Nagatani Shiori, Miyazaki Kazuki, Tamura Toyomitsu, Koto-Shimada Kyoko, Inthaphanith Phengdy, Phanpaseuth Souksavanh, Sisoulath Anousone, Khamkong Bounpasith, Mori Makiko
Japan International Cooperation Agency (JICA), Tokyo, Japan.
Bureau of International Health Cooperation, National Center for Global Health and Medicine, Tokyo, Japan.
GHM Open. 2024 Nov 30;4(2):108-111. doi: 10.35772/ghmo.2024.01009.
The quality of national licensing examinations is critical to ensuring a competent health workforce. This communication analyzes the process of improving examination questions for nurses and midwives in the Lao People's Democratic Republic (Lao PDR). Following the Ministry of Health's 2014 amendment to the Law on Health Care and the 2015 approval of the Strategy on Healthcare Professional Licensing and Registration System, a national licensing examination was initiated. Supported by the Japan International Cooperation Agency, the Nursing and Midwifery Board has conducted the annual examination since 2019, with 2,000 candidates participating to date. A continuous quality improvement cycle involving statistical analysis, revision, and new question creation has been implemented. Results showed significant improvement in key indicators such as correct answer rates and point-biserial correlations. These efforts highlight the importance of continuous quality improvement and collaboration between educators and clinicians, providing a model for enhancing healthcare professional licensing examinations.
国家执业资格考试的质量对于确保拥有一支合格的卫生人力队伍至关重要。本交流分析了老挝人民民主共和国（老挝）改进护士和助产士考试试题的过程。继卫生部2014年对《医疗保健法》进行修订以及2015年批准《医疗保健专业人员执业许可和注册制度战略》之后，启动了国家执业资格考试。在日本国际协力机构的支持下，护理和助产士委员会自2019年起每年举行考试，迄今已有2000名考生参加。已实施了一个涉及统计分析、修订和新试题编制的持续质量改进周期。结果显示，诸如正确答案率和点二列相关等关键指标有了显著改善。这些努力凸显了持续质量改进以及教育工作者与临床医生之间合作的重要性，为加强医疗保健专业人员执业资格考试提供了一个范例。
