{"title":"Global integration of adaptive quizzing in nursing education: Enhancing Student performance and bridging educational gaps: A narrative review","authors":"Roqaia Dorri , Elham Al-Omari , Mohammed Al-Hassan , Shehnaaz Mohamed , Sumayya Ansar","doi":"10.1016/j.nepr.2025.104334","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Adaptive Quizzing (AQ) has gained recognition as a transformative tool in nursing education, providing personalized learning experiences that enhance student performance and engagement. Its global integration offers the potential to address educational disparities across diverse regions and improve outcomes in high-stakes licensure examinations such as the NCLEX-RN.</div></div><div><h3>Aim</h3><div>This narrative review explores the implementation, benefits and challenges of AQ in nursing education across various global contexts, with a focus on its impact on student performance, critical thinking skills and learning personalization.</div></div><div><h3>Methods</h3><div>A comprehensive literature search was conducted across several databases, including PubMed, CINAHL, Scopus and Web of Science. The review included studies from 2010 to 2023 that evaluated the effectiveness of AQ in nursing education. Themes such as enhanced academic performance, increased engagement, development of critical thinking and cultural adaptation were synthesized.</div></div><div><h3>Results</h3><div>The findings revealed consistent improvements in examination scores and overall academic performance when AQ was employed. AQ systems fostered higher levels of student engagement, motivation and critical thinking. However, challenges such as technological infrastructure, faculty training and the need for cultural adaptation were identified, particularly in low- and middle-income countries.</div></div><div><h3>Conclusions</h3><div>AQ has proven to be a valuable tool in nursing education, significantly improving student outcomes and promoting personalized learning. However, successful global implementation requires addressing challenges related to technology, cultural relevance and long-term impact assessment. Further research is needed to explore the role of AQ in diverse educational settings and its long-term effects on clinical competence.</div></div>","PeriodicalId":48715,"journal":{"name":"Nurse Education in Practice","volume":"84 ","pages":"Article 104334"},"PeriodicalIF":3.3000,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Nurse Education in Practice","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1471595325000903","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
Abstract
Background
Adaptive Quizzing (AQ) has gained recognition as a transformative tool in nursing education, providing personalized learning experiences that enhance student performance and engagement. Its global integration offers the potential to address educational disparities across diverse regions and improve outcomes in high-stakes licensure examinations such as the NCLEX-RN.
Aim
This narrative review explores the implementation, benefits and challenges of AQ in nursing education across various global contexts, with a focus on its impact on student performance, critical thinking skills and learning personalization.
Methods
A comprehensive literature search was conducted across several databases, including PubMed, CINAHL, Scopus and Web of Science. The review included studies from 2010 to 2023 that evaluated the effectiveness of AQ in nursing education. Themes such as enhanced academic performance, increased engagement, development of critical thinking and cultural adaptation were synthesized.
Results
The findings revealed consistent improvements in examination scores and overall academic performance when AQ was employed. AQ systems fostered higher levels of student engagement, motivation and critical thinking. However, challenges such as technological infrastructure, faculty training and the need for cultural adaptation were identified, particularly in low- and middle-income countries.
Conclusions
AQ has proven to be a valuable tool in nursing education, significantly improving student outcomes and promoting personalized learning. However, successful global implementation requires addressing challenges related to technology, cultural relevance and long-term impact assessment. Further research is needed to explore the role of AQ in diverse educational settings and its long-term effects on clinical competence.
背景:适应性测验(AQ)作为护理教育的一种变革性工具已经得到了认可,它提供了个性化的学习体验,提高了学生的表现和参与度。它的全球整合为解决不同地区的教育差异提供了潜力,并改善了NCLEX-RN等高风险执照考试的结果。目的:本综述探讨了全球不同背景下护理教育中AQ的实施、益处和挑战,重点关注其对学生表现、批判性思维技能和学习个性化的影响。方法:对PubMed、CINAHL、Scopus、Web of Science等数据库进行综合文献检索。该综述包括2010年至2023年评估AQ在护理教育中的有效性的研究。综合了诸如提高学习成绩、增加参与、发展批判性思维和文化适应等主题。结果:研究结果显示,当采用AQ时,学生的考试成绩和整体学习成绩都有持续的提高。AQ系统培养了更高水平的学生参与、动机和批判性思维。但是,确定了诸如技术基础设施、教员培训和文化适应需求等挑战,特别是在低收入和中等收入国家。结论:AQ在护理教育中是一种有价值的工具,能显著提高学生的学习成绩,促进个性化学习。然而,成功的全球实施需要解决与技术、文化相关性和长期影响评估相关的挑战。需要进一步的研究来探讨心理素质在不同教育环境中的作用及其对临床能力的长期影响。
期刊介绍:
Nurse Education in Practice enables lecturers and practitioners to both share and disseminate evidence that demonstrates the actual practice of education as it is experienced in the realities of their respective work environments. It is supportive of new authors and will be at the forefront in publishing individual and collaborative papers that demonstrate the link between education and practice.