title: Registered Nurse to Bachelor of Science in Nursing: nesting a fast-track to traditional generic program, teachings from nursing education in Burkina Faso.
abstract: BACKGROUND
  Nursing education has evolved over time to fit societies' increasing care needs. Innovations in nursing education draw thorny debates on potential jeopardy in the quality, safety, and efficacy of nurse graduates. Accelerated nursing education programs have been among landmark strategic changes to address the persistent bedside nurse shortage. Despite the dearth of empirical studies in sub-Saharan Africa (SSA), the National School of Public Health of Burkina Faso has developed a State Diploma Nursing (SDN) fast-track program. With innovative features, the program is nested into the traditional SDN program. This study investigates preliminary outcomes of the implemented policy using the initial cohort that went through the program. Comparison of the traditional generic program and the fast-track one is drawn to inform nursing education policy.
  
  
  METHODS
  The study was conducted in the three campuses delivering the SDN program. Data collected from a representative sample included 255 students from the 2006-2009 cohort, after concluding the program. Surveyed students were assessed according to the program entry status. Outcomes were measured using students' academic performance. Besides descriptive analysis, bivariate t-test, F-test, and multivariate ordinary least square regression (OLSR) were employed to determine the comparative pattern between the traditional generic and the newly nested fast-track program. Students' varied statuses (private pre-registration, state pre-registration, private post-registration, and state post-registration) were kept to better outline the findings trend.
  
  
  RESULTS
  A fifth (19.6 %) of surveyed students were enrolled in the fast-track stream from which, one third (33.7 %) consisted of post-registered students. Fast-track students comparatively achieved the best academic performance (mean: 73.68/100, SD: 5.52). Multivariate OLSR confirmed that fast-track students performed better (β: 5.559, p < 0.001), and further informed differences between campuses. Students entry status also displayed significant differences, yet the academic performance of post-registered students from traditional generic versus fast-track was similar (p = 0.409).
  
  
  CONCLUSIONS
  Findings suggest that fast-track program students performed better than the ones from the traditional generic program. The uniqueness and success of this mixed nursing program experience sheds light for nursing educators engaged in policy making. The study results can serve as a crucial foundation for policymakers to alleviate the nurse shortage in SSA.
authors.affiliation: École Nationale de Santé Publique, Ouagadougou, Burkina Faso ; Faculté des sciences infirmières, Université Laval, Pavillon Ferdinand-Vandry, 1050, Avenue de la Médecine, Québec, Québec G1V 0A6 Canada.
authors.forename: Idrissa
authors.initials: I
authors.lastname: Beogo
authors.affiliation: School of Nursing, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan.
authors.forename: Chieh-Yu
authors.initials: CY
authors.lastname: Liu
authors.affiliation: University of Swaziland, Faculty of Health Sciences, Mbabane, Swaziland.
authors.forename: Colile P
authors.initials: CP
authors.lastname: Dlamini
authors.affiliation: Faculté des sciences infirmières, Université Laval, Pavillon Ferdinand-Vandry, 1050, Avenue de la Médecine, Québec, Québec G1V 0A6 Canada.
authors.forename: Marie-Pierre
authors.initials: MP
authors.lastname: Gagnon
keywords: Accelerated program; Burkina Faso; Nested fast-track; Nursing education; Post-registered; Pre-registered