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Published on: June 21, 2010
Exam Wrappers in Nursing Education: A Metacognitive Tool to Improve Performance
Jessica E Gay1, Kathryn Kuskie, Alisha Loken
1School of Nursing, University of Kansas, Kansas City, Kansas (Mrs Gay and Dr Klenke-Borgmann); School of Nursing, Linfield University, Portland, Oregon (Mrs Kuskie); and Department of Nursing, Bakersfield College, Bakersfield, California (Mrs Loken).
Background:
Metacognition can assist students in improving poor examination (exam) performance. An exam wrapper is a metacognitive tool used to assess a student's thought processes and behavioral patterns during test-taking.
Purpose:
The purpose of this study was to determine the effect of an exam wrapper tool used during one-to-one exam review sessions with faculty on prelicensure nursing students' subsequent exam performance.
Methods:
Paired t -tests and repeated measures ANOVA were used to compare undergraduate students' (n = 91) exam scores before and after an exam review session with faculty in which the exam wrapper tool was used.
Results:
Students who completed a one-to-one exam review session with faculty using the exam wrapper showed significant improvement in subsequent exam scores.
Conclusions:
Use of an exam wrapper tool as part of a one-to-one exam review session with faculty is a viable way to leverage metacognition to improve student exam performance.
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