Sally Horsfall Eaton School of Nursing, 7949George Brown College, Toronto, Canada.
Trent/Fleming School of Nursing, 104270Trent University, Peterborough, Canada.
Can J Nurs Res. 2022 Sep;54(3):331-344. doi: 10.1177/08445621221103933. Epub 2022 Jun 5.
In 2015, the College of Nurses of Ontario, replaced the Canadian Registered Nurse Examination with the NCLEX-RN exam as entry-to-practice. Faculty in a college-university partnership searched for products to provide nursing students with focused practice in writing exams modelled on the Canadian NCLEX-RN test plan.
The aim of this three-phased evaluation study was to test and validate NCLEX-RN exam preparation materials newly developed for the Canadian context.
A mixed methods descriptive design was used to capture subjective perspectives and objective measures. After ethical approval was obtained, 13 students assessed the e-learning platform's usability. Eight faculty/clinical experts assessed the content validity of materials using a content validity index (CVI) at both item (I-CVI), and scale (S-CVI) levels. Lastly, 72 completed tests served as the basis for assessing psychometric properties of selected test items.
Materials were assessed as useful and easy to use and navigate. I-CVIs ranged between 0.5 to 1.0 with none falling below 0.5 while S-CVIs were above the standard for acceptability of greater than 0.8 with none falling below 0.9. Overall test reliability measured by the Kuder-Richardson formula was 0.73. Many items assessed for difficulty (64%) showed a proportion of correct responses within desired ranges, and most point-biserial indices ranged from fair to very good.
Strong evidence supported the usability and content validity of the materials assessed. Item difficulty and discrimination analyses were within acceptable ranges. Suggestions for improvements were offered. Predictive analysis should form the basis of future research in this area.
2015 年，安大略省护士学院（College of Nurses of Ontario）用美国注册护士执照考试（NCLEX-RN）取代了加拿大注册护士考试，作为执业的准入考试。在学院-大学合作关系中，教师们寻找产品，为护理学生提供基于加拿大 NCLEX-RN 考试计划的考试重点练习。
本三阶段评价研究旨在测试和验证为加拿大环境新开发的 NCLEX-RN 考试准备材料。
采用混合方法描述性设计，以捕捉主观观点和客观测量结果。在获得伦理批准后，13 名学生评估了电子学习平台的可用性。8 位教师/临床专家使用内容有效性指数（I-CVI 和 S-CVI）评估材料的内容有效性，在项目（I-CVI）和量表（S-CVI）水平上。最后，72 项完成的测试作为评估选定测试项目心理测量特性的基础。
材料被评估为有用且易于使用和导航。I-CVI 范围在 0.5 到 1.0 之间，没有低于 0.5 的，而 S-CVI 均高于可接受性标准，大于 0.8，没有低于 0.9 的。通过 Kuder-Richardson 公式测量的整体测试可靠性为 0.73。许多评估难度的项目（64%）显示出正确答案比例在预期范围内，大多数点二项式指数范围从一般到非常好。
强有力的证据支持了评估材料的可用性和内容有效性。项目难度和区分度分析在可接受范围内。提出了改进建议。预测分析应成为该领域未来研究的基础。
