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Licensed Unlicensed Requires Authentication Published by De Gruyter January 20, 2023

A multisite transition to nursing program: an innovative approach to facilitate incoming nursing students’ academic success

  • Celeste M. Schultz EMAIL logo , Rachel A. Woods , Teresa J. Krassa , Alisha C. Carter and Catherine Leipold



Evaluate effectiveness of a multisite program promoting the successful transition of baccalaureate and graduate entry (with a prior degree) students into pre-licensure curricula. Faculty concern around nursing students’ successful completion of nursing programs and passage of the nursing licensure exam stems from challenges students encounter in core courses, study habits, and civility.


One hundred eighty-five students participated in a quasi-experimental pre-post-test mixed-methods study. Students completed content modules and open-ended surveys.


Most students found the program helpful. Statistically significant improvements were shown in medication calculation, reading comprehension, and medical terminology. No statistically significant improvement was shown in anatomy and physiology.


Our Transition to Nursing program shows promise and adds to proactive strategies in preparing students for a successful transition into nursing programs. Our innovative approach may serve as a model to nursing schools and colleges around the world to promote student success.

Corresponding author: Celeste M. Schultz, University of Illinois Chicago College of Nursing, Chicago Campus, 845 S. Damen Ave., MC 802, 60612 Chicago, IL, USA, Phone: 312 996 7939, E-mail:


We would like to acknowledge Maripat King, DNP, RN, ACNP, and Julie Schwind, DNP, RN for their support of and participation in the Transition to Nursing Program.

  1. Research funding: None declared.

  2. Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.

  3. Competing interests: Authors state no conflict of interest.

  4. Informed consent: Informed consent was obtained from all individuals included in this study.

  5. Ethical approval: The research related to human use has complied with all the relevant national regulations, institutional policies, and in accordance with the tenets of the Helsinki Declaration, and has been approved by the University of Illinois Chicago Institutional Review Board (2019-1340).


Alden, K. R. (2008). Predictors of early academic success and program completion of baccalaureate nursing students [Unpublished doctoral dissertation]. North Carolina State University.Search in Google Scholar

Arhin, A. O., & Cormier, E. (2007). Using deconstruction to educate generation Y nursing students. Journal of Nursing Education, 46(12), 562–567. Search in Google Scholar PubMed

Bagnasco, A., Galaverna, L., Aleo, G., Grugnetti, A. M., Rosa, F., & Sasso, L. (2016). Mathematical calculation skills required for drug administration in undergraduate nursing students to ensure patient safety: A descriptive study. Nurse Education in Practice, 16, 33–39. Search in Google Scholar PubMed

Black, A. H. (2017). The effect of a student success program on the academic success of first year junior nursing students [Unpublished doctoral capstone paper]. Gardner-Webb University.Search in Google Scholar

Brown, S., Wakeling, L., Naiker, M., & White, S. (2014). Approaches to study in undergraduate nursing students in regional Victoria, Australia. International Journal of Nursing Education Scholarship, 11(1), 155–164. Search in Google Scholar PubMed

Bryan, W. A. (1971). The effectiveness of a developmental reading course in a college of nursing. Retrieved from ERIC database. (ED 059 025).Search in Google Scholar

Burris, B. M. (1987). Reaching educationally disadvantaged students. Journal of Nursing Education, 87(10), 1359–1360. Search in Google Scholar

Caon, M., & Treagust, D. (1993). Why do some nursing students find the science courses difficult? Journal of Nursing Education, 32(6), 255–259. Search in Google Scholar PubMed

Cavanagh, S. J., Hogan, K., & Ramgopal, T. (1995). The assessment of student nurse learning styles using the Kolb Learning Styles Inventory. Nursing Education Today, 15(3), 177–183. Search in Google Scholar

Chu, C., Perkins, A., & Marks-Maran, D. (2012). Delivering a transition programme in literacy from level 4 to level 5 for nursing students: A pilot study. Nurse Education in Practice, 12, 77–82. Search in Google Scholar PubMed

Cook, J. D. M. (2006). The relationship between reading comprehension skill assessment and academic success and for first semester students in a selected Bachelor of Science Nursing program in Texas [Unpublished doctoral dissertation]. Texas A & M University.Search in Google Scholar

Cowman, S. (1998). The approaches to learning of student nurses in the Republic of Ireland and Northern Ireland. Journal of Advanced Nursing, 28(4), 899–910. Search in Google Scholar PubMed

