A Deep Dive into NCLEX Next Generation 2023

[nitenurse]

On 8/15/2022 at 11:33 AM, londonflo said:

A school/college curriculum is an important part of NCLEX. But is is NOT the only part of a curriculum. A new graduate's ability to practice, their interest in continuing education, their interest in health care services to their community are very special/

I said the very same thing of what feels like to be a millennia ago, however, when someone seems hellbent on trying to prove a nonsensical point, I happily oblige to point out their faulty logic. Now, as far as the NCLEX is concerned, pertinent nursing skills are learned on the job and not in a college curriculum and not on a standardized test. If the true purpose of the NCLEX is to ensure knowledge acquisition and practical application thereof, then those two items should be joined at the hip and standard across the spectrum nationally regardless of what school one attends. Training is what saves the patient's life, not alleged critical thinking questions on a standardized exam.

On 8/15/2022 at 11:25 AM, londonflo said:

Repetition doesn't help. But I am glad when you agree to my quote below: 

 

In this instance, I believe it does. You kept insisting that how a word is used in a sentence does not matter, however, it appears you finally concede that it does and I thank you for that. 

[londonflo]

On 8/18/2022 at 7:48 AM, nitenurse said:

Training is what saves the patient's life, not alleged critical thinking questions on a standardized exam

Critical thinking is not part of nursing education/training? Critical thinking can not be best measured on a paper and pencil test. This why your school needs to submit your ability to take NCLEX!

On 8/18/2022 at 7:48 AM, nitenurse said:

You kept insisting that how a word is used in a sentence does not matter, however, it appears you finally concede that it does and I thank you for that. 

Critical thinking is many things,  including making decisions. 

[nitenurse]

On 8/19/2022 at 9:47 AM, londonflo said:

Critical thinking is not part of nursing education/training? Critical thinking can not be best measured on a paper and pencil test. This why your school needs to submit your ability to take NCLEX!

Critical thinking is many things,  including making decisions. 

Critical thinking is not part of nursing education/training? Again, no. That was in my initial point. If it was part of nursing curriculum, then it would demonstrated in some form or fashion would it not?

Critical thinking can not be best measured on a paper and pencil test. Well, according to the initial post, that is exactly what the next generation NCLEX is going to do. Again, if the emphasis is critical thinking, then curriculums should shift accordingly. Here is the BSN curriculum at ASU:

ASU 101-NU: The ASU Experience
CHM 101: Introductory Chemistry (SQ) OR
BIO 201: Human Anatomy and Physiology I (SG)
ENG 101: First-Year Composition or
ENG 102: First-Year Composition OR
ENG 105: Advanced First-Year Composition OR
ENG 107: First-Year Composition or
ENG 108: First-Year Composition
HCR 210: Ethics for the Health Care Professional (HU)
MAT course (MA) ( MAT 142 OR MAT 117 recommended)
CDE 232: Human Development (SB) OR
PSY 101: Introduction to Psychology (SB)
CHM 101: Introductory Chemistry (SQ) OR
BIO 201: Human Anatomy and Physiology I (SG)
ENG 101: First-Year Composition or
ENG 102: First-Year Composition OR
ENG 105: Advanced First-Year Composition OR
ENG 107: First-Year Composition or
ENG 108: First-Year Composition
HCR 220: Introduction to Health Professions and the U.S. Health Care System (H)
Approved Statistics Course AND
Computer/Statistics/Quantitative Applications (CS)
Complete ENG 101 OR ENG 105 OR ENG 107 course(s). 
BIO 202: Human Anatomy and Physiology II (SG)
CDE 232: Human Development (SB) OR
PSY 101: Introduction to Psychology (SB)
HCR 230: Culture and Health (C & G)
MIC 205: Microbiology (SG) AND
MIC 206: Microbiology Laboratory (SG)
Complete Mathematics (MA) requirement.
HCR 240: Human Pathophysiology
NTR 241: Human Nutrition
Humanities, Arts and Design (HU) OR
Upper Division Social-Behavioral Sciences (SB)
Elective
NUR 325: Health and Illness Concepts I
NUR 330: Professional Nurse Attributes (HU)
NUR 336: Experiential Learning
NUR 346: Nursing Practice: Geriatric and Adult Health
NUR 352: Fundamental Concepts in Nursing
NUR 315: Nursing Research and Application to Practice (L)
NUR 326: Health and Illness Concepts: Adults and Psychiatric/Mental Health
NUR 337: Experiential Learning: Intermediate
NUR 347: Nursing Practice: Psychiatric/Mental Health and Childbearing Family
NUR 353: Integration of Concepts Across the Lifespan: Conception to End of Life
Complete Cultural Diversity in the U.S. (C) AND Global Awareness (G) AND Historical Awareness (H) course(s).
NUR 404: Professional Nurse Concepts: Intermediate
NUR 425: Health and Illness Concepts: Adults and Pediatrics
NUR 436: Experiential Learning: Advanced
NUR 446: Nursing Practice: Pediatrics and Complex Care of Adults
NUR 452: Concepts in Population-Based Health
NUR 458: Community Care and Collaboration
NUR 405: Professional Nurse Concepts: Advanced
NUR 426: Health and Illness Concepts Advanced
NUR 437: Experiential Learning: Readiness to Practice
NUR 448: Nursing Practice Readiness
NUR 453: Integration Concepts in the Health Care (L)

