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Formative online multiple-choice tests in nurse education: An integrative review


Say, R and Visentin, D and Cummings, EA and Carr, A and King, C, Formative online multiple-choice tests in nurse education: An integrative review, Nurse Education in Practice, 58 pp. 1-9. ISSN 1471-5953 (2022) [Refereed Article]

Copyright Statement

2021 Elsevier Ltd. All rights reserved

DOI: doi:10.1016/j.nepr.2021.103262


Aim: The aim of this integrative review is to explore how formative online multiple-choice tests used in nurse education promote self-regulated learning and report on pedagogies that support their design.

Background: Online multiple-choice tests are widely used as learning and formative assessment tools in a range of educational contexts. However, little is known about how these tools are used to promote patterns of learner self-regulation. It is important that nurses and nursing students develop the capability to self-regulate learning to be effective lifelong learners and navigate complex and unfamiliar practice environments.

Design: A five-stage approach guided this integrative review: problem identification, literature search, data evaluation, data analysis and presentation.

Method: A systematic search of ERIC, Web of Science, Ovid Medline, Scopus, PubMed, Embase and CINAHL was conducted in February 2021. Seventeen peer-reviewed papers were identified that discussed formative online multiple-choice tests in nurse education. Purposive sampling and ancestry searching identified an additional paper. Articles were analysed and sorted into themes of outcomes (presented as components of self-regulated learning theory) and pedagogy.

Results: Formative online multiple-choice tests are used with good effect in nurse education as measured by knowledge gain and exam performance, increased confidence and learner satisfaction. There was no literature that explored metacognitive outcomes and minimal literature considered behavioural outcomes. Pedagogy supporting the implementation of multiple-choice tests was lacking in most articles.

Conclusions: Formative online multiple-choice tests are widely used with good effect in nurse education. However, opportunities for further research on how these tools can encourage metacognition and self-regulatory behaviours is warranted.

Item Details

Item Type:Refereed Article
Keywords:education, nursing, online education, quizzes, formative assessment, self-regulated, learning, multiple-choice, integrative review
Research Division:Education
Research Group:Education systems
Research Field:Higher education
Objective Division:Education and Training
Objective Group:Learner and learning
Objective Field:Higher education
UTAS Author:Say, R (Mr Richard Say)
UTAS Author:Visentin, D (Dr Denis Visentin)
UTAS Author:Cummings, EA (Associate Professor Liz Cummings)
UTAS Author:Carr, A (Associate Professor Andrea Carr)
UTAS Author:King, C (Dr Carolyn King)
ID Code:148149
Year Published:2022
Web of Science® Times Cited:1
Deposited By:Health Sciences
Deposited On:2021-12-07
Last Modified:2022-01-17

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