Ministry of Education

Test Blueprint for National Exit Examination to be held in

2015 E.C
Band: 3

Program: - Bachelor of Science Degree in Surgical Nursing

Complied By: Michael Geletu Alaro (Wachemo University)

February, 2023
Bishoftu, Ethiopia
 Table of Contents

Contents
1. Introduction.....................................................................................................................................1
2. Objective of Test Blueprint Preparation.........................................................................................3
3. Significance of Test Blueprint Preparation.....................................................................................3
4. Expected Profile of the Graduates..................................................................................................4
5. Competencies of Surgical Nursing graduates.................................................................................5
6. Objectives of the selected courses..................................................................................................7
6.1 General objective of the selected courses.....................................................................................7
6.2 Specific objectives of the selected courses...................................................................................8
7. Themes and List of Courses with their share................................................................................13
8. Test Blueprint Table of Specification for BSc in Surgical Nursing Program..................................14
9. Calculation on share of themes, courses, competencies for a Program........................................21
10. Summary of share of Competencies (KSA) per Courses..........................................................23
11. Conclusions....................................................................................................................................24
1. Introduction

The Ministry of Education of Ethiopia has announced the implementation of exit exam for all
undergraduate program students (public and private), beginning with the 2022/2023 academic year,
in order to improve the quality of graduates produced by higher learning institutions. The exit exam
aimed at checking whether students have acquired the required knowledge, skills and attitudes or not.
To implement this, it requires determining competency areas for a specific program, which is already
completed. Based on the competency areas prepared, it needs to plan the construction of tests.

Planning of a test is a first and vital step in the construction of an achievement test. An achievement
test demands very systematic and careful planning, as a fact that good planning is a symbol of
success. Tests are the tools that provide scores that measure level of student learning and study
program-learning outcomes. In order to achieve the valid and reliable measurement of student
learning and program learning outcomes, the development of valid and reliable test is the mandatory.
Test should be able to measure student performance in all dimensions of knowledge, skill and
attitude. The carefully planned test construction contributes to improve the overall quality of the test
in terms of test content validity, difficulty level, discrimination power and test reliability. Test
preparation is not an easy task; it requires a careful planning and guideline to make the task simple.
Test construction needs the preparation of test blue print.

Test blueprint is defined as a complete plan that explains how to develop a test. A test
blueprint describes the key elements of a test, including the content to be covered, the amount of
emphasis allocated to each content area, and other important features. The term refers to a map or
specification of assessment to ensure that all aspects of the curriculum and educational domains are
covered by the assessment programs over a specified period of time. It helps curriculum
developers/test constructors to match various competencies with the course content and the
appropriate modality of assessment. Creating a test blueprint will help you plan which questions to
include in your exam and ensure that it adequately assesses the learning objectives of the course.

A test blueprint defines the knowledge and skills you want to assess and will enable you to build
purpose-driven, successful assessments. The test blueprint, sometimes also called the table of
specifications, provides a listing of the major content areas and cognitive levels intended to be
included on each test form. It also includes the number of items each test form should include within
each of these content and cognitive areas.
Generally, test blueprint will help to ensure tests: 1) Appropriately assess the achievement of
instructional objectives of the course; 2) Appropriately reflect key course goals, objectives and the
material learned or covered during the instruction period, 3) Include the appropriate item formats
along with the knowledge and skills being assessed; and 4) Determining the method of assessment to
address those objectives; and establishing the amount of emphasis to allocate to each knowledge or
skill domain.

Keeping this in mind, the team has prepared this test blueprint document in order to help the test
developers or content specialists in their process of valid and reliable test construction. The major
points considered in the process of preparing this test blue print guideline were the core
competencies that have been already identified for the themes of courses, the course contents, course
credit hours, and the learning outcomes with their corresponding levels of achievement by learning
domains.

In line with these, the number of test items that should adequately assess the performance of students
in all the content topics will be determined through discussion with the content specialists who
construct the blueprint and test for their corresponding study program. Therefore, the main purpose
of this document is to give direction on how to develop blueprint for content specialists so that they
can develop a test blueprint for their respective program.

