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Adaptive Quizzing Improves End-of-Program Exit Examination Scores
Carmen Rosa Presti1, Jill S Sanko
1Author Affiliations: Assistant Professors (Drs Presti and Sanko), University of Miami School of Nursing and Health Studies, Coral Gables; Acute Care Nurse Practitioner (Dr Presti), Jackson Memorial Hospital, Miami, Florida.
Customized adaptive quizzing significantly improved nursing students' exit examination scores. This approach offers a valuable tool for remediation and enhancing academic success in nursing education.
Area of Science:
- Nursing Education
- Educational Technology
Background:
- Standardized exit examinations are used by a third of nursing schools for student progression.
- Student failures on high-stakes tests negatively impact students and nursing programs.
- Adaptive quizzing has shown potential to improve grades, graduation rates, and NCLEX-RN pass rates while reducing test anxiety.
Purpose of the Study:
- To reduce the negative impact of high-stakes testing.
- To improve standardized exit examination scores in nursing students.
- Implemented customized adaptive quizzing in the final nursing course before graduation.
Main Methods:
- Compared end-of-program exit examination scores.
- Utilized a preintervention cohort (no adaptive quizzing).
- Implemented a postintervention cohort with individualized adaptive quizzing.
Main Results:
- Statistically significant increases in exit examination scores were observed.
- Students who completed adaptive quizzing assignments showed improved performance.
- The intervention demonstrated a positive effect on student outcomes.
Conclusions:
- Tailored adaptive quizzing effectively increased exit examination scores.
- Supports the use of customized adaptive quizzing for remediation in nursing programs.
- Highlights the value of adaptive learning technologies in nursing education.
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