ABSTRACT
Aim@#This scoping review synthesized the existing literature on factors affecting Philippine nurse licensure examination (PNLE) outcomes.@*Background@#Studies about the nurse licensure examination in the Philippines had gained popularity in recent years. Various studies reported different factors affecting PNLE outcomes, since licensure examination is an interplay between individual, academic, institutional, and environmental factors. This review is the first study that synthesized the literature on factors affecting PNLE outcomes.@*Methods@#A scoping review of research articles published from 2000 to 2020 described the existing literature explaining the various factors affecting PNLE outcomes. The Preferred Reporting for Integrative Studies and Meta-Analysis for Scoping Reviews (PRISMA-ScR) was used to guide the study. Using the set inclusion criteria, 4,208 articles and gray literature were eligible for initial screening. A total of 29 studies were included in this review.@*Findings@#Majority of the PNLE studies were quantitative research, used correlation research designs, and were published between 2011 to 2020. The average PNLE first-time pass rate from 2014 to 2018 was 75 percent and overall passing rate improved from 39.2% in 2010 to 45% in 2016. First-time examinees and those who take the PNLE in November have increased odds of passing the examination. Wide variability in PNLE results were observed in the May/June PNLE. Intellectual ability, learning styles, and psychosocial behaviors impact individual PNLE outcomes. Academic performance in high school and nursing school, college admission test, nursing aptitude test, achievement exams, pre-board examinations, clinical nursing courses, English courses, and Microbiology and Parasitology are significant academic predictors of PNLE success. Institutional variables such as school size, type of school ownership, year of establishment, accreditation status, and faculty-student ratio are associated with PNLE outcomes. @*Conclusion@#Various individual, academic, and institutional factors influence PNLE outcomes. Identifying these factors is crucial in understanding the multidimensionality of variables that may impact PNLE performance. An insight into these factors may assist individual nursing students and graduates, as well as nursing schools, in developing strategies to increase their likelihood of passing and increasing the first-time pass rates in the PNLE.
Subject(s)
Education, Nursing , PhilippinesABSTRACT
@#The practice of safe and effective nursing care is what a Bachelor of Science in Nursing graduate can provide based on the established competencies of the curriculum. However, they need to be on the list of registered nurses before entry into practice. This study analyzed the academic and licensure examination performances of Bachelor of Science in Nursing graduates in a state college to ascertain relationships and predictors of the licensure examination as the basis for future planning. Descriptive-retrospective design was utilized where 208 graduates who took their licensure examination from 2013 to 2017 were conveniently chosen. Statistical Package for Social Sciences Version 22.0 was used where Pearson product-moment correlation coefficient and Simple Regression Analysis were employed. The academic and nurse licensure performances of graduates were found lower than the ideal and are opposite in terms of skewness and kurtosis. Moreover, a strong positive relationship was noted between the graduates' performances in their academics and licensure examinations. 5 from 21 nursing courses are significant predictors with strong unique contributions to the nurse licensure examination at which 2 from the 5 were found common in all parts of the examination. Thus, it is vital to always look into predictors as basis in the modification of institutional policy on curriculum implementation.
Subject(s)
Humans , Philippines , Licensure, Nursing , Academic PerformanceABSTRACT
Purpose@#This study analyzed the trend of the Philippine Nurse Licensure Examination (NLE) results from 2014 to 2018.@*Design@#A retrospective research design was used to describe the five-year trend in the NLE. It determined the association between NLE outcome (pass/fail) and the type of examinee (first time vs. repeat examinees) and timing (month) of taking the exam (May/June vs. November).@*Methods@#Trends in NLE results were examined to determine the pass and fail rates over five years as an indication of the quality of nursing education. Secondary data analysis was conducted after collecting publicly available NLE data. Odds ratios were estimated to express whether the odds of passing differ for the type of examinee and month of taking the NLE.@*Findings@#The overall pass rates indicated a decreasing trend over the past five years (47.5% to 41.3%). The first-time pass rates showed an increasing trend (70.6% to 77.3%) while the repeat pass rates revealed a decreasing trend (31.6% to 28.2%). The odds of passing the NLE among first-time examinees is 7.01 times the odds of passing the NLE compared to repeat examinees [OR = 7.01 (95% CI = 6.86, 7.12)]. The odds of passing the NLE in November is 1.32 times the odds of passing in May/June [OR = 1.32 (95% CI = 1.29, 1.34)].@*Conclusions@#Despite the increasing first-time pass rates, a large number of nursing graduates still fail the NLE, especially among the repeat-takers. The results of this study can be used to improve nursing programs by developing measures to increase the NLE passing performance through assisting at-risk first-time examinees prior to taking the NLE and developing programs to assist graduates who will retake the NLE.