2. Objective of Test Blueprint Preparation

Test blueprint preparation is generally opted to assist the preparation of a test that is representative,
broadly sampled, and consisting of complete knowledge domain expected of the Ethiopian higher
education students on completion of their study program.
The specific objectives of test blueprint are to:
 Facilitate the construction of a representative and balanced test items for the selected courses
in accordance with the competencies identified.
 Guide test developers or writers to write or set appropriate test items.

3. Significance of Test Blueprint Preparation

It is important to set competency areas of the subject matter (program) in order to measure the how
much graduates are acquired with skills, knowledge and attitudes. Test blueprint is a three-
dimensional chart that shows the placement of each question in respect of the objective and the
content area that it tests. The following shows us the significance of the test blueprint;
o Test blueprint used for examination contains the strategy of exam by an educational
institution;
o a test blueprint will help us plan which questions to include in your exam and ensure that it
adequately assesses the learning objectives of the course; and
o It defines the knowledge, skills and attitude you want to assess and will enable you to build
purpose-driven, successful assessments.

4. Expected Profile of the Graduates

After the successful completion of the Bachelor of Science in surgical nursing the graduates would
have the following profiles:
 Provide promotive, preventive, curative and rehabilitative nursing service for patients/clients
with acute and chronic surgical conditions using nursing process as a framework at varies
health care facilities and community.
  Perform comprehensive nursing assessment, formulate nursing diagnosis, plan, implement
interventions (Treat based on nursing scope of practice), evaluate and document the outcome
using critical thinking and clinical decision-making skills.
 Determines appropriate pharmacological treatment modalities in a plan of care
 Prescribe non pharmacological and behavioral treatment modalities in developing a plan of
care.
 Identify and treat collaborative health problems.
 Conduct nursing round and participate in collaborative rounds in surgical care setting.
 Takes accountability and responsibility for own nursing actions and professional conduct at
various nursing practice settings.
 Apply ethical and legal principles in the provision of patient care, education, research,
leadership and management.
 Demonstrate compassion, respectful and caring behavior among clients, colleagues, students.
 Perform fundamental nursing procedures in surgical settings
 Interpret diagnostic and laboratory tests.
● Work in collaboration with other professionals in admit and discharge of patients
● Engage self and others in continued learning and professional development activities.
● Provide client centered education and counseling for client/patient/ family in the area of
surgical conditions.
● Participate in nursing research related to the improvement of nursing service, education,
leadership and management.
● Utilize evidences required for the development and implementation of evidence-based
practices in the area of surgical nursing.
 Lead and manage resources and nursing service in a health care to promote optimum standards of
care.
 Collaborate effectively with members of an interdisciplinary team, stakeholders, organized
groups, organizations or communities and negotiate as a member of heath care team.
 Plan and implement change to improve health care delivery system.
 Demonstrate effective communication and interpersonal skills in the provision of health care.
 Advocates for and/or engage in the development of policies for nursing practices, education
research consistent with the standards of the profession.
 Contributes in the establishment and maintenance of appropriate systems to manage clinical and
administrative information.
5. Competencies of Surgical Nursing graduates
Generally, BSc degree Surgical Nursing Graduates will be able to:

S. No Area of competency Expected competencies to be achieved

1 Knowledge  Understand the physical, psychological and psychosocial
needs of the individual surgical patient.
 Understand the standardize perioperative nursing care
 Recognize the requirement for the multidisciplinary
nursing management of surgical patients
 Interpret medical investigation results
 Recognize medico-legal requirements for informed
consent
 Recognize, and utilize nursing care plan for surgical
patients and their family

2 Skill  Apply ethical and legal principle in surgical

Care practice
 Perform hand hygiene in all procedures
 Perform within the scope of surgical nursing
practice
 Apply critical thinking in the management of
surgical clients. (Collect and analyses relevant
data, establishes priorities, makes appropriate
decision for implementations, raises questions
and makes assumptions).
 Assess and manage pain for surgical patients
 Maintain patients safety and infection
prevention
 Manage and evaluate patients’ Wound
 Provides holistic care for surgical patients
using the nursing process as a framework.
 Optimize unstable patients for surgery
 Perform cardiopulmonary resuscitation (CPR)
 effectively
 Provide fundamental nursing care
 Monitor, intervene and evaluate surgical
patients during the perioperative phases of
surgery
 Provide Basic Trauma Life Support in surgical
patients care
 Perform Minor Surgical Procedures
 Involve in Nursing research and scientific
evidence utilization
 Develop, implement and monitor overall
surgical service in a facility
 Participate in disaster management during
mass casualties.
3 Attitude  Support the rights, needs of patients and their family
 Demonstrate respect ion for the dignity of patients and
their family members
 Demonstrate compassionate, respectful, and caring
behavior during surgical patient management
 Comply with standard infection prevention and patient
safety practice.
 Participate in education and professional developments
 Communicate effectively within a team to create a
conducive environment for patients care and
stakeholders

