Strategies to Increase the Global Nursing Workforce for Culturally Competent Care

Wednesday, 1 August 2012

Diane M. Breckenridge, RN, BSN, MSN, PhD, ANEF
School of Nursing and Health Sciences, La Salle University, Philadelphia, PA

Learning Objective 1: The learner will be able to correlate the results with pre-entrance strategies.

Learning Objective 2: The learner will be able to correlate the results with program strategies.

Purpose: The purpose of the Students at Risk, Strategies for Success (SRSS) program is to prepare at-risk students for academic challenges at a baccalaureate nursing program and to retain ESL students in the nursing major to earn a BSN, pass the United States licensing exam, the NCLEX-RN®, and join the nursing workforce as a culturally competent resource to diverse client -based groups. This initiative is consistent with the Institute of Medicine (IOM) and Carnegie (2010) reports that include the recommendation to increase the underrepresented and diverse nursing workforce by 2020, so that clients are served by a diverse workforce regionally, statewide, nationally and internationally.

Methods: Upon approval by the IRB, students entering the program were assessed with the Risk Assessment Profile, Strategies for Success (RAPSS) instrument to prospectively assess risk factors. An ongoing team approach includes the Project Director, nursing Tutors, a Case Manager, a Data Manager, ESL student tutors, faculty, administrators, and support staff.

Results: For the N 261 sample: 18% spoke ESL, consistent with the national average. Diverse, underrepresented students are highly represented in this Philadelphia, Pennsylvania baccalaureate nursing program. Approximately 30% of the nursing students were Black/African American, which is nearly three times the national percent. In the sample of students of all races, 41% of nursing students were below the government poverty level; and 28% were the first in their family to attend college

Conclusion: The SRSS Program was instituted three years ago with the intent to raise the NCLEX-RN® from 70.6%.  In 2009-2010, the pass rate for first time takers increased to 82.95%; and the new 2010 - 2011 results were 85.6%. A recent retrospective data analysis of the sample showed that the number of predictors of the 13 item RAPSS scale can be reduced to three and the number one predictor of failing the NCLEX-RN® was the student’s income at the US poverty level.