Knowledge of Bloom’s Hierarchy of Cognitive Levels of Educational Objectives and its use in Setting Examinations by Nurse Educators in Lusaka and Eastern Provinces
Abstract:
Background:
The use of
Bloom’s hierarchy of cognitive levels of educational objectives as a tool for
classroom assessments is rapidly increasing therefore, Nurse Educators’
knowledge of the tool is vital.
Objective: The first prime objective of this study
was to investigate nurse educators’ knowledge of Bloom’s hierarchy of cognitive
levels of educational objectives.
Materials
and Methods: A
cross sectional study was conducted in nursing training schools of Lusaka and
Eastern provinces of Zambia. The study sample comprised of 63 Nurse Educators
who were selected using purposive sampling method. A self-administered
questionnaire was used to collect data from the respondents. Statistical
Package for Social Sciences (SPSS) version 20 was used to analyse data. The Chi
Square test was used to compare the proportions. A result yielding a P value of
less than 5 percent was considered to be statistically significant.
Results:
The findings were that 64% of nurse
educators had low knowledge, 22% had moderate knowledge while 14% had high
knowledge on Bloom’s hierarchy of cognitive levels of educational objectives. Results from the study indicated that 90% of nurse educators affirmed
that Continuing Professional Development meetings on assessment techniques were
not conducted in the schools of nursing while 10% indicated that they had them.
Conclusion: Though the nurse educators undergo training on
Bloom’s taxonomy, their knowledge on this topic is low and calls for Continuous
Professional Development Meetings. This will improve quality and standards of
examinations in nursing education which will in turn improve the performance of
nurses in the clinical area.
Keywords: Knowledge, use, Bloom’s hierarchy,
cognitive levels, educational objectives, setting examinations, Nurse Educators
References:
[1]. Affiliated Health Training Institutions (2004). Assessment standards for semesterised and
non semesterised programs. Gaborone, Botswana.
[2]. Agbedia, C and Ogbe, J. (2014). Critical thinking;
issues in nursing education and practice. International Journal of Advanced
Nursing Studies, 3 (1) 13 – 17. http://www.sciencepubco.com/index.php/IJANS
accessed on 06/03/14 at 11: 14 hours.
[3]. Allen, L. (2008). The Nursing shortage continues as
faculty shortage grows. Nursing Economics, 26 (1) 35 – 40. http://www.ncbi.nlm.nih.gov/pubmed/18389840.
accessed on 9/3/14 at 09:30 hours.
[4]. American Nurses Association. (2001). Code of ethics
for nurses with interpretive statements. Washington, DC. American Nurses
Publishing Company. http://www.vcuhealth.org. Accessed on 9/3/14 at 10:01
hours.
[5]. Anderson, L. W, David R. and Krathwohl, D. R., et al
(Eds.). (2001). A Taxonomy for Learning, Teaching, and Assessing: A Revision of
Bloom's Taxonomy of Educational Objectives. Allyn & Bacon. Boston, MA
(Pearson Education Group). Http://www.odu.edu/educ/roverbau/Bloom/bloom’s
taxonomy.htm accessed on 12/02/14 at 15 hours.
[6]. Athanassiou, N. McNett, J.M and Harvey, C. (2003).
Critical thinking in the management classroom: Bloom’s Taxonomy as a learning
tool. Journal of Management Education, 27(5) 533 – 55. http://eric.ed.gov/?id=EJ675756
accessed on 10/04/14 at 14:30 hours.
[7]. Ayvaci, H.S and Turkdogan, A. (2010). Analysing
“Science and Technology Course exam questions” according to Revised Bloom’s
Taxonomy. Turkish Science Education, 7 (1) 13 – 25. http://ebookily.net/doc/res-351-final-exam.
accessed on 28/01/14 at 14:50 hours.