6. Objectives of the selected courses

6.1 General objective of the selected courses
The general objectives of the selected courses are to;
 Provide basic nursing care related to patients by applying knowledge, attitude and skills of
fundamental nursing, biomedical sciences and pharmacology in the nursing practice.
 Apply nursing professionalism, ethics and legal practice in their work environment
 Enable students to be equipped with the basic knowledge, attitude and skill on
common Medical, Surgical and psychiatry disorders.
 Provide nursing care for clients with normal & abnormal pregnancy, labour,
puerperium and gynecological cases.
 Acquire basic knowledge, attitude and skill to treat and care for patients having
childhood diseases.
 Demonstrate surgical nursing care practice for patients with disorders of head, Eye,
Ear, Nose, throat, respiratory and cardiovascular systems.
 Identify and explain surgical disorders of gastrointestinal , Reproductive and Genito-
urinary system and their treatments.
 provide quality surgical nursing care for patients with disorders of
Musculoskeletal, Endocrine, integumentary and central nervous systems
 Equip surgical nurses to perform selected minor surgical operation
 Apply principles and methods of management and leadership for effective and
efficient management of the Ethiopian health care system.
 Describe and apply basic research methodology to investigate health problems at as it applies to
Surgical Nursing to the improve quality of care, promote the health status of patients and
families, and prevent surgical illness conditions
 Apply principles and methods of health promotion to improving the health of a
population

6.2 Specific objectives of the selected courses

The specific objectives of the selected courses are to;

