Academic Integrity In Nursing Education Essay

Academic Integrity In Nursing Education Essay

Case Study, Chapter 18.

A group of nursing students are in the middle of an exam when two students witness another student pull out his phone and look up answers. Neither student informs the faculty member but after the exam they discuss what they witnessed.

1. Describe the most common forms of cheating in the classroom and in the clinical area.

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2. What should the nursing students do in regard to what they witnessed during the exam? Why is it important for them to do anything?Academic Integrity In Nursing Education Essay

Honesty is regarded as a basic ethical value in all educational programmes, and academic integrity is of undisputed importance in educational environments. The literature reviewed revealed that academic dishonesty is wide-ranging and also encountered in the nursing education environment. This phenomenon is of concern to the nursing fraternity because of the proven positive correlation between unethical academic practices and future unethical professional behaviour. Limited research data regarding academic dishonesty at nursing education institutions in South Africa and this correlation motivated the present study. The purpose was to examine the status of academic integrity amongst nursing students at a nursing education institution in the Western Cape. Formulated objectives guided investigation of several variables which impact upon academic integrity, for example the incidence of and student perceptions around academic dishonesty.A quantitative, descriptive survey design was used, with a self-reported questionnaire (based on literature review and study objectives) designed to obtain information about academic dishonesty. Provision was also made for qualitative input from the respondents by including three open-ended questions.It was found that academic dishonesty was a reality at the nursing education institution where this study was done. Cheating associated with plagiarism and assignments was identified as the main problem area. An unacceptably high level of dishonesty in completion of practical records was also an area of concern. The main recommendations are development and implementation of a code of honour and implementation of comprehensive academic integrity policies at the nursing education institution, with practical measures aimed at combating cheating in tests and examinations.Academic Integrity In Nursing Education Essay

