Factors influencing nursing students’ continued success in a baccalaureate nursing program in Indonesia


baccalaureate nursing education
nursing students
holistic admission

How to Cite

Sommers, C. L., Houghty, G. S., Purbojo, R., & Bernarto, I. (2022). Factors influencing nursing students’ continued success in a baccalaureate nursing program in Indonesia. Belitung Nursing Journal, 8(4), 340–348. https://doi.org/10.33546/bnj.2160
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Background: Holistic admission processes are needed to promote diversity in nursing students. Previous research had identified different variables related to the average grade point at the end of the first semester. There is a need to examine if those variables are associated with ongoing student success.

Objective: The purpose of this study was to analyze experience, attributes, and academic variables for an association with nursing student success. Student success was defined as being an active student at the end of the first year and at the end of the second year of a baccalaureate nursing program in Indonesia.

Methods: Binary logistic regression analysis was used to determine what relationship, if any, the variables had with student success, measured at the end of the first and second academic years. The data of 341 nursing students enrolled in August 2018 was analyzed.

Results: The variables accounted for 40.3% of the variance at the end of the first year and 24.3% of the variance at the end of the second year. There was a significant (p < .05) relationship between being enrolled at the end of the first year and 1) academic variables of first semester grade point average and the admission score of Raven’s Advanced Progressive Matrices, and 2) attribute variables of reason for entering nursing and brief calling presence scale. A significant relationship was found between being enrolled at the end of the second year and the attribute variable of grit score. No variables had a strong correlation with other variables.

Conclusion: Holistic admission processes and promoting student success can create the future of the nursing workforce. Improving the diversity in admitted nursing students will enhance the diversity in the nursing workforce. To promote the success of all students, a variety of support interventions will need to be developed. As students’ calling and grit may play a role in student success, a better understanding is needed. In addition, more research is needed to explore how developing calling and grit throughout the nursing program can impact student success.


Supporting Agencies

This research was supported by research grant P-025/FoN/I/2020 from Universitas Pelita Harapan, Indonesia


Copyright (c) 2022 Christine L. Sommers, Grace Solely Houghty, Rijanto Purbojo, Innocentius Bernarto

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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Declaration of Conflicting Interest

There is no conflict of interest in this study.


The researchers would like to thank the Universitas Pelita Harapan Research and Community Service Department and UPH Research Committee for funding this research. Also, the researchers acknowledge the students in the Faculty of Nursing.

Authors’ Contributions

CLS: Primary Investigator; Proposal and final report; acquisition, analysis, and interpretation of data; Drafting and revising article; Final approval of article; Agree to be accountable for all aspects of work. GSH, RP, and IB: Proposal and final report; acquisition, analysis, and interpretation of data; Revising article; Final approval of article; Agree to be accountable for all aspects of work.

Data Availability

The datasets generated during or analyzed during the current study are available from the corresponding author on reasonable request.


Al-Alawi, R., Oliver, G., & Donaldson, J. F. (2020). Systematic review: Predictors of students’ success in baccalaureate nursing programs. Nurse Education in Practice, 48, 102865. https://doi.org/10.1016/j.nepr.2020.102865

Association of American Medical Colleges. (2013). AAMC holistic review project. https://www.aamc.org/download/358700/data/hrp2-pager.pdf

Brown, P. C., Roediger Iii, H. L., & McDaniel, M. A. (2014). Make it stick: The science of successful learning. Cambridge, MA: Harvard University Press.

Dik, B. J., Eldridge, B. M., Steger, M. F., & Duffy, R. D. (2012). Development and validation of the calling and vocation questionnaire (CVQ) and brief calling scale (BCS). Journal of Career Assessment, 20(3), 242-263. https://doi.org/10.1177%2F1069072711434410

Doyle, K., Sainsbury, K., Cleary, S., Parkinson, L., Vindigni, D., McGrath, I., & Cruickshank, M. (2017). Happy to help/happy to be here: Identifying components of successful clinical placements for undergraduate nursing students. Nurse Education Today, 49, 27-32. https://doi.org/10.1016/j.nedt.2016.11.001

Duckworth, A. (2016). Grit: The power of passion and perseverance (Vol. 234). New York: Scribner.

