(100) Bringing the NGN into Simulation: from conceptualization through evaluation

Abstract : Prelicensure nursing students need practice with Next Generation NCLEX (NGN) content and item types to prepare for the licensing exam and subsequently practice nursing safely. A knowledge gap exists regarding ways students can practice NGN as part of simulation based experiences (SBEs). The purpose of this project was to integrate evidence guiding the National Council of State Boards of Nursing’s (NCSBN) NGN test plan and design into SBEs.

Experienced faculty simulationists in two midwestern BSN programs applied the NCSBN’s Clinical Judgment Measurement Model (CJMM) and the 2021 Practice Analysis (RNPA) to SBE needs assessment, case development, evaluation of clinical judgment performance, and evaluation of learning. The SBEs were implemented as nonexperimental teaching strategies for all students enrolled in various junior-level nursing courses. Students benefited from SBEs aligned with the CJMM, NGN concepts, and students’ expected future practice. Faculty and active observers completed rubrics based on the CJMM to evaluate student performance of clinical judgment during the SBEs. The rubric was a meaningful evaluation tool for faculty. All students who participated in the SBEs gained practice in clinical judgment and NGN item types. Using NGN-style items after debriefing was a succinct measurement that revealed gaps in learning.

Faculty are encouraged to integrate NGN in SBEs. Conference participants attending this session will interact with templates (a) aligning the RNPA to SBE design, (b) measuring student performance based on the CJMM, and (c) measuring student learning using NGN methods upon completion of the SBE. Future research on the CJMM in simulation is needed.