All About Next Generation NCLEX Part 2 - Next Generation NCLEX - Connetics USA (2023)

Hi Holly. Good morning. Good evening. I can hear clearly on my side. Okay great. Excellent. And we have sorry, we also have Paul joining us, probably in a while. Today's show is really exciting because we're going to talk about itNext generation NCLEX. And since April 1, we've met a few nurses who actually passed the NCLEX exam and the new question format, and had the opportunity to share their feedback with you, me, and other instructors. And so we have the opportunity, I think in a few weeks, when we will actually introduce some of them. But a lot of people were working on this particular show at the time, and we couldn't get them to join us. So we're hoping their work schedules will allow for that next time, but we thought it was still important to share what we hear and learn, and maybe debunk some of the myths or information out there. So I see Modine from the UK and Jacqueline from the UAE joining us. Welcome. Thank you for joining us today. So Mark, the first thing I probably need to do is take a moment and introduce myself. So I'll start with myself.

my name isHolly Musselwhite. I work with Connetics USA which is part ofAMN organization. And we work in the international healthcare department with our partner company,O'Grady'ego Peytona. So if you see or hear any of these names, we're with the AMN organization and we're working with international nurses from all over the world, from all walks of life, learning a lot about how it all works. And what is important for nurses preparing for the NCLEX is my passion, and probably your passion, given the position you hold. But I am a clinical nurse educator for Connetics. And so in my role, I work with nurses who are preparing for NCLEX, I work with nurses who are preparing to come to the United States, and who are trying to prepare for the clinical transition challenge they're facing again. And then I also work with the nurses who are already here, working and experiencing this change. And it's always been a very rewarding career for me, I really enjoy it. So I want to give you Mark a chance to introduce yourself. So I'm going to leave a voiceover for a moment so you can go ahead and tell us a little bit about yourself in your role.

Okay, other. Thank you. My name is Mark Louise asthma and I am the current administrator of the Ibis Program in the Review and Mentoring Academy. So I started as a success coach with iPass and did a few other things. And now I do everything. And for your means, like you, we really have this passion to really help our fellow nurses because by listening to their stories every time we do coaching sessions with them you can really get into the struggles they have with their antivirus preparation and then can better understand what they are going through. And I mean the services are dry for us to work really hard and give all possible support to our students so that they canpass NCLEXon their first try. Normal. So I'm Mark when we're talking aboutNext generation NCLEX. I think the biggest problem we've had as instructors and support systems for these nurses is that we know what's coming, but we don't know what the impact will be before April 1st. Now we have some information that we have several people who have experienced it themselves, they share their stories with us, and this allows us to better understand the reality. So I had the opportunity to talk to nurses who work and train in the USA. They have similar fears. So when exams change, it's scary. You don't know exactly how it's going to turn out. But for international nurses facing this change, the added problem is that most of our nurses are already practicing.

They are already in the field, but they are in an environment where different norms may apply. So one of the things we heard was to prepare case study questions that would be long and difficult. And they can be stressful, and people think, "Well, I'm already stressed by NCLEX." What now? So when we're dealing with it, I think it was reassuring for me, I don't know about you, but I hear good things. And it's nice to see I think that of the five nurses I have under my umbrella who have tested, all of them have been successful so far. And I think we have a tester recently that I'm waiting for results, but when I look at him I'm like, Okay, it's, you know, it's pretty good that we're seeing some success early. The difference I see with some of these nurses compared to the nurses I spoke to prior to April 1st is that a lot of the nurses I know say I'm scared of the new generation and can I test if I have permission and ATT , and there's a place I'm going to test, I'm going to take this test. And unfortunately, some of these nurses could probably do with a little more general preparation, and some are working on their testing strategies in the subject approach. However, they wanted to give it a try to see if they wouldn't be dealing with the next generation of NCLEX. The nurses who do it, however, as I said, have shared some things with us. We will share these things with you.

And we will continue to collect information. Of course, the more nurses who take this test, the more complete the picture becomes of what you will really be dealing with. So I'll stop for a while and see who else has joined us. The tableware from Jamaica joins us in the same way. Hi Arlene. Thank you for joining Mildred from Dubai. let's see. Looking at the question posed here, so we'll get to them. But yeah, keep telling us where you're logging in from and what you're working on, and we'll have some time for questions too. I see doc on doc, nurse paul has joined us too, so good morning doc, nurses prom. We did some presentations for Mark and me. So if you want, maybe just a quick introduction and a little bit about what you do and your experience. Would be great. Thank you, Ollie. Good morning everyone. My name is Paweł on social media. my name isDr. Nurse Paul. I am the CEO of Aspire RNand provide an overview of NCLEX for 16 years in the experiential industry. I am currently working here in the United States as a nurse. I am also an ambulance instructor in my company. I have worked with Connetics USA on NCLEX review programs and fellowships. If this is something you are interested in, you can give us a call or send us a message via Facebook Connetics USA and Aspire RN.

