The Undergraduate Student's Journey to NCLEX: Navigating Challenges in Nursing Education
Embark on the undergraduate student's journey to NCLEX as they face challenges and myths in nursing education, guided by clinical faculty and preparing for the evolving landscape of nursing practice. Explore the destinations along the way, integrate course information, and practice critical thinking and decision-making skills in a chaotic healthcare environment.
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Presentation Transcript
The Undergraduate Students Journey to NCLEX Joanne Farley Serembus, EdD, RN, CCRN, CNE
Ticket to Ride Tuition Classes Clinical Books i-Pod Touch Computer Baggage
Great Expectations What to Expect on the Journey Myths All faculty agree with one another All faculty agree with the text book All hospital policies agree with the text book Faculty don t live in the real world they live in an ivory tower The more time I spend on a care plan and studying the better the grade
Great Expectations Facts Nursing practice can not be viewed as black and white but students are not ready to understand the grey Nursing practice is always changing based on the latest evidence Grade Time Grade = Quality
Clinical Faculty as Travel Guide What are the Destinations on the way to NCLEX? Clinical Courses (Course Specific HESI Exam with Remediation) Clinical Laboratory Experiences (Skills Practice, Clinical Practice on Site, Simulations, Standardized Patient with Remediation as Needed) Theory Only Courses (Some have Course Specific HESI Exam with Remediation) NURS 492 Senior Seminar in Nursing (Review of all Previous Course Content, Comprehensive HESI Examination, Standardized Patient, Skill Check Out)
Providing Direction at the Crossroads Integrating Information from all Courses Providing Opportunities for Decision Making using Critical Thinking (Guide on the Side) Emphasizing Principles from Class Utilizing Every Opportunity to Practice Skills
The Road Gets Bumpy Prioritization Delegation (Role Delineation: RN/LPN/UAP) Assignment Critical Thinking Patient Safety Communication (Conflict Resolution; DESC; SBAR; Hand- off; Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person SurgeryTM; Time Out; CUS; Check Back; Call Out) Infection Control And all in a Chaotic and Changing Healthcare Environment!
Bridging the Gaps in Learning Wouldn t it be Wonderful if We Could Teach Everything a Student Needs to Know The Best we can do is: Teach prototypes and focus on nursing care Teach how to access information Faculty conduct CQI by assessing course performance
The Long and Winding Road Learning is not Linear It Involves: Critical thinking ability Communicate and access needed resources Team work and Collaboration Outcome oriented process Communication Skills
Learning Curve Along the Road Preventing Downward Slides on the Curve Provide linkages for knowledge, skills, attitudes
Dont Leave them Hanging During Travel Review What the Student is Learning Prior to Clinical Textbook Class PowerPoints/Notes
Packed to the Hilt Goal: Safe, Effective, and Efficient Novice Nurse NCLEX-RN Test Plan 2010 https://www.ncsbn.org/2010_NCLEX_RN_Detailed _Test_Plan_Educator.pdf
Final Stop on the Journey-NCLEX Registration Online or by Mail; Must have ATT Pearson Professional Testing Center Palm Vein Technology for Identification being Phased-in, Fingerprinting, Official ID, ATT Examinations given Seven Days a Week Results Scored Twice for Quality Control Unofficial Results Available within 48 business hrs
Final Stop on the Journey-NCLEX Computer-Adaptive Testing (CAT) Practice Analysis Conducted Every 3 Years Test Items Written and Reviewed by Practicing Nurses Majority of Test Items Written at Application Level or Higher and are multiple-choice Alternate Formats: Fill-in-the-blank, calculation, drag and drop, and/or hot spots. May include multimedia, such as charts, tables, graphics, sound and video.
Final Stop on the Journey-NCLEX 75 to 265 Test Items; Total 6 hours for test Suggested Time per Test Item (1 to 2 Minutes) Testing stops when the candidate s ability is determined to be either above or below the passing standard with 95 percent certainty. It is important to understand that the length of the candidate s examination is not an indication of a pass or fail result. Test administrator provides candidates with an erasable note board that may be replaced as needed during testing.
