Perceived challenges and improvement strategies for computer-based test in the nursing and midwifery council of nigeria final examination at a university in south eastern Nigeria.

Introduction: Computer-based tests (CBT) have been noted as a stellar alternative for examinations, having been expected to address the deficiencies of traditional examination model. This study assessed the perceptions, challenges and strategies for improving the Nursing and Midwifery Council of Nigeria computer-based final qualifying examination.

Methods: The study was a cross-sectional descriptive survey using all the 214 year 2023 graduates of the Department of Nursing Sciences, University of Nigeria, Enugu Campus. Data was collected using a researcher-developed questionnaire.

Results: Majority had a positive perception towards CBT (74.3%). Their was a preference for CBT compared to traditional pen and paper examination (2.96 ± 0.96), Respondents experienced challenges answering long story-like question amidst limited time (74.3%) among others. It was suggested that use of good CBT environment to prevent time wastage, (3.32 ± 0.83), and fixing of malfunctioning computer systems prior to examination (3.32 ± 0.85) will help ameliorate challenges. There were no significant association between perception and sex (p = .308) as well as between the challenges experienced and age (p = .322).

Conclusion: The perception of candidates on the use of CBT for final qualifying nursing examinations was positive. Addressing the challenges experienced will ensure a sustained positive and seamless experience for candidates.