Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, ON, Canada.
School of Nursing, University of Ottawa, Ottawa, Canada.
Int Nurs Rev. 2018 Mar;65(1):13-23. doi: 10.1111/inr.12367. Epub 2017 Mar 15.
This study examines perceptions of the implementation of National Council Licensing Examination in Canada through a content analysis of articles in the media.
Public opinions of nursing in the media have been acknowledged as important for the profession, specifically in relation to their portrayal of nursing.
The Canadian Council of Registered Nurse Regulators began using the US-based National Council Licensing Examination as entry examination (also known widely as NCLEX) for Canada's registered nurses, discontinuing the previous Canadian Registered Nurse Examination in 2015.
A qualitative content analysis was conducted of media reports that emerged following adoption of the National Council Licensing Examination in Canada, and highlight the image of nursing portrayed in the media during this key regulatory policy change.
Release of the examination results for the first three quarters of 2015 identified a much lower overall Canadian pass rate than with the previous exam. Media reports highlight differences in perception of the examination between Canadian regulators and other stakeholders in the context of the examination experiences reported and test results. Issues around applicability of the examination to Canadian nursing practice, curriculum alignment, language translation concerns and stakeholder engagement were identified.
The implementation of the National Council Licensing Examination in Canada highlighted lack of communication among nursing stakeholders in the country.
Most of the media reporting has been negative and poses a reputational risk to the Canadian nursing profession.
This change in the licensing requirement has significant policy implications for nursing in Canada and globally. Issues such as appropriate examination translation, access to appropriate test preparation materials, assurance that the examination reflects distinctive aspects of a country's healthcare system and the need for stakeholder engagement were identified.
本研究通过对媒体文章的内容分析，考察了加拿大实施全国委员会执照考试的看法。
媒体对护理的公众意见被认为对该专业很重要，特别是在护理的描述方面。
加拿大注册护士监管委员会从 2015 年开始使用基于美国的全国委员会执照考试（也被广泛称为 NCLEX）作为加拿大注册护士的入学考试，取代了之前的加拿大注册护士考试。
对采用加拿大全国委员会执照考试后的媒体报道进行了定性内容分析，并强调了在这一关键监管政策变化期间媒体所描绘的护理形象。
2015 年前三个季度的考试成绩公布显示，加拿大的整体通过率远低于之前的考试。媒体报道突出了加拿大监管机构和其他利益相关者对考试经验和考试结果的看法之间对考试的看法存在差异。还确定了考试对加拿大护理实践的适用性、课程调整、语言翻译问题以及利益相关者参与等问题。
加拿大实施全国委员会执照考试突出了该国护理利益相关者之间缺乏沟通。
大多数媒体报道都是负面的，对加拿大护理行业的声誉构成了风险。
这一许可要求的变化对加拿大和全球的护理产生了重大政策影响。确定了一些问题，如适当的考试翻译、获得适当的考试准备材料、确保考试反映出一个国家医疗保健系统的独特方面以及利益相关者参与的必要性。