Yes, thank you Paul. We are glad that you are with us today. We were just getting started. So I will share that Alexis from the Philippines has joined us and other nurses say she will be enrolling from Texas Saudi Arabia. We have someone on Facebook saying hello to you, Paul. So that's nice. Okay, so very quickly, Paul and Mark, let's talk about what the next generation of NCLEX is. So Mark, I'm going to ask you to go first and just share with us the types of changes nurses are facing from the previous exam model to the current one or what we call next generation and NCLEX. All right, so hello Dr. Paul, nice to meet you. All speakers. Holly, from what you said earlier, of course, the anxiety about the new format was already there. I mean what we experienced at iPass: the number of students who took the exam last March nearly tripled our average in one month. It really shows that they are really afraid to take the next generation. AND NCLEX. Okay, you see, everyone was packed to do in March. And then comes April. And then the number of students who took the exam and are due to take the exam in April next year and our end is almost half of what we had in March. The good thing is that one of the changes our students have really made, and of course the approach we're having them do with connection and Eclipse, is to focus on concepts first.

And then before we get to the exercises the questions because they win because we noticed were the first questions we encountered from ng n through your work and both archer and that it is really hard to apply the concept clinically. But of course, it will be difficult for students to ask practical questions without mastering the concepts. And the scores we see from our students are usually at the lower end of the average. Because those who really wanted to, really wanted to take the traditional exam format, tend to rush their preparations. So unfortunately, most of those who only prepared for two or three months didn't really get good results. But those who waited and gave themselves enough time and then really didn't care if they took next generation NCLEX or not, they had a good track record with the initial group of students we have who took next generation classes for the last two weeks, they actually do well. For example, in the first week of April we had about four people going through ng n and three of them had a minimum number of questions which was 85. It's really interesting. And when we look at the profiles of students who are over 85 years old, they were students who participated in at least two review cycles organized by us at the ICA. So it's really an indicator that when students focus on concepts first before moving on to practice questions, you really have a good chance of passing the NCLEX, whether it's a traditional or next-generation format.

So Paul, I'd like you to share a little bit of what you hear and see. So we had a few, a few passersby from both Aspire and IPass and from another partner organization. And I know we might actually have lost Paul. So basically repeating what Mark is saying what we see is how people miss the point that they either weren't worried about being next gen or they were determined you know I don't have time or I'm not quite ready to test in March before Change. So I get down to business and work really hard to make sure I understand the new test plan or excuse me what the new test question styles look like and practice them. So Paul, we were wondering what differences from the next generation NCLEX that nurses are preparing for they might or might not understand if they're on this web show and listening. So can you tell us what you see or hear now that April 1st has arrived and people are starting to take these exams? Did you know they are more positive about what you see or have mixed opinions?

Yes. Thanks for this. First, I'm sorry about my relationship. It's uneven. I've been at the hotel here in Seattle for a week, but with students who have done the next NCLEX so far from the Aspire RN in our review program, we're seeing positive results. Several students have already passed. Others will take next week from this week to next week. So we are sure they will have a good score in SBIR and we have done master classes in Oh, that means I am confident and comfortable in preparing them. Or how they talked about NCLEX's new generation question styles, right? Like your mailboxes and all, of course it worked out. There are case studies, we have materials or situations that have come up with Pope. And these are mixed topics, there are topics related to surgical medicine. But you know, for the most part, these topics are things we went through in our case study reviews in our next generation NCLEX masterclasses for my students. So my students are quite positive. I received feedback from one of our pastors in Connecticut USA that he was having a hard time, for example, I thought he would be fine with NCLEX's next generation gay studios, but it was hard for him. But you know how Holly is because for us teachers, she's a computer adaptation. This means that he is a very good student because he asked difficult questions. And certainly enough NCLEX capacity. Soon after, we got his results. He couldn't join today because it's working. But the results are mixed, but so far for my charges, because I also watch social media to see what the nurses who took it from the American side say, but above all for my charges. I'm quite comfortable. They were fine taking the NCLEX. But this is it. I think preparation is very important with Next Gen NCLEX.

