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Guidelines for identifying and revising culturally biased multiple-choice nursing examination items
1College of Nursing, University of Cincinnati, Ohio, USA. Nikole.Hicks@uc.edu
Nurse Educator
|October 26, 2011
Summary
Bias in nursing examinations contributes to minority student attrition. Ensuring fair, valid, and reliable nursing assessments is crucial for improving outcomes and increasing the diversity of the registered nurse (RN) workforce.
Area of Science:
- Nursing Education
- Health Sciences
- Educational Measurement
Background:
- Increasing diversity in the registered nurse (RN) workforce requires recruiting, retaining, and graduating multicultural students.
- Bias in nursing examinations is a significant factor contributing to high attrition rates among minority nursing students.
- Valid and reliable nursing assessments are essential for improving educational outcomes for diverse student populations.
Purpose of the Study:
- To explore the issue of bias in multiple-choice nursing examinations.
- To define bias in the context of nursing assessments.
- To provide guidelines for evaluating and revising test items to ensure fairness across cultural groups.
Main Methods:
- Literature review on bias in educational testing.
- Analysis of the definition and types of bias in multiple-choice questions.
- Development of practical guidelines for test item review.
Main Results:
- Bias in nursing examinations can negatively impact the performance and retention of minority students.
- Multiple-choice nursing exams may contain culturally biased items that do not accurately reflect nursing knowledge.
- Systematic evaluation and revision of test items can mitigate bias.
Conclusions:
- Addressing bias in nursing examinations is critical for promoting equity and diversity in the nursing profession.
- Implementing guidelines for fair assessment practices will support the success of all nursing students.
- Valid and reliable examinations are fundamental to achieving a multicultural and competent RN workforce.
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