Credentialing and Licensing Excellence: NCSBN’s Journey Dania Eter, MBA Associate Director Director,, Examinations
O!ecti"es
NCSBN Mission # $rotect t%e $ulic&
Journey into credentialing and licensing excellence
NCLE', NNAA$ and MACE strengt%s
O((ortunities to )urt%er our mission
*%e +m(ortance o) Credentialing
Nurses are t%e second largest grou( o) licensed (ro)essionals
O"er -. million nurse aides are (racticing in nursing )acilities
/00,000 nurse aide (ositions 1ill need to e )illed in t%e next . years
By 020, /3-. million 1ill e at t%e age o) 4. or older
456 1ill (roaly e disaled
*%e +m(ortance o) Credentialing
Credentialing ensures t%at only sa)e and com(etent nurses, nurse aides and medication aides are allo1ed to (ractice-
$rotecting t%e $ulic NCSBN Mission: *%e National Council o) State Boards o) Nursing 7NCSBN8 (ro"ides education, ser"ice, and researc% t%roug% collaorati"e leaders%i( to (romote e"idence9ased regulatory excellence )or (atient sa)ety and (ulic (rotection-
NCSBN Bacground
*%irty9t1o year old, not9)or9(ro)it organi;ation consisting c onsisting o) .< state and territorial oards o) nursing
O1ner and de"elo(er o) t%e =-S- nurse licensure ?
?
examinations 7NCLE'9>N and NCLE'9$N 8 O1ner and de"elo(er o) t%e largest National Nurse Aide Certi)ication Examination 7NNAA$?8 and Medication Aide Certi)ication Examination 7MACE?8 in t%e =-SDe"elo(ing exams since 3</5 Administering NCLE' com(uter ada(ti"e exams since 3<<@, to more t%an 2-@ million candidates
NCSBN Examinations De(artment Bacground
3< NCSBN sta)) memers assigned to examinations (rogram o(erations Comined ex(erience o) o"er 50 years in nursing and testing Examinations De(artment:
$ro"ides (syc%ometric, nursing and administration administrati on ex(ertise Conducts >N and L$NN (ractice analyses, nurse aide and medication aide !o analyses De"elo(s NCLE', nurse aide and medication aide test (lans
National Council Licensure Examination )or >Ns 7NCLEX-RN 8
National Council Licensure Examination )or L$NNs 7NCLEX-PN 8
National Nurse Aide Assessment $rogram 7NNAAP 8
Medication Aide Certi)ication Examination 7MACE 8
%y is NCSBN a leader in t%e 1orld o) LicensingCredentialing
NCLE' acts:
NCLE' is t%e successor to t%e SB*$E, t%e national nurse licensure examination used y "arious state oards o) Nursing N ursing )or more t%an )i)ty years (rior to 3<5
NCLE' %as een administered "ia com(uter exclusi"ely since 3<<@ 1%en it 1as con"erted )rom $a(er and $encil to CB* administration
Examinations administered continuously, on9demand in a((roximately @0 NCSBN a((ro"ed $earson $ro)essional Centers around t%e 1orld Bot% NCLE'9>N? and NCLE'#$N? are "ariale lengt%, com(uteri;ed ada(ti"e examinations
$assing standard is e"aluated e"ery 2 years concurrent c oncurrent 1it% any test (lan c%anges
%y is NCSBN a leader in t%e 1orld o) LicensingCredentialing
Model Nurse $ractice Act and Model Nursing Administrati"e >ules
OB>A )ederal regulations )or nurse aide (rograms
Model curriculum )or medication aide (rograms
Examinations administered continuously in a((roximately 2@2 $earson >egional *est Sites in t%e =-S- and o))ered o)) ered in t%ousands o) in9)acility sites to t%e nurse aides t%at train in t%em t %em
$assing standard is e"aluated e"ery . years concurrent c oncurrent 1it% any test (lan c%anges
Candidate olume
O"er 00,000 candidates sit )or t%e NCLE'9>N ? examination eac% year, /.,000 sit )or t%e NCLE'9 $N? examination
O"er 3<<@ t%ree million examinations administered since
2,0/@ examinations administered in international test centers in 030 Aout 200,000 200,000 sit )or t%e N NNAA$ NAA$ exam exam eac% year O"er 3,000 sit )or t%e MACE eac% year
Go1 is NCSBN ale to (rotect t%e (ulic >oust Examinations due to:
Diligent test de"elo(ment (rocesses
$ractice analyses!o analyses 7researc%8
Ex(erienced Su!ect Matter Ex(erts
Strong (syc%ometric ex(ertise to insure legally de)ensile exams
Go1 t%e $rocess ors # Continued Exam Development Meetings
Standard Setting
+tem riting
SMEs 1rite exam items ased on t%eir )amiliarity 1it% entry9le"el (ro)essionals and current (ractice
+tem >e"ie1
SMEs determine t%e (assing standard ased on no1ledge o) minimally com(etent (ro)essionals
SMEs 1oring directly 1it% t%e (ro)essionals 1%o %a"e entered (ractice in t%e (ast 3 mont%s re"ie1 items )or accuracy, currency and one correct ans1er
Sensiti"ity $anel 7NCLE'8
Ex(erts re"ie1 item 1ording to eliminate language t%at could e considered elitist or stereoty(ical, 1ords t%at %a"e di))erent meanings to di))erent et%nic or geogra(%ic grou(s, andor 1ords t%at %a"e an ina((ro(riate tone
Memer oards are in"ited to re"ie1 sam(le exams and (retest items t1o times eac% year, and (ro"ide )eedac 7NCLE' only8
NCLE' +tem >e"ie1 Sucommittee
+tems t%at (er)orm signi)icantly di))erent )or a minority grou( are )lagged
Memer Board >e"ie1
All ne1ly 1ritten 1ritten items are a administered dministered to at least @00 )irst9time, =-S=-Seducated test9taers in order to gat%er statistical in)ormation
*%e NCLE' +tem >e"ie1 Sucommittee 7N+>SC8 memers consist o) oard o) nursing re(resentati"es and t%e grou( re"ie1s all (retest and master (ool items
Master $ool >e"ie1
Ex(ert re"ie1 items t%roug%out t%e year in order to ensure t%at t%e exam is current
$syc%ometrics Ex(ert team o) (syc%ometricians ensure t%at researc% is done on t%e )ollo1ing: Measurement construct # does t%e exam measure entry9le"el no1ledge Aility # measured t%roug% (ractice analysis analysis Content alancing # all areas o) t%e test (lan are
*esting models # is aility consistent 1it% di))iculty Di))erential item )unctioning # are all items testing only nursing content >eadaility analysis # are candidates con)used y item 1ording Standard settingt%e # does t%e (assing standard re)lect minimum amount o) aility t%at an entry9le"el candidate must %a"e
aceoo*1itter, etcK aceoo*1itter, Become t%e sole (ro"ider o) NNAA$ MACEK
to continue to )urt%er our mission in $rotecting t%e $ulic&
Conclusion
NCSBN 1ill continue to ensures roust examinations to (rotect t%e (ulic
NCSBN 1ill continue to ex(and its nurse aide and medication aide clients to ensure consistency in (ractice and ecome t%e "oice )or long9term care in order to continue to )urt%er its mission in (rotecting t%e (ulic
Examinations Social Media
Ga"e your students:
NNAA$ MACE Examinations on aceoo
NCLE'9>N NCLE'9$N Examinations on aceoo
NCLE'+n)o on *1itter
Examinations in)ormation at t%eir )ingerti(s& Ans1ers to t%eir Fuestions& Fuestions&