Developing a computer-based system for the evaluation of students' knowledge and their problem-solving performance of nursing colleges and universities

本研究的目的是利用计算机辅助测试（CBT），开发一个新的、具有高度区分性的、充分恰当性和客观性的评价系统。该系统的应用不仅可以对学生的基础知识的掌握情况进行评价，而且可以对学生解决问题的能力进行评价，这对保证临床训练的安全和有效是非常重要的。已采取初步措施，重新审查目前使用的教材。对国家考试的问题标准给予了适当考虑。汇编了水平和适当程度可接受的几组汇总问题，这些问题应涵盖所有有待评价的领域。同时，在系统设计中，对计算机评价可能出现的问题进行了分析和预测。设计了一个新的计算机模型评价系统，经过学生的反复试用，得到了客观的评价， ...更多信息 l用于临床培训现场评估的预期实际应用和规范化应用。我们的研究成功地启动了日本第一个CBT的开发。这种新开发的系统可以在现场培训之前使用，以确保正在接受培训的学生的有效学习和临床安全。在学生实际接受培训之前，应评估他们的知识能力和解决问题的表现，以达到这一目的。这种事先评估也具有社会意义，确保学生在参加临床培训和向病人提供直接护理方面达到一定的能力水平。在完成临床培训后应用该评估系统，使学生能够认识到自己的成就水平。由于该系统通过使用基于计算机的设计确保标准化评价，其优点预计将包括任务的效率和评价程序所涉及的上级质量控制。少

The objective of this study was to develop a new, highly-discriminative evaluation system with full propriety and objectivity using the Computer-Based Testing (CBT). The use of this system should enable evaluation not only of the students' acquisition of basic knowledge but also of their problem-solving performance of nursing colleges and universities, both of which are requisites for ensuring safe and effective clinical training. Initial steps were taken to re-examine the present educational materials used. Due consideration was given to the criteria of questions in the national examination. Groups of pooled questions of acceptable level and propriety were compiled, which should encompass all areas subject to evaluation. At the same time, all possible problems involving computer-based evaluation were anticipated and analyzed to design the system. A newly-designed computer-based model evaluation system, which underwent repeated trials by students, was then exposed to objective appraisa … More l for expected practical use and standardized application in the evaluation of on-site clinical training. Our study successfully initiated the development of the first CBT in Japan. This newly developed system can be employed prior to on-site training to ensure effective learning and clinical safety for students who are undergoing training. This is expected to be achieved by evaluating students' competence in knowledge and problem-solving performance before they actually have the training. This prior evaluation has also a social implication that the students are assured of attaining a certain level of competence in participating in clinical training and in providing direct care to patients. Application of this evaluation system after completion of clinical training enables students to acknowledge their own levels of achievement. Since the system ensures standardized evaluation through use of computer-based design, its advantages are expected to include both efficiency in the tasks and superior quality control involved in the evaluation procedures. Less