Mark Louie V Zaspa and Jestoni D Maniago
Background: Filipino nurses constitute a significant portion of the global healthcare workforce, with thousands migrating annually to the United States after passing the National Council Licensure Examination for Registered Nurses (NCLEX-RN). Despite their strong representation among test-takers, Filipino candidates face lower pass rates compared to U.S.-educated nurses. This qualitative study explores the lived experiences of successful Filipino NCLEX-RN candidates to identify key success factors and preparation challenges.
Methods: Using purposeful sampling, we conducted bilingual (English/Tagalog) group interviews with 14 Filipino nurses who passed the NCLEX-RN after training at a partner review center. Sessions were recorded, transcribed using AI-assisted tools, and subjected to rigorous thematic analysis via NVivo14.
Results: Two key themes emerged: (1) The Filipino Candidates and their Challenges as Adult Learners, and (2) Gearing up for the NCLEX-RN. Participants emphasized the critical role of review centers in providing both academic frameworks and psychological support.
Conclusion: Successful NCLEX-RN preparation among Filipino nurses involves culturally embedded resilience strategies, tailored learning approaches, and holistic support systems. These findings advocate for integrated preparation programs addressing both cognitive and non-cognitive examination challenges. Future interventions should emphasize mental health support, financial planning guidance, and culturally responsive mentoring to enhance pass rates.
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