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)开发一种新的、完全恰当和客观的、具有高度区分性的评估系统。该系统的使用，不仅可以评估学生对护理院校基础知识的掌握情况，还可以评估其解决问题的能力，这是保证临床培训安全、有效的必要条件。已采取初步步骤重新审查目前使用的教材。对国家考试中的问题标准给予了适当考虑。汇编了一组可接受程度和适当程度的集合问题，这些问题应涵盖所有需要评估的领域。同时，对计算机测评中可能出现的问题进行了预测和分析，设计了系统。一个新设计的基于计算机的模型评价系统，经过学生的反复试验，然后暴露在客观评价…更多的是对于L在现场临床培训评估中的预期实际使用和规范应用。我们的研究成功地启动了日本第一台CBT的开发。这一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。这一点预计将通过在学生实际接受培训之前评估他们的知识能力和解决问题的能力来实现。这项先前的评估还具有社会意义，即确保学生在参与临床培训和为患者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这一评估系统，使学生能够认可自己的成就水平。由于该系统通过使用以计算机为基础的设计来确保标准化评价，预计其优点将包括任务效率和评价程序所涉及的高级质量控制。较少

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