The effects of high-stakes ATI remediation and testing practices including the ATI content mastery series and ATI PN comprehensive predictor

Abstract

The purpose of this retrospective, descriptive study was to determine if any differences existed in students' test scores on the Assessment Technologies Institute (ATI) PB tests: Fundamentals, Pharmacology, Medical Surgical and the Comprehensive Predictor before and after implementing a high-stakes remediation and testing policy. The ATI computer-based standardized tests are widely used in nursing programs as a program assessment tool. Also, ATI tests provide correlational evidence of first-time NCLEX-RN passage. The ATI Remediation and tests are commonly added to nursing programs progression plans. In recent years nursing programs have applied high-stakes ATI Remediation to the ATI tests in response to the high-stakes quality of NCLEX-RN. In this study the high-stakes ATI tests were administered to associate of science nursing students in their first year of their two year program. The site where the study took place was at a small university located in the Rocky Mountain Region of the US. Group comparisons between those who had a pre-policy of no high-stakes ATI Remediation and testing practices and a post-policy with high-stakes ATI Remediation and testing practices. Descriptive and inferential statistical analysis were used to detect difference in test scores between the two groups. Statistically significant differences were found between groups of test takers on the ATI PN Fundamentals and Comprehensive Predictor tests with the post-policy group scoring higher. An explanation of these findings indicate test scores increase with the use of high-stakes ATI Remediation and testing practices. The findings from these tests can assist nurse educators in placing a clearly defined, appropriate high-stakes ATI Remediation and testing into the progression plan.