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NCSBN Updates

WHAT'S THE LATEST FROM NCSBN?

ATI welcomes the efforts of the National Council of State Boards of Nursing (NCSBN) to continually improve the NCLEX to protect the safety of the public.

Research has demonstrated that graduates who pass the NCLEX have knowledge but not necessarily the ability to use it to make clinical decisions. Thus, the Next Generation NCLEX will produce more fidelity on how students will actually practice as nurses versus simply measuring memory-based, stand-alone knowledge.

Our goal, then, is to help you prepare for this momentous change by providing all the need-to-know information about NGN in one spot — including updates directly from NCSBN.

If you prefer to visit the NCSBN's website directly, look for the "Next Generation NCLEX Project" in the far-left column. Or search for "NGN' in the search box in the top-right corner of the organization's home page.

THE CLINICAL JUDGMENT MEASUREMENT MODEL

NCSBN'S CLINICAL JUDGMENT MEASUREMENT MODEL

VIDEO: JACKLYN CURRIER, OPERATIONS MANAGER, EXAMINATIONS, NCSBN

Measuring clinical judgment has been one of the major undertakings of the Next Generation NCLEX project. The latest NGN Talk looks at the different parts of the Clinical Judgment Measurement Model -- and what NCSBN is doing to measuring them.

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THE CLINICAL JUDGMENT MEASUREMENT MODEL AND ACTION MODEL

VIDEO: JENN KEATING, OPERATIONS COORDINATOR I, EXAMINATIONS, NCSBN

To close the gap between what is measured on the NCLEX and what is taught in nursing programs, NCSBN created an action model that incorporates specific concepts of the Clinical Judgment Measurement Model. This NGN Talk looks at the how the action model helps measure the individual steps of clinical judgment while creating realistic and complex clinical scenarios.

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INTEGRATING THE NCSBN CLINICAL JUDGMENT MODEL INTO NURSING EDUCATIONAL FRAMEWORKS

JOURNAL OF NURSING EDUCATION ARTICLE: PHILIP DICKISON, PHD, RN, CHIEF OFFICER, OPERATIONS AND EXAMINATIONS, NCSBN; KATIE A. HAERLING, PHD, RN; AND KATHIE LASATER, EDD, RN, ANEF, FAAN

Sound nursing clinical judgment is at the core of competent and safe client care. New graduate nurses face increasing challenges that underscore the importance of investigating how nurse educators teach and measure nursing students' abilities to make clinical judgments. This article presents NCSBN’s Clinical Judgment Model and discusses its use.

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NEXT GENERATION NCLEX NEWS: CLINICAL JUDGMENT MEASUREMENT MODEL

PUBLICATION: NCSBN

This issue describes how NCSBN research identified a list of contextual factors that play a role in the quality of nursing clinical judgment. These factors may be divided into conditions that are internal (education, experience, knowledge, communication, consequences/risk, emotions/perceptions, professional orientation) or external (task complexity, time pressures, distractions, interruptions, professional autonomy) to the nurse.

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TEST ITEMS & ITEM WRITING

THE NGN CASE STUDY

PUBLICATION: NCSBN

This issue of “Next Generation NCLEX News” from Spring 2020 describes case studies, which NCSBN expects to be a hallmark of the NGN exam. Many educators will recognize them as similar to “unfolding cases.”

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LIGHTS, CAMERA AND ACTION!

Article: "In Focus" publication (Winter 2020, pp. 14-17, and Spring 2020, p. 11)

NCSBN explains its partnership with the CBS Community Partnership Program to educate the public about the NGN project.

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THE RIGHT DECISIONS COME FROM THE RIGHT QUESTIONS

PROMOTIONAL VIDEO: NCSBN EXAMINATIONS

This video introduced in 2019 helps the general public, as well as those in the nursing profession, understand how nursing requires improved measurement of clinical judgment skills to meet today’s client needs.

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THE NEXT GENERATION NCLEX ASKING THE RIGHT QUESTIONS

PROMOTIONAL VIDEO: NCSBN EXAMINATIONS

This video created in 2019 is designed to help those in the nursing profession understand how the NGN exam is about asking better questions to help nurses think critically when providing care to a client.

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APPROVED NGN ITEM TYPES

PUBLICATION: NCSBN

This issue of “Next Generation NCLEX News” from Fall 2019 describes the background and process of developing new item types, including examples of the 5 now approved: extended multiple response, extended drag and drop, cloze (drop down), enhanced hot spot (highlighting), and matrix/grid.

