Assessment Practices in Health Care Order Instructions: Reflect on current assessment practices for evaluating student learning in an educational or work-based health care setting.
Find three current research articles published in the last five years regarding health care assessment practices. These could be conducted in an educational or work-based health care setting.
Analyze the suggestions made in the articles regarding assessing students in a professional or classroom health care setting. What recommendations do you make regarding student assessment in a health care setting based on your analysis of the research articles?
Include in your review who must evaluate the students and health care professionals outside of the classroom. What role do adult learners take in the evaluation process?
Write a 1,050- to 1,750-word paper.
Format your paper consistent with APA guidelines. Current peer reviewed articles last 5 years
Assessment Practices in Health Care Sample Answer
Assessment Practices in Health Care
The health care industry is a sector that is filled with many dilemmas to solve when it comes to the aspects of assessing the competency of the nursing students and graduates. The failure to have available standard assessment procedures and scales to base the assessment and evaluation of the students in nursing is one of the major challenges facing this sector (Bourbonnais, Langford, & Giannantonio, 2008). Health care is very important in an economy since the health of the public determines its productivity and how the aims and goals of the economy are achieved. The nursing faculty of the higher education is faced with obligations that it needs to meet since the staff from their education systems are of high value to the society. The obligation to absorb and take through a high number of students through the nursing programs needs to be balanced with the obligation to ensure that the graduates have the required competencies and assure the public of their competency (Gaberson & Oermann, 2010).
One of the major obligations of the nursing faculties and the stakeholders in nursing is to assure the public of their safety when in the hands of the graduates of the nursing programs available. The public needs services which are of the highest quality and the students and graduates in this sector need to be highly competent thus the compelling need to have these competencies assessed or evaluated. The evaluation of nurses is not an easy task and the modern trends have suggested evaluation procedures which need to be well analyzed. Clinical evaluation has been facing serious challenges due to the need to identify individuals who have the qualities to fill the competencies needed in the industry (Lasater, 2011).
The development of reliable evaluation techniques and processes together with their validity to be used in the nursing environment is one of the key challenges that are faced by clinical nursing education and training. The formulation of evaluation tools which are widely acceptable across all nursing institutions and varied environments is very demanding to the faculty. Nurses are in most cases assessed based on their performances and the tools used in the evaluation are in most fail to clearly identify the performance expectations to be assessed. The tools developed have other issues of concern such as being poorly written and having unclear clinical outcomes and failure to acknowledge the different faculty approaches to clinical education. There are also different clinical environments and also varied student experiences and preparation which are also a major challenge in developing standard tools that can be used in nursing evaluation (Oermann, 2011). The roles of the faculty as both an educator and evaluator tend to clash when it comes to formulation of tools and practices of assessment.
In nursing environments the nurses are mostly evaluated on their competence on safely handling patients and being able to put into practice the knowledge and skills learnt in their nursing programs. Competence is measured depending on the ability of nurses to apply their knowledge and skills to ensure the health care providers offer safe and best quality care to the patients. Competent nurses should also be able to handle and analyze complex nursing situations relating to the patients, solve arising problems diligently and communicate in an effective way to all participants in health care giving and the recipients (Walsh, Paterson, & Grandjean, 2010). Nurses should also be able to understand all other factors affecting clinical matters arising from leadership and cultural beliefs. Despite this understanding of what needs to be assessed in the nursing programs, there is no defined consistent standard for evaluating the nurses and their competence in their field.
