Credentialing and Licensing Excellence: NCSBN’s Journey: Dania Eter, MBA Associate Director, Examinations

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Credentialing and Licensing Excellence: NCSBN’s Journey Dania Eter, MBA  Associate Director Director,, Examinations

 

O!ecti"es 

NCSBN Mission # $rotect t%e $ulic&



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 (roaly e disaled

 

*%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 $ulic NCSBN Mission: *%e National Council o) State Boards o) Nursing 7NCSBN8 (ro"ides education, ser"ice, and researc% t%roug% collaorati"e leaders%i( to (romote e"idence9ased regulatory excellence )or (atient sa)ety and (ulic (rotection-

 

NCSBN Bacground 

*%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 Bacground 





3< NCSBN sta)) memers assigned to examinations (rogram o(erations Comined ex(erience o) o"er 50 years in nursing and testing Examinations De(artment: 





$ro"ides (syc%ometric, nursing and administration administrati on ex(ertise Conducts >N and L$NN (ractice analyses, nurse aide and medication aide !o analyses De"elo(s NCLE', nurse aide and medication aide test (lans

 

 Assessment o) Entry9Le"el Entry9Le"el Com(etency Com(etency 

National Council Licensure Examination )or >Ns 7NCLEX-RN 8



National Council Licensure Examination )or L$NNs 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) LicensingCredentialing 

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 "ariale 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) LicensingCredentialing 

NNAA$MACE acts: 

+n 005, NCSBN acFuired exclusi"e o1ners%i( o) t%e intellectual (ro(erty )or t1o certi)ication examinations



NCSBN uses t%e )ollo1ing guidelines 1%en de"elo(ing t%e NNAA$ and MACE exams: 

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  Aout 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 ale to (rotect t%e (ulic >oust 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)ensile exams



*o( test deli"ery ser"ices, $earson =E



Gig% security measures



$rom(t customer ser"ices

 

Exam De"elo(ment $rocess 3- $ractice A An nalysis

.- Editorial >e"ie1

- *est $lan

4- Building *est

2- +tem riting and +tem >e"ie1

orms /- Setting t%e $assing Standard

@- Su!ect M Ma atter Ex(ert 7SME8 $anel >e"ie1

5- $retesting o) +tems <- Administering Examinations

 

$ractice *est $lan

 Analysis

+tem riting

+tem >e"ie1

Sensiti"it y >e"ie1

Board o)  Nursing D+ >e"ie1 7NCLE'8

NCLEX ®,  NNAAP ®  and MACE ®  Exam

   t    t  e  s   e   r    $

Committe e >e"ie1 7NCLE'8

 

Go1 t%e $rocess ors $ractice Analysis 



Conducted e"ery t%ree years )or NCLE' and e"ery )i"e years )or NNAA$ and MACE Ensures t%at t%e content o) t%e exams re)lects t%e (ractice o) entry9le"el nurses, nurse aides and medication aides

*est $lan 

*%e test (lan (ro"ides guidelines )or: 





Candidates (re(aring )or t%e exam Direction )or item de"elo(ment acilitation )or classi)ication o) exam items

 

Go1 t%e $rocess ors # 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 1oring 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, andor 1ords t%at %a"e an ina((ro(riate tone

 

Go1 t%e $rocess ors # Continued 

$retest 



D+ $anel 



)or Di))erential +tem unctioning 7D+8, 1%ic% indicates (otential item ias

Memer oards are in"ited to re"ie1 sam(le exams and (retest items t1o times eac% year, and (ro"ide )eedac 7NCLE' only8

NCLE' +tem >e"ie1 Sucommittee 



+tems t%at (er)orm signi)icantly di))erent )or a minority grou( are )lagged

Memer Board >e"ie1 



 All ne1ly 1ritten 1ritten items are a administered dministered to at least @00 )irst9time, =-S=-Seducated test9taers in order to gat%er statistical in)ormation

*%e NCLE' +tem >e"ie1 Sucommittee 7N+>SC8 memers 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  Aility # measured t%roug% (ractice analysis analysis Content alancing # all areas o) t%e test (lan are



 

re(resented Di))iculty # ensure t%at item di))iculty "aries )or e"ery exam taen 

 

$syc%ometrics 9 Continued 







*esting models # is aility consistent 1it% di))iculty Di))erential item )unctioning # are all items testing only nursing content >eadaility analysis # are candidates con)used y item 1ording Standard settingt%e # does t%e (assing standard re)lect minimum amount o) aility t%at an entry9le"el candidate must %a"e

 

 Administration 7NCLE'8 7NCLE'8 

 A((ro"ed $earson $ro)essional $ro)essional Centers 93 in t%e Americas, 3< internationally





On demand deli"ery Exam security 







 Aility to legally (rosecute c%eaters c%eaters Biometric Collection

 ADA accommodations Stellar and (rom(t customer ser"ice

 

 Administration 7NNAA$MACE8 7NNAA$MACE8 

2@2 $earson >egional *est Sites in t%e =-S-, rural and uran locations







*%ousands o) in9)acility locations On demand examinations  ADA accommodations



Stellar and (rom(t customer ser"ice

 

LOOH+NI OA>D

 

or settings CNAs Long9term carenursing %ome Gome %ealt% and

CMAsMA9C Long9term carenursing %ome Continuing Care

%ome care Gos(ital Continuing Care >etirement

>etirement Community 7CC>C8 Community Based >esidential acility

Community 7CC>C8 Community Based >esidential acility 7CB>8

7CB>8 Sc%ools





 











 

Direct9Care $ro"iders 

Mae u( one o) t%e largest and )astest gro1ing 1or)orces in t%e =-S-



$ro!ected need o) /00,000 nurse aide (ositions to e )illed in t%e next . years

 

C%allenges 

Ex(osure # 1ritten )orms 7NNAA$8



Con)identiality 7Social Media8



Endorsement 9 di))erences in rules )or a((lying to test and retest )rom state to state

 

O((ortunities 

En%ance security 1it% com(uteri;ed NNAA$  MACE )orms, roust item an





aceoo*1itter, etcK aceoo*1itter, Become t%e sole (ro"ider o) NNAA$  MACEK

  to continue to )urt%er our mission in $rotecting t%e $ulic&

 

Conclusion 

NCSBN 1ill continue to ensures roust examinations to (rotect t%e (ulic



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 (ulic

 

Examinations Social Media 

Ga"e your students: 





 

NNAA$  MACE Examinations on aceoo

  NCLE'9>N  NCLE'9$N Examinations on aceoo  

NCLE'+n)o on *1itter 





Examinations in)ormation at t%eir )ingerti(s&  Ans1ers to t%eir Fuestions& Fuestions&

 

 QUES!"NS#

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