ith changes to the National Council of State Boards of Nursing (NCSBN) National Council Licensure Examination (NCLEX), nursing faculty are seeking best methods to prepare students for the Next Generation NCLEX (NGN). 1,2 The licensing examination will remain a legally defensible examination characterized by development practices that align items to a test plan, use standardized item writing procedures, include layers of review, require pretesting, and involve psychometric analysis. [2][3][4][5] Potential questions used in this examination go through item, editorial, sensitivity, differential, and nursing regulatory reviews before becoming operational items. 4,5 The NCLEX item writers are registered nurse and practical nurse faculty teaching clinical nursing content. The NCLEX test item review is a modification of a peer review process where other nurses, who provide direct patient care in a clinical setting and work with new nurses, determine whether items are suitable to test entry-level practice, are current, and are accurate. 4,5 Sensitivity and differential reviews look for unintentional bias such as stereotypes and linguistic issues, which may affect measurement. 5 Editorial reviews examine grammar, clarity, spelling, and punctuation. 5 The nursing regulatory review focuses primarily on the appropriateness of an item to test entry-level practice. 5
Peer ReviewPeer review has long been the standard for scholarly writing and thought to be empowering and leading to professional growth. 6 Peer review involves the evaluation of work (teaching, research, test item writing) by people with expertise similar to the person or product being reviewed. Peer review is considered a best practice when writing test items, 7 but the practice is underutilized by nursing faculty. 8,9 Nursing faculty, who are writing their own NGN items or choosing questions to include on classroom tests from vendor test banks, may not be able to undertake the same extensive review process used by the NCSBN. However, it is possible to follow item writing procedures similar to those used by the NCSBN and conduct peer review. The purpose of this article is to report the findings from a pilot study of a peer review process used with a group of faculty who were writing NGN items for the Maryland NextGen Test Bank Project.