Yes. And Mark mentioned, and I know you've mentioned it in a lot of your speeches, that content, being solid before you start delving into these questions, is really important. So some nurses have the idea that they won't do as much content review because they can learn by going through the questions. The problem is that NCLEX questions may have a different wording or may have a different emphasis. So if you're assuming I'm going to ask a lot of questions and then get to know the content you're not having a good approach it's probably not going to get you where you need to be for most nurses the ones who look at: I'm going to make sure I'm solid in the process pathology in understanding how US nursing concepts play a nursing advocacy role in prioritization issues. If you don't know how disease works, you're going to have a really hard time applying that to the scenario that's in NCLEX. And while you may see questions similar to what you've been doing in practice, from some organizations that provide practice questions and Q banks, just one or two words differing. And your focus has to change. So build your content first. Have it really solid, make sure you understand how the newer question styles work. Then work on rehearsing these questions and practice your testing strategy by making sure you're reading the question you're not reading, that you're not over-analysing it, second-guessing all the bad habits we have. This is what practice questions are for in the first place, to train your brain how to think about and process these questions without making some of these mistakes. Are you still learning content? Absolutely.

So we have, I believe, a few nurses who might be looking at NCLEX opportunities from Pakistan. And they said it's not very expensive and nobody knows much about NCLEX. So that's what these online programs are for, to at least slightly disenchant NCLEX for foreign nurses who come from different countries. On a very basic cost note. Yes, there is a cost to obtain training documents so that assessees will pay to have these documents reviewed by a US state commission. And as long as your overseas education is equivalent to a U.S. entry-level nursing degree, you'll usually be approved to take NCLEX, but there are additional fees to register with Pearson Vue, the testing organization, once approved. And if you are testing at an international test center there is also a planning fee, there are travel fees so yes it can be very costly. And that's why Connetics and AMN and IPass and then me Aspire all work together to help nurses understand that sometimes if you qualify there are some opportunities to even look at sponsorship for your study so you can apply to Conneticusa.com/ apply, we can actually help you see if you qualify for one of our programs. And if not, we can usually refer you to opportunities that can help you do just that. Okay, um, so getting back to it, we had a little chat about some of the things we expected. So Paul I think you said and Mark you both said that the small number of questions you've seen from people who have tested so far is actually someone who said by completing 85. Same with all 85 of those questions scored points? This is not a trick question on our part.

Sorry. So about the 85 questions, from our minimum points, I covered it in my show, the nurses' prom show, but 15 of them are entrance questions, they don't score, you don't know which of those 85 questions are entrance tests, they're not marked, are distributed in all 85 positions. So it doesn't really matter if you know which pretest items are and are not actually scored, but 15 of them are not scored. Normal. This means you have to treat each question as if it were to be graded because you have no idea. Um, another thing is, I don't know, with the interviews you did, but the case study questions are one of those potentially intimidating factors. So these case study questions. Mark, they have lots of parts. Can you describe the case study question? concept a bit to our viewers? Yes. All right. So basically, with NGS, it's a combination of traditional and standard items. So, usually during a case study there are standalone elements, types of questions. And now in a new format. It is mandatory that no matter how many questions the candidate will be able to answer in the exam, it is mandatory that they have at least three six-question case studies for a total of approximately 18 questions. And with that help of questions, questions, that's where the screw comes in. This is where the modified SATA comes in. These are other new formats under NG and coming. And when I was able to talk to two of our recent pastors who received minimal questions, it was surprising that I'm at least glad that they're a little comfortable with case studies, because as you mentioned, Holly, one of the really intimidating fields of engineering as a case study, because of course those who are not in bed right now may have some kind of uncertainty about their ability to truly understand and apply what they know because of course when we say case studies are more of a clinical application of concept theory.

Now, when I spoke to one of the students a few days ago, I tried to find out more about the case, and surprisingly, it was a little easier for him. Because number one, law, barter, normal love values ​​are already provided in case studies. So obviously one of the things that is challenging for most students is that they have to memorize these values ​​of love and stuff, but with case studies the normal values ​​are already there. So they know if the numbers presented there deviate from normal values. And I think after that we thought especially for the progressive side of case study when you already know similar basic principles like basic apps and management like like first question so case studies and if it's progressive then you learn at some point expect what will happen to the student given a new set of information given to you after a certain number of hours. And then one technique the student used was really an anchored story of thought, from the initial set of information. And that was at some point. The next questions were a little easier for him. Because with the initial clinical thinking he applied during the first half of the question, he was able to apply it to the following questions. Surprisingly, the case studies were not so intimidating, based on the opinions of two of our students. Oh, that's a good point. Yes.