Academic integrity is the moral code
or ethical policy of academia. Academic
integrity refers to the expectation from a
student to submit original work and give
credit to other people‟s ideas. Academic
integrity is the commitment and
demonstration of honest and moral behavior
in an academic setting. This is most relevant
at the university level as it relates to
providing credit to other people when using
their ideas. In simplest terms, it requires
acknowledging the contributions of other
people. [1] A study conducted at Jesuit
University, United States suggested that
upper division and second-degree nursing
students are less tolerant and more
condemnatory of cheating than younger
students. It also concluded that frequent
dishonest classroom behaviors included
asking and telling other students what was
on the exam whereas the most frequent
dishonest clinical behavior included
documenting findings that were not assessed
or findings that were false. [2] Another study
done in Pakistan pointed out a significant
high level of prevalence of academic
dishonesty at higher education level. [3]
A longitudinal study results reflected
that the nursing students get accustomed to
taking academically deceitful actions. The
students come to consider their cheating
behaviors as acceptable and normal, thereby
stabilizing them. [4] A concept analysis
identifies that the defining attributes to
academic integrity among nursing students
are honesty, ethical behavior and
professionalism. Antecedents to integrity
include an academic culture of respect,
characterized by student-faculty
Anoopa K.R et.al. Academic Integrity among Nursing Students
International Journal of Health Sciences & Research (www.ijhsr.org) 111
Vol.9; Issue: 12; December 2019
relationships derived from mutual respect,
trust and a shared learning goal. It also
indicates the importance of faculty as role
models of integrity as paramount in building
a culture of honesty. [5]
A descriptive cross-sectional study
conducted in Duzce University; Turkey
revealed that academic dishonesty was at a
medium level in nursing students. It also
identified that, though many of the students
know cheating in university exams is
unethical and are punishable, significant
number still believe cheating to be socially
acceptable. [6] A quantitative study results
revealed differences in frequency of
engagement in and attitudes toward
academic dishonesty by gender, semester in
the program, and ethnicity. The study also
concluded that significant relationships were
found among peer behavior, personal beliefs
and values, and frequency of engaging in
academic dishonesty. [7] Another study done
in Ontario university among nursing
students reported that situational factors,
such as a caring curriculum, heavy
workload, faculty attitudes, and technology,
had an impact on both why and how these
nursing students were collaborating with
each other and cheating. [8]Academic Integrity In Nursing Education Essay
A descriptive study was conducted
at South Korea has shown that the
awareness of „irresponsibility in the class‟
was lowest, and „cheating on examinations‟
was highest. [9] A cross-sectional surveybased study was conducted among medical
students at a government medical college, in
Saudi Arabia during the year 2014–2015,
highlighted significant academic
misconduct concerning cheating was found
among the Saudi medical students; this
misconduct is alarming in a reputable
government institution. The implementation
of strict punishments, requiring ethical
courses and creating ethical awareness by
exploiting the potential of Islamic religious
belief might help to control this problem. [10]
A quantitative study conducted at United
States has identified socio-demographic and
situational conditions have affected nursing
students‟ engagement in academic
dishonesty, their attitudes regarding various
forms of academic dishonesty, and the
prevalence of academic dishonesty in which
they engaged and witnessed. [11]
A study was conducted at Poland to
investigate the direct relationship of values
with academic dishonesty, as well as the
moderating role of students‟ past
achievements. It was found that socially
orientated human values like Conformity
and Tradition were negatively related to
unethical behaviors, while personally
focused values such as Hedonism, Power,
and Stimulation correlate positively.
Additional analyses revealed that the
relationships of some values as
Achievement and Security with academic
dishonesty are significantly moderated by
students‟ academic performance. [12]
A study conducted at private
medical schools in Pondicherry, India,
revealed that the prevalence of academic
dishonesty is high. The study stressed that
academic integrity and ethics should be
emphasized to the students which might
help them in becoming professional and
honest professionals. [13] A quantitative,
descriptive survey conducted in a nursing
education institution emphasized that
academic dishonesty was a reality at the
nursing education institution and identified
that cheating associated with plagiarism and
assignments was the main problem area. [14]
A study done in the University of the West
Indies, Jamaica suggested that if academic
dishonesty and misconduct is identified and
recognized, along with stringent action like
paying strict penalty, will prevent students
from pursuing such acts and may serve as a
deterrent for other students. [15] A systematic
review of literature reflected that clearly
defined behaviors, processes, and
consequences should be delineated by
school policies to guide implementation of
specific cheating deterrent strategies. [16]
It has been identified by the
investigators that the literature related to the
prevalence of academic integrity among
nursing students in Kerala is limited, though
it is a predominant academic issue of this
Anoopa K.R et.al. Academic Integrity among Nursing Students
International Journal of Health Sciences & Research (www.ijhsr.org) 112
Vol.9; Issue: 12; December 2019
era. Nursing is a profession which expects
its personnel to be ethically and morally
sound while dealing with human beings.
The adoption and application of moral
values at both individual and academic level
by nursing students would ensure the
development of their professional self as per
the expected standards of care and scope of
practice. The significance of academic
integrity and ethical and honest practices
executed by students during their learning
period has observed a drastic change over
time. With the advancement in technology,
students also have been found to be
involved in unfair means in their education
related activities, either knowingly or
unknowingly.
Statement of the problem: A descriptive
study to assess the academic integrity
among undergraduate nursing students.
Objectives: To assess the prevalence of
academic integrity among undergraduate
students.Academic Integrity In Nursing Education Essay
MATERIALS AND METHODS
Quantitative research approach with
descriptive design was used in the study.
The study sample size consisted of 50
nursing students from third year and fourth
year BSc nursing those who fulfilled the
inclusion criteria. Non probability purposive
sampling technique was used. The setting of
the study was a selected nursing college,
Kollam district. The following tools were
used for the purpose of data collection.
Demographic proforma to assess the
baseline variables

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Likert scale: The Likert scale had two parts:
An opinionnaire to assess the academic
integrity
A three-point scale to assess the behavior
noticed by the participants in relation to the
academic integrity among their colleagues
The researchers ensured to follow the
ethical principles. Ethical Clearance has
been obtained from the Institutional Ethics
Committee of Bishop Benziger College of
Nursing. After obtaining a prior formal
permission from the administrators of the
selected college of nursing data collection
was carried out. Written consent was
obtained from the subjects before
conducting the research.
Statistical Analysis: The collected data was
analyzed using descriptive statistics.
RESULT
Section A: Demographic Proforma
All the samples (100%) were females.
A vast percentage of the samples (94%)
have studied higher secondary school that
followed state syllabus.
A majority of the samples (82%) joined
nursing by their own choice.
A majority of the samples (88%) are
interested in the course.
Majority of the samples (78%) have not
observed any behaviour related to academic
disintegrity among colleagues.Academic Integrity In Nursing Education Essay

