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Senior Practicum Clinical Placements and NCLEX-RN Outcomes: Is There a Connection?
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Senior Practicum Clinical Placements and NCLEX-RN Outcomes: Is There a Connection?
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Journal Article
Senior Practicum Clinical Placements and NCLEX-RN Outcomes: Is There a Connection?
2025
Overview
Background:
Many nursing programs continue to strictly assign students to medical-surgical clinical placements in their senior practicum, despite a shortage of clinical sites. Little research exists on the impact of specialty clinical site placements on first-time NCLEX-RN® outcomes.
Method:
A quantitative, causal-comparative research design is used to assess relationships between medical-surgical and specialty clinical site placements and NCLEX-RN outcomes for baccalaureate nursing students. This design also describes differences in first-time NCLEX-RN outcomes between specialty clinical site placements.
Results:
Retrospective data from 407 students revealed a statistically significant relationship between clinical placement and NCLEX-RN outcomes (p < .001), with students placed in specialty areas passing at higher rates than those in medical-surgical placements. The NCLEX-RN pass rate was 95% for specialty placements vs. 84% for medical-surgical placements.
Conclusion:
Specialty site clinical placements in the final semester may better meet the needs of students, nursing programs, and clinical agencies without jeopardizing NCLEX-RN outcomes.