 Perform hand hygiene in all procedures
 Apply instrument processing and equipment handling
 Apply infection prevention control principles
 Perform wound management
 Prepare comprehensive patient history, physical examination and interpret
investigation results
 Identify the clinical status of a patient
 Prepare unstable patients for surgery
 Describe nutrition, fluid and electrolyte balance
 Administer Medications properly
 Apply comprehensive nursing care for patient with elimination problems
 Describe the concept and principles of professional ethics and their place in
surgical practice.
 Identify ethical dilemma in nursing care practice
 Solve ethical dilemma and uncertainties
 Comply with legal responsibilities in all surgical practice
 Controls emotion to avoid procedural errors
 Understand professional right and responsibilities
 Describe institutional and national legislative framework and care management
tools.( clinical guidelines, protocols and policies)
 Apply the duty of care, and vicarious liability to surgical nursing practice
 Describe the pharmacokinetics and pharmacodynamics of commonly used drugs
 Explain rational use of medications used in management of patients with
surgical disorder.
 Assess and treat medical and surgical disorders.
 Use skills diagnosing and treating patients with common disorders and / or
refer those requiring higher level of management.
 Demonstrate positive attitude in helping and taking care of patients with
medical and surgical problems.
 Provide comprehensive nursing care for patient with medical, surgical and psychiatric
disorders.
 Describe the process of normal delivery.
 Discuss conception, fetal and placental development
 Manage minor disorders associated with pregnancy
 Discuss medical diseases associated with pregnancy
 Discuss the nursing care of women with abnormal pregnancy
 Provide nursing care for women with abnormal pregnancy
 Manage obstetric emergencies
 Identify women with Abnormal Puerperium
 Discuss the management of Abnormal Puerperium
 Describe common neonatal and childhood illnesses
 Identify common systemic childhood disorders
 Provide nursing care for common neonatal and childhood illnesses
 Provide nursing care for a child with nutritional disorders
 Provide nursing care for common systemic childhood disorders
 Assess patients’ pain management effectiveness regularly
 Describe the impact of hospitalization to older adults
 Identify the special pre& post operation considerations regarding treatment of
older adults
 Assess a surgical patient with eye and ENT disorder
 Explain Pathophysiology, clinical manifestation, diagnostic methods and
management of surgical Eye and ENT disorder.
 Apply comprehensive individualized and evidence based plan of care for a patient
with eye and ENT disorder
 Provide Peri-operative nursing care for a patient with eye and ENT surgery
 Assess a surgical patient with respiratory and Cardio-vascular disorder
 Interpret normal and abnormal assessment finding in patient with respiratory and
cardiovascular disorder
 Describe Pathophysiology, clinical manifestation, diagnostic methods and
management of disorders of respiratory and Cardiovascular system
 Apply comprehensive individualized and evidence-based plan of care for a patient
with respiratory and Cardio-vascular disorder
 Provide Peri-operative nursing care for a patient with respiratory and
Cardio-vascular surgeries
 Describe Pathophysiology, clinical manifestation, diagnostic methods and
management of Gastrointestinal disorders
 Apply comprehensive individualized and evidence based plan of care for a
patient with Gastrointestinal disorder
 Describe surgical disorder and nursing implication of solid abdominal organs
 Provide Peri-operative nursing care for a patient with Gastrointestinal surgeries.
 Describe Pathophysiology, clinical manifestation, diagnostic methods and
management of disorders of genito-urinary system
 Apply comprehensive individualized and evidence-based plan of care for a
patient with genito-urinary disorder
 Provide Peri-operative nursing care for a patient with genito-urinary surgeries
 Describe Pathophysiology, clinical manifestation, diagnostic methods and
management of disorders of surgical reproductive system disorders.
 Apply comprehensive individualized and evidence-based plan of care for a
patient with reproductive system disorders
 Provide Peri-operative nursing care for a patient with reproductive system
disorders
 Describe Pathophysiology, clinical manifestation, diagnostic methods and
management of disorders of musculoskeletal system
 Apply comprehensive individualized and evidence-based plan of care for a patient
with musculoskeletal system surgical disorder
 Provide Peri-operative nursing care for a patient with musculo-skeletal system
surgical disorder
 Describe Pathophysiology, clinical manifestation, diagnostic methods and
management of disorders of Endocrine system
 Apply comprehensive individualized and evidence-based plan of care for a patient
with Endocrine disorder
 Provide Peri-operative nursing care for a patient with endocrine surgeries
 Describe Pathophysiology, clinical manifestation, diagnostic methods and
management of burn
 Describe Pathophysiology, clinical manifestation, diagnostic methods and
management of disorders of Integumentary system
 Apply comprehensive individualized and evidence-based plan of care for a patient
with Integumentary system surgical disorder
 Provide Peri-operative nursing care for a patient with Integumentary system
surgeries
 Describe Pathophysiology, clinical manifestation, diagnostic methods and
management of disorders of surgical nervous system disorders.
 Apply comprehensive individualized and evidence-based plan of care for a patient
with nervous system disorder
 Provide Peri-operative nursing care for a patient with nervous system disorders.
 Apply the correct sterile techniques of surgical hand scrub, preparation and
draping of sterile field during minor surgical operations
 Apply various principles of fracture management
 Perform different suturing technique and wound debridement
 Demonstrate Safe use of local anesthetic agents for minor procedures
 Explain safety issue of basic surgical skill
 Explain the use of various surgical instruments and their handling and positioning.
 Apply principles of safe Phlebotomy and vein cut-down (peripheral)
 Apply safe and effective techniques for foreign body removal
 Apply safe and effective techniques for male circumcision and supra pubic puncture
 Demonstrate safe universal precautions for operation theatre practice
 Apply principles and functions of management as well as leadership in the health sector
 Describe the principles and components of the national health management
information system
 Analyze the concepts of health care coverage, utilization and quality with
focus in the Ethiopian health system
 Demonstrate professional values and behavior in interaction with individuals,
families and communities consistent with the future role of a physician
 Apply nursing service administration and leadership principles
 Explain the concept of research and nursing research
 Describe the different types of research
 Develop a research proposal
 Prepare a research report
 Describe how to utilize research findings for evidence based Surgical Nursing
practices
 Practice Interpersonal and interdisciplinary relationship
 Practice Therapeutic communication with patients
 Provide orientations and training to multidisciplinary team members on relevant
topics
 Apply methods of nutritional assessment and interpret results
 Describe evidence based strategies to improve nutrition of individuals and
population
7. Themes and List of Courses with their share

