The Next-Generation NCLEX (NGN) is an initiative by the National Council of State Boards of Nursing (NCSBN) to enhance the readiness of new nursing graduates [1]. Launched on April 1, 2023, this transformative shift in nursing licensure exams aims to measure and evaluate clinical judgment and decision-making skills effectively [3].
A Focus on Clinical Judgment
Central to the NGN is the focus on clinical judgment, aligning with the nursing process and incorporating cognitive skills [1][2]. To accomplish this, the NGN utilizes the NCSBN Clinical Judgment Measurement Model (NCJMM). The NCJMM provides a standardized framework for measuring clinical judgment in high-stakes examinations, thereby ensuring public safety [3].
New Test Items Types
An exciting feature of the NGN is the introduction of new test item types. These include multiple-choice, highlight, drop-down, and drag-and-drop questions, all designed to assess clinical judgment and reasoning [1]. By using these innovative question formats, the NGN evaluates nursing graduates’ competence through realistic clinical scenarios, mirroring the complexity and nuance of actual clinical practice.
Preparing for the NGN
The transition to the NGN encourages nurse educators to cultivate cognitive skills among students through activities such as case studies and simulations [1]. As the NGN focuses on clinical judgment rather than rote memorization, these activities allow students to gain essential experience in decision-making and problem-solving, preparing them better for their professional roles.
A Collaborative Initiative
The development and launch of the NGN was made possible through extensive research and collaboration with nursing experts, educators, and aspiring nurses. The NCSBN, as an independent organization supporting nursing regulators globally, is recognized for its leadership in test development and administration, particularly the NCLEX® Exams [3].
Conclusion
The Next-Generation NCLEX represents a significant evolution in nursing licensure examinations. Its focus on clinical judgment, innovative test items, and emphasis on cognitive skills provide a comprehensive and realistic assessment of nursing graduates’ competence. By ensuring that new nurses are equipped with the necessary skills for real-world clinical scenarios, the NGN promises to contribute significantly to improving patient care and safety.