Campbell T Diane, Penz Kelly, Vandenberg Helen, Campbell Michael
Assistant Professor, College of Nursing, University of Saskatchewan, Regina Campus, Regina, SK.
Student in the Baccalauréat en Education, University of Regina, Regina, SK.
Nurs Leadersh (Tor Ont). 2019 Dec;32(4):46-56. doi: 10.12927/cjnl.2020.26102.
In 2015, the nursing faculty across most of Canada were informed by provincial nursing regulators that the America-based National Council Licensure Examination-Registered Nurse (NCLEX-RN) was going to replace the Canadian Registered Nurse Examination for our nursing students to become registered as nurses. This change in the exam has presented a number of challenges to both faculty and students as they transitioned from a Canadian exam for the Canadian context to an exam that was originally formulated for nursing registration in the United States. This manuscript examines the differences in the Canadian and American healthcare systems; explores the variations in Canadian and American nursing practice and education; outlines concerns surrounding the use of standardized testing that panders to corporate interests, encourages "teaching to the test" and is costing nursing programs and nursing students considerable resources; and explores the controversy surrounding the validity of the NCLEX-RN in both Canada and the United States. This manuscript asks Canadian nursing leaders, educators, clinicians and researchers to question why Canadians have taken on this exam when Americans themselves state that this exam "gives a false and incomplete picture of practice readiness."
2015年，加拿大大部分地区的护理教师收到省级护理监管机构的通知，基于美国的全国护士执照考试注册护士（NCLEX-RN）将取代加拿大注册护士考试，供我们的护理专业学生注册成为护士。考试的这一变化给教师和学生都带来了诸多挑战，因为他们正从适用于加拿大情况的加拿大考试过渡到最初为美国护士注册制定的考试。本文探讨了加拿大和美国医疗体系的差异；探究了加拿大和美国护理实践与教育的不同；概述了围绕标准化考试的担忧，这种考试迎合企业利益、鼓励“应试教学”，还让护理专业项目和护理专业学生耗费大量资源；并探讨了围绕NCLEX-RN在加拿大和美国有效性的争议。本文呼吁加拿大护理领域的领导者、教育工作者、临床医生和研究人员质疑，为何美国人自己都说这个考试“对实践准备情况给出了虚假且不完整的描述”，而加拿大人却采用了它。
