Theses and Dissertations

Date of Award


Document Type


Degree Name

Doctor of Education (EdD)


Abraham S. Fischler College of Education


Gord Doctorow

Committee Member

Judith Merz


assessment technologies institute tests, community health nursing, education, in-country nursing experience, nursing, out-of-country nursing experience, senior nursing students


The purpose of the study was to examine the relationship between senior community health nursing students’ ATI test scores and their clinical community health nursing experiences, either in-country or out-of-country. The ATI test results are a reliable predictor of whether the student will pass their nursing board exams (NCLEX-RN). The study also examined whether the two groups of students reported any similarities and differences in their sense of confidence or transcultural self-efficacy and conceptual knowledge and their clinical experiences. ATI test scores were reviewed for the two groups. Focus groups were held to discuss any similarities or differences in the students’ community health nursing experiences. Cultural competency was evaluated using Jeffreys’ (2016) Transcultural Self- Efficacy Tool.

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