S. No. Themes Course Name Cr Hr Share of

items (%)
1 Surgical Nursing practice and Foundation of Surgical Nursing module 16.8 19.6
professionalism  Fundamental of Nursing 15.2 17.72
 Legal and Ethical practice 0.27 0.32
 Pharmacology 1.33 1.56
Clinical Nursing I 10.9 12.7
 Medical Surgical Nursing 9.7 11.3
 Psychiatry Nursing 1.2 1.4
Clinical Nursing II 10.9 12.7
 Maternity Nursing 7.3 8.5
 Pediatrics Nursing 3.6 4.2
Surgical Nursing I 10.9 12.7
Surgical Nursing II 13.3 15.5
Surgical Nursing III 11.5 13.4
Minor Surgical Procedures 4.85 5.66
Total Cr Hr 79.15 92.26
2 Organizational management and Health policy and management 2.42 2.82
leadership skills
3 Research and public Health Nursing research 1.8 2.1
Health Promotion and Disease Prevention 2.42 2.82
 Health Education 1.8 2.1
 Nutrition 0.62 0.72
Total Cr Hr 4.22 4.9
Grand Total Cr Hr 85.79 100

13
 8. Test Blueprint Table of Specification for BSc in Surgical Nursing Program
Name of Courses Cr.hr General objective Specific objectives /learning outcomes Learning outcomes
Themes and Share and Share of the Knowledge (%)

Psychomotor (%)
of the themes in % course in %

No. of items (%)

