Evaluation of Graduating Neonatal Nurse Practitioners

PEDIATRICS ◽  
1991 ◽  
Vol 88 (4) ◽  
pp. 789-794
Author(s):  
Alba Mitchell ◽  
John Watts ◽  
Robin Whyte ◽  
Susan Blatz ◽  
Geoffrey R. Norman ◽  
...  
Keyword(s):  
Problem Solving ◽  
Communication Skills ◽  
Nurse Practitioners ◽  
Educational Program ◽  
Clinical Skills ◽  
Multiple Choice ◽  
Multiple Choice Questions ◽  
Pediatric Residents ◽  
Neonatal Nurse Practitioners ◽  
Second Year

To compare the knowledge and problem-solving, communication, and clinical skills of graduating neonatal nurse practitioners (NNPs) and pediatric residents, a cohort study was conducted in a 33-bed tertiary-level neonatal intensive care unit in a 400-bed teaching hospital affiliated with a faculty of health sciences. Participants were all (n = 10) NNP graduates from the first 3 years of the educational program and 13 (87%) of 15 second-year pediatric residents. One hundred multiple-choice questions and 20 radiographic slides were used to test knowledge; a semistructured oral examination tested problem-solving skills; three simulated interactions with parents tested communication skills; and seven simulated procedures tested clinical skills. Graduating NNPs scored similarly to the pediatric residents on the multiple-choice questions (difference –3.4%; 95% confidence interval [CI] around difference –9.7, 2.9), radiographs (difference –1.4%; 95% CI –11.5, 8.7), oral examination (difference 2.8%; 95% CI –11.1, 16.7), communication skills (simulated parents assessment: difference 0.8%; 95% CI –4.2, 5.7; expert observer assessment: difference 5.8%; 95% CI –2.8, 14.3), and clinical skills (difference 7.4%; 95% CI –5.5, 20.2). The NNPs about to graduate from their educational program showed knowledge and problem-solving, communication, and clinical skills equivalent to those of second-year pediatric residents and are thus likely to deliver comparable care in the clinical setting. The results support the adoption of the NNP role.

scholarly journals MEASURING STUDENTS’ PROBLEM-SOLVING SKILLS ON DIRECT CURRENT CIRCUITS WITH MULTIPLE REPRESENTATIONS

2020 ◽  
Vol 8 (3) ◽  
pp. 725-736
Author(s):  
Maria Dewati ◽  
A. Suparmi ◽  
Widha Sunarno ◽  
Sukarmin ◽  
C. Cari
Keyword(s):  
Problem Solving ◽  
Physics Education ◽  
Multiple Choice ◽  
Multiple Representations ◽  
Assessment Instruments ◽  
Multiple Choice Questions ◽  
Multiple Representation ◽  
Problem Solving Skills ◽  
Electrical Circuits ◽  
Physics Problems

Purpose of study: This study aims to measure the level of students' problem-solving skills, using assessment instruments in the form of multiple-choice tests based on the multiple representation approach on DC electrical circuits. Methodology: This research is a quantitative descriptive involving 46 students of physics education. Students are asked to solve the problem of DC electrical circuits on 12 multiple choice questions with open reasons, involving verbal, mathematical, and picture representations. Data were analyzed by determining means and standard deviations. Main findings: The results of the study showed that there were 3 levels of students' problem-solving skills, namely 7 (15%) students in the high category, 22 (48%) students in the medium category and 17 (37%) students in the low category. Applications of this study: The implication of this research is to continuously develop assessment instruments based on multiple representations in the form of various types of tests, to help students improve their conceptual understanding, so students can solve physics problems correctly. The novelty of this study: Researchers explain the right way to solve physics problems, 1) students are trained to focus on identifying problems, 2) students are accustomed to planning solutions using a clear approach, to build an understanding of concepts, 3) students are directed to solve problems accordingly with understanding the concepts they have built.

scholarly journals How Prepared Are Pediatric Residents for Pediatric Emergencies: Is Pediatric Advanced Life Support Certification Every 2 Years Adequate?