Subject(s)
Education, Nursing , PhilippinesABSTRACT
@#<p style="text-align: justify;">Performance in the eight Nurse Licensure Examinations from December 2006 to December 2010 was analyzed to describe how graduates of colleges of nursing nationwide performed in the tests and to determine the factors that correlate with the examinees' scores. The study included all the graduates of colleges of nursing who participated in the eight Nurse Licensure Examinations. Data were collected through a review of secondary data from the Professional Regulation Commission - the passing percentage and average rating of schools, testing centers in the subjects tested and type of examinees. The variables from each NLE were categorized into Examinee variables, Institutional variables, and Program and Other variables. Based on the NLE results, the study concluded that those who took the examination for the first time (first timers) performed better, had higher passing percentage and significantly higher average rating than repeaters in all the NLEs. Among the repeaters, those who took the examination for at most two times showed higher passing percentage and average rating. Examinees from accredited schools also had higher passing percentage and average rating than examinees from non-accredited schools. Those from government-owned schools showed higher passing percentage in all NLEs and significantly higher average ratings in six (6) out of the eight (8) NLEs than examinees from non-government-owned schools. The study found that the accredited and government-owned schools had higher passing percentage and average rating compared to non-accredited and non-government-owned schools. Significant differences were found in the passing percentage and average rating of the examinees across regions and testing centers. Of the five subjects tested, the examinees performed best in Nursing Practice I and III. Their lowest passing percentage and average rating was in Nursing Practice IV. Number of examinees per school appeared not to have affected nor influenced either the passing percentage or average rating of schools in the eight (8) NLEs. The study reveals significant findings that correlate the performance of graduates of Philippine colleges of nursing in the 8 NLEs with selected variables and these findings may provide a better understanding of the issues and problems concerning the performance of examinees in the NLE.</p>
Subject(s)
Humans , Male , Female , Nursing , Nurses , Licensure, Nursing , AccreditationABSTRACT
We sent questionnaires to clinical instructors and trainees within 2 years of the latter passing the national licensure examination for medical practitioners to investigate their opinions about the examination and to improve its style. Most instructors wanted to change the examination into an ideal style; however, the trainees had positive comments about the present examination. Several problems came to light, including whether the present examination is asking the minimum requirements for initial training and what the necessary actions are for assessing clinical skills. We must take measures to improve the examination.
ABSTRACT
PURPOSE: The evaluation of clinical skills and attitudes is an essential component of any examination assessing clinical competency. Objective structured clinical examination (OSCE) was introduced in the 1980's to medical educators for the objective evaluation of clinical competency. In this study, the authors describe and analyse their experience with developing and implementing the OSCE for the board licensure examination of plastic surgeons in Korea. METHODS: We developed a 50-minute long OSCE consisting of ten 5-minute (4.5 minute for examination at each station and 0.5 minute for transfer) stations, duplicated. We divided 74 applicants into 8 groups (about 10 applicants per group). Four stations out of the ten in each station-set used a standardized patient (SP). We compared the scores of the duplicated station-sets to assess the reliability of scoring between station-sets. And we analysed the applicants' questionnaire survey feedbacks on this experience administered at the end of the examination. RESULTS: The passing rate of the examination was 100%. The total scores were statistically different between the two station-sets. Applicants were satisfied with the examination, and felt that the problem-solving processes adopted in each station were valid and appropriate for the assessment of clinical competency for board licensure examination. CONCLUSION: We conclude that the OSCE can be widely applied to board licensure examinations of various specialties.