[8]. Azer, S. A. (2006). Assessment in a problem based
learning course: Twelve tips for constructing multiple choice questions that
test student’s cognitive skills. Biochem.Mol.Biol.Educ., 31(6) 428 – 434. http://onlinelibrary.wiley.com
accessed on 14/03/14.
[9]. Bailey, L.R. (2011). Standardized procedure guidelines. Retrieved from http://www.rn.ca.gov/regulations/title16.shtml#1470.
accessed on 11/5/15 at 17:21 hours.
[10]. Bandaranayake, R. (2008). Setting and maintaining standards in multiple choice examinations.
AMEE guide No. 37, medical teacher, 30 (9) 836 – 845. http://www.ncbi.nlm.nih.gov/pubmed/19117221.
accessed on 9/3/14 at 11:30 hours.
[11]. Beekman, L. (2000). Problem solving and decision
making strategies skills: A co – curriculum teaching thinking skills for
nursing students. South Africa: Van Schaiki.
[12]. Blanchette, J. (2001). Journal of Distance Education.
Royal Roads University, Victoria, BC. http://www.cade.athabascau.calvo116.2/blanchette.html.
accessed on 9/3/14 at 16:05 hours.
[13]. Bloom, B. S. (1956). Taxonomy of Educational
Objectives: The classification of educational objectives. New York. David
McKay. http://www.officeport.com/edu/bloom.htm. accessed on 03/3/14 at 08:20
hours
[14]. Boikhutso, K. (2010). The theory into practice
dilemma: lesson planning challenges facing Botswana student – teachers. http://imp.sapub.com/content/13/3/205
accessed on 24/02/2014 at 20:54 hours.
[15]. Brady, A. M. (2005). Assessment of learning with
multiple choice questions, 5 (4) 238 – 42. Journal for Nurse Education and
Practice. http://www.ncbi.nlm.nih.gov/pubmed/10938205. accessed on 10/04/14 at
15:06 hours.
[16]. Bradley, M. et al (2007).Ask and you will receive: How
question types influences quantity and quality of online discussions. British
Journal of Educational Technology, 39, 888-900.
[17]. Brown, G. (2001). Assessment: A Guide for lecturers. http://78.158.56.101/achive/palatine/files/980.pdf
accessed on 14/03/14 at 07: 55 hours.
[18]. Bumen, N. T. (2007). Effects of the original versus
revised Bloom’s Taxonomy on lesson planning skills: a Turkish study among
pre-service teachers. Review of Education, 53, 439 – 455.
[19]. Burns, N and Grove, S. K. (2009). The Practice of
Nursing Research: Appraisal, Synthesis, and Generation of Evidence. 6th
edition, Saunders Elsevier.
[20]. Clauss, J and Geedey, K. (2010). Knowledge Surveys:
Students ability to self – assess, 10(2) 14 – 24. Journal of the scholarship of
Teaching and Learning. http://dmc.augustana.edu/ks/Accessed on 21/04/14 at
06:30 hours.
[21]. Clifton, S and Schriner, C. (2010). Assessing the
quality of multiple choice test items. Nurse educator, 35(1) 12 – 16. http://www.ncbi.nlm.nih.gov/pubmed/20010262.
accessed on 9/3/14 at 15:05 hours.
[22]. Considine, J. Bott, M. and Thomas, S (2005). Design,
format, validity and reliability of multiple choice questions for use in
nursing research and education. Collegian, 12 (08) 19 – 24. http://www.academia.edu/737711/Design,format,validity
Accessed on 9/3/14 at 14 hours.
[23]. Cook, J. (2013). How can a teacher use Bloom’s
taxonomy in the classroom? Retrieved June 26, 2014 at 19:49 hours from http://www.ehow.com/way-5809221
[24]. De Young, S (2009). Teaching Strategies for Nurse
Educators. 2nd edition, New Jersey: Prentice Hall.
[25]. Downing, S. (2005). The effects of violating standard
item writing principles on tests and students: The consequences of using flawed
test items on achievement examinations in medical education, 10 (2) 133 – 143. http://www.ncbi.nlm.nih.gov/pubmed/16078098.
accessed on 9/3/14 at 17:10 hours.