Understanding

Affective (%)
Remembering

Application

Evaluation

Creation/
Analysis
1. Surgical Nursing Fundament 15.2 Provide basic nursing care related Perform hand hygiene in all procedures
practice and al of to patients by applying Apply instrument processing and equipment handling
professionalism Nursing knowledge, attitude and skills of Apply infection prevention control principles
(92.26%) (17.72 %) fundamental nursing in the Perform wound management
nursing practice.
Prepare comprehensive patient history, physical
examination and interpret investigation results
1.8 1.8 7 - -
Identify the clinical status of a patient
3. - 3.56 17.72
Prepare unstable patients for surgery
5
Describe nutrition, fluid and electrolyte balance
6
Administer Medications properly
Apply comprehensive nursing care for patient with
elimination problems
Legal and Ethical 0.27 Apply nursing professionalism, Describe the concept and principles of professional
practice (0.32%) ethics and legal practice in their ethics and their place in surgical practice.
work environment Identify ethical dilemma in nursing care practice
Solve ethical dilemma and uncertainties
Comply with legal responsibilities in all surgical
practice
0.04 0.12 0.12 - - - 0.0 - 0.32
Controls emotion to avoid procedural errors
4
Understand professional right and responsibilities
Describe institutional and national legislative
framework and care management tools.( clinical
guidelines, protocols and policies)
Apply the duty of care, and vicarious liability to
surgical nursing practice
Pharmacology Provide basic nursing care related Describe the pharmacokinetics and pharmacodynamics - 1.56 - - -
(1.56%) 1.33 to patients by applying of commonly used drugs
knowledge, attitude and skills of Explain rational use of - - - 1.56
pharmacology in the nursing medications used in management
practice. of patients with surgical disorder
14
Medical Surgical 9.7 Enable students to be equipped Assess and treat medical and surgical disorders.
Nursing with the basic knowledge, attitude Use skills diagnosing and treating patients with
(11.3%) and skill on common medical and common medical and surgical disorders and / or refer
surgical disorders those requiring higher level of management. 2.8
- - 2.82 -
Demonstrate positive attitude in helping and taking care 2
of patients with medical and surgical disorders. - 2.8 2.83 11.3
3
Provide comprehensive nursing care for patient with
medical and surgical disorders
Enable students to be equipped Identify patients with common psychiatric disorders
with the basic knowledge, attitude treat and / or refer those requiring higher level of
and skill on common psychiatry management.
Psychiatry Nursing disorders Demonstrate positive attitude in helping and taking care 0.46
(1.4%) - - - - - 0.4 0.47 1.4
of patients with psychiatric disorders.
1.2 7
Provide comprehensive nursing care for patient with
psychiatric disorders.
Provide nursing Describe the process of normal delivery.
Maternity Nursing 7.3 care for clients Discuss conception, fetal and placental development
(8.5%) with normal & Manage minor disorders associated with pregnancy
. abnormal Discuss medical diseases associated with pregnancy 0.95 4.7 - - - 1. - 0.95 8.5
pregnancy, Discuss the nursing care of women with abnormal
labour, 9
pregnancy
puerperium and Provide nursing care for women with abnormal
gynecological pregnancy
cases. Manage obstetric emergencies
Identify women with Abnormal Puerperium
Discuss the management of Abnormal Puerperium
Acquire basic Describe common neonatal and childhood illnesses
knowledge, Identify common systemic childhood disorders
attitude and skill Provide nursing care for common neonatal and 0.84 0.84 2.52 - - - - - 4.2
Pediatrics Nursing to treat and care childhood illnesses
(4.2%) 3.6 for patients Provide nursing care for a child with nutritional
having childhood disorders
diseases. Provide nursing care for common systemic childhood
disorders
Surgical Nursing I Assess patients’ pain management
(12.7%) effectiveness regularly
Describe the impact of hospitalization to
older adults
Identify the special pre& post operation
considerations regarding treatment of
older adults
15
 Assess a surgical patient with eye and
ENT disorder
Explain Pathophysiology, clinical
manifestation, diagnostic methods and
management of surgical Eye and ENT
disorder.
Demonstrate surgical nursing care Apply comprehensive individualized and 1 3.2 3.2 - 3.2 - - 2.1 12.7
practice for patients with evidence based plan of care for a patient
disorders of head, Eye, Ear, Nose, with eye and ENT disorder
10.9
throat, respiratory and Provide Peri-operative nursing care for a
cardiovascular systems. patient with eye and ENT surgery
Assess a surgical patient with respiratory
and Cardio-vascular disorder
Interpret normal and abnormal
assessment finding in patient with
respiratory and cardiovascular disorder
Describe Pathophysiology, clinical
manifestation, diagnostic methods and
management of disorders of respiratory
and Cardiovascular system
Apply comprehensive individualized and
evidence-based plan of care for a patient
with respiratory and Cardio-vascular
disorder
Provide Peri-operative nursing care for a
patient with respiratory and Cardio-
vascular surgeries
Surgical Nursing II Describe Pathophysiology, clinical manifestation, 6.2 4.65 - -
(15.5%) diagnostic methods and management of -
Gastrointestinal disorders
Apply comprehensive individualized and evidence
based plan of care for a patient with Gastrointestinal
disorder
Describe surgical disorder and nursing implication of
solid abdominal organs
Provide Peri-operative nursing care for a patient with
Gastrointestinal surgeries.
Describe Pathophysiology, clinical manifestation,
diagnostic methods and management of disorders of
genito-urinary system
Apply comprehensive individualized and evidence-
based plan of care for a patient with genito-urinary

16
 disorder
Identify and explain surgical Provide Peri-operative nursing care for a patient with
13.3 disorders of gastrointestinal, genito-urinary surgeries
Reproductive and Genito-urinary Describe Pathophysiology, clinical manifestation,
diagnostic methods and management of disorders of - - 4.65 15.5
system and their treatments.
surgical reproductive system disorders.
Apply comprehensive individualized and evidence-
based plan of care for a patient with reproductive
system disorders
Provide Peri-operative nursing care for a patient with
reproductive system disorders

Surgical Nursing III Describe Pathophysiology, clinical manifestation,

(13.4%) diagnostic methods and management of disorders of
musculoskeletal system
Apply comprehensive individualized and evidence-
based plan of care for a patient with musculoskeletal
system surgical disorder
Provide Peri-operative nursing care for a patient with
musculo-skeletal system surgical disorder
Describe Pathophysiology, clinical manifestation,
diagnostic methods and management of disorders of
Endocrine system
Apply comprehensive individualized and evidence-
based plan of care for a patient with Endocrine disorder
Provide Peri-operative nursing care for a patient with
endocrine surgeries
Describe Pathophysiology, clinical manifestation,
diagnostic methods and management of burn
Describe Pathophysiology, clinical manifestation,
diagnostic methods and management of disorders of
Integumentary system

