This document discusses a school of nursing's process of infusing technology into its programs. It describes the school's transition from paper-based testing to electronic testing using an exam software platform. The school considered learning management systems, scantron-based options, and server-based software before deciding on ExamSoft due to its ability to create NCLEX-style questions, provide detailed item and student performance analyses, and enable test blueprinting for accreditation purposes. The school ultimately changed its decision after receiving recommendations from other nursing schools to use ExamSoft instead.

1. Infusing Technology
Into a School
Of Nursing
An ExamSoft Client Webinar

2. 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

3. 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
3

4. 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.
4

5. Technology
at
Work-­‐
Part
I
5

6. Technology
in
a
School
of
Nursing
6

7. Technology
in
a
School
of
Nursing
7

8. Technology
in
a
school
of
Nursing–
Part
I
8

9. Infusing
Technology
in
a
school
of
Nursing
–
Part
I
9

10. Technology
as
an
adjunct
to
Classroom
Teaching
10

11. Technology
as
an
adjunct
to
Classroom
Teaching
11

12. Technology
as
an
adjunct
to
Clinical
Teaching
12

13. Technology
as
an
adjunct
to
Clinical
Learning
13

14. Technology
as
an
adjunct
to
Clinical
Learning
14

15. 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
15

16. 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
16

17. 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)
17

18. 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
18

19. 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
19

20. 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
20

21. Test
Security
• Disabled
Camera
• Browser
disabled
• No
Internet
access
during
exams
• Inability
to
leave
test
environment
• Capacity
to
track
student
keystrokes
while
tes-ng
21

22. Test
Blueprinting
that
provides
actionable
information
(Accreditation,
Program)
• Objec-ves
• Taxonomy
• Nursing
Process
• Quality
and
Safety
Educa-on
in
Nursing
(QSEN)
• NCLEX
Test
Plan
22

23. Decision
Making
Process
Choices
• Learning
Management
System
(LMS)
PlaKorm
• Scantron
Based
• Server
Based
Sohware
23

24. 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
24

25. 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
25

26. 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
26

27. The
Decision
LMS
Tes-ng
PlaKorm
27

28. 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

29. 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
29

30. Hardware
Considerations
• Portability
• U-lity
• Compa-bility
with
other
sohware
used
by
school
• Cost
Effec-veness
30

31. The
Choice
31

32.
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
32

33. 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

34. References
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B.,
&
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A.
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impact
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J.
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34

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