[26]. Eber, P.A and Parker, T.S (2007). Assessing student
learning: applying Bloom’s Taxonomy. Human Service Education, 27(1) 45 – 53. http://www.lesn.appstate.edu/olson/RES5560/course-components/student-work.
accessed on 13/03/14 at 20:08 hours.
[27]. Edwards, S (2003). Critical thinking at bedside: a
practical perspective. British Journal of Nursing, 12(19) 1142-1149. http://www.britishjournalofnursing
accessed on 9/3/2014 at 22:15 hours.
[28]. Ellis, K (1993). Teacher questioning behaviour and
student learning: What research says to teachers? Paper presented at the 64th
annual meeting of the Western States Communication Association, Albuquerque. http://eric.ed.gov/?id=ED359572
accessed on 10/3.2014 at 20:31 hours.
[29]. Ferris, L.J. and Azizi, S.M. (2005). A psychomotor
Skills Extension to Bloom's Taxonomy of Education Objectives for Engineering
Education. University of South Australia, Mawson Lakes, 5095, Australia: Putney
Publishing.
[30]. Fesler – Birch, D.M (2005). Critical thinking and
practical outcomes. A review. Nursing outlook, 53(2) 59 – 65.
[31]. Garekwe, M (2010). Analysis of cognitive levels of
examination questions set in the Bachelor of Nursing Programme at the
University of KwaZulu-Natal. Masters dissertation in Nursing Education. http://hdl.handle.net/10413/244
accessed on 25/2/2014 at 20:49 hours.
[32]. General Nursing Council of Zambia (2005): The Nursing
Regulatory Framework. Lusaka, Zambia.
[33]. Goodman, B (2011). The sociological imagination,
provocative pedagogy and scholarship: re-valuing thinking and writing in nurse
education. Nurse Education Today. http://www.ncbi.nih.gov/pubmed/21496975.
accessed on 13/04/14 at 21: 26 hours.
[34]. Haladyna, T.M., Downing, S.M., and Rodriguez, M.C
(2002). A review of multiple – choice item writing guidelines for classroom
assessment. Applied measurement in education, 15(3) 309-334. Http://download.springer.com/.../pdf/10.1007%2Fs12630-011-9467-9
accessed on 14/07/2014 at 09:13 hours.
[35]. Hard, J (2010). Creating tests that assess higher
order thinking skills. http://www.cfcc.edu/SACS/QEP/tests-higher-thinking.ppsx
accessed on 10/04/14 at 14:47 hours.
[36]. Jozefowicz, R. Koeppen, B. Case, S. Galbraith, R.
Swanson, D. Glew, R (2002). The effects of violating standard item writing
principles on tests and students: the consequences of using flawed test items
on achievement examinations in medical education, 77(2) 156 – 161
[37]. Kantar, L. D (2013). Assessment and instruction to
promote higher order thinking in nursing students. http://www.ncbi.nlm.nih.gov/pubmed/24035312
accessed on 31/03/14 at 14:44 hours.
[38]. Kastberg, S.E (2003). Using Bloom’s Taxonomy as a
framework for classroom assessment. The mathematics teacher, 96(6) 402 – 405. http://www.ipcsit.com/vol136/005-ICIIM2012-M0017
accessed on 25/03/2014 at 16:11 hours.
[39]. Kim, S. Phillip, W.R. Pinsky, L. Brock, D. Phillips,
K. and Keary, J (1996). A conceptual framework for developing teaching cases. A
review and synthesis of the literature across disciplines. Journal of Medical
Education, 40(9) 867 – 876. http://onlinelibrary.wiley.com accessed on 09/03/14
at 01:14 hours.
[40]. Kim, M. Patel, R. Uchizono, J, Beck, L (2012).
