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Effectiveness of an Adaptive Quizzing System as an Institutional-Wide Strategy to Improve Student Learning and Retention

Simon-Campbell, E';Loria PhD, RN; Phelan, Julia PhD

doi: 10.1097/NNE.0000000000000258
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Exploring ways to help students achieve success in nursing programs is critical to increase retention and the number of nurse graduates. This study examined the impact of an adaptive quizzing system implemented as a strategy to support student persistence and performance measured by use, grades, and graduation. Results indicated that use of the system increased course content mastery and predicted final course grades. Retention and program completion rates were also positively influenced.

Author Affiliations: Assistant Professor (Dr Simon-Campbell), School of Nursing, Sam Houston State University, Texas; and Senior Researcher (Dr Phelan), National Center for Research on Evaluation, Standards, and Student Testing, University of California at Los Angeles.

Disclosure: Dr Simon-Campbell was a consultant for Lippincott providing faculty support related to the adaptive quizzing software. Dr Phelan is an assessment expert and research consultant for Wolters Kluwer Health.

Correspondence: Dr Simon-Campbell, Citizen';s National Bank Building, 1 Financial Plaza, Ste 215, Huntsville, TX 77340 (

Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal';s Web site (

Accepted for publication: January 30, 3016

Published ahead of print: March 10, 2016

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