Document Type : Original Article
Authors
- . Vincent Edward Butcon
- . Eddieson Pasay‑An
- . Maria Charito Laarni Indonto
- . Liza Villacorte
- . Jupiter Cajigal
Abstract
BACKGROUND: This study aims to use the artificial neural network as a novel approach to explore
factors that determine and predict successful performance of nursing interns in Saudi Arabia on the
Saudi Nursing Licensure Examination (SNLE).
MATERIALS AND METHODS: The study employed a cross‑sectional, analytic approach. A total of
62 nursing interns were recruited by convenience sampling from the University of Hail to participate.
Data collection was conducted from September to December 2019. Descriptive statistics were used
to describe the demographic characteristics of the nursing interns and their responses regarding
examination determinants. Neural network analysis was used to identify factors that are highly
predictive of the success of the nursing interns on the SNLE.
RESULTS: Overall, the nursing interns were undecided (3.94 ± 0.14) about the influential factors
determining their success. Their study hours (100%) and grade point average (GPA) (96.9%) were
identified as strong determinants reflective of the tenacity and vigor of the nursing interns, based on
the predictive power of the model. Meanwhile, age (45.7%), marital status (21.3%), gender (15.2%),
and the type of academic program (5.9%) were considered the least important of the sociodemographic
variables.
CONCLUSION: Exam preparation activities such as preparation programs, review classes, and
exam simulations must be promoted and enhanced to increase the passing tendencies of the nursing
interns in the SNLE. The GPA and increased study hours make the most significant contributions to
success on the SNLE as compared to other variables such as age, gender, marital status, and the
academic program. This study serves as a springboard for nursing educators and administrators in
laying tailored strategies to strengthen the nurse interns’ GPA and time management.
Keywords
- National Council of State Boards of Nursing. A Global Profile
of Nursing Regulation, Education, and Practice. J Nurs Regul
2020;10:1‑116.
2. Oducado R, Cendana D, Belo‑Delariarte R. Institutional
competency assessment and other factors influencing the nurse
licensure examination. Int J Sci Technol Res 2019;8:268‑70. - 3. Saudi Commission for Health Specialties. Saudi Nursing
Licensing Exam Applicant Guide. 2019. Available from: http://
www.scfhs.org.sa. [Last accessed on 2020 Jan 12].
4. National Council of State Boards of Nursing. 2020 NCLEX pass
rates; 2020. Available form: https://www.ncsbn.org/14664.htm.
[Last accessed on 2020 Feb 06].
5. College of Licensed Practical Nurses of Alberta. National Pass
Rate Average CPRNE; 2020. Available from: https://www.clpna.
com/education/practical‑nurse‑program‑cpnre‑results/.[Last
accessed on 2020 Jan 29].
6. Philippine Regulatory Commission. Nursing Board Exam Passers;
2019. Available from: http://www.prcboard.com. [Last accessed
on 2020 Feb 15].
7. Saudi Commission for Health Specialties. Statistics of the
performance of college graduates in the SNLE; 2019. Available
from: http://www.scfhs.org.sa. [Last accessed on 2019 Dec 30].
8. Johnson T, Sanderson B, Wang CH, Parker F. Factors associated
with first‑time NCLEX‑RN success: A descriptive research study.
J Nurs Educ 2017;56:542‑5.
9. Havrilla E, Zbegner D, Victor J. Exploring Predictors of
NCLEX‑RN Success: One School’s Search for Excellence. J Nurs
Educ 2018;57:554‑6.
10. Eddy LL, Epeneter BJ. The NCLEX‑RN experience: Qualitative
interviews with graduates of a baccalaureate nursing program.
J Nurs Educ 2002;41:273‑8.
11. Bautista J, Ducanes G, David C. Quality of nursing schools in
the Philippines: Trends and evidence from the 2010‑2016 nurse
licensure examination results. Nurs Outlook 2019;67:259‑69.