Academic Integrity is an essential component of third level education because it is the fundamental building block in which we derive our professional ethics and integrity from. It sets a pattern for life long integrity in all areas of life. Our job as students is to construct knowledge honestly and fairly. A culture of honesty earns a great deal of respect. Integrity is fundamental to everything we do in college, I don’t think we can have genuine learning without integrity. The important thing about academic integrity is that’s what learning is all about. It provides an opportunity for an academic institution to come together as a community, because it provides the legitimacy to the pursuits of all students. For example, would you like to go to a doctor who…show more content…
Students are given a certain deadline for work that is to be handed up which will put pressure on and tempt students to find the easiest access to the relevant information needed. Students may feel after submitting their own work that they do not receive the result they deserve and therefore could tempt them to take data and information from other sources in the hope to receive a higher grade in their next assignment. Whenever a student uses sourced material, this could be either published primary or secondary material, but can also be information got from other people, it must be indicate

This commentary focuses on the issue of contract cheating in higher education. In recent years, international work in the field of academic integrity has turned to examining this issue, including looking at the nature of contract cheating, estimating the prevalence of the problem, uncovering contributory factors or reasons as to why a student may outsource their assignment to a third party, and exploring how higher education institutions can effectively respond by enhancing both academic integrity policy and educational approaches (Bretag & Harper, 2017; Bretag et al., 2018; Curtis & Clare, 2017; Harper et al., 2018; Lancaster & Clarke, 2016; Newton & Lang, 2016). Contract cheating is a term that is now well-established in the literature to refer to ‘the outsourcing of student work to third parties’ (Lancaster & Clarke, 2016, p. 639) and is typically used to describe a related set of practices in which students make use of third-party services, particularly academic custom writing services or essay banks, or where friends, family, other students or private tutors create an assignment, which a student then submits as their own (Lancaster & Clarke, 2016; Newton & Lang, 2016; Walker and Townley, 2012).Academic Integrity In Nursing Education Essay

Empirical investigations have been vital for this area of academic integrity. Significant concerns have been raised by national agencies for assuring standards in higher education about students’ use of third-party services for assessment purposes (Bretag et al., 2018; Quality Assurance Agency [QAA], 2017). Media coverage has mirrored these concerns (e.g. McKie, 2018), but it could be argued that news stories simplify the issue, which is clearly complex, or could be seen as alarmist in approach. However, recent reports on how the use of EduBirdie has been promoted by media stars in YouTube channels for music, dating and gaming (e.g. Jeffreys & Main, 2018) has drawn attention to the international concern that there are students who are making use of essay mills, and that such services were not immediately and readily seen as a serious issue for students by those outside of higher education (in which influencers on YouTube refer to, for example, ‘professional nerds’ or ‘a bunch of … nerds to do the work for you’). Indeed, a government minister is cited on how such activity is ‘clearly wrong because it is enabling and normalising cheating potentially on an industrial scale’ (Jeffreys & Main, 2018). This raises the question of how in higher education we might respond.

Throughout higher education, it is crucial that academic integrity is promoted and re-asserted through international and national initiatives, and institutional policy and practice. By drawing on recent work that has enhanced our understanding of the issue of contract cheating, higher education institutions can focus on continuing to develop institutional strategy for academic integrity. This paper identifies five considerations for universities and colleges that are particularly relevant to this endeavour, including how the issue of contract cheating can be addressed: determining academic integrity strategy; reviewing institutional policy; understanding students; re-visiting assessment practices; and implications for staff professional development.Academic Integrity In Nursing Education Essay

