Implementing a Video Scenario Skill Testing Program Based on Constructivist Theory

A school of nursing was interested in an alternative to skill testing students in the laboratory environment. Bedside observation testing was labor intensive for faculty given time and volume of students, students exhibited performance anxiety, and subjective evaluation by faculty was inconsistent. A task force was formed to explore a camera system, plan for installation, and implementation. Based on the theory of constructivism, nursing students are responsible for their learning by independently practicing, demonstrating and recording the scenario-based skill. A rubric guides student learning, recording, and evaluation. Outcomes included more efficient use of faculty and lab time, students became actively engaged in their learning and evaluation of their video, increased satisfaction of both faculty and students, and improved pass rates.