How to help underprepared students?

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I have taught fundamentals at a community college for 8+ years. The preparedness of incoming students is dwindling by the year...students who can't read, write, or do basic math. I don't mean they can't read well, or quickly. I mean they can't read. They can't divide an even number by two. They are baffled by everyday vocabulary (not medical/healthcare terms). 

I don't know how they passed high school, much less the nursing program's prerequisite classes. 

Since I am the fundamentals teacher, attrition happens in my class. Typically we lose 15-20% of students, sometimes as high as 25%, in the first 6 months of nursing school. This is painful to the student to have dreams crushed, and painful to me. I take no pleasure in a student failing my class, although to read through the student posts on this site, as well as course reviews written by my students, a belief persists that I am "out to get" certain students.

The reality is that I attempt to counsel struggling students, but beyond "schedule time with the nursing tutor" and "come to me with specific questions" and "take notes from both reading and lecture" I don't have a whole lot of advice to offer. I want to scream "you were robbed of a basic education by the public school system but somehow managed to get straight A's without understanding anything and I have no way of fixing that!" 

We have changed curriculum publishers to find texts at a low reading level. We take days out of nursing curriculum to teach dimensional analysis for dosage calculation (even though they should have learned that in prereq math/Chemistry). 

We are under a lot of pressure from the state to "produce" nurses to fix the nursing shortage but I can't produce nurses in 18 months when their primary and secondary education hasn't given them the raw material to even begin learning.

I'm not sure what I want from this rant, really. I'm hoping for some help for my students, some resources that have worked, or maybe just some commiseration from educators. 

Specializes in Occupational Health Nursing.

Imagine how stressful this is for those nursing students. They are yet to practice in the field and they are already burn out. 

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