Using Performance Improvement Methods to Evaluate Processes for Writing Multiple-Choice Test Questions in the Postlicensure Clinical Environment: A Case Study

This article is the last of a four-part series to guide educators on the construction and evaluation of multiple-choice test items in the post-licensure environment. Previous articles in this series described the problem and the mechanics of test item construction and evaluation. A replicable strate...

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Bibliographic Details
Published in:The Journal of continuing education in nursing 2024-11, Vol.55 (11), p.1-542
Main Authors: Davidson, Judy E, Kalinowski, Amy, Makhija, Hirsh, Schneid, Stephen D, Mandel, Jess
Format: Article
Language:English
Subjects:
Best Practices
Case studies
Change Strategies
Clinical medicine
Computer Software
Construction
Continuing education
Educational Assessment
End users
Environment
Focus Groups
Health care policy
Item Analysis
Leadership
Lean manufacturing
Learning Management Systems
Learning Processes
Manufacturing Industry
Measurement Techniques
Multiple Choice Tests
Nursing education
Open source software
Open Source Technology
Public domain
Six Sigma
Teachers
Test Construction
Test Items
Writing
Writing Instruction
Writing Skills
Writing Tests
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Summary:This article is the last of a four-part series to guide educators on the construction and evaluation of multiple-choice test items in the post-licensure environment. Previous articles in this series described the problem and the mechanics of test item construction and evaluation. A replicable strategy for evaluating the organizational process for constructing multiple-choice test questions is provided. Steps taken to create change are described; work tools are provided. Guidance and training are needed to create multiple-choice test questions. Many educators have not had training in item construction. Educators welcomed training. Personalized mentorship resulted in improvement. Asynchronous learning alone was helpful and well received and improved self-perceived knowledge, yet fell short of achieving competence. Voluntary training may not be adequate to assure enculturation of best practices without accountability standards and monitoring. Future research is indicated to assess the situation and provide national standards for adoption within health care organizations. .
ISSN:0022-0124
1938-2472
1938-2472
DOI:10.3928/00220124-20240829-02