Determining academic integrity strategy
Over the last decade, a consensus has emerged that a holistic or multi-pronged strategy is required for higher education institutions to promote and support academic integrity, and effectively address its ‘shadow’ – student academic misconduct, particularly plagiarism, collusion and contract cheating (Bertram Gallant, 2008; Sutherland-Smith, 2008; Bretag et al., 2013; Higher Education Academy [HEA], 2010; HEA, 2011; Morris, 2016). Such a strategy should have an educational emphasis, fostering students’ developing academic literacies; ensuring professional development for staff relating to academic integrity education, applying policy, and enhancing curriculum (e.g. re-designing assessment); and be aligned to institutional policy for managing student academic misconduct, which is informed by recommendations or evidence-informed frameworks for implementing policy (e.g. Bretag & Mahmud, 2016; Morris & Carroll, 2016).Academic Integrity In Nursing Education Essay

A holistic approach is still pertinent and appropriate for addressing the issue of contract cheating, but as proposed by Bretag and Harper (2017), there is a need for higher education institutions to ensure a ‘systemic approach’, in which academic integrity is integral to the wide range of institutional activity and processes, including: student recruitment, orientation and induction; policy and procedures; teaching and learning practices; working with students; the professional development of staff; and the use of technology (e.g. text-matching software). It is essential that in-depth consideration is given by institutions as to how they can integrate and augment their institutional strategy or approach with regard to all forms of student academic misconduct, including the outsourcing of assessment to third parties. For example, in the UK, national guidelines and recommendations have included the need to:

‘establish a cross-institutional group or committee, supported by senior management, involving representatives from all faculties … university services … and student representation with a remit from promoting academic integrity across the institution … and reviewing the policy and related guidance’ (HEA, 2011, p. 8).Academic Integrity In Nursing Education Essay

The implication here is that this kind of oversight can involve bringing together and building on the variety of measures and educational activities in place to provide a coherent institutional approach that is relevant to contemporary concerns. For example, questions could be asked about how the institution’s teaching, learning and assessment strategy is connected to the academic integrity or student academic misconduct policy, or how visible and accessible this policy is for all stakeholders, including students and the range of staff roles. Morris and Carroll (2016) have pointed to the need for stakeholders to appreciate that typically, there are no straightforward solutions in responding to academic integrity issues. Further, the implementation of a holistic approach must be applicable and responsive to the institutional context, with implementation entailing institutional resources to be committed and significant time for institutional change to be realised (Morris and Carroll, 2016). Therefore, an essential starting point for change is a review of existing institutional policy and procedures for academic integrity matters. To determine priority areas for development, this process can be accompanied by an institutional review of associated resources and activity, such as materials for student induction, forums for academic integrity champions, or toolkits for academic staff on designing assessment.Academic Integrity In Nursing Education Essay

Reviewing institutional policy
A wealth of resources to support a process of review and implementation of policy and procedures are available for universities and colleges, including a conceptual framework, good practice recommendations and toolsFootnote1 (Bretag & Mahmud, 2016; Bretag et al., 2011). Regarding the issue of contract cheating, it has been argued that as part of a multi-pronged strategy at an institution, ‘a focus on the positive issues of academic integrity may prevent and/or deter students from using … third parties’ (Newton & Lang, 2016, p. 265). Based on an extensive analysis of institutional policies, Bretag and her colleagues recommended that one of the core elements of exemplary policy, specified as ‘Approach’, should not only frame academic integrity in terms of an ‘educative process’, but that:

‘There is a clear statement of purpose and values with a genuine and coherent institutional commitment to academic integrity through all aspects of the policy’ (Bretag et al., 2011, p. 7).

This is pertinent to all forms of student academic misconduct, including contract cheating. Institutions might draw on existing definitions of academic integrity to agree and build a shared understanding of commitment across the staff and student body, for example:Academic Integrity In Nursing Education Essay

‘Academic integrity means acting with the values of honesty, trust, fairness, respect and responsibility in learning, teaching and research. It is important for students, teachers, researchers and all staff to act in an honest way, be responsible for their actions, and show fairness in every part of their work. Staff should be role models to students.’ (Exemplary Academic Integrity Project, 2013).

