The Growth and Performance of Nursing Programs by Ownership Status
| Autor: | Emily Bass, Ellen T. Kurtzman, Xinxin Han, Patricia Pittman |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Nursing (miscellaneous)
Variables 030504 nursing Poverty 030503 health policy & services Integrated Postsecondary Education Data System media_common.quotation_subject Associate degree Bachelor 03 medical and health sciences Issues ethics and legal aspects Nursing Nurse education 0305 other medical science Psychology Socioeconomic status health care economics and organizations Accreditation media_common |
| Zdroj: | Journal of Nursing Regulation. 9:5-21 |
| ISSN: | 2155-8256 |
| DOI: | 10.1016/s2155-8256(19)30011-0 |
| Popis: | Introduction Since 2002, there has been dramatic growth in the number of registered nurse (RN) graduates from nursing programs in all types of institutional settings, with the largest increases in the for-profit sector. Aim To document trends in the growth of nursing programs and to compare their outcomes, as measured in first-time NCLEX® pass rates, by ownership type and degree, including bachelor of science in nursing, associate degree in nursing, and practical nurse. Methods We used 10 years of data (2007-2016) from the Integrated Postsecondary Education Data System (IPEDS) to track the number of programs and graduates by ownership type. We obtained 5 years of data (2011-2015) from state boards of nursing on first-time NCLEX pass rates by degree. We constructed a multivariate regression model with pass rates as the dependent variable and school ownership status as the independent variable. Covariates included a broad range of institution-level covariates obtained from IPEDS and county-level data on poverty obtained from the Area Health Resource File. Results From 2007-2016, there was a five-fold increase in the total number of for-profit nursing programs and a 14-fold increase in the number of graduates of for-profit nursing programs. Graduates of public nursing programs declined as a percentage of total graduates, whereas for-profit programs' share grew from 1.7% to 14.2 %. After controlling for demographic and socioeconomic factors, for-profit ownership was a significant predictor of lower NCLEX pass rates for all three degree programs. Conclusions Additional research is needed to understand why ownership status affects performance, but it is incumbent upon nursing leaders to review federal, state, and accreditation oversight to ensure minimum performance standards for all nursing programs. |
| Databáze: | OpenAIRE |
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