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미국과 한국의 간호사 국가면허시험 문항개발과정 비교

 A Comparative Study of the Nurse Licensure Exam Systems between the United States and South Korea

성인간호학회지 2013년 25권 6호 p.622 ~ 632
KMID : 0367020130250060622
곽찬영 ( Kwak Chan-Yeong ) - 한림대학교 간호학부

윤순녕 ( Yun Soon-Nyung ) - 서울대학교 간호대학
김신정 ( Kim Shin-Jeong ) - 한림대학교 간호학부

Abstract

Purpose: This study was conducted to compare the nurse licensure examination system in Korea with that of the United States (US).

Methods: Focus interviews with the administrative staff of the National Council of State Boards of Nursing (NCSBN) were held. Two areas were explored in the interviews: the item development process and the general administrative operating procedures.

Results: NCLEX-RN items are designed for entry-level practice. The items are subjected to a series of 12 steps including a item writing panel, a content and editorial review, a sensitivity panel, a pre-test, a Differential item functioning panel and a committee review. NCSBN is responsible for the test for registered nurses and one for practical nurses. In contrast the Korean National Health Personnel Licensing Board (KNHPLB) is responsible for nursing is and 21 other health related licensure. Another difference is that in Korea there is no consistent and specialized staff to develop question items. Items are developed by educators who are not active nurses (this last statement is not a finding but a point of view usually not given in findings.).

Conclusion: Korean nurses form the largest group of health related job categories and the most direct to health care consumers. Therefore, the nursing licensure exam should be acknowledged as the most influential licensure exam in health care services. We recommend a nursing specialized licensing institution to be established with active nurse’participation in item development process to reflect clinical practice into licensure exam.
KeyWords
간호사 국가고시, NCLEX, 미국 간호사 국가고시, 국가고시 방향
Nursing licensure, NCLEX
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학술진흥재단(KCI) KoreaMed