Thank you, Mark. Another thing I heard from several nurses I spoke to was that one nurse had five questions about the case study and one had four. A lot of people said before you get three, you get three. So keep in mind that some of these questions were potentially no points if three is your minimum. And you know you have what we call unmarked questions, or sometimes they call them survey questions, which means they test them, you won't know which of these four or five is which one you are will actually affect your test. So you have to give your best. with these scenarios. I've heard very similar feedback from nurses, I've talked to witches, we love lab ranges, normal ranges are given in these questions and that script is built. You and I are working with nurses, as I said before, who are already in the practice, already there looking after patients, they have experience in patient care. So when they think about the question, the old-fashioned question, sometimes it's frustrating, you say, I need more details to know what I should do next or how to prioritize. In a case study, you get this detail, and then it becomes important to make sure you recognize these clues and use them appropriately. I received one feedback that nurses could be prepared for, and one of the nurses I spoke to said: I answered the first question in this six-part case study.

And when I got to the second question I realized I made a mistake in my first answer which happens when sometimes as things progress you can have one of those "Oh" moments and you can't afford to get overly anxious about it . If you do, you may lose focus on the rest of the case study that has not yet been presented to you. So take a deep breath. Keep in mind just because you might have realized oops in the first part of this case study I made a mistake seeing the second part don't let the color of what you're about to do for the rest just settle down stay focused be methodical and analyze the rest of the questions in this case study, because they all have an A, which gives you the opportunity to correct this mistake. So Paul, one of the things we haven't talked about yet is partial credit for the select all that apply. Have you seen or heard anything about this particular change? As for the briefing or talking to nurses who have passed the exam? Yes, some of them. Sorry. There are still a lot of questions in this SATA format that due to the next NCLEX, all these format sets will no longer be an all or nothing scoring system, we will not be using an all or nothing scoring system for this. We're going to use a partial scoring system where they get deductions for every wrong answer they check. So yes, there are still a lot of students who sat, whether as part of a case study or a standalone question using the next generation NCLEX format.

And from the nurses I spoke to, I learned that it helped manage their anxiety when faced with SATA questions that they could ask themselves, "I don't have to think about it." I need to use a good questioning strategy, but potentially get some of them right and get some potential positives even if it's a hard question. So I think I often hear that I was less nervous about these questions because I knew that as long as I studied properly and approached the question with good practice, I was likely to get something positive out of it. It is important to control your anxiety during the exam. We know some people get a little too anxious and that just colors the whole exam experience. And really, even if you're well prepared, if you don't handle it, well, it can have a significant impact. So knowledge is power. Understanding what you are dealing with in this exam is important. We've had some feedback from some nurses who said they've been watching some of the videos we shared about next generation and how to approach questions and stuff. So they tried to look at various resources, several of them mentioned that they usedNCSBN resourceslooked at these practical questions and explanations provided by the NCSBN. I'll see if I can share some links to NCSBN in chat in a moment. Basically I think what I want to do now is maybe share some pointers. So, Mark, is there any specific tip you could start with nurses who are afraid of the next generation NCLEX. And then Paul tells you to move on.

Okay, so basically, first of all, the advice is to never be afraid of NGS, because at the end of the day, whether it's NGS or traditional format, you still need to pass an exam to be able to go to the US. And for those of you who are just planning to start your adventure with NCLEX, this is really important. You have to know yourself, you have to know the limitations that you have right now in terms of the things we're going to do, because preparing for this kind of exam is really demanding in terms of time, in terms of resources in terms of effort. And usually one of the tricky parts of reviewing for this exam for most nurses is time management. And I guess if you are, you are planning to go on this journey, then you have to make a commitment that for the next few months of your life it will be a change, it will change a bit, because you need to spend time with your concepts, practical questions and other things. And then, as I mentioned before, never rush to do practice questions without really understanding your concepts, especially for those who graduated a long time ago. So, because you're going to have a really hard time understanding the rationalizations given by those question marks, because you haven't actually been able to think critically much, because most of the time, if you don't know the concepts and don't know the question, you don't understand the question, most of the time it's as if you had to guess the answers. And guessing that it really isn't is really low and critical thinking. That's why we always encourage our students to be patient, be patient concepts first.

