WEBVTT

00:00:04.782 --> 00:00:09.350 position:50% align:middle
The Next Generation NCLEX
Project also known as NGN began

00:00:09.350 --> 00:00:12.220 position:50% align:middle
with development of an
operational definition

00:00:12.220 --> 00:00:14.777 position:50% align:middle
of nursing clinical
judgment or CJ.

00:00:14.777 --> 00:00:19.120 position:50% align:middle
CJ is defined as the observed
outcome of critical thinking and

00:00:19.120 --> 00:00:20.430 position:50% align:middle
decision making.

00:00:20.430 --> 00:00:23.890 position:50% align:middle
It is an iterative process that
uses nursing knowledge

00:00:23.890 --> 00:00:27.679 position:50% align:middle
to observe and assess presenting
situations, identify a

00:00:27.679 --> 00:00:31.610 position:50% align:middle
prioritized client concern and
generate the best possible

00:00:31.610 --> 00:00:34.510 position:50% align:middle
evidence-based solutions in
order to deliver safe

00:00:34.510 --> 00:00:35.760 position:50% align:middle
client care.

00:00:35.760 --> 00:00:40.440 position:50% align:middle
NCSBN brought together experts
from measurement, test content,

00:00:40.440 --> 00:00:44.680 position:50% align:middle
and technology fields to imagine
item prototypes that could

00:00:44.680 --> 00:00:46.570 position:50% align:middle
potentially measure CJ.

00:00:46.570 --> 00:00:51.100 position:50% align:middle
This collaboration resulted in
research, literature review and

00:00:51.100 --> 00:00:55.460 position:50% align:middle
pilot studies which helped
identify new item prototypes

00:00:55.460 --> 00:00:59.120 position:50% align:middle
that would focus on various
aspects of the CJ model.

00:00:59.120 --> 00:01:02.910 position:50% align:middle
With this knowledge,
a team of dedicated nurses began

00:01:02.910 --> 00:01:06.680 position:50% align:middle
writing item prototypes that map
to the CJ model.

00:01:06.680 --> 00:01:10.660 position:50% align:middle
The item prototypes that became
the initial research focus

00:01:10.660 --> 00:01:14.710 position:50% align:middle
included Extended Multiple
Response, Extended Drag

00:01:14.710 --> 00:01:19.270 position:50% align:middle
and Drop, CLOZE, Enhanced
Hot Spot, Dynamic Exhibit and

00:01:19.270 --> 00:01:22.420 position:50% align:middle
Constructed Response,
which are items where candidates

00:01:22.420 --> 00:01:24.430 position:50% align:middle
type in their answers.

00:01:24.430 --> 00:01:27.910 position:50% align:middle
The item prototypes were
developed and reviewed by a team

00:01:27.910 --> 00:01:30.190 position:50% align:middle
using an iterative process.

00:01:30.190 --> 00:01:33.710 position:50% align:middle
The team included nurses,
psychometricians, content

00:01:33.710 --> 00:01:36.166 position:50% align:middle
developers and a
systems engineer.

00:01:36.166 --> 00:01:38.950 position:50% align:middle
They developed the
enhanced item types.

00:01:38.950 --> 00:01:42.620 position:50% align:middle
After reviewing several item
prototypes, NCSBN conducted

00:01:42.620 --> 00:01:46.255 position:50% align:middle
a usability study, the results
of which helped identify

00:01:46.255 --> 00:01:49.330 position:50% align:middle
specific needs for further
item development.

00:01:49.330 --> 00:01:52.170 position:50% align:middle
At this point, the team
developed a strategy for item

00:01:52.170 --> 00:01:55.690 position:50% align:middle
development workshops that
concentrated solely

00:01:55.690 --> 00:01:59.640 position:50% align:middle
on developing NGN item
prototypes to ensure that the

00:01:59.640 --> 00:02:03.720 position:50% align:middle
emphasis remain focused on
developing new and innovative

00:02:03.720 --> 00:02:07.670 position:50% align:middle
item types as part of the NGN
research goals.

00:02:07.670 --> 00:02:11.550 position:50% align:middle
Several aspects of the NGN
workshop process are similar

00:02:11.550 --> 00:02:14.590 position:50% align:middle
to the item writing and review
panel meetings that are

00:02:14.590 --> 00:02:18.330 position:50% align:middle
conducted for the current NCLEX
development process.

00:02:18.330 --> 00:02:21.150 position:50% align:middle
The NGN workshops use the
following format.

00:02:21.150 --> 00:02:25.130 position:50% align:middle
Volunteers are recruited and
vetted based on their expertise.

00:02:25.130 --> 00:02:28.130 position:50% align:middle
The volunteers reflect a diverse
group of experts,

00:02:28.130 --> 00:02:30.800 position:50% align:middle
including participants
from all four U.S.