17
 Apply comprehensive individualized and evidence- - 5.2 4.1 - - - - 4.1 13.4
11.5 Provide quality surgical nursing based plan of care for a patient with Integumentary
care for patients with disorders of system surgical disorder
Musculoskeletal, Endocrine, Provide Peri-operative nursing care for a patient with
integumentary and central Integumentary system surgeries
nervous systems Describe Pathophysiology, clinical manifestation,
diagnostic methods and management of disorders of
surgical nervous system disorders.
Apply comprehensive individualized and evidence-
based plan of care for a patient with nervous system
disorder
Provide Peri-operative nursing care for a patient with
nervous system disorders.

Apply the correct sterile techniques of surgical hand

scrub, preparation and draping of sterile field during
minor surgical operations
Apply various principles of fracture management
Minor Surgical Perform different suturing technique and wound
debridement - 1.14 3.96 - - - - 0.56 5.66
Procedures (5.66%)
Equip surgical nurses to perform Demonstrate Safe use of local anesthetic agents for
4.85 selected minor surgical operation minor procedures
Explain safety issue of basic surgical skill
Explain the use of various surgical instruments and
their handling and positioning.
Apply principles of safe Phlebotomy and vein cut-
down (peripheral)
Apply safe and effective techniques for foreign body
removal
Apply safe and effective techniques for male
circumcision and supra pubic puncture
Demonstrate safe universal precautions for operation
theatre practice
2. Organizational Health policy and 2.42 Apply principles and methods of Apply principles and functions of management as well
management and management management and leadership for as leadership in the health sector
leadership skills (2.82%) effective and efficient Describe the principles and components of the national 0
(2.82%) management of the Ethiopian health management information system
- 0.56 1.14 . - - 0.5 - 2.82
health care system. Analyze the concepts of health care coverage, 5 6
utilization and quality with focus in the Ethiopian

18
 health system 6
Demonstrate professional values and behavior in
interaction with individuals, families and communities
consistent with the future role of a physician
Apply nursing service administration and leadership
principles

3. Research and Describe and apply basic research Explain the concept of research and nursing research
public Health 1.8 methodology to investigate health Describe the different types of research
(4.92%) Nursing research problems at as it applies to Develop a research proposal - 1.4 - - - 0. - - 2.1
(2.1%) Surgical Nursing to the improve Prepare a research report 7
quality of care, promote the health
status of patients and families, Describe how to utilize research findings for evidence
and prevent surgical illness ; based Surgical Nursing practices
conditions
1.8 Apply principles and methods of Practice Interpersonal and interdisciplinary relationship
Health Education
health promotion to improving the Practice Therapeutic communication with patients - - 0.7 - - - 1.4 - 2.1
(2.1%)
health of a population Provide orientations and training to multidisciplinary
team members on relevant topics
Nutrition 0.62 Apply principles and methods of Apply methods of nutritional assessment and interpret
(0.72%) health promotion to improving the results - 0.36 0.36 - - - - - 0.72
health of a population Describe evidence based strategies to improve nutrition
of individuals and population
100
Total

