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Cited by 4Nursing Education, Practice, and LeadershipOccupational and Professional Licensing RegulationNursing education and management

Perspectives on the need for a nursing entry-to-practice examination in Canada

MacMillan, Kathleen·2019·Canadian Journal of Nursing Leadership
DOI 10.12927/cjnl.2020.26106
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Abstract

Whenever we approach a policy change or revision, it is important to consider the impact of mental models and path dependency on our ability to consider a full range of options. The need for an entry-to-practice (ETP) or pre-licensing nursing examination may well fit the description of an entrenched mental model that results in path dependency. In this commentary, the objectives and purpose of nursing ETP examinations are explored within Canadian historical context, jurisdictional comparisons are considered and questions raised that could inform a national discussion on why Canada may or may not need an ETP examination for nursing.

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  • The NCLEX-RN entry-to-practice exam sparked controversy within the profession, generating significant attention from non-regulator scholars.

    “For example, the NCLEX-RN entry-to-practice exam sparked controversy within the profession, generating significant attention from non-regulator scholars [66,68,71–73,77,80,97,98,100,123,124,126,167,217]”

    From Nursing regulation in Canada: Insights from a scoping review (2025) · cites this paper as [72]

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Authors
MacMillan, K.
Affiliations
Dalhousie University (CA)
Corresponding author
MacMillan, Kathleen
ORCID
MacMillan, Kathleen
Venue
Canadian Journal of Nursing Leadership
Publisher
Longwoods Publishing
Published
2019-12-31
Volume
32
Issue
4
Pages
12-16
ISSN
  • 1481-9643 (ISSN-L)
  • 1929-6355
DOI
10.12927/cjnl.2020.26106
OpenAlex
W3006132748
Cited by
4
References
0
Citations by year
2026: 1 · 2025: 1 · 2021: 1 · 2020: 1
FWCI
1.37
Type
journal article
Language
en
Open access
closed
Locations
  • Nursing leadership (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Nursing › Issues, ethics and legal aspects › Nursing Education, Practice, and Leadership
  • Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Occupational and Professional Licensing Regulation
  • Health Sciences › Nursing › Research and Theory › Nursing education and management
Keywords
nursing licensure, mental models, path dependence, nursing policy, jurisdictional comparison, nursing education
MeSH terms
Canada, Clinical Competence, Educational Measurement, Humans, Students, Nursing

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