Craft, J., Hudson, P., Plenderleith, M., Wirihana, L., & Gordon, C. (2013). Commencing nursing students’ perceptions and anxiety of bioscience. Nurse Education Today, 33, 1399–1405. Search in Google Scholar PubMed

Credé, M., & Kuncel, N. R. (2008). Study habits, skills, and attitudes. The third pillar supporting collegiate academic performance. Perspectives on Psychological Science, 3(6), 425–453. Search in Google Scholar

Deslauriers, L., Harris, S. E., Lane, E., & Weiman, C. E. (2012). Transforming the lowest performing students: An intervention that worked. Journal of College Science Teaching, 41(6), 76–84.Search in Google Scholar

Ertug, N., & Faydali, S. (2018). Investigating the relationship between self-directed learning readiness and time management skills in Turkish undergraduate nursing students. Nursing Education Perspectives, 39(2), E2–E5. Search in Google Scholar PubMed

Felicilda-Reynaldo, R. F. D., Cruz, J. P., Bigley, L., & Adams, K. (2017). Baccalaureate nursing students’ study habits prior to admission to nursing program: A descriptive qualitative study. Nurse Education Today, 53, 61–66. Search in Google Scholar PubMed

FereidouniMoghadam, M., & Cheraghian, B. (2009). Study habits and their relationship with academic performance among students in Abadan School of Nursing. Journal of Medical Education Development Center, 6(1), 21–28.Search in Google Scholar

Iwasiw, C. L., Andrusynzyn, M., & Goldenberg, D. (2020). Curriculum development in nursing education (4th ed.). Jones and Bartlett Learning.Search in Google Scholar

Jeffreys, M. R. (2001). Evaluating enrichment program study groups. Nurse Educator, 26(3), 142–149. Search in Google Scholar PubMed

Jeffreys, M. R. (2020). ADN-BSN articulation, academic progression, and transition. Nurse Educator, 45(3), 155–159. Search in Google Scholar

Jordan, S., Davies, S., & Green, B. (1999). The biosciences in the pre-registration nursing curriculum: Staff and students’ perceptions of difficulties and relevance. Nurse Education Today, 19, 215–226. Search in Google Scholar PubMed

Kocaman, G., Dicle, A., & Ugur, A. (2009). A longitudinal analysis of the self-directed learning readiness level of nursing students enrolled in a problem-based curriculum. Journal of Nursing Education, 48(5), 286–290. Search in Google Scholar

Kolb, D. A. (1984). Experiential learning: Experience as the source of learning and development. Prentice-Hall.Search in Google Scholar

Krautscheid, L. C., Orton, V. J., Chorpenning, L., & Ryerson, R. (2011). Student nurse perceptions of effective medication administration education. International Journal of Nursing Education Scholarship, 8(1), 1–15. Search in Google Scholar

Latham, C. L., Singh, H., Lim, C., Nguyen, E., & Tara, S. (2016). Transition program to promote incoming nursing student success in higher education. Nurse Educator, 41(6), 319–323. Search in Google Scholar PubMed

Luparell, S., & Frisbee, K. (2019). Do uncivil nursing students become uncivil nurses? A national survey of faculty. Nursing Education Perspectives, 40(6), 322–327. Search in Google Scholar PubMed

Lyon, D., Younger, J., Goodloe, L., & Ryland, K. (2010). Nursing students’ perceptions of how their prior educational foci and work experience affected their transition into an accelerated nursing program. Southern Online Journal of Nursing Research, 10(1). Search in Google Scholar

MacDonald, K., Weeks, K. W., & Moseley, L. (2013). Safety in numbers 6: Tracking pre-registration nursing students’ cognitive and functional competence development in medication dosage calculation problem-solving: The role of authentic learning and diagnostic assessment environments. Nurse Education in Practice, 13, e66–e77. Search in Google Scholar PubMed

Mackie, J. E., & Bruce, C. D. (2013). Increasing nursing students’ understanding and accuracy with medical dose calculations: A collaborative approach. Nurse Education in Practice, 40, 146–153. Search in Google Scholar PubMed

Mansouri, P., Soltani, F., Rahemi, S., Nasab, M. M., Ayatollahi, A. A., & Nekooeian, A. A. (2006). Nursing and midwifery students’ approaches to study and learning. Journal of Advanced Nursing, 54(3), 351–358. Search in Google Scholar PubMed

McKee, G. (2002). Why is biological science difficult for first-year nursing students? Nurse Education Today, 22, 251–257. Search in Google Scholar PubMed

Mushtag, S., Soroya, S. H., & Mahood, K. (2020). Reading habits of Gen Z students in Pakistan: Is it time to reexamine school library services? Information Development, 37(3), 1–13. Search in Google Scholar

