THE MYSTERY OF NCLEX UNRAVELLED Deep Dive February

THE MYSTERY OF NCLEX UNRAVELLED Deep Dive- February 9, 2016 NCLEX Success Team

Computerized Adaptive Testing (CAT) Used to determine minimal level of competency ◦ https: //www. youtube. com/watch? v=bm 98 IROEFwg

Computerized Adaptive Testing (CAT) How is the passing standard determined? NCSBN’s board of directors review the passing standard at least once every 3 years

Computerized Adaptive Testing (CAT) What is the current passing standard? The 2016 passing standard of 0. 00 logit is in effect: APRIL 1, 2016 THROUGH MARCH 31, 2019

2016 NCLEX-RN Blueprint Purpose of the Detailed Test Plans: ◦ 1. Guide candidates preparing for the exam ◦ 2. Inform the direction for item development ◦ 3. Facilitate classification of exam items

2016 NCLEX-RN Blueprint THE DETAILED TEST PLAN ALSO INCLUDES: ◦ 1. Definition of each Client Needs Categories ◦ 2. Nursing activity statements ◦ 3. Detailed content examples ◦ 4. Sample NCLEX items ◦ 5. Item writing guide (educator version)

2016 NCLEX-RN Blueprint Client Needs Safe, Effective Care Health Promotion Psychological Integrity Physiological Integrity

2016 NCLEX-RN Blueprint ◦NCLEX-RN® Changes in 2016 ◦ Basic Care and Comfort ◦ Added: Recognize complementary therapies and identify potential contraindications (e. g. , aromatherapy, acupressure, supplements) �Pharmacological and Parenteral ◦ Added: Handle and maintain medication in a safe and controlled environment �Reduction of Risk Potential ◦ Deleted: Provide intraoperative care

2016 NCLEX-RN Blueprint NCLEX® Integrated Processes ◦Nursing Process ◦Caring ◦Communication and Documentation ◦Teaching and Learning ◦Culture and Spirituality

Faculty Strategies to Assist Students ◦ Access to faculty for assistance. ◦ Exam review ◦ Individually or in group. ◦ Remediation plan ◦ Document. ◦ Advising ◦ Document. ◦ Reality check- failing ½ through course ◦ Include clinical where both student and faculty evaluate ◦ Document.

Providing early exposure and practice with critical-thinking questions and with NCLEX-RN !

Interventions for Those Who are Slipping…. ◦ Remediation ◦ What form? ◦ Who is responsible? ◦ Test-taking skills. ◦ Anxiety reduction. ◦ Pre-set study sessions. ◦ Peer tutor and Peer Mentors. ◦ Student Learning Coordinator. ◦ Support groups. ◦ Questions, questions…and then some.

Taking Interest in Students ◦ ESOL? ◦ Work commitments? ◦ Family commitments? ◦ Remediation needed? ◦ Low admission “points? ” ◦ Failure in course at mid-term ◦ Attendance in class / clinical? ◦ Grades on standardized exams? ◦ Does he/she really want to be a nurse?

How can New Faculty Promote NCLEX Success? ◦ Have a mentor monitor/preview exams. ◦ Classroom / clinical observation. ◦ Student reports. ◦ Exam results. ◦ Normed exam results. ◦ No grade inflation. ◦ Communication.