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Waging the War on Clinical Grade Inflation: The Ongoing Quest

Seldomridge, Lisa A., PhD, RN; Walsh, Catherine M., PhD, RN

doi: 10.1097/NNE.0000000000000473
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This study examined the presence of grade inflation in clinical courses 9 years after implementing strategies to improve grading precision. A comparison of clinical grades for cohort I (1997-2002) with cohort II (2009-2016) showed statistically lower grades in 2 courses (Adult 1 and Maternity) for cohort II. Suggestions for changing the way clinical experiences are planned, executed, and evaluated are provided.

Author Affiliations: Professors, Department of Nursing, Salisbury University, Maryland.

The authors declare no conflicts of interest.

Correspondence: Dr Seldomridge, 1101 Camden Ave, Salisbury, MD 21801 (

Accepted for publication: September 18, 2017

Published ahead of print: November 16, 2017

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