Newton, S. E., Harris, M., Pittilgio, L., & Moore, G. (2009). Nursing student math aptitude and success on a medication calculation assessment. Nurse Educator, 34(2), 80–83. Search in Google Scholar

O’Reilly, R., Ramjan, L. M., Fatayer, M., Stunden, A., & Gregory, L. R. (2020). First year undergraduate nursing students’ perceptions of the effectiveness of blended learning approaches for nursing numeracy. Nurse Education in Practice, 45, 1–7. Search in Google Scholar PubMed

Popkess, A. M., & Frey, J. L. (2016). Strategies to support diverse learning needs of students. In D. M. Billings, & J. A. Halstead (Eds.), Teaching in nursing: A guide for faculty (5th ed., pp. 15–34). Elsevier.Search in Google Scholar

Ramjan, L. M., Stewart, L., Salamonson, Y., Morris, M. M., Armstrong, L., Sanchez, P., & Flannery, L. (2014). Identifying strategies to assist final semester nursing students to develop numeracy skills: A mixed methods study. Nurse Education Today, 34(3), 405–412. Search in Google Scholar PubMed

Rapchak, M. E., Nolfi, D. A., Turk, M. T., Marra, L., & O’Neil, C. K. (2018). Implementing an interprofessional information literacy course: Impact on student abilities and attitudes. Journal of the Medical Library Association, 104(4), 464–470. Search in Google Scholar PubMed PubMed Central

Rasouli, S., & Namnabati, M. (2019). Nurses’ learning of infants’ venipuncture based on Kolb’s learning theory. Journal of Neonatal Nursing, 25, 245–248. 10.1016/j.jnn.2019.04.002Search in Google Scholar

Sauer, P. A., Hannon, A. E., & Beyer, K. B. (2017). Peer incivility among prelicensure nursing students: A call to action for nursing faculty. Nurse Educator, 42(6), 281–285. Search in Google Scholar PubMed

Shanta, L. L., & Eliason, A. R. M. (2014). Application of an empowerment model to improve civility in nursing education. Nurse Education in Practice, 14, 82–86. Search in Google Scholar PubMed

Shirazi, F., & Heidari, S. (2019). The relationship between critical thinking skills and learning styles and academic achievement of nursing students. Journal of Nursing Research, 27(4), e38. Search in Google Scholar PubMed PubMed Central

Sisca, J., & Kerr, J. (1984). Passing the state board examination. Journal of Nursing Education, 23(8), 358–361. Search in Google Scholar PubMed

Smith-Wacholz, H. C., Wetmore, J. P., Conway, C., & McCauley, M. (2019). Retention of nursing student: An integrative review. Nursing Education Perspective, 40(6), 328–332. Search in Google Scholar

Tierney, R. J., & Cuningham, J. W. (1980). Research on teaching reading comprehension [Center for the Study of Reading Technical Report. No. 187].Search in Google Scholar

Vizeshafar, F., & Torabizadeh, C. (2018). The effect of teaching based on dominant learning style of nursing students’ academic achievement. Nursing Education in Practice, 28, 103–108. Search in Google Scholar PubMed

Weeks, K. W., Clochesy, J. M., Hutton, B. M., & Moseley, L. (2013). Safety in numbers 4: The relationship between exposure to authentic and didactic environments and nursing students’ learning of medication dosage calculation problem solving knowledge and skills. Nurse Education in Practice, 13, e43–e54.10.1016/j.nepr.2012.10.010Search in Google Scholar PubMed

Wills, E. M., & McEwen, M. (2014). Learning theories. In M. McEwen, & E. M. (Eds.), Theoretical basis for nursing (4th ed., pp. 386–410). Wolters Kluwer Health.Search in Google Scholar

Yeh, L., Ching-Huey, C., Chih-Jen, W., Miin-Jye, W., & Fetzer, S. J. (2005). A preliminary study of a healthy-lifestyle-promoting program for nursing students in Taiwan. Journal of Nursing Education, 44(12), 563–565. Search in Google Scholar PubMed

Zarshenas, L., Danaei, S. M., Mazarei, E., Zarif Najafi, H., & Shakour, M. (2014). Study skills habits in Shiraz dental students: Strengths and weaknesses. Journal of Education and Health Promotion, 5(3), 44. Search in Google Scholar PubMed PubMed Central

Received: 2022-03-12
Accepted: 2022-11-18
Published Online: 2023-01-20

© 2022 Walter de Gruyter GmbH, Berlin/Boston

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