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An Evaluation of the Assessment of Practice; How do Nurse Mentors (Assessors) in Practice Areas Reach Judgements about Student Nurse Capability?. Dr Cathy Doggett Dr Barbara Wood Mrs Sue Bernhauser. Aims. The Aims of the study are to ascertain;

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dr cathy doggett dr barbara wood mrs sue bernhauser

An Evaluation of the Assessment of Practice; How do Nurse Mentors (Assessors) in PracticeAreas Reach Judgements about Student Nurse Capability?

Dr Cathy Doggett

Dr Barbara Wood

Mrs Sue Bernhauser

slide2
Aims

The Aims of the study are to ascertain;

the views of mentors about the assessment of practice

how they reach judgements about student nurse capability

how adequate they believe their preparation and subsequent support to be

objectives
Objectives

To elicit mentor accounts of what typically goes on in the process of assessing student nurse capability

Exact mentor accounts of how they proceed in the assessment of a specific skill

Explore how mentors reach decisions about student capability

Obtain mentor views on their preparation and subsequent support

who is the mentor in practice assessors
Who is the mentor in practice (assessors)

A registered nurse

Undertaken preparation

Decision maker

Backgrounds, experience and characteristics differ

Decisions made collectively contribute to the final academic award and entry to the professional register

the assessment of practice uk context
The Assessment of Practice; UK Context

Takes place within natural setting

50% of programme

Continuous assessment

Formative and summative

Progressive; increasing complexity

Summatively at appropriate evidence based level

Placement long enough to achieve learning outcomes

assessing skilful capability the key concepts as an informing background
Assessing Skilful Capability; The Key Concepts as an Informing Background

Skill is a relatively consistent ability to achieve a particular kind of goal through action in/on relevant kinds of contexts’

Hierarchical embeddedness

Tomlinson (1995)

‘The assessment of nursing skill/capability

assessment skill
Assessment Skill
  • Complex
  • Purposeful
  • Valid and reliable judgements
  • Outcomes and subskills
  • Context sensitive;
          • Replication
          • Demonstration of flexibility and adaptability
          • Linked combination of observation, questioning and discussion
  • Information gathering
background to research
Background to research
  • Doggett (2004) found that while mentors were doing well in some aspects of assessment, a number reported significant problems with lack of rigour in the process and practice of assessment
  • Assessors of practice and their perspectives
  • Key players in decision making
research method
Research Method
  • Semi-structured interview using the principles of hierarchical focussing
  • 3 Major NHS Trusts
  • 23 Participants from Adult and Mental Health randomly selected from Register of Assessors
  • Ethical clearance and anonymity
agenda
Agenda

When a student comes to your ward and they are to be assessed, can you take me through the process of what happens?

A student comes to your area and one item for assessment is the safe administration of an intra muscular injection, can you take me through how you would assess that?

Are there any resource issues that impinge on or might affect your decision making?

What are your views about the preparation of assessors of practice in relation to decision making about student capability?

findings
Findings

Themes;

General approaches to the student experience and assessment

Aspects influencing assessment decisions

Basis on which decisions about student achievement are made

Reliability issues

Preparation and support of assessors

basis on which decisions are made about student achievement
Basis on which decisions are made about student achievement ?

Teaching

Observation

Replication

Context

Questioning/discussion

Intuition

Student confidence

Motivation

Co Mentors

Sign off mentors

reliability
Reliability

Difficulties with deciding to fail students

Need for support with difficult decisions

Failure to fail

Assessor standards

Team approach

conclusions and recommendations
Conclusions and Recommendations

Mentors take the role very seriously and are keen to assess to a high standard

Further work needed on preparation and update of assessors;

- distinguish teaching and assessing

- include more on assessing specific skills and sub-skills

- include specifics on decision making and judgements, particularly ‘grey areas’

- validity and reliability

- skills refresher and updates