HONORING THE PAST, INSPIRING THE FUTURE 1

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HONORING THE PAST, INSPIRING THE FUTURE DETERMINANTS OF NURSING LICENSURE PERFORMANCE OF GRADUATES IN SELECTED SUCs IN REGION III JEAN N. GUILLASPER, Ph.D RET Coordinator, College of Nursing CHAIR, CLHRDC-RUICC Nueva Ecija University of Science and Technology ORCID No. 0000-0002-2244-1056 jeanguillasper@neust.edu.ph 1

BACKGROUND OF THE STUDY HONORING THE PAST, INSPIRING THE FUTURE BACKGROUND OF THE STUDY For a newly graduate nurse to practice as a registered nurse in the Philippines, he/she must take and pass the Nursing Licensure Examination (NLE) given by the Professional Regulation Commission (PRC) through the BON (Neri, 2009). 1

BACKGROUND OF THE STUDY HONORING THE PAST, INSPIRING THE FUTURE BACKGROUND OF THE STUDY The Philippine Nursing Licensure Exam is a 500-item multiple choice exam that assesses the basic nursing level competency of nursing graduates. SCOPE OF NLE: objectives of the nursing curriculum the broad areas of nursing and other related disciplines competencies as determined by the Board of Nursing (BON) 1

In order to pass the NLE, the examinee must: HONORING THE PAST, INSPIRING THE FUTURE In order to pass the NLE, the examinee must: obtain a general average of at least 75% with a rating of not below 60% in any subject Five subject component of NLE: Nursing Practice I Nursing Practice II Nursing Practice III Nursing Practice IV Nursing Practice V 1

OUTLINE OF THE SUBJECT COMPONENTS OF NLE HONORING THE PAST, INSPIRING THE FUTURE OUTLINE OF THE SUBJECT COMPONENTS OF NLE NURSING PRACTICE I AND II NURSING PRACTICE III, IV AND V (COMPETENCY APPRAISAL I) (COMPETENCY APPRAISAL II) ANATOMY AND PHYSIOLOGY NRES I AND II CHN NCM 102, 103, 104, 105, 106, 107-A, 107-B PHARMACOLOGY AND INP HEALTH ASSESSMENT THEORETICAL FOUNDATION IN NURSING NCM 100 NCM 101 1

HONORING THE PAST, INSPIRING THE FUTURE Certificate of registration/professional license/Identification Card as a nurse shall be issued to an applicant who passes the examination duly signed by the Chairperson of the Professional Regulation Commission, bearing the date of registration, license number, and the date of issuance and expiration date (Article IV Sec. 15and 17 of RA 9173). 1

Commission on Higher Education (CHED) HONORING THE PAST, INSPIRING THE FUTURE Commission on Higher Education (CHED) BSN Curriculum under CMO No. 14, s. 2009 Competency Appraisal I and Competency Appraisal II utilization of the nursing process 11 CORE COMPETENCIES safe and quality nursing practice, management of resources and environment, health education, legal responsibility, ethico-moral responsibility, personal and professional development, quality improvement, research, record management, communication and collaboration and teamwork. 1

OBJECTIVES OF THE STUDY HONORING THE PAST, INSPIRING THE FUTURE OBJECTIVES OF THE STUDY To determine the respondents’ grades by State Universities and Colleges (SUCs) in the following professional nursing subjects: Anatomy and Physiology; Community Health Nursing; Pharmacology; NCM100; NCM 101; NCM 102; NCM 103; NCM 104; NCM 105; NCM 106; NCM 107-A; NCM 107-B; Intensive Nursing Practicum, Nursing Research 1 and 2; Health Assessment and TFN 1

HONORING THE PAST, INSPIRING THE FUTURE To determine the respondent’s grades in Competency Appraisal I and Competency Appraisal II To determine the respondent’s ratings in the Nursing Licensure Examination (NLE) To determine if there is a significant relationship between NLE results and graduates’ ratings in; Professional nursing subjects; Competency Appraisal I; and Competency Appraisal II; 1

HONORING THE PAST, INSPIRING THE FUTURE To know the implications of the findings of the study to nursing curriculum HYPOTHESIS: There is no significant relationship between NLE results and graduates’ ratings in the professional nursing subjects, Competency Appraisal I and Competency Appraisal II. 1

Descriptive correlational method of research HONORING THE PAST, INSPIRING THE FUTURE METHOD AND TECHNIQUES Descriptive correlational method of research TOOL FOR DATA GATHERING/TECHNIQUE DOCUMENTARY ANALYSIS 1,674 NLE first takers – June & November 2012 and June 2013 Documents: NLE Results from PRC & TOR from the Registrars Office of the selected SUCs 1

