Predictive Factors of Results for the Nursing and Midwifery Licensure Examination at a Private University

Abstract

This study aimed to examine the predictive power of factors influencing outcomes of the nursing and midwifery licensure examination. The sample consisted of 162 graduates from both the standard Bachelor of Nursing Science program and the 2.5-year accelerated program in the academic year 2024, drawn from a target population of 190 individuals at a private university. The research instruments comprised a background data record form, a six-part questionnaire covering personal information, academic background, achievement motivation, examination preparation behaviors, institutional support, and attitudes toward the examination, and an examination result record form. Content validity was established, yielding a Content Validity Index (CVI) ranging from .91 to .95. Data were analyzed using descriptive statistics and binary logistic regression analysis. The findings revealed that 59.3% of the sample passed all eight subjects of the licensure examination. Cumulative grade point average (CGPA), attitudes toward the examination, and achievement motivation collectively accounted for 35.4% of the variance in examination outcomes. Graduates with a CGPA of 3.00 or above were approximately 5.14 times more likely to pass the examination than those with a CGPA below 3.00 (OR = 5.144, 95% CI = 1.952-13.554, p < .001). Additionally, each one-point increase in attitude scores (OR = 1.101, 95% CI = 1.041-1.165, p < .001) and achievement motivation scores (OR = 1.055, 95% CI = 1.013-1.098, p < .05) was associated with a 1.10-fold and 1.06-fold increase in the likelihood of passing the examination, respectively. These findings may be applied to develop student support mechanisms that emphasize academic achievement enhancement alongside the promotion of positive attitudes and achievement motivation, thereby increasing the likelihood of successful licensure examination outcomes.