Duckworth, A. L., Peterson, C., Matthews, M. D., & Kelly, D. R. (2007). Grit: Perseverance and passion for long-term goals. Journal of Personality and Social Psychology, 92(6), 1087-1101. https://psycnet.apa.org/doi/10.1037/0022-3514.92.6.1087

Emerson, C. (2017). Calling to nursing. Advances in Nursing Science, 40(4), 384-394. https://doi.org/10.1097/ANS.0000000000000185

Glazer, G., Clark, A., Bankston, K., Danek, J., Fair, M., & Michaels, J. (2016). Holistic admissions in nursing: We can do this. Journal of Professional Nursing, 32(4), 306-313. https://doi.org/10.1016/j.profnurs.2016.01.001

Jeffreys, M. R. (2015). Jeffreys’s Nursing universal retention and success model: overview and action ideas for optimizing outcomes A–Z. Nurse Education Today, 35(3), 425-431. https://doi.org/10.1016/j.nedt.2014.11.004

Lasater, K. (2011). Clinical judgment: The last frontier for evaluation. Nurse Education in Practice, 11(2), 86-92. https://doi.org/10.1016/j.nepr.2010.11.013

Mambu, I. R., Sommers, C. L., McKenna, L., Reisenhofer, S., & McCaughan, J. (2019). Reasons for wanting to be a nurse in Indonesia: A content analysis of responses from nursing students and nurses NET2019 Conference, England.

Michel, A., Ryan, N., Mattheus, D., Knopf, A., Abuelezam, N. N., Stamp, K., Branson, S., Hekel, B., & Fontenot, H. B. (2021). Undergraduate nursing students’ perceptions on nursing education during the 2020 COVID-19 pandemic: A national sample. Nursing Outlook, 69(5), 903-912. https://doi.org/10.1016/j.outlook.2021.05.004

Mthimunye, K., & Daniels, F. M. (2019). Predictors of academic performance, success and retention amongst undergraduate nursing students: A systematic review. South African Journal of Higher Education, 33(1), 200-220. http://dx.doi.org/10.20853/33-1-2631

Scott, L. D., & Zerwic, J. (2015). Holistic review in admissions: A strategy to diversify the nursing workforce. Nursing Outlook, 63(4), 488-495. https://doi.org/10.1016/j.outlook.2015.01.001

Seguin, C. (2019). A survey of nurse leaders to explore the relationship between grit and measures of success and well-being. JONA: The Journal of Nursing Administration, 49(3), 125-131. https://doi.org/10.1097/NNA.0000000000000725

Sommers, C. L., & Bonnel, W. B. (2020). Nurse educators’ perspectives on implementing culturally sensitive and inclusive nursing education. Journal of Nursing Education, 59(3), 126-132. https://doi.org/10.3928/01484834-20200220-02

Sommers, C. L., & Park, S. H. (2017, 2017). The relationship of demographic and admission exam scores with first semester gpa in first year nursing students in Indonesia. The 1st Andalas International Nursing Conference, Padang, Indonesia.

Sommers, C. L., & Wirawan, G. (2019). The relationship of demographic and admission exam scores with first semester grade point average in two cohorts of first year nursing students. Belitung Nursing Journal, 5(1), 23-31. https://doi.org/10.33546/bnj.628

Terry, D., & Peck, B. (2020). Factors that impact measures of Grit among nursing students: A journey emblematic of the Koi fish. European Journal of Investigation in Health, Psychology and Education, 10(2), 564-574. https://doi.org/10.3390/ejihpe10020041

Urban Universities for Health. (2014). Holistic admissions in the health professions. https://gs.ucdenver.edu/fobgapt2/workshops/General/Urban_Universities_for_Health_2014.pdf