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首页> 外文期刊>The Journal of nursing education >Commentary from the Perspective of an Expert in Psychometrics
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Commentary from the Perspective of an Expert in Psychometrics

机译：心理测验专家观点的评论

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There are good arguments on both sides, as there usually is in a controversy:1 It is true that as a student's Health Education Systems, Inc. (HESI) Exit Examination score increases, the probability of that student passing the NCLEX-RN? increases. This is a statistically significant association.2 It is true that the HESI Exit Examination's predictive ability is low.Resolving these two true, yet seemingly contradictory, statements is at the heart of the problem. If the arguments were stated in another, completely complementary fashion, these statements would read as follows:3 It is true that a student with a high HESI Exit Examination score (A/B) is likely to pass the NCLEX-RN (pass rate = 0.983).4 It is true that a student with a lower HESI Exit Examination score (C, D, E/F) is likely to pass the NCLEX-RN (pass rate = 0.855).5 It is true that a student with a lowest HESI Exit Examination score (G/H) is likely to fail the NCLEX-RN (fail rate = 0.502).The critical point here is that statement #4is difficult to deal with when the predicted outcome is dichotomous and the probabilities of the two outcomes are very unequal (passing rate = 85%). Spurlock and Hanks (2004) very rightly point out that students with C, D, or E/F HESI Exit Examination scores fail the NCLEX-RN at low rates. And Nibert et al. (page 303-307) very rightly point out that students with A/B scores pass the NCLEX-RN at high rates.The only way to resolve this issue is to look at the outcomes of using the HESI Exit Examination. It was stated that for those schools that implemented a progression policy, school pass rates for the NCLEX-RN increased.
机译：双方通常都有争议，因此双方都有很好的论据：1的确，随着学生健康教育系统有限公司（HESI）的离校考试分数增加，该学生通过NCLEX-RN的概率是否增加？增加。这是一个具有统计意义的关联。2确实，HESI退出考试的预测能力很低。解决这两个真实但看似矛盾的陈述是问题的核心。如果以另一种完全互补的方式陈述论点，则这些陈述应如下：3确实，HESI出口考试成绩（A / B）高的学生很可能会通过NCLEX-RN（及格率= 0.983）.4确实，HESI出口考试成绩（C，D，E / F）低的学生很可能通过NCLEX-RN（及格率= 0.855）。5 HESI最低考试成绩（G / H）最低可能会导致NCLEX-RN失败（失败率= 0.502）。关键点在于，当预测结果为二分式且两者的概率均较大时，难以处理语句4。结果非常不平等（及格率= 85％）。 Spurlock和Hanks（2004）正确地指出，具有C，D或E / F HESI出口考试成绩的学生在低比率下未能通过NCLEX-RN。和Nibert等。 （第303-307页）非常正确地指出，具有A / B分数的学生以高分通过NCLEX-RN。解决此问题的唯一方法是查看使用HESI出口考试的结果。据指出，对于那些实行升学政策的学校，NCLEX-RN的入学率有所提高。

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