using examsoft codings to identify gaps and strengths with the nclex-rn test plan
TRANSCRIPT
Tommie L. Norris, DNS, RNAssociate Dean Evaluation & Effectiveness
Using ExamSoft Coding to Identify Gaps and Strengths with the NCLEX-RN Test Plan
Why Code to NCLEX-RN
• Map content in each course• Map content across the program• Identify gaps related to NCLEX-RN content• Identify redundancies • Prevent content “drift”• Compare to student outcomes
– Standardized exams
Let’s Get Ready to Map
• Faculty’s best friend is the NCLEX-RN Examination Detailed Test Plan (Nurse Educator Version)
• What is important to map for your program?• Where do you start?
– Do you start with only mapping the 4 main categories of the NCLEX-RN
– or include the Integrated Processes?– or include Bloom’s Taxonomy?– or include disease processes?
NCLEX-RN Detailed Test Plan
• Effective April 2016• https://www.ncsbn.org/2016_RN_DetTestPlan_Educator.pdf• Report of findings from the 2014 RN Practice Analysis• Serves as guide for candidate preparation
– “don’t teach to the test”
Cultural & Spiritual
• Add cultural and spiritual client preference to assessment and plan of care
• Integrated processes added culture and spirituality
Bloom’s Taxonomy
Major Client Needs Categories
1. Safe and Effective Care Environment Management of Care Safety and Infection Control
2. Health Promotion and Maintenance3. Psychosocial Integrity4. Physiological Integrity
Basic Care and Comfort Pharmacological and Parenteral Therapies Physiological Adaptation
Integrated Processes-Fundamental to Practice of Nursing
• Nursing Process• Caring• Communication and Documentation• Teaching/Learning• Culture and Spirituality Defined page 5
Client Needs % from Each Category/subcategory
Safe & Effective Care Environment Management of Care Safety & Infection Control
17-23%9-15%
Health Promotion & Maintenance 6-12%
Psychosocial Integrity 6-12%
Physiological Integrity Basic Care & Comfort Pharmacological & Parenteral
Therapies Reduction of Risk Potentials Physiological Adaptation
6-12%12-18%
9-15%11-17%
What Content is Coded Where?
Subcategory-Management of CareAdvanced DirectivesDelegationCollaboration with Interdisciplinary TeamInformed consent
BSN Program Outcomes• (PO1) - Use verbal, nonverbal, written, and emerging technology
methods to communicate and collaborate effectively with members of the healthcare team, including patients and the patient’s support network;
• (PO2) – Deliver safe, spiritually and culturally appropriate evidence-based, patient-centered health promotion and disease and injury prevention interventions;
• (PO3) – Integrate evidence, clinical judgement, interprofessional perspectives, and patient preferences in planning, implementing, and evaluating outcomes of patient-centered care;
• (PO4) – Demonstrate professional standards of moral, ethical, and legal conduct;
NCLEX-RN Categories
• (NX1) – Safe/Effective Care Environment. (Select from one below)– NX1a – Management of Care– NX1b – Safety/Inf. Cont.
• (NX2) – Health Promotion/Maintenance
• (NX3) – Psychological Integrity
• (NX4) – Physiological Integrity (Select one from below)
– NX4a – Basic Care/Comfort
– NX4b – Pharm./Parental Therapies
– NX4c – Reduction of Potential
– NX4d – Physiological Adaptation
Integrated Processes
• (IP 1). Nursing Process (Select one from below)– IP1a. Assessment – IP1b. Diagnosis – IP1c. Planning – IP1d. Implementation – IP1e. Evaluation
• (IP 2). Caring• (IP 3). Communication and documentation• (IP 4). Teaching/learning• (IP 5). Culture and Spirituality
Bloom’s Taxonomy
• (BK) Knowledge• (BC) Comprehension• (Bap) Application• (Ban) Analysis
Course Outcomes
NSG 421 Pathophysiology•(CO421-1) – Associate disruptions of physiological processes to the development of disease across the life span.•(CO421-2) – Use technology to interpret clinical data as indicators of normal or altered physiologic processes.•(CO421-3) – Apply evidence based practice to the study of disease processes. •(CO421-4) – Assume accountability for personal and professional behaviors.
Disease Processes
• (DP_Integ) Integumentary• (DP_ENT) Head, Eyes, Mouth, Nose,
Neck• (DP_CV) Cardiac• (DP_Pulm) Pulmonary• (DP_MSK) Musculoskeletal• (DP_Neuro) Neurological System• (DP_Renal) Renal• (DP_GI) Gastrointestinal• (DP_Repro) Reproductive System
Disease Processes (continued)
• (DP_Endo) Metabolic/Endocrine System• (DP_Hem) Hematological System• (DP_Onc) Cancer• (DP_EOL) End of Life• (DP_Imm/Infect) Immune System/Infectious Diseases• (DP_Gen) Genetics• (DP_APM) Antepartum• (DP_IPM) Intrapartum• (DP_PPM) Postpartum • (DP_NB) Newborn• (DP_HRPG) High Risk Pregnancy
Professional Role• (LM_Style) Leadership Style• (LM_Power) Leadership Power• (LM_Mgmt Res) Management Resources• (LM_NCDS) Nursing Care Delivery
System• (LM_Comm) Communication• (LM_Legal) Legal• (LM_Ethical) Ethical• (LM_Delegation) Delegation• (LM_Change) Change• (LM_Budget) Budget• (LM_QI) Quality Improvement
Psychiatric Mental Health DSM Classifications
• (DSM-Neuro dis) Neurodevelopmental Disorders: Autism, ADHD
• (DSM-Schz) Schizophrenia Spectrum and Other Psychotic Disorders
• (DSM-Bipolar) Bipolar and Related Disorders• (DSM-Depress) Depressive Disorders• (DSM-Anx) Anxiety Disorders• (DSM-Obsess) Obsessive-Compulsive and
Related Disorders• (DSM-Trauma) Trauma-and Stressor-Related
Disorders
Category Report
• Provides in depth analysis of learning outcomes• Identify strengths and weaknesses of individual exam users or
entire course• Checking “category statistics” will include the KR20, standard
deviation, mean, median, minimum, and maximum • http://university.examsoft.com/h/i/222431643-category-report/
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Course Report for Disease Processes
NX4 Across the ProgramNX1-Safe/Effective Care Envir.
NX1a-Mgmt of Care 144
NX1b-Safety/Inf. Cont. 120
NX2-Health Promotion/Maintenance 168
NX3-Psychological Integrity 11
NX4-Physiological Integrity
NX4a-Basic Care/Comfort 21
NX4b-Pharm./Parental Therapies 174
NX4c-Reduction of Potential 94
NX4d-Physiological Adaptation 228