A scoping review on factors affecting the NCLEX-RN performance of internationally educated nurses
- Author:
James Montegrico
1
Author Information
1. University of North Carolina at Greensboro, USA
- Publication Type:Journal Article
- Keywords:
internationally educated nurses;
NCLEX-RN;
nursing education
- MeSH:
Education, Nursing
- From:
Philippine Journal of Nursing
2020;90(2):21-28
- CountryPhilippines
- Language:English
-
Abstract:
PURPOSE: This scoping review aims to describe the factors affecting the National Council Licensure Examination-Registered Nurses (NCLEX-RN) performance of internationally educated nurses (IEN).
BACKGROUND: The United States relied heavily on IEN to help address the nursing shortage. However, IEN face challenges in passing the NCLEX-RN with almost half failing the NCLEX-RN the first time. There is a lack of studies on IEN, in general, and factors affecting their NCLEX-RN performance, in particular.
METHOD: A literature review of IEN NCLEX-RN studies from 1994 to 2020 was conducted. The Preferred Reporting for Items for
Systematic Reviews and Meta-Analysis (PRISMA) was used to describe the search process.
FINDINGS: Based on the review of the available literature, the most commonly identified factors affecting IEN NCLEX-RN performance include proficiency with the English language, differences in nursing education, and unfamiliarity with the NCLEX-RN. Language, country of nursing education, healthcare experience, support system, the Commission on Graduates of Foreign Nursing Schools certification exam, (CGFNS CE), and time-lag between graduation or initial licensure and NCLEX-RN are statistically significant predictors of NCLEX-RN performance.
CONLUSION: Individual, academic, and environmental factors influence IEN NCLEX-RN performance. Identifying these factors can help in designing individual and multi-level interventions to assist IEN to pass the NCLEX-RN.
- Full text:PJN Jul-Dec 2020 FINAL-23-30.pdf
