Abstract

Background: Intramuscular Injection (IMI) is considered one of the nursing students' fundamental courses during their study. The intramuscular injection procedure is considered a daily routine task for nurses in any health workplace. Measuring knowledge gain about the intramuscular injection after the students underwent the intramuscular injection teaching courses is crucial to check the effectiveness of the applied teaching methods. The study aims to develop and validate a multiple-choice questions examination to measure the intramuscular injection knowledge gain for nursing students.

Methods: A Delphi method was employed to create the tool's items. Six nursing content specialists working as nursing lecturers were recruited (using judgemental sampling) to develop a Multiple-choices Questions (MCQs) based examination using the Delphi method. The 15 items multiple-choice questions examination was proctored and time-limited (30 min). The MCQs examination was created and validated using multiple validation processes, instrument reliability (internal consistency), construct validity (IRT), and face validity with pilot sample examination results.

Results: The MCQ was created, validated, and showed good reliability and a valid method to measure the intramuscular injection knowledge gain.

Conclusions: The created MCQs examination is considered a valid and reliable tool to measure the intramuscular injection knowledge gain for year-2 nursing students.

Implications for Nursing: This validated MCQ tool provides nurse educators with a reliable, standardized method to assess the effectiveness of their intramuscular injection teaching, enabling targeted curriculum improvements and ensuring students possess the essential theoretical knowledge for safe clinical practice