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"Why can't I pass these exams?": providing individualized feedback for nursing students
The Journal of Nursing Education
|February 18, 2015
Summary
Providing individualized feedback on nursing course exams, rather than just correct answers, helps at-risk students identify knowledge gaps and improve test scores. This structured approach supports early intervention for potential National Council Licensure Examination for Registered Nurses (NCLEX-RN) success.
Area of Science:
- Nursing Education
- Educational Psychology
Background:
- Existing nursing literature emphasizes National Council Licensure Examination for Registered Nurses (NCLEX-RN) remediation over course-level examination feedback.
- Students at risk for NCLEX-RN failure often exhibit early academic struggles in pre-licensure coursework.
- Current feedback methods may not adequately address individual student learning needs.
Purpose of the Study:
- To evaluate the effectiveness of a structured, individualized feedback method for nursing course examinations.
- To determine if this feedback approach improves student identification of knowledge gaps and test performance.
- To offer an alternative to generic feedback for at-risk nursing students.
Main Methods:
- Development and implementation of a "feedback grid" for individualized examination feedback.
- Utilizing the nursing process, Bloom's taxonomy, and NCLEX-RN blueprints within the feedback grid.
- Application of the feedback grid in a critical care nursing course.
Main Results:
- The feedback grid enabled students to identify patterns in their knowledge deficits.
- Students using the grid could better determine correct answers for missed questions.
- Significant improvement in test scores was observed in the critical care nursing course.
Conclusions:
- Structured, individualized feedback is superior to simple correct-answer feedback for nursing students.
- The feedback grid provides a practical method for identifying and addressing student weaknesses early in nursing programs.
- This approach can enhance student learning and potentially improve future licensure examination outcomes.
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