And then, after about two to three months, move on to practice questions and then answer a lot of questions. And for those who are intimidated by SATA, I mean one of the things that really teaches them is to pay attention to, for example, if they use the Archer question, are you broke? Do this note the question ID. So those are the questions, and then they can write them down. And if they really want to spend all day answering Santa's questions then at least they have a list or repository of certain questions they can re-answer because there's really no shortcut to learning how to master the setup but it really comes down to this to master the concept and expose you to many questions related to SATA. And of course, you must take comfort in the thought that with the next session we have now, you already have a partial score, be it NCLEX. So the pressure to get all the answers right isn't as much compared to the traditional format because at least this time you'll get a partial score for the questions in the AutoCorrect options that you might have picked using standalone items for case studies and stuff. Paul, could you give us any tip about preparing for the next generation and those people who may still be worried about it?

Right, so I covered this extensively on my own show, the Doctor Nurses Ball Show in March, I provided some episode case studies for case study tips. But then, Holly, in our first appearance last month, about the next NCLEX bear, I think it was last week or two. I said I'm not sure if I'm crazy about dates yet, but um, I was talking about mastering the content. Now I'm going to talk about an exercise with NCLEX next generation questions. So while yes, you create your content, the second step to really make sure you pass the NCLEX, which was also applicable in the old generation. But now we're just going to be more, you know, people. Because when preparing for NG and because of the new question types and new scoring systems we need to familiarize ourselves with, but the question-answer exercise comes after you have mastered the content. But it is equally important to familiarize yourself with what the question would look like, what the answer to the question would be, there are different strategies I teach my students for each type of ng n. Question. For the next generation NCLEX masterclasses that I teach, it is very important that they continue to practice this. Because with this you build your strategy for taking a test or facing an exam, your way of dealing with anxiety when in an exam it's time to simulate what happens in the MCAT. So you can prepare for it. The physical aspects, you know what it feels like in an exam. As well as honing your understanding and knowledge, you need to remember that NCLEX next generation questions, especially case studies, are likely to be on a slightly higher level. In a Bloom taxonomy, this will typically be the application, analysis, or evaluation level. And that's what will be tested, they need to remember that the next generation is basically testing you with clinical judgment skills.

So the questions will always be based on a clinical case. So you'll have to think what am I going to do as a nurse? If the patient is here next to me, and that's what's happening based on this case. As for nurses with international education, you know, many of our students, our scientists are experienced nurses. So they already have a clinical evaluation. Yes, they already have critical reasoning, yes. And that can be valuable during the actual NCLEX. The only caveat is that their practice may differ from the American Standard, which is actually being tested in the next session. That's why you have your instructors teaching you American guidelines, the American way of doing things, evidence-based medicine, how we do things here in the US. It is very important to practice with NCLEX next generation questions. This is the only way to build confidence, comfort, and improve understanding and analytical skills when it comes to clinical judgment. Normal. Good advice. Dr. Pol, thank you. So I will just share a thought that I have spoken to many nurses who know people who have taken NCLEX. And now they will meet the people who took next generation and NCLEX. And one of the things we sometimes hear is that I got notes from someone else and I use those notes and so on. So you've noticed that we haven't talked about getting notes from someone so far. So I want to address this really, briefly. Let me give you an analogy of where I was worried if you bet everything we call this American expression called putting all your eggs in one basket. So this learning approach requires you to be a best practice like we said before making sure your content information your knowledge is solid making sure you understand how these questions are formatted and how the test works .

And when you ask your practical questions, you go back and say, you know what I can learn not only in terms of what I know from this question, but also how I approached it? Was I careful while reading? Or did it look familiar? So I was just looking for a familiar answer. And maybe I missed the original concept this question was about. And then add well, I have notes from a friend or something, they can be very helpful. However, remember that this test is similar to preparing for a marathon. So if you're preparing to run a marathon, you don't read about it, and then you run and expect to succeed, there's more to it than that. You don't want to just do short sprints to prepare for a marathon. If you don't change terrain, if you know you're going to be running over flat terrain, mountains, whatever, if you don't prepare for all the variables that will come up in a marathon, including the distance of this, then you won't be well prepared. So be warned that when you listen to the advice of people who have taken the exam before, it does not diminish the importance of knowing the content and understanding it, and then being able to work through the practice questions without being influenced by who someone else was. maybe thinking, in my case, taking notes helps when I listen to a lecture and take my own notes, it helps me cement the concepts I hear or maybe see on the screen. So this activity of taking my own notes also helps me retain that knowledge a bit better when I'm listening to lectures or watching videos with different visual effects and so on. I have two pieces of advice from one of our nurses who passed her exam and couldn't join us today but she agreed, I'll send you some pointers.

