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Evaluation and testing in nursing education - Springer Publishing

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<strong>Evaluation</strong>, Measurement, <strong>and</strong> Education 9<br />

learn<strong>in</strong>g. The objectives represent the outcomes of learn<strong>in</strong>g; these outcomes may<br />

<strong>in</strong>clude the acquisition of knowledge, development of values, <strong>and</strong> performance of<br />

psychomotor <strong>and</strong> technological skills. <strong>Evaluation</strong> serves to determ<strong>in</strong>e the extent<br />

<strong>and</strong> quality of the student’s learn<strong>in</strong>g <strong>in</strong> relation to these outcomes. This does<br />

not mean that the teacher is unconcerned about learn<strong>in</strong>g that occurs <strong>and</strong> is not<br />

expressed as outcomes. Many students will acquire knowledge, values, <strong>and</strong> skills<br />

beyond those expressed <strong>in</strong> the objectives, but the evaluation methods planned<br />

by the teacher focus on the preset outcomes to be met by students.<br />

To develop test items, cl<strong>in</strong>ical evaluation strategies, <strong>and</strong> other evaluation<br />

methods, teachers needs a clear description of what to evaluate. The knowledge,<br />

values, <strong>and</strong> skills to be evaluated are specified by the outcomes of the course<br />

<strong>and</strong> cl<strong>in</strong>ical practicum. These provide the basis for evaluat<strong>in</strong>g learn<strong>in</strong>g <strong>in</strong> the<br />

classroom, practice laboratories, <strong>and</strong> cl<strong>in</strong>ical sett<strong>in</strong>g.<br />

Writ<strong>in</strong>g Objectives<br />

In develop<strong>in</strong>g <strong>in</strong>structional objectives, there are two important dimensions. The<br />

first is the actual technique for writ<strong>in</strong>g objectives <strong>and</strong> the second is decid<strong>in</strong>g on<br />

their complexity. The predom<strong>in</strong>ant format for writ<strong>in</strong>g objectives <strong>in</strong> past years<br />

was to develop a highly specific objective that <strong>in</strong>cluded (a) a description of the<br />

learner, (b) behaviors the learner would exhibit at the end of the <strong>in</strong>struction,<br />

(c) conditions under which the behavior would be demonstrated, <strong>and</strong> (d) the<br />

st<strong>and</strong>ard of performance. An example of this format for an objective is: Given a<br />

written nurs<strong>in</strong>g assessment, the student identifies <strong>in</strong> writ<strong>in</strong>g two nurs<strong>in</strong>g diagnoses<br />

with support<strong>in</strong>g rationale. This objective <strong>in</strong>cludes the follow<strong>in</strong>g components:<br />

Learner:<br />

Behavior:<br />

Conditions:<br />

St<strong>and</strong>ard:<br />

Student<br />

Identifies <strong>in</strong> writ<strong>in</strong>g nurs<strong>in</strong>g diagnoses<br />

Given a written nurs<strong>in</strong>g assessment<br />

Two nurs<strong>in</strong>g diagnoses must be identified with support<strong>in</strong>g rationale.<br />

It is clear from this example that specific <strong>in</strong>structional objectives are too prescriptive<br />

for use <strong>in</strong> nurs<strong>in</strong>g. The complexity of learn<strong>in</strong>g expected <strong>in</strong> a nurs<strong>in</strong>g program<br />

makes it difficult to use such a system for specify<strong>in</strong>g the objectives. L<strong>in</strong>n <strong>and</strong><br />

Gronlund (2000) also suggested that highly specific objectives are concerned<br />

ma<strong>in</strong>ly with simple knowledge <strong>and</strong> skills, mak<strong>in</strong>g them <strong>in</strong>appropriate for nurs<strong>in</strong>g<br />

courses that require problem solv<strong>in</strong>g <strong>and</strong> critical th<strong>in</strong>k<strong>in</strong>g. In addition, they<br />

limit flexibility <strong>in</strong> plann<strong>in</strong>g <strong>in</strong>structional methods <strong>and</strong> <strong>in</strong> develop<strong>in</strong>g evaluation<br />

techniques. For these reasons, a general format for writ<strong>in</strong>g objectives is sufficient

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