However, policy must be understood, ‘brought to life’ (see Morris & Carroll, 2016) and be positioned by a central academic integrity office (or equivalent), so that the policy (and any associated changes from a review process) can have an impact on addressing misconduct. Findings from a recent survey of staff working in Australian universities has pointed to the value of policy, with a relatively high proportion of staff (51%) agreeing that policies and processes help to minimise contract cheating (Harper et al., 2018).

Through the regular review of policy, universities and colleges can make sure that there is detail available on all forms of student academic misconduct, in which a ‘definition for each needs to be clear with a range of realistic examples that take into account the varied forms of assessment used within different discipline areas’ (HEA, 2011, p. 17). Policy frameworks should also include guidance and tools to support decision-making in determining appropriate penalties. There have long been concerns about the consistency of procedure in managing cases of student academic misconduct, particularly with regard to decision making in determining the seriousness of a breach and the associated penalty (e.g. Tennant & Duggan, 2008; Yeo & Chien, 2007). Clearly, ‘inequitable treatment is intrinsically unfair’ (Ibid., 2007, p. 187).

In the UK, against a backdrop of concern that there was inter-institutional variation across the sector in the use of penalties for plagiarism, and through a national research exercise, a Plagiarism Reference Tariff was produced (iParadigms Europe, 2009–11). This might be adopted by an institution to determine appropriate penalties or as a tool for benchmarking their own regulations under review. Under this tariff a ‘submission purchased from [an] essay mill or ghost-writing service’ can lead to one of a set of five penalties (which penalties to be applied is also dependent on factors, such as the student’s level of study) – two of which refer to expulsion from the institution (with credits retained or withdrawn). More recently in the UK, the QAA have stressed how contract cheating is essentially a ‘special case’ of student academic misconduct, which is:Academic Integrity In Nursing Education Essay

‘an extremely serious matter because the deliberate, intentional decision of a student to engage a third party to complete work … elevates the seriousness of contract cheating above what would normally apply to a case of plagiarism. The recommended sanction … should be suspension or expulsion’ (QAA, 2017, p. 26).

Harper and her colleagues (2018) report on the main types of penalties for cases of contract cheating as identified through a survey of staff at Australian universities. These included a range of responses from not knowing (28%), a warning or counselling (42%), a reduced mark (28%), resubmission (27%) and zero awarded for the assignment (37%), with only a minority of staff indicating that the penalty of suspension or exclusion/expulsion were applied (4% and 2% respectively). These researchers urge that for cases of contract cheating penalties should be ‘of an appropriate severity if they are to serve as disincentives for students to engage in this behaviour’ (Harper et al., 2018, p. 120). Institutional guidance may also need to be revised to address a potential concern for students: what are they to do if they suspect or have evidence of a peer or group of peers engaging in contract cheating? From the perspective of the student, this could be a difficult dilemma (the peer may be a friend or flat mate). Recent proposals for institutional strategy include ensuring students feel able to report their concerns, are supported in doing so (Ellis, Zucker & Randall, 2018) and that policy includes ‘safeguards for false accusations and protection of individuals raising concerns’ (QAA, 2017, p. 21).Academic Integrity In Nursing Education Essay

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To assess the impact of changes to policy or related programmes of activity, such as academic integrity campaigns or initiatives in the longer term, it is vital that institutions have measures in place to record and monitor academic integrity issues (Bretag et al., 2011; Bretag and Mahmud, 2016; HEA, 2011). These perspectives have recognised that a centralised system holding records about breaches, which is maintained by the institution, can be helpful in developing a clear picture or patterns in relation to the different forms of student academic misconduct (and possible changes over time), as well as in identifying issues concerning whether penalties are consistently applied (in line with institutional regulations). Through analysis, such records can also be used to indicate whether there are particular areas, such as subjects or modules where, for example, there may be a relatively high occurrence of a particular form of academic misconduct. With this latter possibility, there can then be a consideration of how an educational intervention, for instance, might be valuable for a specific context (Bretag and Mahmud, 2016; HEA, 2011). The Quality Assurance Agency (QAA) in the UK have encouraged institutions to maintain detailed records on academic misconduct, differentiating between contract cheating and other forms to enable institutions to evaluate whether responses to address contract cheating are effective (QAA, 2017).Academic Integrity In Nursing Education Essay

