Global integration of adaptive quizzing in nursing education: Enhancing Student performance and bridging educational...

Adaptive Quizzing (AQ) has gained recognition as a transformative tool in nursing education, providing personalized learning experiences that enhance student performance and engagement. Its global integration offers the potential to address educational disparities across diverse regions and improve outcomes in high-stakes licensure examinations such as the NCLEX-RN.

This narrative review explores the implementation, benefits and challenges of AQ in nursing education across various global contexts, with a focus on its impact on student performance, critical thinking skills and learning personalization.

A comprehensive literature search was conducted across several databases, including PubMed, CINAHL, Scopus and Web of Science. The review included studies from 2010 to 2023 that evaluated the effectiveness of AQ in nursing education. Themes such as enhanced academic performance, increased engagement, development of critical thinking and cultural adaptation were synthesized.

The findings revealed consistent improvements in examination scores and overall academic performance when AQ was employed. AQ systems fostered higher levels of student engagement, motivation and critical thinking. However, challenges such as technological infrastructure, faculty training and the need for cultural adaptation were identified, particularly in low- and middle-income countries.

AQ has proven to be a valuable tool in nursing education, significantly improving student outcomes and promoting personalized learning. However, successful global implementation requires addressing challenges related to technology, cultural relevance and long-term impact assessment. Further research is needed to explore the role of AQ in diverse educational settings and its long-term effects on clinical competence.