12. Nyangena E, Getanda A, Ngugi S. Factors influencing success
of bachelor of science in nursing graduates in nursing council
of Kenya licensure examinations. Baraton Interdiscip Res J
2013;3:11‑21.
13. Belo‑Delariarte R, Oducado R, Penuela A. Terminal assessment
of core nursing knowledge in a state university. Asia Pac J
Multidiscip Res 2018;2:10‑7.
14. Ong M, Palompon D, Banico L. Predictors of nurses’ licensure
examination performance of graduates in Cebu Normal
University, Philippines. Asia J Health 2012;2(1):130‑41.
15. Amankwaa I, Agyemang‑Dankwah A, Boateng D. Previous
education, sociodemographic characteristics, and nursing
cumulative grade point average as predictors of success in nursing
licensure examinations. Nurs Res Pract 2015;2015:682479.
16. Jeffrey P, Harris R, Sherman J. Quality improvement: A practical
nursing program’s admission test. Nurse Educ Today
2019;73:65‑70.
17. Pike A, Lukewich J, Wells J, Kirkland MC, Manuel M,
Watkins K, et al. Identifying indicators of National Council
Licensure Examination for Registered Nurses (NCLEX‑RN)
success in nursing graduates in newfoundland and labrador. Int
J Nurs Educ Scholarsh 2019;1:1‑10.
18. Hobbins B, Bradley P. Developing a prelicensure exam for Canada:
An international collaboration. J Prof Nurs 2013;29:48‑52.
19. ChukwuS, NwachukwuA. Analysis of some meteorological parameters
using artificial neural network method for Makurdi, Nigeria. Afr J
Environ Sci Technol 2012;6:182‑8.
20. LeCunY, BengioY, HintonG. Deep learning. Nature 2015;521:436‑44.
21. Zacharis N. Predicting student academic performance in blended
learning using artificial neural networks. Int J Artificial Intell Appl
2016;7:17‑29.
22. HindererK, DiBartoloM, WalshC. HESI admission assessment(A2)
examination scores, program progression, and NCLEX‑RN success in
baccalaureate nursing: An exploratory study of dependable academic
indicators of success. J Prof Nurs 2014;30:436‑42.
23. SimonE, McGinnissS, KraussB. Predictor variables for NCLEX‑RN
readiness exam performance. Nurs Educ Perspect 2013;34:18‑24.
24. Lockie N, Van Lanen R, McGannon T. Educational implications
of nursing students’ learning styles, success in chemistry, and
supplemental instruction participation on national council licensure
examination‑registered nurse performance. JProf Nurs 2013;29:49‑58.
25. Rowland J. Admission Criteria, Program Outcomes, and
NCLEX‑RN® Success in Second Degree Students. ProQuest
Dissertations Publishing, 3592021; 2014. Available from: https://
search.proquest.com/docview/1435629681?accountid=35493.
[Last accessed on 2020 Jan 04].
26. Trofino R. Relationship of associate degree nursing program
criteria with NCLEX‑RN success: What are the best predictors
in a nursing program of passing the NCLEX‑RN the first time?
Teach Learn Nurs 2013;8:4‑12.
27. KaddouraMA, FlintEP, Van DykeO, YangQ, ChiangLC. Academic
and demographic predictors of NCLEX‑RN Pass rates in first‑ and
second‑degree accelerated BSN programs. JProf Nurs 2017;33:229‑40.
28. ChenH, BennettS. Decision‑tree analysis for predicting first‑time pass/
fail rates for the NCLEX‑RN in associate degree nursing students. JNurs
Educ 2016;55:454‑7.
29. CovellC, PrimeauM, KilpatrickK, St‑PierreI. Internationally educated
nurses in Canada: Predictors of workforce integration. Hum Resour
Health 2017;15:1‑16.
30. Lown SG, Hawkins LA. Learning style as a predictor of first‑time
NCLEX‑RN success: Implications for nurse educators. Nurse Educ
2017;42:181‑5.