2019 ◽  
Vol 6 ◽  
pp. 2333794X1987680 ◽  
Author(s):  
Sule Doymaz ◽  
Munaza Rizvi ◽  
Marguerite Orsi ◽  
Clara Giambruno
Keyword(s):  
Test Scores ◽  
Life Support ◽  
Clinical Skills ◽  
Statistical Significance ◽  
Clinical Skill ◽  
Multiple Choice ◽  
Advanced Life Support ◽  
Heart Association ◽  
Choice Test ◽  
Pediatric Residents

Objectives. We assessed pediatric residents’ retention of knowledge and clinical skills according to the time since their last American Heart Association Pediatric Advanced Life Support (AHA PALS) certification. Methods. Sixty-four pediatric residents were recruited and divided into 3 groups based on the time since their last PALS certification, as follows: group 1, 0 to 8 months; group 2, 9 to 16 months, and group 3, 17 to 24 months. Residents’ knowledge was tested using 10 multiple-choice AHA PALS pretest questions and their clinical skills performance was assessed with simulation mock code scenarios using 2 different AHA PALS checklists, and mean scores were calculated for the 3 groups. Differences in the test scores and overall clinical skill performances among the 3 groups were analyzed using analyses of variance, χ2 tests, and Jonckheere-Terpstra tests. Statistical significance was set at P < .05. Results. The pediatric residents’ mean overall clinical skills performance scores declined within the first 8 months after their last AHA PALS certification date and continued to decrease over time (87%, 82.6%, and 77.4% for groups 1, 2, and 3, respectively; P = .048). Residents’ multiple-choice test scores declined in all 3 groups, but the scores were not significantly different. Conclusions. Residents’ clinical skills performance declined within the first 8 months after PALS certification and continued to decline as the time from the last certification increased. Using mock code simulations and reinforcing AHA PALS guidelines during pediatric residency deserve further evaluation.

Problem-Solving Behaviors of Different Achievement Groups on Multiple-Choice Questions in General Chemistry

2019 ◽  
Vol 97 (1) ◽  
pp. 3-15 ◽  
Author(s):  
Melonie A. Teichert ◽  
Maria J. Schroeder ◽  
Shirley Lin ◽  
Debra K. Dillner ◽  
Regis Komperda ◽  
...  
Keyword(s):  
General Chemistry ◽  
Problem Solving ◽  
Multiple Choice ◽  
Multiple Choice Questions

scholarly journals MULTIPLE CHOICE QUESTIONS;

2017 ◽  
Vol 24 (09) ◽  
pp. 1409-1414
Author(s):  
Muhammad Zafar Iqbal ◽  
Shumaila Irum ◽  
Muhammad Sohaib Yousaf
Keyword(s):  
Problem Solving ◽  
Descriptive Analysis ◽  
Multiple Choice ◽  
Development Program ◽  
Faculty Members ◽  
Multiple Choice Questions ◽  
Cross Sectional ◽  
Medical College ◽  
Item Writing

Objectives: The main objective of this study was to judge the quality of MCQs interms of their cognition level and item writing flaws, developed by the faculty of a public sectormedical college. Setting: This study was conducted in Sheikh Zayed Medical College, RahimYar Khan. Duration with Dates: Data was collected between June 2014 to March 2015 andthis study was completed in July 2016. Sample Size: A sample of 500 MCQs collected from25 faculty members were included in the study. Study Design: Quantitative method. StudyType: Cross sectional descriptive analysis. Material and Methods: This quantitative study wasconducted in Sheikh Zayed Medical College Rahim Yar Khan over six months period after theapproval of the study proposal. Every faculty member is supposed to write 25 MCQs in order tobecome supervisor. I collected 500 multiple choice questions from 25 faculty members readyfor submission to CPSP. The quality of all MCQs was checked in terms of item writing flawsand cognition level by panel of experts. Results: Absolute terms were observed in 10(2%),vague terms in 15(3%), implausible distracters in 75(15%), extra detail in correct option 15(3%),unfocused stem 63(12.6%), grammatical clues 39(7.8%), logical clues 18(3.6%), word repeats19(3.8%), >then one correct answer 21(4.2%), unnecessary information in stem 37(7.4%),lost sequence in data 15(3%), all of above16(3.2%), none of above 12(2.4%) and negativestem 23(4.6%). Cognition level l (recall) was observed in 363(72.6%), level ll (interpretation) in115(23%) and level lll (problem solving) in 22(4.4%) items. Total 378(75.6%) flaws were identifiedand four commonest flaws were implausible distracter 75(15%), unfocused stem 63(12.6%),grammatical clues 39(7.8%) and unnecessary information in stem 37(7.4%). Conclusion: It isconcluded that assessment of medical students is very demanding and need of the time. A wellconstructed,peer-reviewed single best type MCQ is best one to complete this task becauseof cost effectiveness, better reliability and computerized marking. It is very important to startfaculty development program in order to decrease the number of item writing flaws and improvecognition level towards problem solving and application of knowledge.

