licensing/registration exam in Canada beginning in January 2015 has wide ranging effects on nursing students, graduates, educators and faculty as they must understand how to successfully prepare for this new exam. This study examines the reasons for adopting the NCLEX-RN as the new licensing exam, how the NCLEX-RN is developed and the use of a computerized adaptive test to administer it. The results of Practice Analyses studies by NCSBN serves as the basis of the NCLEX-RN test plan. As a computerized adaptive test, the NCLEX-RN is psychometrically sound and can be legally defended. Implications for Canadian stakeholders include understanding testing anxiety among nursing students and graduates, the psychological domains measured by the NCLEX-RN, the new test content, and the new computer adaptive test delivery. Research completed by our American neighbors who have twenty years of experience in preparing their students for this computerized adaptive test offers insights for Canadian stakeholders as they face this challenge.
NCLEX-RN Canada, Canadian NCLEX-RN, Canada Nursing Licensing
2013 Canadian RN Practice Analysis: Applicability of the 201 NCLEX-RN test plan to the Canadian testing population. NCSBN RESEARCH BRIEF, 47(July 2010). Retrieved July 1, 2014 from https://www.ncsbn.org/14_Canadian_Practice_Analysis_vol60.pdf
2013 NCLEX-RN Detailed Test Plan. (n.d.). NCSBN. Retrieved August 1, 2014, from https://www.ncsbn.org/2013_NCLEX_RN_Detailed_Test_Plan_Educator.pdf
2015 Canadian Testing Locations & Schedules. (n.d.). Pearson VUE Testing Locations . Retrieved July 14, 2014, from http://www.pearsonvue.com/nclex/2015_Testing%20Locations.pdf
About NCSBN. (n.d.). NCSBN Board of Directors (BOD) Voted to Raise the Passing Standard for the NCLEX-RN Examination at its Meeting on Dec. 17, 2012. Retrieved July 15, 2014, from https://www.ncsbn.org/4220.htm
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Bulletin. (n.d.). United States Medical Licensing Examination. Retrieved July 14, 2014, from http://www.usmle.org/bulletin/testing/#step12ck3
Carr, S. (2011). NCLEX-RN Pass Rate Peril: One school's journey through curriculum revision, standardized testing, and attitudinal change. Nursing Education Perspectives, 32(6), 384-388. doi:10.5480/1536-5026-32.6.384
Carrick, J. (2011). Student achievement and NCLEX-RN success: Problems that persist. Nursing Education Perspectives, 32(2), 78-83. doi:10.5480/1536-5026-32.2.78
CCRNR - NCLEX Education. (n.d.). CCRNR - NCLEX Education. Retrieved July 13, 2014, from http://www.ccrnr.ca/index_files/CCRNRNCLEXEducation.html
College of Nurses of Ontario/Ordre des Infirmieres et Infirmiers de l'Ontario. (2014, August 5). CanadianRegisteredNurse Examination (CRNE). Retrieved August 19, 2014, from http://www.cno.org/become-a-nurse/entryto-practice-examinations/rn-exam/
Flowers, C., Do-Hong, K., Lewis, P., & Davis, V. (2011). A Comparison of computer-based testing and pencil-and-paper testing for students with a read-aloud accommodation. Journal Of Special Education Technology, 26(1), 1-12.
Frith, K. H., Sewell, J. P., & Clark, D. J. (2008). Best practices in NCLEX-RN readiness preparation for baccalaureate student success. Nurse Educator, 46S-53S.
History | Canadian Nurses Association. (n.d.). History | Canadian Nurses Association. Retrieved July 13, 2014, from http://cna-aiic.ca/en/becoming-an-rn/rn-exam/in-2014/history
Homard, C. M. (2013). Impact of a standardized test package on exit examination scores and NCLEX-RN outcomes. Journal Of Nursing Education, 52(3), 175-178. doi:10.3928/01484834-20130219-01
Huang, Y., Linh, Y., & Cheng, S. (2009). An adaptive testing system for supporting versatile educational assessment. Computers & Education, 52(1), 53-67.
Georgiadou, E., Triantafillou, E., & Economides, A. A. (2006). Evaluation parameters for computer-adaptive testing. British Journal Of Educational Technology, 37(2), 261-278.
