Black elk speaks Term Paper

This essay has a total of 1561 words and 8 pages.

Black elk speaks

Measuring competency levels with Health Education Systems, Inc Exams in Schools of Nursing
Research critique

Title and Facts
The article that I have chosen to critique is an article that was written by S. Morrison,
C. Adamson, A. Nibert, and S. Hsia for who are all PhD, RN licensed. The article is
entitled "HESI Exams: An Overview of Reliability and Validity." The title of this article
is appropriate and descriptive in that this article addresses the means of measuring the
reliability and validity of the Health Education Systems, Inc (HESI) Exams. This article
evaluates two HESI exams. These exams are HESI specialty exams and HESI exit exams. The
authors tell us within the article why the specialty exam was developed and how it is
used. The specialty exam assesses the student's comprehension and ability to relate
concepts within particular content areas. Facilities consider the scores from these exams
and use them as a replacement for teacher-made final exams. The HESI specialty exams
consist of 50-items. The authors speak about midcurricular exams which are custom exams
given to students to evaluate several nursing courses consisting of 100-test items as well
as making them a valuable tool as an exit exam at the end of the first half of the
curriculum. The article goes on to explain the reason the exit exam was developed which is
to evaluate students' preparedness for the licensing exam to identify the strengths and
weaknesses of the students and the possible need for remediation before they are to take
the licensure exam. The exit exam is a 150-item comprehensive exam given towards the end
of the curriculum. There are different versions of this exit exam for the RN and the PN
students to take. There are currently four versions for RN students and two versions
available for PN students. The exit exams have shown to reveal a high degree of
accurateness in predicting outcomes of the students that sit for the NCLEX-RN and NCLEX-PN
exams. These exams also give a based organization that can be used for program strength,
weakness, development and modification. The National League for Nursing Accrediting
Commission (NLNAC) and the Commission on Collegiate Nursing Education (CCNE) call for
schools of nursing to exhibit a systematic program evaluation. For this reason the schools
of nursing have started using these exams more and more in recent years. According to HESI
database records (Morrison et al., 2004) the number of schools of nursing using HESI exams
increased from 85 in December 1999 to 565 in December 2003, an increase of 565% in 4

The purpose of this article is to explain the methods used to ascertain reliability and
validity for these exams, the existing reliability result for HESI specialty exams and
HESI exit exams, and the existing validity information in support of HESI specialty and
HESI exit exams. The conceptual framework used in developing the HESI exams is grounded in
classical test and critical thinking theory. The creation, administration, and
interpretation of tests are accomplished through educational and psychological measurement
processes (Morrison et al., 2004).

Theoretical Framework
The critical thinking portion of the exam was based on Paul's Critical Thinking Theory
(1993) and Blooms Critical Taxonomy (1956). In the article Morrison et al., 2004, makes
mention that Crocker and Algina stated that measurement of psychological attributes occurs
when quantitative values are assigned to the sample of behaviors obtained from
administering a test.

Literature Review
In reviewing the literature it is appropriate, inclusive, informative and up-to-date.
There are detailed explanations of the different types of HESI exams, what each one is
used for, what the exams are going to prove. However, in the title HESI should have been
spelled out initially to give the average reader some incite of what the article was going
to be discussing. The authors were detailed and concise in telling us (the reader) about
the reliability of the HESI test. I commend the authors for stating up front that the
validity of the study is going to be a continued progression that will call for a need of
supplementary approaches to ascertain validity beyond those described in the classical
test theory evidence of validity will be proven when available.

Ethical Considerations
The ethical consideration in this as stated in the article will be to protect those
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