Paper
Friday, July 13, 2007
This presentation is part of : Nursing Education Global Initiatives
A Collaborative Program to Support At-Risk Students' Success
Carolyn S. Merriman, MS, APRN1, Priscilla Ramsey, RN, PhD2, Sally S. Blowers, RN, PhD2, and Janelle Grooms, MDiv2. (1) College of Nursing, East Tennessee State University, Johnson City, TN, USA, (2) Department of Adult Nursing, East Tennessee State University, Johnson City, Tennessee, USA
Learning Objective #1: identify two success strategies that increase retention rates and NCLEX-RN scores for at-risk students.
Learning Objective #2: to understand the importance of collaboration among departments, services, and personnel in promoting at-risk student success.

Background : Retaining nursing students is vital to any program.  At-risk students require creative, multifaceted approaches to ensure their success.  Prior to Fall of 2000, the College of Nursing at East Tennessee State University struggled with increased student attrition rates and slipping NCLEX scores (below national averages). 

 With the implementation of mandatory student testing throughout the curriculum, at-risk students were identified early.  If admission assessment test results were below 80% on either reading comprehension or the cumulative score, success interventions were initiated. A mandatory success course for these beginning at-risk students focused on test-taking analysis, reading comprehension, and study skills.  Another at-risk group of students, (defined as having one or more nursing course failure(s)), were also required to take a success course  that included individualized remediation contracts including mandatory peer tutoring, focused computerized remediation, and accountability partnering (mentoring) with classmates. 

 The Testing Center, the Nursing Undergraduate Resources for Successful Education (NURSE) Center, and the Learning Resource Center support services collaborated to provide a variety of interventions.  These included test-taking workshops, tutor and mentor services, and computerized remediation to promote student success, increase retention, and improve NCLEX scores.

 Methods: Data was gathered on three entering baccalaureate classes that were followed through graduation.  A longitudinal, evaluative study was designed to determine the most effective strategies promoting progression and retention of at-risk students. 

 Outcomes:  Preliminary data analysis indicated that at-risk students had a higher than expected graduation rate during the evaluative study period. It has also been reported that students that receive mentoring and tutoring have higher GPA’s than students not involved in these programs.  In addition, NCLEX-RN scores for the at-risk students have been above the national average since implementation of success strategies.  Results may be revised upon further data analysis.