scholarly journals Multiple choice questions and essay questions in assessment of success rate in medical physiology

2018 ◽  
Vol 59 (4) ◽  
pp. 333-335
Author(s):  
Ghassan Th. Saeed ◽  
Affan E. Hassan ◽  
Hanan L. Al Omary ◽  
Zainab M. Alawad
Keyword(s):  
Success Rate ◽  
Undergraduate Education ◽  
Multiple Choice ◽  
Multiple Choice Questions ◽  
Education Students ◽  
Medical College ◽  
Significant Difference ◽  
Second Year ◽  
Method Of Assessment ◽  
The Way

Background: Assessment is an important part of the learning cascade in education. Students realize it as an influential motivator to direct and guide their learning. The method of assessment determines the way the students reach high levels of learning. It has been documented that one of factor affecting students’ choice of learning approach is the way how assessment is being performed. Many methods of assessment namely multiple choice questions, essay questions and others are mainly used to assess basic science knowledge in undergraduate education. Objectives: The aim of this study is to compare multiple choice questions (MCQ) and essay questions (EQ) (record the success and failure rate of multiple choice questions (MCQ) and essay questions (EQ)) in regards to the Physiology questions.Methods: A retrospective study was done in which the results of the physiology exams -held in the medical college in Baghdad University -in 2010 are recorded. The number of students underwent the exam was 255. A total of 100 essay questions (EQs) and 100 multiple choice questions (MCQs) were evaluated from the written examinations delivered to second year medical students questions belonged to final examination.Results: Regarding essay questions that have been answered, 33.5% of the questions were not answered as a total. 188 students out of 255 had succeeded which represent 73.7% of the students. Out of 78 marks for MCQ, 46.33 had been achieved, and out of 22 marks for essay 12.9 have been achieved. the success in MCQ questions was 82.9% while in the Essay questions was 67.7% and the failure in both types was 12.5%. Out of 100 questions for both MCQ and Essay questions 55.1±7.9 questions were answered for the MCQ and 51.1±15.3 Essay questions were answered. In general the percentage of the succeeded students was 73. 7% and that of failed students was 26.3%.Conclusion: There is no significant difference in the success rate between MCQs and EQs. الخلفية: يعد التقييم عنصرا هاما في سلسلة التعلم في التعليم. يدرك الطلاب أنها حافز مؤثر لتوجيه تعلمهم. ويحدد أسلوب التقييم طريقة وصول الطلبة إلى مستويات عالية من التعلم. وقد تم توثيق أن أحد العوامل التي تؤثر على اختيار الطلاب لموقف التعلم هو طريقة تقييمهم. يتم تطبيق العديد من أساليب التقييم وهي أسئلة الاختيار من متعدد، أسئلة مقالة وغيرها أساسا لفحص العلوم الأساسية الفهم في التعليم الجامعي. الهدف: الهدف من هذه الدراسة هو مقارنة أسئلة الاختيار من متعدد وأسئلة مقال (تقييم نجاح وفشل معدل أسئلة الاختيار من متعدد وأسئلة مقال) فيما يتعلق باسئلة علم وظائف الأعضاء. الطريقة: أجريت دراسة بأثر رجعي تم فيها تسجيل نتائج امتحانات علم وظائف الأعضاء - التي تم تسجيلها في الكلية الطبية لجامعة بغداد - في عام 2010. وبلغ عدد الطلاب الذين خضعوا للامتحان 255. تم تقييم مجموعه 100 أسئلة مقالة و 100 أسئلة الاختيار من متعدد من الامتحانات المكتوبة التي تدار لطلاب الطب السنة الثانية (الأسئلة تنتمي إلى الامتحان النهائي) النتائج: فيما يتعلق بأسئلة المقالات التي تم الرد عليها، لم يتم الإجابة على 33.5٪ من الأسئلة في المجموع. وقد نجح 188 طالبا من أصل 255 طالبا يمثلون 73.7 في المائة من الطلاب. ومن أصل 78 علامة ل سؤال متعدد الاختيارات، تم تحقيق 46.33، ومن أصل 22 علامة للمقالة 12.9 قد تحققت. وكان النجاح في الأسئلة متعدد الاختيارات، 82.9٪ في حين كان في أسئلة المقال 67.7٪ والفشل في كلا النوعين كان 12.5٪. من أصل 100 سؤال لكل من الأسئلة متعدد الاختيارات و اسئلة المقال، تم الرد على 55.07 ± 7.99 من الأسئلة متعدد الاختيارات و 51.13 ± 15.28 للمقالة. وبشكل عام بلغت نسبة الطلبة الناجحين 73.7٪، وبلغت نسبة الطلبة الفاشلين 26.3٪ الخلاصة: كان معدل النجاح لكل من الأسئلة متعدد الاختيارات وأسئلة المقال نفسه تقريبا مما أدى إلى معدل نجاح إجمالي 73.7٪ الذي يلبي نتائج الدراسات الأخرى التي أجريت مقارنة نوعي الأسئلة.