Kantar, L. (2013). Assessment and instruction to promote higher order thinking in nursing students. Nurse Education Today, 34(2014), 789-794.
Kovner, C. T., & Spetz, J. (2013). Demonstrating the value in nursing: An interview with Linda McGillis Hall. Nursing Economic$,31(3), 148-151.
Lavin, J., & Rosario-Sim, M. G. (2013). Understanding the NCLEX: How to increase success on the revised 2013 examination. Nursing Education Perspectives, 34(3), 196-198.
Lilley, M. M., Barker, T. T., & Britton, C. C. (2004). The development and evaluation of a software prototype for computer-adaptive testing. Computers & Education, 43(1/2), 109-123.
McCarthy, M., Harris, D., & Tracz, S. M. (2014). Academic and nursing aptitude and the NCLEX-RN in baccalaureate programs. Journal Of Nursing Education, 53(3), 151-160. doi:10.3928/01484834-20140220-01
Mc Farquhar, C. (2014). Lived experiences of failure on the National Council Licensure Examination - Registered Nurse (NCLEX-RN): Perceptions of registered nurses. International Journal Of Nursing Education, 6(1), 10-14. doi:10.5958/j.0974-9357.6.1.003
McNulty, J., Chandrasekhar, A., Hoyt, A., Gruener, G., Espiritu, B., & Price, R. (2011). Computer-based testing in the medical curriculum: A decade of experiences at one school. Journal Of Educational Computing Research, 45(3), 287-295.
New partnership brings computer-based RN exam to Canada . (2011, December 13). College of Nurses of Ontario. RetrievedJuly1,2014,fromhttp://www.cno.org/Global/1-WhatIsCNO/NewsReleasesAndNotices/releases/pdf/ComputerExamPressRelease-FinalDec13.pdf
NCLEX Frequently Asked Questions for Canadian Educators & Students. (2013). Canadian Council of Registered Nurse Regulators. Retrieved June 1, 2014, from https://www.crnns.ca/documents/NCLEXRN_FAQs_For_Canadians_August_2013.pdf
NCLEX-RN Test Plan. (n.d.). NCSBN. Retrieved August 1, 2014, from https://www.ncsbn.org/2013_NCLEX_RN_Test_Plan.pdf
NCLEX-RN Detailed Test Plan - Candidate Version. (n.d.). NCSBN. Retrieved July 1, 2014, from https://www.ncsbn.org/2013_NCLEX_RN_Detailed_Test_Plan_Candidate.pdf
Pencils Down, Booklets Closed.. (Spring, 2014.). National Council of State Boards of Nursing . Retrieved June 1, 2014, from https://m.ncsbn.org/InFocus_Spring2014.pdf
Report of findings from the comparison of entry-level registered nurses in the U.S. and Ontario, Canada. NCSBN RESEARCH BRIEF, 47(July 2010). Retrieved May 24, 2014, from https://www.ncsbn.org/10_Ontario_Vol47_web.pdf
Romeo, E. M. (2013). The Predictive ability of critical thinking, nursing GPA, and SAT scores on first-time NCLEX-RN performance. Nursing Education Perspectives, 34(4), 248-253.
Santo, L., Frander, E., & Hawkins, A. (2013). The use of standardized exit examinations in baccalaureate nursing education. Nurse Educator, 38(2), 81-84.
Schroeder, J. (2013). Improving NCLEX-RN pass rates by implementing a testing policy. Journal of Professional Nursing, 29(25), S43-S47.
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Staples, E., & Urban, A. (2014). Transitioning to the NCLEX. SRNA Newsbulletin, 16(1), 19.
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Williams, N., Kim, D., Dickinson, P., and Woo, A. (2014). NCLEX and entry-level nurse characteristics. Journal of Nursing Regulation, 5(2), 45-49.
Yeom, Y. (2013). An investigation of predictors of NCLEX-RN outcomes among nursing content standardized tests. Nurse Education Today, 33(12), 1523-1528. doi:10.1016/j.nedt.2013.04.004
Young, Anne, Rose, Gloria, & Willson, Pamela, (2013). Online case studies: HESI exit exam scores and NCLEX-RN outcomes. Journal of Professional Nursing, 29(2) Retrieved from http://search.proquest.com.ezproxy.library.yorku.ca/docview/1522961834?accountid=15182
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