Nursing Students' Level of Satisfaction with the Comprehensive Nursing Aptitude Test

Cecille L Alday; Kesiah Caren C Alonsagay; Luis Miguel A Audencial; John Mark M Balintag; Shekinah Len P Bautista; Rainer L Cadiz; Mickylla Joy Q Carlos; Guila Noreen Y Cruz; Prescilo C De Leon

Authors

Cecille L Alday Nueva Ecija University of Science and Technology
Kesiah Caren C Alonsagay Nueva Ecija University of Science and Technology
Luis Miguel A Audencial Nueva Ecija University of Science and Technology
John Mark M Balintag Nueva Ecija University of Science and Technology
Shekinah Len P Bautista Nueva Ecija University of Science and Technology
Rainer L Cadiz Nueva Ecija University of Science and Technology
Mickylla Joy Q Carlos Nueva Ecija University of Science and Technology
Guila Noreen Y Cruz Nueva Ecija University of Science and Technology
Prescilo C De Leon Nueva Ecija University of Science and Technology

Keywords:

CNAT, Nursing Students, Satisfaction, SERVQUAL, NEUST, Clinical Preparation, Nursing Education, Student Feedback, Assessment

Abstract

Assessment is an important part of nursing education, and the Comprehensive Nursing Aptitude Test (CNAT) is a major tool used to measure students’ understanding of key subjects and their readiness for clinical practice. This study, "Nursing Students' Level of Satisfaction with the Comprehensive Nursing Aptitude Test," looks at how satisfied students are with the CNAT using five SERVQUAL areas: tangibility, reliability, responsiveness, assurance, and empathy. It also examines if satisfaction levels differ based on age, sex, year level, and living situation. The study used a quantitative, descriptive-comparative design and surveyed 229 second- to fourth-year nursing students from NEUST, selected through stratified random sampling. Results showed that students were generally highly satisfied with the CNAT. Among the five areas, reliability got the highest average score (3.56), followed by assurance and empathy. Satisfaction varied by age and year level, with younger and second-year students being more satisfied. These findings show that students’ satisfaction with the CNAT is affected by their age and level in the program. Improving the physical setup of the test (tangibility) and the quickness of help or support (responsiveness) may increase satisfaction. The study supports the creation of a CNAT Guidebook to standardize procedures and improve the quality of the test-taking process. This research contributes to the continuous improvement of nursing assessments and a more supportive academic environment.

References

Abdelaziz, E. M., & Abu?Snieneh, H. M. (2022). The impact of bullying on the mental health and academic achievement of nursing students. Perspectives in Psychiatric Care, 58(2), 623–634. https://doi.org/10.1111/ppc.12826

Alabi, O., & Bukola, T. (2023). Introduction to Descriptive statistics. In B. Santhosh Kumar (Ed.), Recent Advances in Biostatistics. IntechOpen. https://doi.org/10.5772/intechopen.1002475

Al-Worafi, Y. M. (Ed.). (2023). Handbook of medical and health sciences in developing countries: Education, practice, and research. Springer International Publishing. https://doi.org/10.1007/978-3-030-74786-2

Aryuwat, P., Holmgren, J., Asp, M., Radabutr, M., & Lövenmark, A. (2024). Experiences of nursing students regarding challenges and support for resilience during clinical education: A qualitative study. Nursing Reports, 14(3), 1604–1620. https://doi.org/10.3390/nursrep14030120

Devi, B. (2023). Application of cross-national comparative research design in medical and nursing education. Journal of Health and Allied Sciences NU, 13(03), 306–312. https://doi.org/10.1055/s-0042-1757734

Discovering statistics using ibm spss statistics. (2025, October 4). SAGE Publications Ltd. https://uk.sagepub.com/en-gb/eur/discovering-statistics-using-ibm-spss-statistics/book285130

El-Gazar, H. E., Zoromba, M. A., Fayed, S. M., Loutfy, A., Elzieny, A. A., Elzeiny, A., Alkubati, S. A., Shahin, M. A. H., Altheeb, M., & El-Monshed, A. H. (2024). Nurturing Success: E-Learning readiness and academic self-efficacy in nursing students. BMC Nursing, 23(1), 495. https://doi.org/10.1186/s12912-024-02125-2

Ellison, N. B., Steinfield, C., & Lampe, C. (2007). The benefits of facebook “friends:” social capital and college students’ use of online social network sites. Journal of Computer-Mediated Communication, 12(4), 1143–1168. https://doi.org/10.1111/j.1083-6101.2007.00367.x

Firdousi, S. F., Yong, C., Amir, B., & Waqar, A. (2024). The influence of student learning, student expectation and quality of instructor on student perceived satisfaction and student academic performance: Under online, hybrid and physical classrooms. Open Education Studies, 6(1), 20240016. https://doi.org/10.1515/edu-2024-0016

Hoffman, C. M., & Willemse, J. (2024). Factors influencing nursing students’ learning in a clinical skills laboratory. Health SA Gesondheid, 29, 2631. https://doi.org/10.4102/hsag.v29i0.2631

Immonen, K., Oikarainen, A., Tomietto, M., Kääriäinen, M., Tuomikoski, A.-M., Kau?i?, B. M., Filej, B., Riklikiene, O., Flores Vizcaya-Moreno, M., Perez-Cañaveras, R. M., De Raeve, P., & Mikkonen, K. (2019). Assessment of nursing students’ competence in clinical practice: A systematic review of reviews. International Journal of Nursing Studies, 100, 103414. https://doi.org/10.1016/j.ijnurstu.2019.103414

Jaiswal, P., & Al-Hattami, A. (2020). Enhancing learners’ academic performances using student centered approaches. International Journal of Emerging Technologies in Learning (iJET), 15(16), 4. https://doi.org/10.3991/ijet.v15i16.14875

Maina, J. J. (2021). Socioeconomic and demographic predictors of residential satisfaction within public housing estates in northern nigeria. Covenant Journal of Research in the Built Environment. https://journals.covenantuniversity.edu.ng/index.php/cjrbe/article/view/2629

Moscarola, J. (2022). Chapter 5. Describing and interpreting. Business Science Institute, 95–120. https://shs.cairn.info/let-your-data-speak--9782376875741-page-95

Polit, d. F. And beck, c. T(2008). Nursing research generating and assessing evidence for nursing practice. 8th edition, wolters kluwer health/lippincott williams & wilkins, philadelphia, 796 s. - References—Scientific research publishing. (n.d.). Retrieved October 14, 2025, from https://www.scirp.org/reference/referencespapers?referenceid=1926498

Robertson, S., King, R., Taylor, B., Laker, S., Wood, E., Senek, M., Tod, A., & Ryan, T. (2024). Trainee nursing associates in England: A multisite qualitative study of higher education institution perspectives. International Nursing Review, 71(1), 130–139. https://doi.org/10.1111/inr.12868

Smith, K., & Cooper, S. D. (2025). An examination of nurse practitioner students’ perceptions of knowledge, confidence, and experiences related to caring for lesbian, gay, bisexual, transgender, and queer or questioning patients: A national perspective. Journal of the American Association of Nurse Practitioners, 37(2), 98–106. https://doi.org/10.1097/JXX.0000000000001043

Zamanzadeh, V., Ghaffari, R., Valizadeh, L., Karimi-Moonaghi, H., Johnston, A. N. B., & Alizadeh, S. (2021). Challenges of objective structured clinical examination in undergraduate nursing curriculum: Experiences of faculties and students. Nurse Education Today, 103, 104960. https://doi.org/10.1016/j.nedt.2021.104960