WEBVTT 00:00:01.200 --> 00:00:04.200 position:50% align:middle ♪ [music] ♪ 00:00:34.106 --> 00:00:37.750 position:50% align:middle - [Woman] The evolving healthcare environment and nursing practice 00:00:37.750 --> 00:00:41.760 position:50% align:middle influenced the work of the National Council of State Boards of Nursing, 00:00:41.760 --> 00:00:48.089 position:50% align:middle spurring innovations that would forever change nursing and nursing regulation. 00:00:48.089 --> 00:00:52.048 position:50% align:middle - [Donna] To move forward with Computer Adaptive Testing, that was a very, 00:00:52.048 --> 00:00:56.279 position:50% align:middle very difficult decision for the board to make. It turned out, on the long run, 00:00:56.279 --> 00:01:00.264 position:50% align:middle to be a learning experience. 00:01:00.264 --> 00:01:05.180 position:50% align:middle - A committee was created to dedicate focus on special projects, such as the 00:01:05.180 --> 00:01:08.959 position:50% align:middle integration of computer technology and adaptive testing. 00:01:09.000 --> 00:01:12.000 position:50% align:middle ♪ [music] ♪ 00:01:24.913 --> 00:01:29.454 position:50% align:middle NCSBN began exploring Computerized Adaptive Testing, 00:01:29.454 --> 00:01:34.381 position:50% align:middle or CAT, for use on its national nursing licensure examination. 00:01:34.381 --> 00:01:38.140 position:50% align:middle - [Jennifer] It was a very long process. There were so many questions and answers 00:01:38.140 --> 00:01:42.080 position:50% align:middle that had to take place before we got there. And to see it culminate was 00:01:42.080 --> 00:01:44.280 position:50% align:middle just very, very rewarding. 00:01:44.280 --> 00:01:48.396 position:50% align:middle - [Anthony] It started with the convening of a committee in 1986, 00:01:48.396 --> 00:01:52.900 position:50% align:middle called the Committee for Special Projects. And their job was to, kind of, 00:01:52.900 --> 00:01:56.350 position:50% align:middle do the feasibility study, overseeing staff work, 00:01:56.350 --> 00:02:00.653 position:50% align:middle work with member boards to make sure they were informed and brought up-to-date. 00:02:00.653 --> 00:02:08.156 position:50% align:middle - In 1988, NCSBN greenlit the development of CAT for the NCLEX-RN exam. 00:02:08.156 --> 00:02:12.080 position:50% align:middle - [Renatta] Trying to envision what would computer testing look like? 00:02:12.080 --> 00:02:16.762 position:50% align:middle And I can remember people saying, "Well, why do we have to be the first ones 00:02:16.762 --> 00:02:20.649 position:50% align:middle to jump off the cliff? You know, let somebody else try this." 00:02:20.649 --> 00:02:27.111 position:50% align:middle - Never afraid of a challenge, NCSBN soon began research and development. 00:02:27.111 --> 00:02:31.527 position:50% align:middle - The next set of research that really included more of a psychometric look 00:02:31.527 --> 00:02:38.591 position:50% align:middle did the CAT measure as well as paper and pencil, or not. 00:02:38.591 --> 00:02:42.717 position:50% align:middle - The full capabilities of CAT were put to the test in an effort to design a 00:02:42.717 --> 00:02:48.019 position:50% align:middle comprehensive licensure examination that effectively and fairly measured the 00:02:48.019 --> 00:02:52.975 position:50% align:middle competency of entry-level nursing candidates. 00:02:52.975 --> 00:02:55.645 position:50% align:middle - The advantages of CAT, for the organization, 00:02:55.645 --> 00:02:59.933 position:50% align:middle were going to be huge if it were to work. But, it, really, was such an early 00:02:59.933 --> 00:03:02.260 position:50% align:middle technology at this time, and there was a bunch of research that we 00:03:02.260 --> 00:03:07.420 position:50% align:middle needed to accomplish to make sure that it was a feasible modality for a national 00:03:07.420 --> 00:03:11.812 position:50% align:middle level nursing licensure exam. 00:03:11.812 --> 00:03:19.360 position:50% align:middle - In 1991, NCSBN's delegates voted on the implementation of CAT for the NCLEX-RN. 00:03:19.360 --> 00:03:24.180 position:50% align:middle With that vote, NCSBN became the first healthcare profession to use CAT 00:03:24.180 --> 00:03:25.951 position:50% align:middle for national licensure testing. 00:03:26.000 --> 00:03:29.000 position:50% align:middle ♪ [music] ♪ 00:03:29.240 --> 00:03:32.830 position:50% align:middle - This was the most controversial, most talked about thing. 00:03:32.830 --> 00:03:38.991 position:50% align:middle It was just the moment in our history that I just will never forget. 00:03:38.991 --> 00:03:43.230 position:50% align:middle - CAT made the NCLEX-RN more accessible, convenient, and for the 00:03:43.230 --> 00:03:48.486 position:50% align:middle first time, interactive. More importantly, because the exam is unique 00:03:48.486 --> 00:03:54.840 position:50% align:middle to each candidate, the NCLEX-RN enhanced security and remained a reliable means 00:03:54.840 --> 00:03:58.536 position:50% align:middle for determining entry-level nursing competency. 00:03:58.536 --> 00:04:04.684 position:50% align:middle - [Corrine] It was a giant step forward and a true, finest hour for the profession 00:04:04.684 --> 00:04:06.716 position:50% align:middle and for a nurse aid. 00:04:06.800 --> 00:04:09.800 position:50% align:middle ♪ [music] ♪ 00:04:16.308 --> 00:04:22.702 position:50% align:middle - [Rosa] On April the 1st, 1994, at 8:00 a.m., we inaugurated the first 00:04:22.702 --> 00:04:25.872 position:50% align:middle national Computerized Adaptive Testing. 00:04:25.872 --> 00:04:32.010 position:50% align:middle - CAT was a pivotal milestone for NCSBN. It took several years to come to fruition, 00:04:32.010 --> 00:04:36.980 position:50% align:middle but the organization pushed forward, embracing new technology, and ultimately, 00:04:36.980 --> 00:04:41.834 position:50% align:middle demonstrating its commitment to innovation and the future of nursing 00:04:41.834 --> 00:04:43.628 position:50% align:middle and nursing regulation. 00:04:43.700 --> 00:04:46.700 position:50% align:middle ♪ [music] ♪