Using situational judgement testing to assess and recruit outstanding and compassionate students onto post registration nursing and midwifery programmes at City, University of London
Dr Caroline McGraw - City, University of London, School of Health Sciences
BACKGROUND: A key ambition of the BSc/PGDip Public Health (health visiting, school nursing and district nursing) programme team is to recruit and develop the most promising students for a career in community nursing. Procedures for student selection traditionally focused on measuring academic and clinical aptitude using achievement ratings, personal statements, written tests, numeracy tests, and panel interviews. However, failures at Mid Staffordshire NHS Foundation Trust have highlighted the need to assess students desire to deliver compassionate care.
AIM AND OBJECTIVES: The aim of this project was to harness patient and service user experiences to create a number of situational judgement tests that could be used to assess candidate’s ability to identify and discuss appropriate values and behaviours in community nursing situations. The objectives were:
* To identify significant events in patient and service user encounters with community nursing services
* Generate a number of situational judgement tests using these experiences
* Record patients and service users narrate their situational judgement test on video file
* Develop assessment criteria for each test
* Create a repository of accessible video files
METHODS: Volunteer participants were drawn from local Third Sectors organisations, NHS user involvement groups, and the programme’s own personal networks. Data on significant events were collected in semi-structured interviews with fourteen patients and service users. Interviews were subsequently transcribed and situational judgement tests generated from the events discussed. These were checked for clinical sensibility and assessment criteria were developed to ensure reliable scoring at subsequent interviews. Participants were subsequently asked to narrate their significant events on video or to agree to them being narrated by an actor.
OUTCOMES: Thirteen situational judgement tests were generated. For example:
I was badly scalded on the head and shoulders. I asked for a district nurse to come and do my dressings at home but was told ‘if you can walk, you can get to your GP surgery; we won’t send a district nurse’. This meant painfully getting dressed, then undressed and dressed again in the surgery. What would you say to a patient in a similar situation and why? Six participants agreed to narrate their stories to camera and four agreed to their stories being narrated by an actor. The situational judgement tests are stored on video file on Media Space and accessible to use in panel interviews with candidates applying to join the BSc/PGDip Public Health in September 2016.