# Comparison of Open-Book and Closed-Book Examinations and Nursing Students’ Perceptions of Open-Book Examination

## TL;DR

This study compares open-book and closed-book exams for nursing students and finds that open-book exams improve knowledge and student satisfaction.

## Contribution

The study provides empirical evidence on the effectiveness of open-book exams in nursing education and students' perceptions of them.

## Key findings

- OBE students scored significantly higher than CBE students (13 vs. 10, p<0.05).
- 78% of students preferred OBE and found it more comfortable and satisfying.
- Students recommended OBE for formative assessments and noted the need for more preparation time.

## Abstract

Purpose: Evaluation is a systematic process of collecting, analyzing, and interpreting information to determine the extent to which objectives have been achieved. One of the tools or methods for evaluating the students is an open-book examination (OBE). The present study aimed to compare OBEs and closed-book exams (CBEs) and assess students' perception of OBEs.

Methods: A comparative descriptive study was conducted among third-year B.Sc. nursing students (30 OBEs and 30 CBEs) selected using a simple random method on the topic of neonatal resuscitation. Validated knowledge questions with a blueprint on neonatal resuscitation were used, and to assess the perception, a Likert questionnaire was administered.

Results: The study found that OBE students scored a higher mean knowledge than CBE students (13 vs. 10, p<0.05). Students had a positive perception of the OBE (30±5). A total of 78% of students mentioned that they are more comfortable and satisfied with the OBE than the CBE, and they recommended the OBE in their formative assessment, promoting a student-centered approach to education. Additionally, they noted the need to spend more time preparing for the OBE.

Conclusion: The study recommends offering an OBE as an option for formative assessment, in addition to a CBE. As students are encouraged to use classroom notes and textbooks while answering the questions, the “reasoning” rather than recalling the facts could be emphasized. The OBE enhances the learning environment and helps students understand and respond to questions more effectively.