Competency Based Nursing Education: Guide to Achieving Outstanding Learner Outcomes Book

Preface xi

1 Vision of Competency-Based Education Marion G. Anema 1

Conceptualizing Competence 4

Reasons for Redesigning Programs, Curricula, or Courses 13

2 Developing and Applying Competency-Based Education Marion G. Anema 31

Essential Elements of CBE 32

Models of CBE 36

Organizing Strategies 38

Multiple Types of Assessments 40

Learning Styles 41

Approaches to Demonstrating Competency 41

Reliability, Validity, Precision, and Costs 43

Assessment Reporting and Use of Results 43

Getting Started 45

Developing a CBE Plan 46

Project Planning Tools 47

Decision-Making Roles and Responsibilities 49

Support for CBE 49

Summary of a Plan 50

3 Applying a Model to Develop and Implement a Competency-Based Education Program/Course Marion G. Anema 57

COPA Model Framework 58

Application to Academic Education Programs 68

Application to Staff-Development Programs 73

Application to Patient/Consumer Programs 81

4 Transitioning to the CBE Approach Janice L. McCoy 95

How to Write Competency Statements 96

Writing Learning Statements That Lead to Competent Performance 105

Effective Methods for Learning Competencies 113

Decisions About Measuring Competency 120

5 Developing Valid and Reliable Assessments Janice L. McCoy Marion G. Anema 129

Validity and Reliability 130

Assessment Development 132

Objective-Based Assessments 133

Performance-Based Assessments 143

6 Data Collection and Use to Verify Achievement of Outcomes Marion G. Anema 159

Purposes of Outcome Evaluation 160

External and Internal Requirements for Program Outcome Assessment 162

Theories and Models for Program Evaluation 164

Elements of Comprehensive Program Outcome Assessments165

Qualitative Data 172

Displaying Data 173

Trending 174

Structure for Using Data for Program Improvement 175

Sharing Outcomes 177

Maintaining Continuous Quality Improvement 181

7 Making the Change to CBE Janice L. McCoy Marion G. Anema 189

Is There a Problem? 190

Why It Is Important 191

Commitment to Change 194

Strategies to Support CBE Initiatives 194

What Is Needed for Change 199

Appendix: Additional Resources 207

Index 219