Introducing a design exigency to promote student learning through assessment: A case study.
Laurie A Grealish1, Julie M Shaw1
1Gold Coast Hospital and Health Service, Hospital Boulevard, Southport, Qld 4215, Australia; Griffith University, Gold Coast Campus, Parklands Drive, Southport, Qld 4215, Australia.
The Australian Nursing Standards Assessment Tool 2016 needs a "not yet competent" category for better nursing performance assessment. This change can improve feedback and support diverse student and clinician needs.
Area of Science:
- Nursing Education
- Assessment Technology
- Healthcare Professional Development
Background:
- Current nursing performance assessment tools often use a binary pass/fail system.
- There is limited exploration into the design and flexibility of these classification technologies.
- Understanding assessment design can reveal opportunities for process improvement.
Purpose of the Study:
- To evaluate the Australian Nursing Standards Assessment Tool 2016 as a classification system.
- To identify limitations in the current nursing assessment technology.
- To explore potential innovations in nursing performance assessment design.
Main Methods:
- A case study analysis of the Australian Nursing Standards Assessment Tool 2016.
- Focus on the assessment approach and a priori design exigencies.
- Examination of the tool as a classification system.
Main Results:
- Assessors' judgments, while expert-based, can introduce bias and confusion.
- The tool defines satisfactory performance as 'ready to enter practice'.
- The tool lacks a 'not yet competent' or 'other' category common in classification systems.
Conclusions:
- Implementing a 'not yet competent' category and a mixed-methods approach can enhance the tool.
- A standards-based first part allows for valuable judgment and learning opportunities.
- A measurement-based second part can provide graded passes while identifying areas for development.
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