Abstract :

This study aimed to determine the factors influencing the successful board examination performance of Paulinian nurses in Surigao City, focusing on individual, institutional, and environmental aspects. Guided by Jeffreys’ Nursing Universal Retention and Success (NURS) Model, the research employed a mixed-methods design, integrating quantitative surveys and qualitative insights to analyze the multidimensional elements impacting student outcomes. Respondents included Paulinian nurses who passed the licensure exams between 2013 and 2023. Data collection emphasized student demographic profiles, academic and affective factors, environmental influences, and professional integration. Findings revealed that effective preparation strategies, such as consistent study habits, attendance at review centers, and peer support activities, significantly contributed to board examination success. Institutional factors, including curriculum quality and faculty expertise, further enhanced outcomes. Additionally, psychological readiness, such as resilience and stress management, emerged as critical determinants. The study concluded that immediate licensure examination after graduation maximized recall and academic preparedness. It is recommended that St. Paul University Surigao strengthen its support systems through curriculum updates, tailored review programs, and workshops on stress management and test-taking strategies. Future researchers may explore additional variables like mental health and socio-demographic factors to further advance understanding and improve nursing education outcomes.

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Keywords :

Academic preparedness, Board examination success, Jeffreys' NURS Model, Mixed-methods design, Paulinian nurses, Psychological readiness, Surigao City

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References :

1. Al Alawi, Reem & Oliver, Gina & Donaldson, Joe. (2020). Systematic review: Predictors of students’ success in baccalaureate nursing programs. Nurse education in practice. 48. 102865. 10.1016/j.nepr.2020.102865. Retrieved from: https://pubmed.ncbi.nlm.nih.gov/32927338/
2. Amankwaa, I., Agyemang-Dankwah, A., & Boateng, D. (2015). Previous Education, Sociodemographic Characteristics, and Nursing Cumulative Grade Point Average as Predictors of Success in Nursing Licensure Examinations. Hindawi Publishing Corporation Nursing Research and Practice Volume 2015, Article ID 682479, 8 pages. Retrieved from:https://pubmed.ncbi.nlm.nih.gov/26635975/
3. Astin, A. W. (2020). Why Spirituality Deserves a Central Place in Liberal Education. Liberal Education, 90(2), 34-41.
4. Ballado-Tan, Jade. (2014). Academic Performance, Aspirations, Attitudes, And Study Habits As Determinants Of The Performance In Licensure Examination Of Accountancy Graduates. International Journal of Education and Research Vol. 2 No. 12 December 2014. Retrieved from:https://www.ijern.com/journal/2014/December-2014/06.pdf
5. Banua, A. (2017). Determinants Of Performance Of Nursing Graduates In Licensure Examination. BU R&D Journal 2017 | ISSN 0116-4139 | Vol 20. Retrieved from: https://www.journal.bicol-u.edu.ph/assets/journal_pdf/8%20Banua_113-118.pdf

6. Beling, J., Neis, J., & Esaga, D. D. (2023). Academic Performance as predictors of nursing licensure examination. Retrieved from: St. Paul University Surigao Libraries UT1901.
7. Benner, P., Tanner, C.A. and Chesla, C.A. (2009). Expertise in Nursing Practice: Caring, Clinical Judgment, and Ethics. 2nd Edition, Springer Publishing Company. Retrieved from: https://doi.org/10.1891/9780826125453
8. Butcon VE, Pasay-An E, Indonto MC, Villacorte L, Cajigal J. Assessment of determinants predicting success on the Saudi Nursing Licensure Examination by employing artificial neural network. J Edu Health Promot 2021;10:396 Retrieved from: https://jehp.net/article.asp?issn=2277-9531;year=2021;volume=10;issue=1;spage=396;epage=396;aulast =Butcon
9. Creswell, J. W., Clark, V. (2017) Designing and Conducting Mixed Method Research. Retrieved from: https://study.sagepub.com/creswell3e
10. Costa, D. (2023) Empirical evidence. Encyclopedia Britannica. Retrieved from: https://www.britannica.com/topic/empirical-evidence