19
 Ministry of Education
Higher Education Sub-sector

9. Calculation on share of themes, courses, competencies for a Program

Program Name: BSc in Surgical Nursing

Table 3

Themes Course Name Cr Hr Weight of course or Number Cognitive

proportion of test

Psychomotor
(%) items

Understand
Remember
from

Affective
Evaluate
Analyze
each

Create
Apply

Total
course

Theme One Fundamental of Nursing 15.2 15.2*100/85.79 = 17.72 1.8 1.8 7 - - 3.56 - 3.56 17.72
Share = 92.26% Legal and Ethical practice 0.27 0.27*100/85.79 = 0.32 0.04 0.12 0.12 - - - 0.04 - 0.32
from the total
Pharmacology 1.33 1.33*100/85.79 = 1.56 - 1.56 - - - - - - 1.56
Medical Surgical Nursing 9.7 9.7*100/85.79 = 11.3 - - 2.82 - 2.82 - 2.83 2.83 11.3
Psychiatry Nursing 1.2 1.2*100/85.79 = 1.4 0.46 - - - - - 0.47 0.47 1.4
Maternity Nursing 7.3 7.3*100/85.79 = 8.5 0.95 4.7 - - - 1.9 - 0.95 8.5
Pediatrics Nursing 3.6 3.6*100/85.79 = 4.2 0.84 0.84 2.52 - - - - - 4.2
Surgical Nursing I 10.9 10.9*100/85.79 = 12.7 1 3.2 3.2 - 3.2 - - 2.1 12.7
Surgical Nursing II 13.3 13.3*100/85.79 = 15.5 - 6.2 4.65 - - - - 4.65 15.5

20
 Surgical Nursing III 11.5 11.5*100/85.79 = 13.4 - 5.2 4.1 - - - - 4.1 13.4
Minor Surgical Procedures 4.85 4.85*100/85.79 = 5.66 - 1.14 3.96 - - - - 0.56 5.66
Theme one total credit 79.15 79.15*100/85.79 = 92.26
Theme Two Health policy and 2.42 2.42*100/85.79 = 2.82 - 0.56 1.14 0.56 - - 0.56 - 2.82
Share = 2.82 % management
Theme two total credit hr 2.42 2.42*100/85.79 = 2.82
Theme Three Nursing research 1.8 1.8*100/85.79 = 2.1 - 1.4 - - - 0.7 - - 2.1
Health Education 1.8 1.8*100/85.79 = 2.1 - - 0.7 - - - 1.4 - 2.1
Share = 4.92% Nutrition 0.62 0.62*100/85.79 = 0.72 - 0.36 0.36 - - - - - 0.72
Theme three total credit hr 4.22 4.22*100/85.79 = 4.9
Total for the program 85.79 85.79*100/85.79 = 100 5.09 27.08 30.57 0.56 6.02 6.16 5.3 19.22 100

Ministry of Education

21
 Higher Education Sub-sector

10. Summary of share of Competencies (KSA) per Courses

Program Name: BSc in Surgical Nursing

S. Themes Course Name Cr Hr Share of Share of competencies (%) Remark

No items (%) Knowledge (%) Skill (%) Attitude (%)
1 Surgical Nursing practice and Fundamental of 15.2 17.72 14.16 3.56 -
professionalism Nursing
Legal and Ethical 0.27 0.32 0.28 - 0.04
practice
Pharmacology 1.33 1.56 1.56 - -
Medical Surgical Nursing 9.7 11.3 5.64 2.83 2.83
Psychiatry Nursing 1.2 1.4 0.46 0.47 0.47
Maternity Nursing 7.3 8.5 7.55 0.95 -
Pediatrics Nursing 3.6 4.2 4.2 - -
Surgical Nursing I 10.9 12.7 10.6 2.1 -
Surgical Nursing II 13.3 15.5 10.85 4.65 -
Surgical Nursing III 11.5 13.4 9.3 4.1 -
Minor Surgical Procedures 4.85 5.66 5.1 0.56 -
2 Organizational management Health policy and management 2.42 2.82 2.26 - 0.56
and leadership skills
3 Research and public Health Nursing research 1.8 2.1 2.1 - -
Health Education 1.8 2.1 0.7 - 1.4
Nutrition 0.62 0.72 0.72 - -
Grand Total Cr Hr 85.79 100 75.48 19.22 5.3

22
11. Conclusions
Exit examinations can play an important role in producing graduates who are knowledgeable, skilled,
and emotionally mature. It helps to prepare competent graduates by acting as a quality check for
effectiveness. It also aids in the enhancement of the quality and effectiveness of academic programs.
Furthermore, it can serve as a platform for academic programs at various universities to collaborate
in order to improve program quality. As a result, this document has been created to aid in the
establishment of exit examinations for all programs offered by the Ministry of Education. For 2015
EC graduating students, exit exam competency selection and identifying core courses were done to
meet the graduation profile, competency, and learning outcome. As a result, preparing test blueprint
is necessary to prepare fairly distributed items based on the above criteria.

24