not a single, dedicated and DESIGNATED critical thinking class. Here is the BSN curriculum at UIC:

Professional Nursing 1    NURS 204    
Health Assessment and Communication    NURS 212    
Foundations of Nursing    NURS 221    
Concepts in Pathophysiology & Pharmacology    NURS 223    
Professional Nursing 2    NURS 254    
Concepts in Pathophysiology & Pharmacology     NURS 233    
Nursing Care of Adults Across the Life Span    NURS 321    
Nursing Care in Mental and Behavioral Health    NURS 351    
Professional Nursing 3    NURS 304    
Integrative Practice Experience    NURS 377    
Nursing Care of Children and Families -and/or- Nursing Care of Childbearing Women and Families    NURS 341 -and/or- NURS 331    
Nursing Care of Populations (BSN) -and/or- Acute Care Nursing and Care Management    NURS 361 -and/or- NURS 371    
Professional Nursing 4    NURS 354    
Senior Nursing Seminar    NURS 387    
Nursing Care of Children and Families -or- Nursing Care of Childbearing Women and Families    NURS 341 -or- NURS 331    
Nursing Care of Populations (BSN) -or- Acute Care Nursing and Care Management    NURS 361 -or- NURS 371

Again, not a single, dedicated and DESIGNATED critical thinking class; again, if it was that important, then why isn't it represented in nursing curriculums? My initial suggestion stated that critical thinking should be woven into the fabric of nursing programs (in the same format found on the NCLEX) so that by the time the students take the NCLEX, they would have been beaten in the face with it for years so by the time they take the test, they would be able to breeze through it with little to no effort.

[londonflo]

Payton RN Writer said:

This was the lowest scores had been since at least 1983, as far back as test score data is published. 

Yes, I remember,  in 1983 I was a new professor and we added the "Mosby Assess Test".

Payton RN Writer said:

The market for NCLEX test prep now has the opportunity to quietly render their previous materials as outdated, and provide new books, modules, and courses for teachers and students. The NCSBN themselves made $93 million dollars in 2021 alone. Commonly, individual students may choose to hand over hundreds of their own dollars on top of their tuition to ensure nothing comes between them and their first nursing job. On top of that, colleges also pay for prep packages that offer students question banks, as well as mid-curricular and exit assessments that reflect the NCLEX testing experience. 

There is always $$$ to made by students wanting to prepare for NCLEX!

I would also like to see anyone who is involved with NCSBN, in any way, shape or form, have to declare their vested interest that result in $$$ in their pocket.

Furthermore I think NCSBN should have to give any profits they make on their NCSBN testing program to nationally available scholarships.  What gives them the right to make money off of students prepping for the NCLEX? They make a fair amount for the test and provide a cushy living for Pearson. How many individuals involved have  participation or stock in 

Quote

You are able to take the NCLEX at any Pearson Professional Testing location, regardless of where you are applying for licensure/registration. The NCLEX is given year round and is administered by Pearson VUE.

Pearson plc (PSO) Stock Price, News, Quote & History - Yahoo Finance

The more that have to remediate, the more money  for Pearson and  NCSBN.( not including the NCSBN testing materials many buy)

Why can't the NCSBN create a test to prepare graduates for free to students but only available to schools.. NOT  an exit exam that bars perspective graduates from graduating but a secure test, given under secure testing conditions, to CCNE/ACEN colleges that will prepare students, assist with curriculum development/revision and provide the evaluation feedback before students' lives are crushed. 

I stated CCNE/ACEN schools because I do not trust some 'for profit'  with non-nursing accreditation (as we have seen in Florida) 

Riddle me that!!