Department of Health, Life and Environmental Sciences, University of L'Aquila, Edificio Delta 6, Via San Salvatore, 67010, Coppito, L'Aquila, Italy.
Nurse Educ Today. 2018 Nov;70:115-120. doi: 10.1016/j.nedt.2018.08.020. Epub 2018 Aug 24.
Low academic success rates lead to fewer than the required number of nurses entering the national health systems, impacting on the supply of nurses and with negative consequences for global health care since low nurse-to-patient ratios are associated with an increase of patients' adverse outcomes.
This study was mainly aimed at documenting any of the academic outcomes' potential predictors among Nursing Degree Program (NDP) students' characteristics.
A retrospective multi-cohort study was conducted.
Ten cohorts of nursing students enrolled in a central Italy university were involved.
Qualitative and quantitative data on entry characteristics and academic outcomes were retrieved, observing retrospectively 10 cohorts of Italian nursing students for 13 academic years (2004-2017). Multiple regression analyses were conducted to assess if potential predictors reporting a p-value < 0.05 in univariate analyses were independently related to academic outcomes.
A total of 2278 students were enrolled in this study. Multivariate analyses showed that 'female gender', 'having attended classical or scientific upper-secondary school', and 'having higher upper-secondary diploma grade' were associated both with the qualitative outcomes (graduation within the legal duration of NDP) and the quantitative ones (final degree exam grade). The weight of the 'admission-test score' in explaining the variance of academic performances was very low (β = 0.03, 95% CI = 0.01 to 0.05) compared to the 'upper-secondary diploma grade' (β = 0.14, 95% CI = 0.12 to 0.16).
This evidence should lead to a reflection on the entry-selection methods for NDP, especially in those countries such as Italy, where these methods are essentially based on the entry-test, which in this study was shown to have a very low predictive power for academic outcomes.
较低的学业成功率导致进入国家卫生系统的护士人数少于需求人数，这对护士的供应产生影响，并对全球医疗保健产生负面影响，因为护士与患者的比例较低与患者不良结局的增加有关。
本研究主要旨在记录护理学位课程 (NDP) 学生特征中任何学术成果的潜在预测因素。
回顾性多队列研究。
参与研究的是意大利一所大学的十个护理学生队列。
回顾性收集了入学特征和学业成绩的定性和定量数据，观察了 10 个意大利护理学生队列 13 个学年（2004-2017 年）。进行多变量回归分析，以评估在单变量分析中报告 p 值<0.05 的潜在预测因素是否与学业成绩独立相关。
共有 2278 名学生参加了这项研究。多变量分析表明，“女性性别”、“上过古典或科学高中”和“具有较高的高中毕业证书等级”与定性结果（在 NDP 的法定期限内毕业）和定量结果（最终学位考试成绩）都相关。“入学考试成绩”在解释学业成绩方差方面的权重非常低（β=0.03，95%CI=0.01-0.05），而“高中毕业证书等级”的权重（β=0.14，95%CI=0.12-0.16）。
这一证据应该促使人们对 NDP 的入学选拔方法进行反思，特别是在意大利等国家，这些方法基本上基于入学考试，而在这项研究中，入学考试对学业成绩的预测能力非常低。