Despite lacking consistent standard for the evaluation of competence of the students and other participants in nursing, there practices which have been in use to assess their competence and their ability to offer safety in the health care sector. Evaluation or assessment is the process of data collection and analysis on various aspects of measuring nurse competency which are all aimed at determining whether the nursing program student has passed or not (Bourbonnais, Langford, & Giannantonio, 2008). On top of offering the desired knowledge and skills to the students, the nursing faculty is tasked with ensuring that they are able to offer competent service in the health care centers. Due to this obligation there is the need to continuously assess or evaluate the students. One of the assessment processes in the evaluation of nursing students is formative evaluation. Formative evaluation is an educative process that is aimed at offering the students guidance as they undertake the program (Lasater, 2011). In this evaluation process the students undertake various tasks that are aimed at assessing their application of knowledge and skills. Their competency is measured depending on the skills being measured in the assessment and feedback provided to the students to provide guidance on improvement actions. The feedback provides the students with an insight about their noticeable strengths and weaknesses and enables the students to be able to identify learning strategies to address the arising matters. Formative evaluation practices are aimed at giving students and the faculty important data which is useful in guiding the students and the faculty towards achieving the overall desired learning goals in clinical practice (Lasater, 2011).
Another assessment practice in the health care setting for determining the success of the learning process is summative evaluation. This is an assessment which is done at the end of the nursing program learning. Summative evaluation involves a process which is aimed at checking whether the students have achieved the required educational goals and whether they meet the desired standards of safety and competence in the clinical field (Walsh, Paterson, & Grandjean, 2010). This comes at the end of the program which determines the suitability of a nursing graduate and determines how one will be able to handle all the matters which arise during practice. To make sure the highly qualified nursing professionals are produced to the health care industry, nursing faculties should ensure that they integrate both formative and summative evaluation strategies in the learning processes.
There are various strategies which can be put into practice in the evaluation and assessment of the performance of nursing students to measure their performance and competence and aid in the progression of the learning process. These strategies or methods include observation of the actions of clinical students in practice, notes about performance, use of checklists and rating scales to determine the competencies of the nursing students, use of standardized patients and simulations to test the competence of the nursing (Gaberson & Oermann, 2010). The use of e-portfolios, conferences, group projects and self-assessments has also been tasked with the assessment of nursing students and also aid in progressive learning. Observation of the students in practice is one of the major strategies or practices that are used in health care assessment of the students. Notes can be taken which enable the detection of patterns in performance and guidance in improving the overall learning process. Observation can be used both as formative and summative evaluation process. The continuous notes taken during evaluation can be used to guide the learning process by identifying the mistakes that need to be addressed in progressive learning of the nursing program. The drawback of this practice is that the data collected in observation is not reliable due to the varied opinions of the people making the observations (Oermann, 2011).
Nursing students can also be assessed by using objective structured clinical examination (OSCE). This is an evaluation strategy that involves the students being evaluated outside their classrooms in different stations which provide the different environments which are important to provide data varied data for analysis (Bourbonnais, Langford, & Giannantonio, 2008). The students are assessed of their clinical capabilities through their interaction with simulated or standardized patients, their practical competence by demonstration of sufficient motor skills and techniques and also their static analysis by evaluation of cognitive skills during operations. This is a summative evaluation strategy that can be used in the grading of the nursing students and creates an understanding of how they will fare in the clinical field. The clinical evaluation tool provides the layout of the procedures in clinical evaluation of the nursing students. It seeks to find the consistency between the outcomes of the evaluation process and the competencies that are required in the practicing of nursing. The data collected in the evaluation process is analyzed by the instructors and other trainers of clinical instructors to determine how the nursing program can be improved to meet the obligations of health care (Walsh, Paterson, & Grandjean, 2010).
Assessment Practices in Health Care References
Bourbonnais, F, Langford, S., & L.Giannantonio. (2008). Development of a clinical evaluation tool for baccalaureate nursing students. Nurse Education in Practice , 62-71.
Gaberson, K., & Oermann, M. (2010). Clinical Teaching strategies in nursing (3rd ed.). New York: Springer Publishing Co.
Lasater, K. (2011). Clinical judgment: The last frontier for evaluation. Nursing Education in Practice, 11, 86-92.
Oermann, M. H. (2011). Toward evidence-based nursing education: Deliberate practice and motor skill learning. Journal of Nursing Education, 50 , 63-64.
Walsh, T., Paterson, M., & Grandjean, C. (2010). Quality and safety education for nurses clinical evaluation tool. Journal of Nursing Education, 49 , 517-522.
