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A clinical evaluation tool for nursing students based on the nursing process.

B H Cottrell, B H Cox, S J Kelsey

    The Journal of Nursing Education
    |September 1, 1986
    PubMed
    Summary

    A new computerized tool enhances nursing education by objectively evaluating student clinical performance across diverse settings. This system provides immediate feedback, improving formative assessments and reducing faculty workload.

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    Area of Science:

    • Nursing Education
    • Health Professions Education
    • Clinical Skills Assessment

    Background:

    • Traditional evaluation tools in baccalaureate nursing programs often lack the necessary discrimination for assigning letter grades in clinical courses.
    • Existing methods struggled to identify competencies common across varied clinical settings, hindering standardized student assessment.

    Purpose of the Study:

    • To develop and implement a computerized evaluation tool for a baccalaureate nursing program's clinical courses.
    • To create a tool that provides objective, criterion-referenced, and immediate feedback for student clinical performance evaluation.

    Main Methods:

    • A computerized evaluation tool was designed focusing on the four areas of the nursing process, weighted by curriculum framework and student level.
    • Entry-level behaviors were identified and progressed to more complex, independent actions, using a criterion-referenced rating scale.

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  • The tool was mathematically verified by a statistician and implemented for bi-weekly student and faculty evaluations.

    • Main Results:

    • The computerized tool successfully identified behaviors for grading across four clinical settings, providing formative and summative evaluations.
    • Immediate student feedback was facilitated through the computer-based system, enhancing formative assessment processes.
    • Objectivity in evaluation increased, faculty paperwork was reduced, and both students and faculty reported increased comfort with computer use.

    Conclusions:

    • The computerized evaluation tool is a mathematically sound and effective instrument for assessing student clinical performance in nursing education.
    • The tool enhances objectivity, provides timely feedback, and streamlines the evaluation process, benefiting both students and faculty.
    • Implementation led to improved student awareness of expected behaviors and greater faculty and student familiarity with digital assessment tools.