00:02:30.800 --> 00:02:35.980 position:50% align:middle
NCSBN geographical areas and
Canada, and the item development

00:02:35.980 --> 00:02:38.920 position:50% align:middle
and review work is completed
in a face to face

00:02:38.920 --> 00:02:40.540 position:50% align:middle
collaborative environment.

00:02:40.540 --> 00:02:44.330 position:50% align:middle
NGN workshops focus on either
item writing or item review.

00:02:44.330 --> 00:02:47.850 position:50% align:middle
Some workshops combine both the
writing and the review.

00:02:47.850 --> 00:02:50.390 position:50% align:middle
In those participants spend the
first half of the

00:02:50.390 --> 00:02:54.090 position:50% align:middle
workshop writing, fidelity based
case studies and the second half

00:02:54.090 --> 00:02:56.250 position:50% align:middle
reviewing the case studies of
other participants.

00:02:56.250 --> 00:02:59.900 position:50% align:middle
One key goal of these workshops
has been to develop a diverse

00:02:59.900 --> 00:03:04.190 position:50% align:middle
set of items that meet the NGN
research goals to understand and

00:03:04.190 --> 00:03:06.620 position:50% align:middle
assess measuring
clinical judgment.

00:03:06.620 --> 00:03:10.760 position:50% align:middle
The NGN workshop goals are to
bridge the gap between the

00:03:10.760 --> 00:03:15.430 position:50% align:middle
theoretical CJ model and the
concrete task of item writing,

00:03:15.430 --> 00:03:19.170 position:50% align:middle
assist writers with developing
ideas that are most relevant

00:03:19.170 --> 00:03:23.230 position:50% align:middle
to the CJ model, reduce the
cognitive demands on writers

00:03:23.230 --> 00:03:26.760 position:50% align:middle
by developing useful tools for
item development and summarizing

00:03:26.760 --> 00:03:31.670 position:50% align:middle
key information and ensure the
items have fidelity by providing

00:03:31.670 --> 00:03:35.508 position:50% align:middle
an interactive picture that
reflects the nursing profession.

00:03:35.508 --> 00:03:39.100 position:50% align:middle
Today, there have been
several NGN workshops.

00:03:39.100 --> 00:03:41.800 position:50% align:middle
The first phase of workshops
focused on scenarios or

00:03:41.800 --> 00:03:43.270 position:50% align:middle
case studies.

00:03:43.270 --> 00:03:47.140 position:50% align:middle
Case studies are sequenced items
developed to address a single

00:03:47.140 --> 00:03:49.430 position:50% align:middle
scenario or client situation.

00:03:49.430 --> 00:03:52.850 position:50% align:middle
Each case study has the
potential to provide fidelity

00:03:52.850 --> 00:03:56.880 position:50% align:middle
by including a whole picture
scenario within context that

00:03:56.880 --> 00:04:00.280 position:50% align:middle
allows an entry-level nurse the
opportunity to interact with the

00:04:00.280 --> 00:04:02.310 position:50% align:middle
realistic situation.

00:04:02.310 --> 00:04:05.850 position:50% align:middle
Unlike individual knowledge
items, case studies allow

00:04:05.850 --> 00:04:08.840 position:50% align:middle
for nurse-client interactions
and provide insight

00:04:08.840 --> 00:04:10.470 position:50% align:middle
into measuring CJ.

00:04:10.470 --> 00:04:14.110 position:50% align:middle
The more recent workshops have
focused on the CJ model.

00:04:14.110 --> 00:04:17.830 position:50% align:middle
Item writers have concentrated
on creating items for specific

00:04:17.830 --> 00:04:21.780 position:50% align:middle
components of the CJ model with
the goal of developing item

00:04:21.780 --> 00:04:25.210 position:50% align:middle
prototypes that effectively
measure entry level nurse's

00:04:25.210 --> 00:04:28.023 position:50% align:middle
clinical judgment and
decision-making skills.

00:04:28.023 --> 00:04:32.300 position:50% align:middle
The NGN item development process
is exploratory and remains

00:04:32.300 --> 00:04:35.360 position:50% align:middle
tailored toward evidence
gathering and research.

00:04:35.360 --> 00:04:38.600 position:50% align:middle
Because item development is an
important step in understanding

00:04:38.600 --> 00:04:42.020 position:50% align:middle
item type interaction,
potential scoring rules,

00:04:42.020 --> 00:04:45.300 position:50% align:middle
and has enabled research and
evidence gathering related

00:04:45.300 --> 00:04:49.432 position:50% align:middle
to CJ, the item development
process and NGN workshops

00:04:49.432 --> 00:04:52.374 position:50% align:middle
are a critical part of
building a diverse set

00:04:52.374 --> 00:04:53.530 position:50% align:middle
of item prototypes.

00:04:53.743 --> 00:04:58.156 position:50% align:middle
You can learn more about the NGN
project at ncsbn.org.