Well it is official. The Charleston Gazette printed a big story on this fact in todays paper. WV has the lowest rate for passage of the NCLEX test of all 50 states. The Gazette stated that every school in the state but two had decreased passage rates despite taking the best and brightest students they could get. Every school is attempting to increase their passage rates and re-evaluate their programs. Of course, every school is saying the need for instructors is critical. So, anybody have any thoughts on this subject?
It has been forever since I went to school. My cousin is in nursing school now, she has called me several times, seeking assistance. When I tell her what I see as a problem, she freaks out. When we discuss skills, she freaks out. This girl will graduate in May, and to me, she has no idea what to do or how to do it. She is a honor student, has gone to all clinicals, and is very bright. I am at a loss on what to tell her. I just know I do not want her as a nurse for me or my family. Too many times when I have attempted to show her an area she is missing in a care plan, or I have attempted to give her advice, tips on assessments or skills, she says "we do not do that now."
So, what do younger nurses do now? Have basic nursing practice's changed so much?
About a year ago, when care plans really became an issue with her group, several older nurses were asked to assist these students, we met, were broke up into groups, started working on different patients and their care plans. I was amazed, no one had a idea of how to formulate a nursing diagnosis, set realistic nursing interventions, set time defined improvments or set realistic evaluation periods. Lets just say patient teaching, developing tips for coping skills for patients and the family, and long range patient goals were not even covered. Am I nuts? This is how I nurse, sure I fall short at times, but how in the world do these girls expect to come out of school and take care of patients if they have no plan, no interventions, no evaluations, no goals, or no patients teaching? How do you not know some basic problems patients face with a disease?
Sorry this is so long guys, but I am truly baffled. I am scared too. I just do not know what nursing is these days, at least, around here.
Feb 13, '08
by gospel Rn, BSN
Quote from Noryn
I havent read the Gazette yet today because I like to read it at work to help pass time some days--yes I suck. They are actually rehashing a story that they reported on 2 weeks ago.
What really surprised me was Bluefield State's name but reading it further it seemed like the Beckley campus had a 100 percent passage rate but the Bluefield one dipped.
I havent talked to any nursing students for years, so I am unsure what the problem is. But as usual we are the leaders for the country in another category
I am a nursing student at Marshall University but I honestly cannot tell you what the problem is either as Marshall's passing rate was above 90% the best in the state among Universities. I know they have changed the nclex somewhat but I don't know if it could make this big of a difference.
Last edit by gospel Rn, BSN on Feb 13, '08
Feb 13, '08
by llg, BSN, MSN, PhD
I am not from West Virginia ... but I work with nursing students and new grads on a regular basis for many years. I have also done a little bit of teaching in local nursing schools.
I have seen a great "dummying down" of nursing programs in general over the years. Curricula are being designed to cover more content in a superficial manner without going into depth on anything -- and the expectations for student performance is going down. It's assumed that students either have jobs or families that take up their time so that there is less homework. They are given decent grades for mediocre performance that would have received C's and worse back in the old days. When they get to the more advanced courses in their nursing curricula, there is no strong foundation to build upon.
And it's not all the students' fault. The standards for faculty have gone WAY down in some places ... and faculty get no support from the school administrations. They are asked to teach too many classes and perform too many other services for the school to be able to do a good job on any one of them.
You'd be amazed how many junior and senior level BSN students I meet who don't know how to use their own school libraries! ... or ... How to write a decent paragraph! ... It's appalling. And of course, if the professor gives them a bad grade, they go to the dean and threaten a law suit. They were raised to think that everyone should get an award for participating just like they got when they were children.
Sure, there are some great school and lots of great nursing students out there. But they are in the minority.
Be grateful that you local newspaper is publishing the bad news. Maybe it will embarrass some of the schools into making some improvements. Maybe some prospective students will do additional research into the quality of the various schools before they pay their money for a bad education.
Last edit by llg on Feb 13, '08