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BUILDING A METHOD FOR WRITING CLINICAL JUDGMENT ITEMS FOR ENTRY-LEVEL NURSING EXAMS

"JOURNAL OF APPLIED TESTING TECHNOLOGY," 2019 SPECIAL ISSUE ON ASSESSMENT IN MEDICAL EDUCATION: JOE BETTS, PHD, NCSP; WILLIAM MUNTEAN, PHD; DOYOUNG KIM, PHD; NATALIE JORION, PHD; AND PHILIP DICKISON, PHD, RN, NCSBN

Clinical judgment has become an increasingly important aspect of modern health service professionals. To ensure public safety, licensure exams must go beyond assessing only knowledge and skills when evaluating entry-level professions to evaluating clinical judgment. This importance necessitates licensure and certification examinations in these professions to evaluate the extent to which this domain can be measured. This study provides background on a large-scale licensure examination’s process for measuring clinical judgment in entry-level nursing. The item writing and review process is described in detail.

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TEST VALIDITY

VIDEO: HONG QIAN, PHD, LEAD PSYCHOMETRICIAN, OPERATIONS & MAINTENANCE, EXAMINATIONS, NCSBN

This “NGN Talk” from 2019 describes how test validity is the degree to which evidence and theory support the interpretations of test scores. It’s the most important criteria when determining exam quality and a continuous process that helps gather evidence and data that determine sound scoring methods. This talk looks at what’s being done to ensure the validity of the NGN.

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ITEM DEVELOPMENT

VIDEO: BETTY SANDERS, MBA, PMP, CAE, TEST DEVELOPMENT MANAGER, EXAMINATIONS, NCSBN

This “NGN Talk” from 2019 talks about item development and workshop processes — key aspects of the NGN project. Hear about the collaborative effort used to imagine, develop, review, and study items to ensure that the NGN effectively measures critical thinking and decision-making.

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USABILITY STUDIES

VIDEO: DANIEL HYDZIK, TEST DEVELOPMENT ASSOCIATE, EXAMINATIONS, NCSBN

This “NGN Talk” from 2019 discusses usability studies, which are conducted to understand the extent to which a specific group can adequately use a product to achieve defined goals. Conducting usability studies improves an end-user experience by addressing certain things during the design process, including learnability.

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A LOOK AT THE STRATEGIC PRACTICE ANALYSIS & SPECIAL RESEARCH SECTION

VIDEO: RYAN NOVAK, COORDINATOR, EXAMINATIONS, NCSBN

This “NGN Talk” from 2019 looks at the Strategic Practice Analysis that helped validate the knowledge, skills, and abilities required of entry-level RNs, as well as the Special Research Section that has been added to some NCLEX-RN candidate’s exams.

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NGN ITEM DEVELOPMENT

PUBLICATION: NCSBN

This issue of “Next Generation NCLEX News” from summer 2018 provides information on item-prototype development.

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AN INTRODUCTION TO NGN

NGN: AN OVERVIEW

VIDEO: PHIL DICKISON, PHD, RN, CHIEF

OFFICER, OPERATIONS & EXAMINATIONS, NCSBN

This 2018 presentation provides information about various pieces of the Next Generation NCLEX project as it was first being developed.

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THE BASICS ON NEXT GENERATION NCLEX (NGN) PROJECT

WEBINAR: NCSBN EXAMINATIONS

This early webinar from 2018 provides an overview of NGN and covers the Clinical Judgment Model, item-prototype development, and frequently asked questions about the project.

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THE BASICS ON NEXT GENERATION (NGN) PROJECT

POWERPOINT: ALYSON BRENTON, MSN, RN,

CNL, RN TEST DEVELOPMENT ASSOCIATE

The Powerpoint that is the basis of the early webinar (above) from 2018 acts as a helpful resource about NGN, the early Clinical Judgment Model, item-prototype development, and frequently asked questions.

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NCSBN'S NEXT GENERATION NCLEX ENDEAVORS TO GO BEYOND THE LEADING EDGE

ARTICLE: "LEADER TO LEADER" BIANNUAL PUBLICATION (SPRING 2018, PP. 15-17)

Paramount in NCSBN’s approach to potential evolutionary transformation to its exam was the foundational tenet that any changes must be evidence-based.

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MEASURING THE RIGHT THINGS

ARTICLE: "IN FOCUS" MAGAZINE (WINTER 2018)

This article describes how NCSBN's NGN endeavors to go beyond the leading edge.

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CAN CLINICAL JUDGMENT AND DECISION MAKING IN NURSING PRACTICE BE RELIABLY ASSESSED?

ARTICLE: "LEADER TO LEADER" BIANNUAL PUBLICATION (FALL 2018, PP.13-14)

This early article from Fall 2018 provided some initial answers to questions educators were asking about NGN.

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