Education Career Articles

Connect Facebook Connect Twitter Connect Google+ Connect Pinterest Connect Stumbleupon

Why Do Some Nurses Find PBDS Controversial?

Higher Education Articles August 19, 2013

The Performance Based Development System, or PBDS, is an individually customized exam that evaluates the competency of hospital staff, particularly that of nurses. The exam focuses on three main areas of critical thinking, inter-personal relations and technical skills in one of four nursing specialties: medical surgical, critical care, neonatal ICU, and OB.

Purpose

After studying a report of an abnormal clinical scenario, relying primarily on photos and video clips, nurses are required to diagnose the problem, determine the best immediate response and provide reasoning for that response. In addition to accuracy on the test itself, an individual’s performance on the PBDS is based on attention to detail, level of anxiety and several other behavioral factors. Since final scores are evaluated against the performance standards of a particular hospital, a passing score may vary by location.

Usage

The PBDS nursing hospital program is often used as a supplement to orientation processes for new nurses. After studying a nurse’s responses to the exam’s questions, hospital administration is able to pinpoint areas in which improvement may be necessary. If nurses fail the exam, they are frequently required to undergo remedial training. This process can last up to six months, or until they are able to pass the exam. However, when used as an evaluation of temporary, or travel nurses, a performance considered unsatisfactory by the hospital will generally result in a cancellation of the nurse’s contract.

Accuracy Issues

The controversy over the PBDS is not related to its utilization in various scenarios, but to the validity of the test itself; most individuals claim that a nurse’s performance on the exam does not provide an accurate competency assessment. Although the PBDS official website claims that the test’s content has been researched by qualified organizations, no official documentation has been provided. At least in part for this reason, most individuals argue that hospitals that base employment decisions on the PBDS are relying on an exam that not only lacks credibility itself, but is often graded by unqualified individuals. This claim is supported by the fact that most experienced nurses have failed the test despite outstanding personal records, resulting in a possibly unjust cancellation of their contracts or an unnecessary reorientation process. Some examinees also claim that the reorientation process does not provide the information necessary to pass the exam the second time, such as study tools, indications of areas requiring improvement and so on.

Relevancy Issues

In addition to its accuracy, the relevancy of the test has also been called into question. The PBDS is an appraisal of a nurse’s critical thinking, relational and technical skills. The results of the exam are intended to be indicative of a nurse’s competence in actual clinical scenarios. But many argue that determining advanced medical diagnoses and the like requires the expertise of a doctor, not a nurse. The knowledge and experience necessary to provide accurate responses to the scenarios depicted in the video clips does not necessarily fall under a nurse’s expected skill set. As a result, most individuals argue that the PBDS cannot accurately predict realistic behavior, since the skills tested are not relevant to a nurse’s responsibilities.

Conclusion

In spite of these concerns, most other individuals do consider the PBDS to be a reliable test of a nurse’s competence. By posing challenging, abnormal scenarios to examinees, the PBDS can indicate the way that nurses would react in actual high-pressure situations. This ability of the exam can be beneficial regardless of its technical relevancy. If nurses respond to challenging scenarios with anxiety or confusion, they will likely respond that way in reality, whether or not realistic problems are similar to those depicted in the PBDS.

For this reason, the PBDS, although controversial, remains one of the most popular orientation and competency exams available. Currently, there are over 500 hospitals nationwide administering the exam and use its results to determine the most logical methods of nurse training, positioning and employment.

Searching Searching ...

