ABSTRACT

Background: Many Indonesian nurses in Saudi Arabia encounter challenges in passing the Saudi Nursing Licensure Examination (SNLE) to become registered nurses. Purpose: This study aimed to analyze the factors contributing to examination failure and its implications for the presence of Indonesian nurses in Saudi Arabia. Methods: A cross-sectional study was conducted between November and December 2024, involving 137 nurses selected through simple random sampling. The independent variables included demographic data, exam preparation, English proficiency, and external support. The dependent variable was exam outcomes, and data were collected through a self-questionnaire that assessed internal and external factors. Data was analyzed using chi-square and logistic regression to examine the significance of those aspects. Results: Three factors statistically influenced the Saudi Nursing Licensure Examination (SNLE) results among Indonesian nurses: work experience (p=0.021; <0.05; OR; 0.14), SNLE difficulties (p=0.039; <0.05; OR 8.64), and alignment with nursing material and nursing blueprint (p=0.025; <0.05; OR; 0.11). Conclusion: The study highlights work experience, SNLE difficulties, and exam nursing material as predictors of SNLE results. Implication for Nursing: An evaluation of many aspects that influenced examination results is important. Enhancing the training mock exams, and improving language proficiency through an integrated educational curriculum will be significant for Indonesian nurses to pass an exam.