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Home » Pass rates continue to fall at Florida nursing schools, data shows
According to a new report from the Florida Center for Nursing, fewer than two-thirds of nursing students in Florida will have passed the national licensure exam in 2022.
The National Council Licensure Examination is the final step for graduates to become licensed healthcare providers in a state desperate for nurses.
Florida hospital nurses suffer from high turnover and a large number of vacancies, with the state projected to be short of almost 60,000 nurses by 2035. Still, Florida has the lowest exam rate in the country as of 2017, according to Tampa Bay Times analysis.
Pass rates for registered nurses fell 1 percentage point to 63.9% from 2021, the new report says. That’s well below the national average pass rate of 79.9% for US-trained first-time test takers.
The rate for practicing nurses – who are allowed to perform more limited healthcare roles – was 65.6%, up 3 percentage points from 2021. The national average success rate for first-time US-trained practical nurses was 79.9%.
“A continued inability for employers to fill nursing vacancies can result in limited access to quality and safe care for the people of Florida,” the Florida Center for Nursing warned in a press release.
Related: Florida’s nursing pipeline has stalled as many prospective nurses fail their exams
The report follows a recent revelation that three Florida nursing programs sold more than 7,600 fraudulent nursing degrees between 2016 and 2021.
Federal authorities accused 25 people from South Florida’s schools — Siena College, the Palm Beach School of Nursing and Sacred Heart International Institute — of selling the fake diplomas for more than $114 million.
About 2,400 students from those schools eventually passed their licensing exams, federal officials said. Most passed the exam in New York, which does not limit the number of exams.
Nurses licensed in New York are permitted to practice in Florida and many other states.
Those who earned a fake degree may lose their certification to practice nursing but are unlikely to be prosecuted, officials said.
“This is a farce and a blow to the nursing workforce, which particularly reduces the trust and credibility of our profession,” said Dr. Rayna Letourneau, executive director of the Florida Center for Nursing based in Tampa at the University of South Florida. “Nurses are trusted, ethical, hard-working professionals who provide safe, quality care to our patients and our communities.”
Related: Florida’s fake nursing diploma program resulted in 7,600 fraudulent degrees, FBI say
It is unclear why the three programs were allowed to run for so long.
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The Florida Board of Nursing may put programs on probation if they fall below 10 percentage points of the national average pass rate for two consecutive years. Programs that do not improve may be terminated by the Board of Directors.
Between 2016 and 2021, more than 2,100 Palm Beach School of Nursing students took the Registered Nursing Exam. During those years, the school never had a pass rate above 17% — well below the national average each year, according to an analysis of Tampa Bay Times licensing data.
Nearly 300 graduates from Siena and Sacred Heart took the practical nursing exam during the same period. Sacred Heart never had a success rate above 40% and Siena never got above 60%.
The rates at these and other private, for-profit private schools, where an average of just 52.7% of students pass the national nursing exam, lower Florida’s otherwise potentially much better passing rate.
The problem is particularly acute in the southern and southeastern regions of the state, where for-profit schools have had average success rates below 45%.
The state’s public universities and colleges typically have one of the highest pass rates in the state, with the largest programs exceeding 90%. But even public programs saw pass rates drop in 2022 — to an average of 79.8%.
It’s unclear why some schools and regions consistently underperform the rest of the state, Letourneau said, and the center’s next goal is to establish best practices that can be applied statewide.