So first, make sure you know your test-taking strategies and approach to asking questions or best practices so that you have a good understanding of the questions, and then you can determine what he's looking for. Take your time with the next generation NCLEX. So there is a reason for this advice from this particular nurse because she actually experienced a previous exam and failed the exam. So the next generation was an opportunity for her to test again. One of the changes she made between her first attempt with the old way of taking the test and the new changes was realizing that when she used practice questions, and even on her first attempt at NCLEX, she was concerned about the amount of time, so her timing strategy was: I'll do it, I have to go through these questions in a pretty good clip. Because if I have to answer all the NCLEX questions, if I spend too much time at the beginning of the test, I may not have enough time to finish all the questions that may be asked of me. And it's a disturbing strategy, it probably cost her the exam the first time. Because when you rush through the questions, you may miss some important details that lead you to the answer. This is not the best answer. So here's the advice. And I think that's good advice. And the second piece of advice, he said, is something like what we said, that preparation is key. This is important. And you have a goal, your goal is to come to the USA. This is one step. This is a very important step, but focus on your goal, your ultimate goal is to get here. So the sacrifices you may have to make for several months as Mark said to prepare for this will be rewarded.

This exam seems to come with some stress, as everyone expected, but there were some positives and we want to emphasize that there are. So we have nurses who joined us from Saudi Arabia. We are joined by Claudine and Abigail, Maisie and Bayless, and Bev and Krista. So thank you guys for joining and listening and tell your friends this information is available and share the link so they can watch and listen to some of the things we hear and see from the nurses we work with those who have successfully passed the next generation. So the other thing I wanted to talk about a little bit, we had a show on this yesterday, but it's coming up. And before I get to that, let me very quickly answer this question for Mary. We have at Connetics USA on our website, you can go ahead and apply or call to apply for a medical laboratory technology vacancy. We are placing medical technicians in the US so if they are interested go to Conneticsusa.com/apply sorry about that and apply for it. I think we will also display a link here on the screen for you. So a topic I want to explore, in a way related to next generation, is retrogression. Sothe regression was announced in the latest visa bulletin.We know that if the priority date of the nurse's visa was after June, is it June 22. Paweł from last year, I think I know it's June. Well let's go.

There is. Here are your dates. So priority dates had a bit of a backlog. So we're facing recourse for additional locations. As you know, India and China were already behind on visas that were significant for them trying to move forward a bit, but the rest of the world is now on June 1, 2022 and the Philippines is on that date as well. The nurses mean that when the visa is submitted, you stand in line. So when this application date is what we call the priority date, once the priority date becomes valid, you will be able to go through the last phases of the visa process. So we have a couple of nurses who contacted us and asked okay if I am pending at NCLEX, what's the rush for? Why don't I just wait? And then I can know when visas will be valid again, I'll take my NCLEX and then I'll be filed and I won't face regression. So it's important for us to mention how this affects nurses waiting for NCLEX. So Paul, would you like to talk a little bit about some of the things nurses need to keep in mind when considering? Should I delay NCLEX due to recourse or should I continue?

Normal? So I was on a show with Tanya and the immigrant lawyers yesterday. And I shared a few things about preparing for NCLEX regarding retrogression. Yes, there can be a regression and people have heard of it. And you think: Should I delay my NCLEX? Preparation? Should I delete my review? Should I delete my exam since we are running out of visas and there are not many visas left for this year so no one can continue? Guys, regression people are the ones who have interview dates or are already at the consulate, which usually doesn't happen six to one six months to a year after starting a petition or an immigration petition. The first step to getting into the US or even Canada is to turn down e-books. So we are even with recourse, you want to continue with your plan to pass your NCLEX on time because you want this NCLEX to be passed as soon as possible, the sooner we can get your NCLEX. The sooner your lawyers can start an immigration petition. And the sooner we can dock your paper to immigration. This way, when visas become available and priority dates or current dates in your visa bulletin are pending, you will have the opportunity to join the process as soon as we receive your priority date. So in short, to sum it up, it shouldn't affect you. If you are planning to take NCLEX, are in the process of really reviewing NCLEX, or intend to take NCLEX soon, this should not affect you.