11. Diamante, V. A., Ampararado, M. A. (2018). Mock Board Examinations and Nurse Licensure Examinations: 2014 to 2016. Cebu Journal of Nursing. Retrieved from: https://www.semanticscholar.org/paper/Mock-Board-Examinations-and-Nurse-Licensure-2014-to-Amparado-Diamante/8d2fbe8ddd59f15bc1e5111ff37fa1529bca7949
12. Diemer, M. A.et al (2013). Best practices in conceptualizing and measuring social class in psychological research. Analyses of Social Issues and Public Policy, 13(1), 77–113. https://doi.org/10.1111/asap.12001
13. Duckworth, A. L., Peterson, C., Matthews, M. D., & Kelly, D. R. (2017). Grit: Perseverance and Passion for Long-Term Goals. Journal of Personality and Social Psychology, 92(6), 1087–1101. DOI: 10.1037/0022-3514.92.6.1087
14. Eccles, J. S., & Wigfield, A. (2022). Motivational beliefs, values, and goals. Annual Review of Psychology, 53(1), 109-132. DOI: https://doi.org/10.1146/annurev.psych.53.100901.135153
15. Ederio, N., Inocian, E., Calaca, N., & Espiritu, J.G. (2023). Ethical research practices in educational institutions: A literature review. International Journal of Current Science Research and Review, 06(5), 2709-2724. DOI: https://doi.org/10.47191/ijcsrr/V6-i5-02
16. Ely, K., Lagasca, G Andersen., S., et al. (2023). Medical Students’ Socioeconomic Status and Academic Performance in Medical School. The Creative Commons Attribution License CC-BY 4.0. Retrieved from: https://www.semanticscholar.org/paper/Medical-Students%E2%80%99-Socioeconomic-Status-and-Academic-Ely-Lagasca/d4da741fd5719a05baadec7ecd5661f2db8cc9ff
17. Franc, J. (2020) Response, Factor, and Level – Three Experimental Definitions You Might be Getting Wrong. Stat59. Retrieved from: https://www.stat59.com/blog/2020/6/response-factor-level-definitions/#:~:text=Factors%20are% 20the%20variables%20in,manipulator%20 variables%2C%20 or%20risk%20 factors.
18. Freiburger, E., Quintanilla, V., Hugenberg, K., et al. (2022). The impact of the COVID-19 pandemic on first-generation women test-takers: Magnifying adversities, stress, and consequences for bar exam performance. Wiley, Journal of the Society for the Psychological Study of Social Issues. Retrieved from: https://spssi.onlinelibrary.wiley.com/doi/full/10.1111/josi.12550

19. Harrison, C. V. (2018). Predicting Success for Associate Degree Nursing Students in a Concept-Based Curriculum. Teaching and Learning in Nursing 13 (2018) 135–140. Retrieved from: https://www.sciencedirect.com/science/article/abs/pii/S1557308717302901

20. Jeffreys, M. R. (2020). Nursing Universal Retention and Success (NURS) Model: A Holistic, Discipline-Focused Framework. Journal of College Student Retention: Research, Theory & Practice, 152102512093925. https://doi.org/10.1177/1521025120939254  10.1177/1521025120939254 Retrieved from: https://journals.sagepub.com/doi/abs/10.1177/1521025120939254

21. Joyce, B., & Calhoun, E. (2020). Models of professional development: A celebration of educators. Thousand Oaks, CA: Corwin Press. DOI:10.4135/9781452219387
22. Kaddoura, M.A., Flint, E.P., Van Dyke, O., Yang, Q. & Chiang, L.-C., Academic and Demographic Predictors of NCLEX-RN Pass Rates in First- and Second-Degree Accelerated BSN Programs, Journal of Professional Nursing (2016), doi:10.1016/j.profnurs.2016.09.005 Retrieved from: https://www.semanticscholar.org/paper/Academic-and-Demographic-Predictors-of-NCLEX-RN-in-Kaddoura-Flint/d4dfa53375af4b164eb2406971d3c98f7f4a415e
23. Kim, H. J., Nikstaitis, T. M., Park, H., et al. (2019) Predictors and students’ perceptions of NCLEX-RN success in a BS program. Journal of Nursing Education and Practice 2019, Vol. 9, No. 6 Retrieved from: https://www.semanticscholar.org/paper/Predictors-and-students%E2%80%99-perceptions-of-NCLEX-RN-in-Kim-Nikstaitis/29533932228a6e798acb7cd1e82bc35a6d24aedf
24. Lai, H. L., Fu, S. Y., & Peng, T. C. (2023). Predictors of success in the registered nurse licensure exam for nursing graduates whose education was affected by the COVID-19 pandemic. Teaching and Learning in Nursing 18 (2023) e72e78.  Retrieved from: https://www.sciencedirect.com/science/article/pii/S1557308723000689
25. Llego, J.,Gabriel, E., Corpus, J.,  et al. (2020). The Predictive Strength of Academic Performance in Passing the Philippine Nurse Licensure Examination. International Journal of Innovation, Creativity and Change.  Volume 13, Issue 1, 2020.  Retrieved from: https://www.researchgate.net/publication/342028622_The_Predictive_Strength_of_Academic_Performance_in_Passing_the_Philippine_Nurse_Licensure_Examination