Matching School Ads
5 Program(s) Found
Fortis Institute , Grand Prairie
  • Gain Knowledge and Skills While You Earn Your Nursing Degree at Fortis!
  • Accredited
  • Financial Aid
5 Program(s) Found
  • Why study nursing at Grand Canyon University?
  • Our bachelor’s and master’s degrees in nursing are CCNE-accredited and the College of Nursing and Health Care Professions (CONHCP) is approved by the Arizona State Board of Nursing.
  • We provide many options to prepare you to begin or advance your nursing career, including bridge programs and dual degrees.
  • GCU provides a low student-to-teacher ratio and a Christian environment that provides an opportunity for you to embrace a holistic approach to caring for patients.
  • Request more information today about program offerings, CCNE accreditation, start dates, financial aid and more!
Good for Working Adults
  • Accredited
  • Online Courses
  • Flexible Scheduling
  • Accelerated Programs
  • Financial Aid
  • Transferable Credits
5 Program(s) Found
  • Current RNs can choose from RN to BSN or RN to MSN online programs
  • RN-to-BSN program offers courses in Illness and Disease Management, Principles of Assessment, and Holistic Professional Nursing
  • RN to MSN specializations include Family Nurse Practitioner, Adult-Gerontology and more
  • Courses help develop students’ assessment, patient care, and community outreach skills
  • South University brings over 115 years of achievement and tradition to a supportive, online classroom
Good for Working Adults
  • Online Courses
  • Flexible Scheduling
  • Financial Aid
  • Transferable Credits
2 Program(s) Found
South University , Virginia Beach
  • Several nursing programs are available at the bachelor's, post-graduate, master's, and doctoral levels.
  • Graduate-level specialization options include Nurse Educator, Family Nurse Practitioner, Nurse Administrator, and more.
  • Nursing programs are available at many of the 11 campus locations across the United States.
Good for Working Adults
  • Flexible Scheduling
  • Financial Aid
1 Program(s) Found
  • Recognized as a Top 20 Best Online Bachelor’s Program by U.S. News & World Report in 2016.
  • Online, campus-based, and evening courses offered in 95 areas of study, including Business, Nursing, Psychology, & more.
  • Endorsed by G.I. Jobs and Military Advanced Education magazine as a Military Friendly School in 2015.
  • Features small class sizes, with a student-to-faculty ratio of 23 to 1.
  • 88% of Regent University students receive financial aid, with $18 million awarded in institutional scholarships & aid each year.
  • Online Courses
1 Program(s) Found
  • Earn your Master of Public Health Online from GW in 12 months.
  • GRE waivers available for qualified applicants.
  • Advance your career in a range of industries, including epidemiology, public health and biostatistics.
  • Accredited
  • Online Courses
  • Accelerated Programs
  • Financial Aid
  • Transferable Credits
1 Program(s) Found
  • Designated as a 2015 Military Friendly® School by Victory Media, publishers of G.I. Jobs®.
  • Each program is designed to instill the knowledge, ethical values, and interpersonal skills of professional practice and to foster values of social responsibility.
  • Offers several flexible learning options, including a blended format that combines campus and online learning.
  • Several scholarship opportunities are available for students who qualify.
Good for Working Adults
  • Online Courses
  • Flexible Scheduling
  • Financial Aid
  • Transferable Credits
1 Program(s) Found
  • Earn your degree online from Ashford University!
  • Choose from Undergraduate and Graduate classes
  • Business, Health Care, Psychology and Liberal Arts programs to choose from
  • Apply Now! Classes begin every Tuesday!
  • Online Courses
  • Financial Aid
  • Transferable Credits
2 Program(s) Found
  • Ranked among the top 20 Regional Universities in the West in 2015 by U.S. News & World Report.
  • Listed as one of America’s Best Colleges by Forbes Magazine in 2014.
  • More than 97% of tenure-track faculty holds a terminal degree in their field.
  • Student to faculty ratio of 15:1, and 47.5% of classes have fewer than 20 students.
  • Accredited by The Southern Association of Colleges and Schools Commission on Colleges (SACSCOC).
  • Online Courses
1 Program(s) Found
  • Designated a 2015 Military Friendly School by Victory Media for the 4th consecutive year.
  • Listed on the President’s Higher Education Community Service Honor Roll in 2013, for the sixth consecutive year
  • Links students to hundreds of training opportunities (beyond their traditional internships and practicum) at their many “partner agencies” in each of their local communities.
  • Accredited by the WASC Senior College and University Commission (WUSCUC).
  • Financial Aid

Searching Searching ...

Matching School Ads
5 Program(s) Found
  • Nursing Degree Programs from Grand Canyon University's College of Nursing & Health Care Professions
  • Degree Variety: GCU offers a full-spectrum of nursing programs including bachelor’s, master’s, and doctoral degrees, as well as post-master’s certificates.
  • The baccalaureate degree in nursing and master's degree in nursing at Grand Canyon University are accredited by the Commission on Collegiate Nursing Education (http://www.aacn.nche.edu-accreditation).
  • GCU provides a Christian environment that provides an opportunity for you to embrace a holistic approach to caring for patients: physically, emotionally, and spiritually.
  • Depending on the degree you choose, you could take online, evening, or on-campus classes. Speak with an enrollment counselor to discuss your options!
Good for Working Adults
  • Accredited
  • Online Courses
  • Flexible Scheduling
  • Accelerated Programs
  • Financial Aid
  • Transferable Credits
5 Program(s) Found
  • Current RNs can choose from RN to BSN or RN to MSN online programs
  • RN-to-BSN program offers courses in Illness and Disease Management, Principles of Assessment, and Holistic Professional Nursing
  • RN to MSN specializations include Family Nurse Practitioner, Adult-Gerontology and more
  • Courses help develop students’ assessment, patient care, and community outreach skills
  • South University brings over 115 years of achievement and tradition to a supportive, online classroom
Good for Working Adults
  • Online Courses
  • Flexible Scheduling
  • Financial Aid
  • Transferable Credits
1 Program(s) Found
  • Earn your Master of Public Health Online from GW in 12 months.
  • GRE waivers available for qualified applicants.
  • Advance your career in a range of industries, including epidemiology, public health and biostatistics.
  • Accredited
  • Online Courses
  • Accelerated Programs
  • Financial Aid
  • Transferable Credits
1 Program(s) Found
  • Recognized as a Top 20 Best Online Bachelor’s Program by U.S. News & World Report in 2016.
  • Online, campus-based, and evening courses offered in 95 areas of study, including Business, Nursing, Psychology, & more.
  • Endorsed by G.I. Jobs and Military Advanced Education magazine as a Military Friendly School in 2015.
  • Features small class sizes, with a student-to-faculty ratio of 23 to 1.
  • 88% of Regent University students receive financial aid, with $18 million awarded in institutional scholarships & aid each year.
  • Online Courses
1 Program(s) Found
  • Designated as a 2015 Military Friendly® School by Victory Media, publishers of G.I. Jobs®.
  • Each program is designed to instill the knowledge, ethical values, and interpersonal skills of professional practice and to foster values of social responsibility.
  • Offers several flexible learning options, including a blended format that combines campus and online learning.
  • Several scholarship opportunities are available for students who qualify.
Good for Working Adults
  • Online Courses
  • Flexible Scheduling
  • Financial Aid
  • Transferable Credits

Login to your account

Can't remember your Password ?

Register for this site!