Regarding a retrogression visa, retrogression does not affect the filing of immigration petitions. This only applies to those who will have an interview next month in the next two months. So keep doing what you're doing. Keep doing what you're doing. And you want to finish all documents and requirements as soon as possible. Because the sooner you can do that, the sooner you can get here in the United States. Thank you, Paul. That's great advice. And I think if there were nurses here who were wondering, you've solidly answered what we should be doing. So the goal is to put you in that queue sooner rather than later. Another concern I think we might have is that you are not destined to be a perpetual NCLEX student. So if you start studying and then you have a break and you study and then you come back later and then you have another break and regardless of these ups and downs it's not good for NCLEX prep what we need to see is like I said when it comes to running a marathon, you don't want to prepare for a short amount of time and then let yourself decondition. And then try to recover and prepare a little more and back and forth. So if you are on a trip, stay on it, complete the program, get NCLEX and start working with your partners, visa sponsors to get your visa and go through the process.

If you are debating whether to start the process or not, same goes for start, learn, stick with it, get through it and know that the nurses who have done the proper comprehensive review with the elements we've been talking about are prepared and so far we are seeing good success with these nurses. Preparation is key as john liu shared with us in the recap it is important but also you know if you have anxiety familiarizing yourself with the test learning how it works then proper preparation is what you do to make yourself prepare the marathon is as it was. So what do we have next? I think there could be a little more when it comes to programs. I know we will have next gen in the future and NCLEX where Mark is Some of the nurses that have worked with their IPass and Paul some of the nurses that have worked with this fire we hope they will join us and share their stories directly with our audience , we've done our best to summarize today some of the good things that are coming. So we will continue to share what we hear, learn and get data about it. I just got a message from a friend who is a recent nursing graduate in the US. And she said, Oh, I had to retest with the next generation and I passed. So I started the day with some good news from a personal friend who was excited. The biggest, biggest thing is believing in yourself, feeling confident that you've done the preparations you had to do. And you know, many of us have a support system around us. But because we're nurses, we can often be the leader of the support system, right?

So we are caregivers, we tend to care for those we care about and love, and our families. And so sometimes when that family member says to you, well what do you do? And how can I help? There are ways your family can help you, they can support you and encourage you to take this time to study. Maybe they are preparing the dish for the weekend dinner you will have with your family, maybe you don't spend time cooking this time. You do some extra research there, but you're looking for ways to reunite your family and explore the experience. One of my nurses who just passed said that my daughter keeps asking me, mom, did you pass. did you pass? And she said, they asked what percentage of the questions she answered right? Because that's how they understand testing and passing. And she said, No, it's actually just a pass or fail, and I passed. So even your children will feel the effects of your preparations, but also the effects of what happens when you succeed. And you are preparing to help bring them to the United States so that they can start a life here in this country. This is where you start your nursing career. Finally, Paul and Mark, I'd like you to just share a final piece of advice or words of encouragement with our groups here. And, Paul, I'll start with you, and then, Mark, I'll let you close it.

So I'll do it real quick, don't be afraid of the next generation of NCLEX. With proper preparation, you will be able to pass the exam. Another is the ethics exam. I know it's scary at first with all these changes, change is always scary. But again, proper preparation and you know, proper motivation really helps to prepare for the result. Work with the right people, it's your investment for the future. So you have to focus on that. But don't be afraid. We will be here to make you feel comfortable before the exam and confident during the preparation. Thank you, Paul, Mark, has anyone recently? Well, I mean to set the expectations of those who don't start with their NCLEX. However, any preparation for this type of exam is very difficult. As Holly said, this is a marathon form, you really can't have this concept master in just one to two months. It's just that the reality is going to be really hard, you have to make a lot of sacrifices, compared to football, staff time, social exposure and other things. But, of course, most of our students get tired of long preparations for this exam along the way. And we always tell them if you're trying to get a little stressed out and then pull yourself together again.

And of course, one of the biggest challenges is that procrastination is always present. But at the end of the day, you should always come back to the reason you started this journey. You need to get back to your reason. So, whenever you feel tired, whenever you feel discouraged, always go back to the different places where you started this restless, restless journey. Because, of course, at the end of the day, once you've read the word pass in your Pearson, your score will be worth it. It's one of me personally as if it was one of the best days I've had during the pandemic. So this is something you should look forward to as well. And of course, as Holly said, I mean your family will feel the success you'll have with the scan. So just go. Okay, just go. In conclusion, Elma ICU mentioned that you are from the Philippines. Thanks for being with us today, Elmo. Josephine asks: Do we have vacancies for CNAs, or certified nurses? At the moment I don't know if we have any vacancies, you can always go to our website and apply. And if we get vacancies and it's something you're interested in, you'll get a message about it. So it's not a big volume for us. But we have some nurses who have gone through this part, this kind of process, to come to the US. John of Jeddah, Saudi Arabia. Thank you for joining us today. And Arlene, we're glad you enjoyed the session and found it informative. All in all, we still have about five minutes left, if you have any questions about next-gen or things you hear, we'd love to answer them. And you know, if we can't cover it today, maybe we can get it ready for a future show as well.