Incorporation of Bloom’s Taxonomy into multiple – choice examination questions
for a pharmacotherapeutics course. American Journal of Pharmaceutical
Education, 76(6) 14. http://www.ncbi.nlm.nih.gov/pubmed/22919090. accessed on
28/01/2014 at 15:16 hours.
[41]. Krejcie R. V., And Morgan D. W., (1970): Determining
Sample Size for Research Activities. Educational and Psychological Measurement.
Published formula for determining sample size. ... The relationship between
sample size and total population illustrated in Figure 1. Accessed on 6/05/2014
from http://home.kku.ac.th/sompong/guest_speaker/KrejcieandMorgan_article.pdf.
[42]. Knapp, R. (2014). Continuing Nursing Competency. Http://thenetstudyguide.com
accessed on 14/03/14 at 13: 15 hours.
[43]. Krathwohl, D. R (2002). A revision of Bloom’s
Taxonomy: An overview. Theory into practice, 41(4) 212 -218. http://www.jstor.org/stable/1477405.
accessed on 14/03/14 at 07:30 hours.
[44]. Krau, (2011). Creating educational objectives for
patient education using the new Bloom’s Taxonomy, 46(3) 299 – 312. http://dx.doi.org/10.1016/j.cnur
accessed on 14/03/14 at 14:50 hours.
[45]. Masters, J. Hulsmeyer, B. Pike, M. Leichty, K. Miller,
M. and Verst, A (2001). Assessment of MCQ in selected test banks accompanying
text books used in nursing education. Journal of nursing education, 40(1) 25 –
32. http://www.ncbi.nlm.nih/gov/pubmed/11198906. accessed on 10/3/14 at 08:00
hours.
[46]. Ministry of Health (2006 to 2011) National Health
strategic Plan, Lusaka, Zambia.
[47]. Mkandawire, C. (2013). Teachers Questioning techniques
in Mathematics at Grade 11 level: The case of four selected secondary schools
in Petauke District. Masters dissertation in Education. University of Zambia.
[48]. Moreno.R., Martinez, R., and Muniz, J (2006). New
guidelines for developing multiple – choice items. Methodology, 2(2) 65 – 72. http://www.psycontent.com/index/X1817H71H93018T6.pdf
accessed on 11/4/14 at 9:26 hours.
[49]. Morrison, S. and Walsh Free, K. (2001). Writing Multiple
Choice test items that promote and measure critical thinking. Journal of
Nursing Education, 40(1) 17-24. http://www.researchgate.net/publication/12/3208/.
Accessed on 9/3/2014 at 19:30 hours.
[50]. Msidi. E.J., (2010): The General Nursing Council of
Zambia: Registered Critical Care Nursing Curriculum. Zero Draft, Lusaka.
[51]. Mukarugwiza, F. (2003). Analysis of the cognitive
level of basic nursing examinations in Rwanda. Durban, South Africa.
[52]. National League for Nursing. (2005). Core competencies
of Nurse Educators. Retrieved from http://www.nln.org/profdev/corecompetencies.pdf
[53]. Nicholl, M. and Tracey, C. (2007). Questioning: A tool
in the nurse educators’ kit; 7, 285 – 295. Journal for Nurse Education in
Practice. http://gamenuig.files.wordpress.com accessed on 20/09/2015 at 20:41
hours.
[54]. Nkonde (2014). Chilenje patient dies on the queue. http://www.postzambia.com
accessed on 20/03/14 at 04:34 hours.
[55]. O’Neill, G. (2010). Overview of curriculum models
program design. UCD Teaching and Learning Resources. http://www.ucd.ie/teaching
accessed on 13/03/14 at 19:50 hours.
[56]. Palmer, E. and Devitt, P. (2007). Assessment of higher
order cognitive skills in undergraduate education: modified essay or multiple
choice questions? Research paper, medical education, 49 (7) 7 – 4. http://www.biomedcentral.com
accessed on 03/03/14 at 09:30 hours.
