Evaluation of an eportfolio for the assessment of clinical competence in a
baccalaureate nursing program
Bernard M. Garrett ⁎, Maura MacPhee, Cathryn Jackson
University of British Columbia, School of Nursing, T201-2211 Wesbrook mall, Vancouver, Canada V6T 2B5
summary article info
Article history:
Accepted 12 June 2012
Keywords:
Nurse education
eLearning
Portfolio
ePortfolio
Clinical assessment
Reflection
This paper reports a study undertaken to evaluate the implementation of an electronic portfolio (eportfolio) tool
for the assessment of clinical competence in a Bachelor of Science in Nursing program. Baccalaureate nursing
programs increasingly use information and communications technologies to support student learning, assess
and record progress. Portfolio based practice assessment and electronic portfolios represent growing trends
to enhance learning via student reflection and self-identification of further learning needs. Using an
action-research process, a mixed-methods evaluation strategy explored the efficacy of the eportfolio in its
second year of use. Website tracking analytics and descriptive statistics were used to explore trends in
eportfolio usage. Instructor and student surveys and focus groups were carried out at the end of the second
year. Instructors valued the eportfolios convenience, improved transparency, an improved ability to track
student progress, enhanced theory–practice links, and the competency based assessment framework. Students
valued accessibility and convenience, but expressed concerns over assessment data openness and processes for
standardization. Both groups felt that the eportfolio navigation required simplification. Electronic portfolios
represent a technological evolution from paper-based clinical assessment systems. Although there appear to
be many student and instructor advantages in using eportfolios, to maximize successful implementation, clinical
teachers require additional training in this new pedagogic approach. Strategies to assist an institutional culture
shift towards more transparent assessment processes may also need consideration.
© 2012 Elsevier Ltd. All rights reserved.
Introduction
Portfolio-based assessments using traditional paper and binder
portfolios have long been used for the evaluation of student perfor-
mance, particularly in professional education, and health professional
preparation programs (Chabeli, 2002; Diller and Phelps, 2008; Emden
et al., 2003; Glen and Hight, 1992; Husoy, 2009; Lettus et al., 2001).
These have often been adopted as “alternative” assessment methods
to more accurately assess a range of abilities, such as critical thinking,
and clinical decision making due to the incorporation of reflexivity
(Forker and McDonald, 1996). Indeed, the 1997 Dearing Report on
higher education recommended the introduction of a portfolio style
progress file for all students in higher education in the UK to promote
reflection on their own personal development (Dearing, 1997).
Concurrently faculty and students are increasingly using a wide variety
of information and communications technologies (ICT) to support
teaching and learning, and student portfolios are now migrating
towards electronic formats (Anderson et al., 2009; Davis et al., 2010;
Pincombe et al., 2010). The University of British Columbia (UBC) School
of Nursing developed and implemented our web-based Practice
ePortfolio (PeP) in 2009 in order to improve practice assessment for
our Baccalaureate in Nursing Science (BSN) students. This built upon
an earlier project to explore the value and use of electronic assessment
tools to support formative and summative student practice assessment
(Garrett and Jackson, 2006). This paper describes a multiple method
evaluation study undertaken between 2010 and 2011 with students
and instructors to evaluate the PeP. The key questions addressed in
this study were: (1) what were students and instructors perceptions
of the value of the PeP for assessment of their practice? (2) How well
did the design of the tools, their functionality, range of features, and re-
liability help in the process of clinical assessment? (3) What was the
level of student satisfaction with the tools and their use in meeting
their learning needs? (4) What was the instructors' satisfaction with
the tools and their use in meeting their needs for assessing students?
Background
The use of portfolio-based assessment is not new to higher educa-
tion, and has been used in a variety of programs, including business
and the arts (Anderson et al., 2009; Pincombe et al., 2010; Vernazza et
al., 2011). Portfolio-based assessment is an active process that involves
collecting, organizing, and reflecting on evidence of achievement of
specific learning objectives The concept arose from cognitive and
Nurse Education Today 33 (2013) 1207–1213
⁎ Corresponding author. Tel.: +1 604 822 7443; fax: +1 604 822 7466.
E-mail address: bernie.garrett@nursing.ubc.ca (B.M. Garrett).
0260-6917/$ – see front matter © 2012 Elsevier Ltd. All rights reserved.
doi:10.1016/j.nedt.2012.06.015
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