That's why we're always looking for information about what you're worried about and struggling with, and how we can help you face those challenges. Again, if you would like to apply, if you are interested in participating in the program, our partners at ConneticsI passIAspire. So both organizations offer a study program, you can go to Conneticusa.com/apply and fill in your details and someone will contact you about the opportunities available to help you learn NCLEX. And in some cases, you can get help with the NCLEX application or other parts of the process, even financially. The bottom line is that as you study, your learning progress runs parallel to your application for the NCLEX exam. So if you're starting college but you're not really evaluating your credentials or applying to the state board, when it's over and you're approved for the test, you've studied now, but it may be a few months before you get to the point where you're approved for the test taking the NCLEX exam. So these processes are things that should run parallel to each other. Please note that when you apply, you may have a similar problem depending on how quickly your application is processed, if you start studying later, some applications will time out. That's why we want to make sure you don't get too caught up in one process if the other doesn't catch up.

So we sort of run them simultaneously for that reason. Ruby Lin, you're joining from the Philippines. Many thanks for being with us today. And I have another user who says he's watching from ca, which I assume is from California. Thank you for being with us today. And do you need to pass IELTS to apply for a CNA so that's an immigration issue Josephine. But since it is in this system, I will ask some of our immigration experts to come back and perhaps share more information with you about the requirements. If you're going through the consular green card process as a CNA, we have iPad student Mark joining us and I think there was someone else who may have said hello to Mark earlier on the show. So I don't want to forget or miss it. Another thing is that if you look at the post I need to download and share the NCSBN materials with you. So we'll also do that so you can take a look at your next-gen assets straight from the NCSBN. We have people who I don't think are discovering that they are watching a lot of different things on social media. Some of them have good information and are even partners we work with and some maybe not so good main resources to get ideas and information from so when you look at the National Boards of Nursing or NCSBN. This is the organization that actually creates the elements for the NCLEX exams. They also deal with other aspects of nursing professionalism here in the United States. As well as writing questions and training for NCSBN educators and how to create programs to help nurses prepare for it.

You will also see that they do not actually conduct the exam. The exam is administered by Pearson Vue. SoPearson VUE operates test centers around the world here and in the US as they are now the preferred NC ESP provider for NCLEX exams. I'll put those links in the chat in a moment. I'm having technical problems now. So I'm sorry about that. I'm just going to double check and make sure we don't have any final questions before we close this case. And I know the basic website, I can tell you in advance it's ncsbn.org. So Eric from Arizona, thanks for joining. And another user says: I just passed NCLEX woohoo, planning to head to the back of the hospital to keep your experience up to date. Which tour would you recommend, get experience first or takeIELTSand apply to the agency. So there are several agencies that will want to work with you while you are still waiting for your English exam. So you can take some of them and apply them, for example, Connetics even offers a study program for IELTS and some other available English exams that are validated for both years, sometimes yourNational Board of Nursingit has some exams, they will approve and accept. As well as the same exams, you would like to be approved for use with a visa screen. So we say to everyone who is waiting for the English exam Yes, go ahead and take the English exam. Finish it, but you don't have to wait to apply.

Based on pending English, there are several agencies we will be looking for work with at the moment. So if you apply and it's been a long time since you've worked as a nurse, they may ask you to reconnect with them when you actually return to work. But it is an important experience that is present and the hospital will serve you well and make you more attractive to hospitals and organizations that are looking for nurses with this experience. So current hospital experience is highly desirable. And I recommend that the sooner you can start back up, the better. But that doesn't stop you from contacting the various agencies and organizations that offer sponsorship to see how much experience they need and then understand what their criteria are. There are a few hospitals, a small number, that may be willing to work with you if you don't have current experience. But of course they are much more limited and their programs still require a lot of personal investment on your part to make sure you get through the clinical transition as it will be much more difficult. So thank you all for coming to us today. We look forward to more web shows where we talk to you about next-gen and more, but at the end of the day, have no fear. It's not scary. We hear good things from the nurses we spoke to. We hear positives, we see positive results and we are very excited about it. We will continue to develop our programs and assistance to give you the tools you need to succeed. So thanks everyone. Have a nice rest of the day. Take care of yourself