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Title: Measuring Grade Inflation in Nursing Education: Retrospective Three-Years Study

Abstract:
Grade inflation is the loss of external validity of student’s grades, which implies getting high grades regardless of student’s academic achievement. Evaluation of clinical practices is a complex process in which different health professionals intercede and there are ethical implications and consequences in grade average. Three-year retrospective cor-relational study was carried out in order to determine the existence of grade inflation and how this affects to the final grade.The study population consisted of 158 second-year nursing degree students at Universitat Jaume I(Spain) enrolled in four subjects of the matter "Nursing Care in Healthcare Processes" between 2012 and 2014.Firstly,a descriptive analysis of the students’ grades was carried out; secondly, two measures were used to determine the level of grade inflation (Practice/Theory Ratio) and how this affects over the final grade (Increase in the Final Grade). In this way, significant differences were studied by hospitals and practices units by means of the ANOVA or Kruskal-Wallis test, according to implementation conditions. Correlation (Pearson test) and agreement (Bland-Altman plot) between the grades on theory and clinical practices were analyzed. The percentage of students whose final grade had risen ranged from 19.8% to 81% on the four subjects. There was a significant correlation between grades on theory and practice in three subjects (p<0.001). Bland-Altman plots show the lack of agreement between grades on theory and practice.There is a grade inflation in the grades on clinical practices that increases the final students’ grade, although it is irregular on the four subjects.

To View Full Article: https://www.scientinternational.com/…/h…/JNS-Vol1-RA1001.php
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