26. Lukman,D. (2021) Academic Performance: The Role Of Motivation In Students’ Learning. Medium. Retrieved from: https://imperialwriters7.medium.com/academic-performance-the-role-of-motivation-in-students-learning-6cf35a1e0f5b
27. Locke, E. A., & Latham, G. P. (2022). Building a practically useful theory of goal setting and task motivation: A 35-year odyssey. American Psychologist, 57(9), 705-717. DOI:10.1037/0003-066X.57.9.705
28. Malecki, C. K., & Demaray, M. K. (2022). Measuring perceived social support: Development of the child and adolescent social support scale (CASSS). Psychology in the Schools, 39(1), 1-18. DOI:10.1002/pits.10004
29. Mizan, M. (2022) What Is Curriculum? Definition and Importance of Curriculum. Domain of Mizanur R. Mizan. Retrieved from: https://www.mizanurrmizan.info/what-is-curriculum-definition-and-importance-of-curriculum/
30. More, H. (2019) Variables in Statistics. The Fact Factor. Retrieved from: https://thefactfactor.com/facts/management/statistics/variable/1432/

31. Mthimunye, Katlego & Daniels, Felicity. (2019). Predictors of academic performance, success and retention amongst undergraduate nursing students: A systematic review. Vol 33. 200-220. 10.20853/33-1-2631. https://www.researchgate.net/publication/332466279_Predictors_of_academic_performance_success_and_retention_amongst_undergraduate_nursing_students_A_systematic_review
32. Noreen, M. (2023) Philippine Nursing Licensure Exam: Preparation and Updates. 1Nurse. Retrieved from: https://www.1nurse.com/blog/story/2023/01/24/philippine-nursing-licensure-exam-preparation-and-updates/?
33. Ocampo, N. (2015). The Self-Review Stories Of Seven First-Taker Board Passers In The Philippine Nursing Licensure Examination (P.N.L.E.): A Multiple Case Study.  Faculty Of Graduate School Of St. Paul University Manila Retrieved from: https://www.researchgate.net/publication/308917651_The_Self-Review_Stories_of_Seven_First-Taker_Board_ Passers_in_the_Philippine_Nursing_Licensure_Examination_PNLE_A_Multiple_Case_Study
34. Oducado, R., Cendeñ, C., Belo-Delariarte, R (2019). Institutional Competency Assessment And Other Factors Influencing The Nurse Licensure Examination. International Journal Of Scientific & Technology Research Volume 8, Issue 12. Retrieved from: https://www.semanticscholar.org/paper/Institutional-competency-assessment-and-other-the-Oducado-Cenda%C3%B1a/50cda51f47ff334146acb9812860dafedf1bafa5
35. Oducado, R.F., & Penuela, A. (2014). Predictors of Academic Performance in Professional Nursing Courses in a Private Nursing School in Kalibo, Aklan, Philippines. Asia Pacific Journal of Education, Arts and Sciences | Vol. 1, No. 5 | November 2014. Retrieved from: https://www.researchgate.net/publication/271585724_Predictors_of_Academic_Performance_in_Professional_Nursing_Courses_in_a_Private_Nursing_School_in_Kalibo_Aklan_Philippines

