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A Comparative Analysis of NCLEX Pass Rates: Nursing Health Human Resources Considerations.

AIMS: To examine performance differences among different writers of the NCLEX-RN examination in Canada; to compare Canadian and U.S. writer pass rate data; and to identify changes in the Canadian nursing workforce in relation to the introduction of NCLEX-RN.

BACKGROUND: In January 2015, the entry-to-practice licensing examination changed from the Canadian Registered Nurse Examination to the NCLEX-RN, and pass rates declined.

METHODS: This comparative analytic study examined NCLEX-RN pass rate data for 2015, 2016 and 2017 using publicly available data. The Canadian data were compared with that from U.S. nurses taking the examination.

RESULTS: Overall year-end pass rates among Canadian writers improved significantly in 2016 (95% to 96.3%, p < .001, from 2015 to 2016) but declined again from 96.3% to 90.4% in 2017 (p < .001). Pass rates remain significantly lower for first-attempt Canadian writers compared to first-attempt U.S. writers (2015: 69.7% versus 84.5%, p < .001).

CONCLUSIONS: The change in licensing examination had a significant impact on pass rates for new graduates entering the nursing profession and consequently the number of new nurses entering the profession in Canada.

IMPLICATIONS FOR NURSING MANAGEMENT: A loss of entry-level workers to the nursing profession in Canada affects workforce management strategies, particularly with respect to worker shortages. This article is protected by copyright. All rights reserved.

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