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Developing a prelicensure exam for Canada: an international collaboration.
1HESI Assessment, Elsevier Health Sciences, Houston, TX, USA. b.hobbins@elsevier.com
Summary
A new Prelicensure Exam (PLE) was developed for Canadian nursing students to predict success on the Canadian Registered Nurse Examination (CRNE). This exam demonstrates high reliability and congruent validity, mirroring the CRNE blueprint.
Area of Science:
- Nursing Education
- Health Professions Education
- Assessment and Evaluation
Background:
- The Health Education Systems, Inc. (HESI) Exit Exam (E2) accurately predicts success on the Registered Nurse licensure exam in the US.
- Canada lacks a standardized exam to predict success on the Canadian Registered Nurse Examination (CRNE).
- A predictive exam could guide remediation for Canadian nursing students.
Purpose of the Study:
- To develop and pilot test a Prelicensure Exam (PLE) for Canadian nursing students.
- To evaluate the PLE's reliability and validity in predicting CRNE success.
- To provide a tool for assessing nursing student preparedness and guiding remediation.
Main Methods:
- International collaboration between a HESI expert and a Canadian nursing faculty member.
- Development of a 180-item multiple-choice/single-answer exam.
- Pilot testing with 175 Canadian nursing students, followed by item analysis.
Main Results:
- Item analysis informed the development of a 160-item PLE with 20 additional pilot items.
- The PLE demonstrated an estimated reliability of 0.91.
- The PLE exhibits congruent validity with the CRNE, sharing a similar test blueprint.
Conclusions:
- The developed PLE is a reliable and valid tool for assessing Canadian nursing students' readiness for the CRNE.
- The PLE can aid in identifying areas for student remediation, improving first-attempt success rates.
- This exam addresses a critical need for a standardized predictive assessment in Canadian nursing education.
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