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Tytuł pozycji:

The Adoption of NCLEX-RN in Canada: A Failure of Leadership at the Intersection of Nursing Regulation, Education and Practice.

Tytuł:
The Adoption of NCLEX-RN in Canada: A Failure of Leadership at the Intersection of Nursing Regulation, Education and Practice.
Autorzy:
May KA; Emerita Professor and Dean, School of Nursing at the University of Wisconsin-Madison, Madison, WI.
Singh-Carlson S; Professor and Fulbright Scholar, School of Nursing, San Diego State University, San Diego, CA.
Źródło:
Nursing leadership (Toronto, Ont.) [Nurs Leadersh (Tor Ont)] 2019 Dec; Vol. 32 (4), pp. 57-65.
Typ publikacji:
Journal Article
Język:
English
Imprint Name(s):
Original Publication: Toronto : Longwoods Pub. Corp. [for the] Academy of Canadian Executive Nurses, [2003]-
MeSH Terms:
Leadership*
Education, Nursing/*standards
Educational Measurement/*standards
Faculty, Nursing/*psychology
Licensure, Nursing/*standards
Nursing Process/*standards
Education, Nursing/trends ; Educational Measurement/methods ; Educational Measurement/statistics & numerical data ; Faculty, Nursing/trends ; Humans ; Licensure, Nursing/trends ; Nursing Process/trends
Entry Date(s):
Date Created: 20200222 Date Completed: 20200706 Latest Revision: 20200706
Update Code:
20240105
DOI:
10.12927/cjnl.2020.26101
PMID:
32083531
Czasopismo naukowe
This commentary presents perspectives of two senior nursing professors who have extensive faculty and leadership experience in both Canada and the United States. To understand more about how the adoption of the National Council Licensure Examination-Registered Nurses (NCLEX-RN) examination in Canada came to be, the authors conducted conversations with 29 Canadian nurse educators and nursing education and practice leaders. Based on these conversations as well as a review of published materials on the topic, the authors conclude that regulatory leaders failed to involve key leaders and stakeholders from nursing education and practice in this decision, and the resulting negative consequences have been borne primarily by the education and practice sectors. The authors argue that the NCLEX-RN adoption has introduced a misalignment into what had been a well-aligned model of education, regulation and practice in Canada and invite readers to consider the following discussion points. First, the NCLEX-RN has been designed to operate within a healthcare system that should not, by any reasonable argument, be replicated elsewhere; therefore, what are the contextual factors that led to the Canadian adoption of the NCLEX-RN? Second, American regulators stipulate that the examination must fit associate degree graduate competencies and that the additional knowledge and competencies gained at the baccalaureate level are irrelevant for licensure purposes; however, is this a fit for Canadian nursing licensure that requires the baccalaureate degree as an entry for practice? In conclusion, as American higher education in nursing now begins to move toward a competency-based model, further changes will have to be implemented to shape and frame the future of nursing education in the United States, and by extension, the future development of the NCLEX-RN within Canada's distinct historical, social, political and institutional context.
(Copyright © 2019 Longwoods Publishing.)

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