[57]. Pardue, S.F. (1987). Decision – making skills and
critical thinking ability amongst associate degree, diploma, baccalaureate and
masters – prepared nurses. Journal of Nursing Education, 26 (9) 354 – 361. http://www.ncbi.nlm.nih.gov/pubmed/2830374.
accessed on 13/03/14 at 18: 06 hours.
[58]. Phillips, N. and Duke, M. (2001). The questioning
skills clinical teachers and preceptors: A comparative study. Journal of
Advanced Nursing, 33 (4) 523 – 532. Available at academic search premier
database. Accessed on 02/03/14.
[59]. Polit, D. F. and Beck, C. T. (2008). Generating and
Assessing Evidence for Nursing Practice, 8th edition, Lippincott, Philadelphia.
[60]. Polit. D.F and Hungler. B. (2001): Nursing Research,
Principles and methods,
[60].Lippincott, Philadelphia.
[61]. Profetto – Mcgrath, J. Smith, K. Day, R. and Yonge, O.
(2008). The questioning skills of tutors and students in a context based
baccalaureate nursing program. Nursing Education Today, 24(5) 363 – 372.
[62]. Reichert, T.G. (2011). Assessing The Use of High
Quality Multiple Choice Exam Questions in Undergraduate Nursing Education: Are
Educators Making the Grade? Masters of Arts in Nursing Thesis. St. Catherine
University. http://Sophia.stkate.edu/cgi/viewcontent. accessed on 14/03/14 at
07:15 hours.
[63]. Russel, A. Comello, R. Wright, D (2007). Journal of
Education and Human Development, 1(1) 1934 – 7200. http://www.scientificjournals.org/journals2007/articles/1025.htm
[64]. Scheffer, B and Rubenfeld, M (2000). A consensus
statement on critical thinking in nursing. Journal of Nursing Education, 39(8)
352 – 60.
[65]. Sellappah, S. Hussey, T. Blackmore, A. and McMurray, a
(1999). The use of questioning strategies by clinical teachers. Journal of
Advanced Nursing, 28(1) 142 – 149. http://ahn.mnsu.edu/nursing/facultyformsandinfo/clinicalquestioning.pdf
accessed on 13/03/14 at 19:43 hours.
[66]. Sithole, P. C. (2011). ‘An exploration of teaching
strategies utilised in the facilitation of learning for first level students in
general nursing science’. University of Pretoria, South Africa. http://hdl.handle.net/2263/24801.
accessed on 14/03/14 at 07:18 hours.
[67]. Tarrant, M. Knierim, A. Hayes and Ware, J (2006). The
frequency of item writing flaws in multiple choice questions used in high
stakes nursing assessments. Nurse Education Today, 26(8) 662 – 671.
[68]. Tarrant, M. and Ware, J. (2008). Impact of item –
writing flaws in multiple choice questions on student achievement in high –
stakes nursing assessments. Journal of Medical Education, 42(2) 198 – 206. http://www.ncbi.nlm.nlh.gov/pubmed/18230093.
accessed on 09/03/14 at 20:40 hours.
[69]. Titler, M. Dochterman, J. Kim, T. Kanak, M. Shever, L.
Picone, D.M. Everett, L. Budreau, G. (2007). Cost of care for seniors
hospitalized for hip fracture and related procedures. Nursing Outlook, 55(1),
5-14
[70]. Trochim, W. M. (2002). The Research Methods Knowledge
Base, 2nd Edition. Available online at: http://trochim.human.comell.edulkb/index.htm.
[71]. Van derHorst, H. and McDonald, R. (2003). Outcome –
based Education. Theory and Practice: 2nd edition. South Africa. Kagiso
Publishers.
[72]. Zheng, A.Y. Lawhorn, J.K. Lumley and Freeman, S.
(2008). Education forum: Application of Bloom’s Taxonomy debunks the “MCAT
Myth”. Science, 319, 414 – 415. http://www.ncbi.nlm.nih.gov/pubmed/18218880.