Recently, our blog featured tips for developing Next Generation NCLEX (NGN)-style questions, particularly the revision of test questions faculty already include on their examinations. Revising these questions provides a strategy to adapt current test items to reflect the NGN process, since these knowledge questions represent many questions on the NGN exam.
April 2023 remains the target date for the Next Generation NCLEX (NGN) for both the NCLEX-RN and NCLEX-PN licensure examinations. These examinations emphasize the use of clinical judgment in caring for patients in a variety of healthcare settings by focusing on interactions between nurse and client, the client’s needs, and expected outcomes.
The Next Generation NCLEX (NGN) has been “top of mind” for the Nursing Education community for at least the last two years. Last month Elsevier Education offered a three-hour workshop, highlighting Dr. Phil Dickison, Chief Operating Officer of the National Council of State Board of Nursing (NCSBN), and two nurse educators, Dr. Linda Silvestri and Dr. Donna Ignatavicius. This webinar focused on the most up-to-date information about the NGN.
In his presentation, Dr. Dickison gave some important information of which we should all be aware as we continue our journey toward preparing our students for the NGN. Here are several points that I felt were particularly helpful. Continue reading “NGN Update: What you need to know now”
On September 14, 2020, I participated in the first-ever virtual 2020 NCLEX Conference offered by the National Council of State Boards of Nursing (NCSBN). There were many interesting presentations, but I believe that you will agree that the discussion about Next Generation NCLEX (NGN) was most important for nursing educators. So here is an overview of the discussion about NGN. Continue reading “Report from the 2020 NCSBN NCLEX Conference”
Most of us have been coping, both personally and professionally, with the results of social distancing as a result of the COVID-19 pandemic. While we would like life to return to “normal,” we also worry about the health impact of returning to our “face-to-face” lives. Equally important, when this crisis passes, what will the new normal look like? Continue reading “Testing Online in the Era of Social Distancing”
The National Council of State Boards of Nursing (NCSBN) recently posted on their website five types of questions that they will include as part of the Next Generation NCLEX (NGN) test revision. While the NCSBN intends to continue to use the multiple-choice test format which currently makes up a significant portion of the NCLEX exam, other types of test items will also be included. Continue reading “NGN-Style Questions—What Should We Do Now?”
How do we help nursing students make good clinical judgments? That is the question that most of us struggle with. We “give” students the necessary knowledge in class through lectures, readings, and various learning activities. We provide opportunities to “practice” in simulation/labs and during their clinical experiences. We assign increasingly challenging nursing practice opportunities. As a result, many students learn to put the pieces together to make good judgments—most of the time. However, every novice nurse I have ever worked with has been worried about making a clinical mistake—mistakes which usually are driven by poor clinical judgment.
Writing test items for a faculty-made test is
perhaps one of the most difficult tasks that a faculty member faces. In Critical Thinking in Test Item Writing,
Morrison, Nibert, and Flick (2006) emphasize the importance of crafting a test
item that requires test-takers to at
least apply content in order to correctly answer the question. This
recommendation reflects the National Council of State Board of Nursing’s policy
that all NCLEX test items require cognition at the application level or higher.
Yet, we all know how difficult it is to develop test items that correspond to
the upper levels of Bloom’s Taxonomy of Cognitive Behavior.