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clinical nursing course, distance education, grades, nurse practitioner program, online nursing program



  1. Morgan, Phyllis D. PhD, FNP-BC, CNE, FAANP
  2. Stone, Jennifer DNP, FNP-BC
  3. Moussa, Mahaman DNP, FNP-BC
  4. Fogel, Joshua PhD
  5. Steele, Linda PhD, ARNP, ANP-BC


This study examined the grade experience for online nurse practitioner students (N = 3760) who took more than 1 clinical course per academic term as compared with those who did not. Students who had more than 1 clinical course per term had a greater percentage of clinical course failures than other students (2.1% vs 0.8%, P = .001). Nurse practitioner programs should develop clear policies and guidelines for students taking more than 1 clinical course at a time.