36. Oducado, R. M., Sotelo, M., Ramirez, L. M., et al. (2020). English Language Proficiency and Its Relationship with Academic Performance and the Nurse Licensure Examination. Nurse Media Journal of Nursing, 10(1), 2020, 46-56. Retrieved from: https://files.eric.ed.gov/fulltext/ED606070.pdf
37. Outlaw, K., Burns, D., Rushing, D., et al. (2014). Academic & Non-Academic Variables Impacting BSN Students Who are Unsuccessful on Initial NCLEX-RN. GSTF Journal of Nursing and Health Care. 1. 10.5176/2345-718X_1.2.31. Retrieved from: https://www.researchgate.net/publication/287140381_Academic_Non-Academic_Variables_Impacting_BSN_Students_Who_are_Unsuccessful_on_Initial_NCLEX-RN
38. Poldrack, R. (2011) Retention. Cognitive Atlas. Retrieved from: https://www.cognitiveatlas.org/concept/id/trm_4a3fd79d0af7d/

39. Pulgarinas, Romeo Jr. (2022). Academic and Non-Academic Profile Affecting the Nurse Licensure Examination Performance of the Nursing Graduates of a Higher Education Institution in Davao City. JPAIR Institutional Research. 19. 10.7719/irj.v19i1.835. Retrieved from: https://www.researchgate.net/publication/370266167_Academic_and_Non-Academic_Profile_Affecting_the_Nurse_Licensure_Examination_Performance_of_the_Nursing_Graduates_of_a_Higher_Education_Institution_in_Davao_City
40. Posner, M. I., & Rothbart, M. K. (2022). Educating the Human Brain. Washington, DC: American Psychological Association. DOI:10.1037/11519-000
41. Salovey, P., & Mayer, J. D. (2018). Emotional Intelligence. Imagination, Cognition, and Personality, 9(3), 185–211. http://dx.doi.org/10.2190/DUGG-P24E-52WK-6CDG
42. Sears, N. A., Othman, M., & Mahoney, K. (2015). Examining the relationships between NCLEX-RN performance and nursing student factors, including undergraduate nursing program performance: A systematic review. Journal of Nursing Education and Practice, 5(11). doi:10.5430/jnep.v5n11p10  Retrieved from: https://www.semanticscholar.org/paper/Examining-the-relationships-between-NCLEX-RN-and-A-Sears-Othman/5127e3b48a61616f18478dff22c1b87d9c05b1dc

43. Smith, E. (2020). Junior baccalaureate nursing students: Factors that predict success. Journal of Nursing Education and Practice 2020, Vol. 10, No. 12. Retrieved from: https://www.researchgate.net/publication/343724630_Junior_baccalaureate_nursing_students_Factors_that_predict_success

44. The Commission on Higher Education (CHED, 2007) Review Center Associations of the Philippines vs. Executive Secretary Eduardo Ermita, et al. Suprasource G.R. No. 180046. Retrieved from: http://source.gosupra.com/docs/decision/17124#:~:text=The%20definition%20of%20a%20review,examinations%22%20given%20by%20the%20PRC.

45. Tofino, R. M. (2013) 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? Teaching and Learning in Nursing (2013) 8, 4–12.  Retrieved from: https://www.sciencedirect.com/science/article/abs/pii/S155730871200056X
46. Wentzel, K. R. (2018). Social relationships and motivation in middle school: The role of parents, teachers, and peers. Journal of Educational Psychology, 90(2), 202-209. DOI:10.1037/0022-0663.90.2.202
47. Wilkinson, E. (2018). Integration of Learning Activities for Improved Performance on the NCLEX-RN exam. Walden Dissertations and Doctoral Studies Collection. Retrieved from: https://scholarworks.waldenu.edu/cgi/viewcontent.cgi?article=6815&context=dissertations

48. Wyborny, T. (2018) THE IMPORTANCE OF PERCEPTION SHAPING YOUR PROFESSIONAL REALTY. Genesis10. Retrieved from: https://www.genesis10.com/blogs/the-importance-of-perception-shaping-your-professional-reality
49. Yerkes, R. M., & Dodson, J. D. (2020). The Relation of Strength of Stimulus to Rapidity of Habit-Formation. Journal of Comparative Neurology and Psychology, 18(5), 459-482.  http://dx.doi.org/10.1002/cne.920180503