scholarly journals Pre-Clinical Remote Undergraduate Medical Education During the COVID-19 Pandemic: A Survey Study

2020 ◽  
Author(s):  
BS Bita Shahrvini ◽  
Baxter ◽  
Charles S. Coffey ◽  
BA Bridget V. MacDonald ◽  
ScD Lina Lander
Keyword(s):  
Student Perceptions ◽  
Clinical Skills ◽  
Living Environment ◽  
Survey Study ◽  
Learning Material ◽  
Multiple Choice Questions ◽  
Quality Of Instruction ◽  
Second Year ◽  
Remote Learning

Abstract Background: The COVID-19 pandemic has necessitated a sudden transition to remote learning in medical schools. We aimed to assess student perceptions of remote learning during the pre-clinical curricular training phase. Methods: A survey was distributed to first- and second-year medical students enrolled at the University of California San Diego School of Medicine in March 2020. Frequencies of responses to structured multiple-choice questions were compared regarding impacts of remote learning on quality of instruction and ability to participate, value of various remote learning resources, living environment, and preparedness for subsequent stages of training. Responses to open-ended questions about strengths and weaknesses of the remote curriculum and overall reflections were coded for thematic content.Results: Of 268 students enrolled, 104 responded (53.7% of first-year students and 23.9% of second-year students). Overall, students felt the quality of instruction and their ability to participate had been negatively affected. Most (64.1%) preferred the flexibility of learning material at their own pace. Only 25.5% of respondents still felt connected to the medical school or classmates. Most second-year students (56.7%) felt their preparation for the USMLE Step 1 exam was negatively affected and 43.3% felt unprepared to begin clerkships. In narrative responses, most appreciated the increased flexibility of remote learning but recognized that digital fatigue, decreased ability to participate, and lack of clinical skills and hands-on lab learning were notable deficits.Conclusions: Videocasted lectures uploaded in advance, electronic health record and telehealth training for students, and training for teaching faculty to increase technological fluency may be considered to optimize remote learning curricula.

scholarly journals Problem‐solving strategies used in anatomical multiple‐choice questions

2020 ◽  
Vol 3 (4) ◽  
Author(s):  
Klodiana Kolomitro ◽  
Leslie W. MacKenzie ◽  
Mackenzie Lockridge ◽  
Diandra Clohosey
Keyword(s):  
Problem Solving ◽  
Multiple Choice ◽  
Multiple Choice Questions ◽  
Problem Solving Strategies
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