Infusing Technology into a School of Nursing

Infusing Technology Into a School

Of Nursing An ExamSoft Client Webinar

Infusing  Technology  in  a  School  of  Nursing  Electronic  Tes-ng  and  iPad  Student  Ini-a-ve      Barbara  Blackwell  EdD,  RN-­‐BC  Director  Holy  Name  Medical  Center  School  of  Nursing  

Objectives  Upon  comple-on  of  this  webinar,  the  par-cipant  will:  1.  Discuss  the  decision  making  process  to  determine  which  

plaKorm  to  use  for  electronic  tes-ng    2.  List  the  important  elements  of  a  electronic  tes-ng  plaKorm  3.  Create  a  plan  to  incorporate  electronic  tes-ng  in  a  school  of  

nursing  

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Background    Technology  has  taken  on  a  greater  emphasis  in  both  the  academic  and  prac-ce  arena.  This  presents  educa-on  with  a  new  impera-ve  to  assist  the  student  to  become  comfortable  with  technology  while  preparing  them  to  enter  the  role  of  professional  nurse.  In  a  two  part  series  join  the  journey  of  one  school  as  technology  becomes  a  part  of  daily  teaching  and  student  learning.    

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Technology  at  Work-­‐  Part  I  

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Technology  in  a  School  of  Nursing  

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Technology  in  a  School  of  Nursing  

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Technology  in  a  school  of  Nursing–  Part  I  

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Infusing  Technology  in  a  school  of  Nursing  –  Part  I  

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Technology  as  an  adjunct  to  Classroom  Teaching  

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Technology  as  an  adjunct  to  Classroom  Teaching  

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Technology  as  an  adjunct  to  Clinical  Teaching  

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Technology  as  an  adjunct  to  Clinical  Learning  

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Technology  as  an  adjunct  to  Clinical  Learning  

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Part  II-­‐The  move  to  Electronic  Testing  Electronic  Tes-ng  has  been  a  part  of  the  Na-onal  Council  Licensing  Exam  (NCLEX-­‐RN)  Since  1994    

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Reasons  to  move  to  Electronic  Testing  

•  Increase  student  comfort  with  electronic  tes-ng  format  •  Increased  Test  Security  •  Ability  to  create  Na-onal  Council  Licensing  Examina-on  test  ques-on  Formats  (NCLEX  )  

•  Students  receive  their  scores  instantly  •  Decrease  use  of  paper  •  Faculty  spend  less  -me  scoring  exams  •  Easy  to  adjust  scoring  •  Ability  to  simulate  NCLEX  tes-ng  environment  

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School    of  Nursing  Priorities  •  Ability  to  create  NCLEX  Type  Ques-ons  •  Detailed  Item  Analysis  •  Student  Performance  Analysis  •  Test  Security  •  Test  Blueprin-ng  that  provides  ac-onable  informa-on  (Accredita-on,  program)  

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Ability  to  create  NCLEX  Type  Questions    The  Na-onal  Council  Licensing  Exam  for  Registered  Nurses  (NCLEX-­‐RN)  ques-on  types:  

•  Mul-ple  Choice  •  Mul-ple  Response  •  Order  Response  •  Hot  spot    •  Fill  in  the  Blank  •  Chart/Exhibit  Items  •  Graphic  Item  •  Audio  Item  

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Detailed  Item  Analysis    •  Mean,  median,  mode  –  Exam  Difficulty  •  KR20-­‐  Exam  Reliability  •  PBCC-­‐  (Point  Biserial  Correla-on  Coefficient)  differen-ates  high  performing  from  low  performing  students  

•  P  Value  –  Item  Difficulty  

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Student  Performance  Analysis    •  Exam  Score  Available  at  end  of  exam  •  Immediate  feedback  on  Performance  •  Ability  to  Assess  student  performance  on  learning  Outcomes  •  Iden-fica-on  of  Student  Strengths  and  areas  in  need  of  Improvement  

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Test  Security  •  Disabled  Camera  

•  Browser  disabled  

•  No  Internet  access  during  exams  

•  Inability  to  leave  test  environment  

•  Capacity  to  track  student  keystrokes  while  tes-ng  

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Test  Blueprinting  that  provides  actionable  information  (Accreditation,  Program)    •  Objec-ves  •  Taxonomy  •  Nursing  Process  •  Quality  and  Safety  Educa-on  in  Nursing  (QSEN)  •  NCLEX  Test  Plan  

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Decision  Making  Process  Choices  

•  Learning  Management  System  (LMS)  PlaKorm  •  Scantron  Based  •  Server  Based  Sohware  

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Decision  Making  Process  LMS  Platform    

PRO  

•  No  Extra  Cost  •  Immediate  scoring  of  Exam  •  Ease  of  rescoring  Exams  •  Mul-ple  ques-on  formats  •  Link  revised  ques-ons  to  trace  performance  

•  Easily  add  “extra  -me’  when  neded  

•  Ques-ons  can  be  aligned  with  Learning  Objec-ves  

•  Server  Based  

CONS  

•  Item  Analysis  likle  detail  •  No  KR20  •  No  Point  BiSerial  

•  No  detail  on  Student  Analysis  Student  Analysis    

•  Limita-on  on  Test  Blueprin-ng  

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Scantron  Based  

PRO •  Affordable  •  Test  can  be  Paper  &  Pen  or  on-­‐line  

•  Immediate  availability  of  results  when  tes-ng  on-­‐line  

•  No  licensing  (no  limita-on)  

•  Detailed  Item  Analysis  

CON •  Installed  on  school  Server  

•  Not  out  yet  await  launch  date  

•  Limited  student  performance  analysis  

•  Unable  to  analyze  program  Performance  

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Server  Based  Software    

PRO  

•  Server  Based  •  Detailed  Student  performance    Analysis  

CON  

•  Limited  Ques-on  Format  •  Limited  item  Analysis  •  Limited  Program  Analysis  •  Inability  to  trend  data  for  accredita-on  purposes  

•  Limited    

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The  Decision  LMS  Tes-ng  PlaKorm  

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A  Change  of  Mind  The  Move  to  ExamSoh  

Ø Recommenda-ons  from  other  schools  of  Nursing  

Ø Ability  to  give  student’s  detailed  informa-on  Ø High  level  of  security  Ø Detailed  analysis  (program,  student,  item,  accredita-on)  

Ø Item  banking  with  historical  informa-on  Ø High  level  of  Test  Security   28  

Planning  for  Electronic  Testing  •  Lap  Tops  vs  Chromebooks  vs  iPads  

Ø Learning  Curve  Ø Compa-bility  with  applica-ons  presently  used  Ø Price  Ø U-lity  

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Hardware  Considerations  •  Portability  •  U-lity  •  Compa-bility  with  other  sohware  used  by  school  •  Cost  Effec-veness  

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The  Choice  

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 Planning  for  Electronic  Testing  Faculty  Tes-ng  Commikee  •  Determine  Policy  

Ø Student  Orienta-on  Ø Faculty  Orienta-on  

•  Exam  Development  &  Administra-on  •  Standard  Test  Blueprint  •  Determine  approach  to  Item  wri-ng  

Ø Ques-on  approval  process      

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Policies  Instituted  to  Decrease  Cheating  •  One  Instructor  proctor    for  every  25  students  tested  

•  School  provides  Scrap  paper  Ø Scrap  paper  collected  aher  each  exam  

Ø Color  of  scrap  paper  changed  for  each  exam  

•  School  provides  Pencil  •  No  Calculators  needed  •  Bathroom  break  during  exam  

•  Exam  Password  protected  •  Different  password  to  resume  exam   33  

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