Subject(s)
Humans , Clinical Competence , Korea , Licensure , Surveys and QuestionnairesABSTRACT
BACKGROUND: Evaluation of clinical performance is an essential area for the students who are preparing their career as a medical doctor. However the clinical skills has neither been taught with balanced proportion nor adequately being assessed their abilities. Yet no significant studies on this issue has been reported in Korea so far. The present study was done as a part of preliminary study to seek a model that would be introduced clinical performance assessment in Korean Medical Licensure Examination system. Purpose: The objectives of this study is to develop items of clinical performance and the effective methods to carry out the clinical performance assessment in Korean Medical Licensure Examination system. METHODS: Primary list of clinical performances which was generated through discussion between researchers and medical experts has been distributed to the physicians of various levels. Six hundred ninety seven medical doctors including professors, family physicians, and public health doctors were asked to express their opinion by mail questionnaire. Final items were selected after the reaction of questionnaires and each item has been carefully studied its validity, achievability, and practicality. RESULTS: Thirty five items were selected among fifty one items presented according to the checked number of "essential" and "frequently useful". Seven items were added according to the higher rate of recommendation by open questionnaire. The forty two items were confirmed as a final list which the students should be expected to demonstrate prior to graduation from undergraduate medical school("exit objective"). The OSCE was performed without any serious logistic problems and both examinees and evaluators thought the experience positively. CONCLUSION: To look at the present environment and the readiness it is recommendable to apply the items of psychomotor skills at the beginning for Medical Licensure Examination. For that purpose various medical dolls, kits and subjects can be used.
Subject(s)
Humans , Clinical Competence , Korea , Licensure, Medical , Physicians, Family , Postal Service , Public Health , Surveys and QuestionnairesABSTRACT
It is not well known in Korea if the entrance examination score has any predictive validity on the graduation score and national licensure examination. In addition, the gender effects of the three scores were investigated. The study was conducted using two years data of the three scores. The three scores from students of class of 98 and 99 were collected. Students who could not complete the medical education in four years were excluded. Also students who could not pass the national licensure examination were excluded as well. Correlations among the three scores were calculated and gender effect was examined by t- test. For the statistical process, SPSS 9.0 was used. The correlation between the scores of the entrance examination and graduation examination is not significant at 5% level. The correlation between the scores of the entrance examination and national licensure examination is not significant at 5% level. The correlation between graduation examination and national licensure examination;0.635 is highly significant at 0.1% level. The score difference between male and female at the entrance examination was not significant at 5% level. The score difference between male and female at the graduation examination and national licensure examination was highly significant at 0.1% level.
Subject(s)
Female , Humans , Male , Education, Medical , Korea , Licensure , Statistics as TopicABSTRACT
This study analysed the correlation between student achievement and the result of medical licensure examination. To predict the result of pass or fail in the medical licensure examination we carried out a discriminant ana lysis by using following variables: year-wise student academic record and the result of integrative test scores. The prediction ratio was 83.6% and the statistical result is significant. Based on this result the formular of the discriminant score for sucess in medical licensure examination is as following: Z= -19.6372+(0.1812)xcredit of 4th year+(0.0441)xthe result of intergrative test scores. Being considered that the curriculum for seniors was consisted of as core clinical clerkships on the basis of main subjects and the items of medical licensure examination were selected from main subjects. The result is a matter of course. Therefore, it is recommended to put emphasis on core subject-oriented teaching and to strengthen core clinical clerkship to enhence the possiblity of success of medical licensure examination. Since the afore-mentioned discriminant score may predict success of medical licensure examination the school administration can decide to offer special programs for risk group students.