DATA PROCESSING AND STATISTICAL ANALYSIS Verbal Interpretation HONORING THE PAST, INSPIRING THE FUTURE DATA PROCESSING AND STATISTICAL ANALYSIS Respondent’s grades in professional nursing subjects: Grade Range Verbal Interpretation 1.00 Excellent Performance 1.25 – 1.50 Superior Performance 1.75 – 2.00 Very Good Performance 2.25 – 2.50 Good Performance 2.75 – 3.00 Fair Performance 5.00 Poor Performance 1

Verbal Interpretation HONORING THE PAST, INSPIRING THE FUTURE DATA PROCESSING AND STATISTICAL ANALYSIS Respondent’s ratings in the Nursing Licensure Examination: Pearson Product Moment Correlation Coefficient Range (NLE ratings) Verbal Interpretation 75-94% and above Passed 74% and below Failed 1

HONORING THE PAST, INSPIRING THE FUTURE DISCUSSION Roncoli, Lisonti and Falcone (2000) found out that the higher grades in science and nursing courses increased the likelihood of success in the licensure examination. The use of admission criteria can predict future success in nursing programs and on the Licensure Examination for Nurses (Humphreys 2008) 1

HONORING THE PAST, INSPIRING THE FUTURE DISCUSSION Neri (2009) stated that the students doing well with the in-house review have the better chances of passing the board exam, on the other hand, guided review does not significantly predict the chances of passing the board exam. 1

HONORING THE PAST, INSPIRING THE FUTURE DISCUSSION Grossbach and Kuncel (2011) believe that standardized admissions tests were effective predictors of performance in licensure examination. Grades earned during baccalaureate degree in nursing education were especially strong predictors. The strongest predictors were grades earned during the second year. 1

HONORING THE PAST, INSPIRING THE FUTURE DISCUSSION Ong and Palompon (2012) said that College Entrance Examination performance on IQ test, nursing aptitude test, the composite score of science, math and English tests, college grade point average and pre-board examination performance are predictors of Nurses’ Licensure Examination Performance. 1

HONORING THE PAST, INSPIRING THE FUTURE CONCLUSIONS The nursing students performed well in the following professional nursing subjects with grades from 2.25 to 2.50; Anatomy and Physiology, Community Health Nursing, Pharmacology, NCM 100, NCM 101, NCM 102, NCM 103, NCM 104, NCM 105, NCM 106, NCM 107-A, Nursing Research I, Health Assessment, Theoretical Foundations in Nursing, Competency Appraisal I, and Competency Appraisal II. 1

HONORING THE PAST, INSPIRING THE FUTURE Nursing students showed better performance in the following subjects: NCM 107-B, Intensive Nursing Practicum and Nursing Research II. The passing rate of the students in the Nursing Licensure Examination ranges between 75-84 percent with the over-all average of 75-84.9 percent. The grades of the students in the 17 professional nursing subjects vary among the school respondents, and they serve as determinants in passing the nursing licensure examination. 1

HONORING THE PAST, INSPIRING THE FUTURE On the average, majority of the professional nursing subjects were determinant to passing the NLE which comprises of the following subjects: Anatomy and Physiology, Community Health Nursing, NCM 100, NCM 101, NCM 103, NCM 104, NCM 105, NCM 106, NCM 107-B, Research I, Research II, and Competency Appraisal II The following subjects were considered as not determinant to passing the NLE such as Pharmacology, NCM 102, NCM 107-A, and Competency Appraisal I. 1

HONORING THE PAST, INSPIRING THE FUTURE Significant relationship between NLE and professional nursing subjects exists because the grades in different subjects obtained by the respondents and their performance in the NLE showed a similar trend and that is, grades in each subject correspond to the lower ratings in NLE. 1

HONORING THE PAST, INSPIRING THE FUTURE RECOMMENDATIONS The good performance of the students in different professional nursing subjects should be strengthened by the mentoring/coaching of the instructors to their students to elevate their performance in each subject, since their performance in the nursing subjects will serve as determinants to their NLE performance. 1

HONORING THE PAST, INSPIRING THE FUTURE Instructors are encouraged to prepare and administer diagnostic examinations in each subject to determine the entry point of discussion to overcome difficulties encountered by the students especially for the subjects included in Nursing Practice III, IV and V of the NLE. 1

HONORING THE PAST, INSPIRING THE FUTURE Subjects with significant relationship with the NLE should further be strengthened; subjects that were insignificant should be revisited and be given special attention in terms of content of course syllabus specifically to the subjects included in the Nursing Practice II, IV, V. The subject Pharmacology should be revisited due to its insignificant correlation in all scope of NLE such as Nursing Practice I, II, II, IV, and V. Modification of the scope of this subject may be recommended, since it plays a vital role in the nursing practice by limiting the cases of medication errors. 1

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