Understanding students
Consideration has been given to estimating the proportion of students engaging in contract cheating. There has been caution that media coverage about the numbers of students making use of third-party services ‘can appear … overblown’ (Curtis & Clare, 2017, p. 116), but as suggested by these authors, it is important that policy makers have an awareness of the prevalence of contract cheating. Well-informed perspectives are valuable to mitigate assumptions that many students are readily seeking a third party to complete their assessments for them. There are methodological challenges in building a reliable and representative picture relating to the prevalence of the different types of contract cheating. This is primarily because evidence is usually derived from self-report, with the recognition that individuals may not accurately report on their own tendencies and behaviours, as well as the difficulty of capturing the range of possibilities with regard to engaging third parties (Curtis & Clare, 2017; Newton & Lang, 2016).

Recent work has indicated that a low proportion of students engage in contract cheating: in a meta-analysis of findings from five studies, Curtis and Clare (2017) conclude that 3.5% of students report that they have engaged in this form of cheating, and in a large-scale survey, it was found that 2.2% of respondents reported that they had obtained a completed assignment to submit as their own (Bretag et al., 2018). However, this survey investigated a range of outsourcing behaviours, finding that 5.8% of respondents reported that they engaged in one or more of the five forms of cheating, including submitting an outsourced assessment, providing exam assistance and arranging for someone else to take an exam.Academic Integrity In Nursing Education Essay

In addition to ascertaining the likely extent of contract cheating, it is also valuable to gain further insight on the reasons that might lead a student to seek, use and/or return to using third party services. In dealing with academic dishonesty, Brimble (2016) offers clarity:

‘there are a variety of motivations that may drive student behavior resulting in a complex web of situational, behavioral, and contextual issues that educators and education managers need to understand in order to put strategies in place to manage this dilemma’ (Brimble, 2016, p. 367).

Similarly, Bertram Gallant (2008) explored dimensions relevant to explanations of student academic misconduct, including internal (i.e. the characteristics of the student), organisational (i.e. what goes on with fellow students and in learning settings) and institutional (i.e. academic context). The established understanding in the field of academic integrity is that student academic misconduct is due to a variety of contributory factors, including students’ attitudes, motivations, preferences and prior experiences, that are likely to mix with, and be linked to, contextual and wider societal influences (Bertram Gallant, 2008; Brimble, 2016).Academic Integrity In Nursing Education Essay

One of the key matters at hand is that contract cheating relates to a number of outsourcing behaviours, which have been extensively considered as an ‘outsourcing spectrum’ ranging from two defined ‘sharing behaviours’ to five ‘cheating behaviours’ (Bretag et al., 2018; Harper et al., 2018). This work has advanced our understanding of the factors that are linked to whether a student may outsource their assignment to a third party. To investigate the role of such factors, this recent work compared survey findings in relation to a group of respondents who had engaged in one or more of the cheating behaviours with those respondents that were categorised as a ‘non-cheating group’ (Bretag et al., 2018). Through such analysis, these researchers have identified that, in relation to this latter group, students in the ‘cheating group’ had lower levels of agreement in responding to aspects about the teaching and learning environment, such as ‘understanding assessment requirements’, ‘receiving sufficient feedback’ and ‘opportunities to approach educators’. Specifically, the key factors identified as significantly related to the likelihood of ‘cheating behaviours’ are ‘students’ International or LOTE (Language Other than English at home) status, higher levels of dissatisfaction with the teaching and learning environment, and perceptions that there are lots of opportunities to cheat’ (Ibid., pp. 10–11). Findings also shed light on how students, who may engage in outsourcing their assignments, are tending to rely on peers, friends or members of their family, rather than making use of services offered through websites (Bretag, et al., 2018).Academic Integrity In Nursing Education Essay

Curtis and Clare (2017) point out that the possibility that a student may turn to using third party services is likely to be related to motivational factors as well as potential opportunity. Leading commentators have emphasised how custom writing services are established businesses, easily found online and advertising to students through, for example, business cards or fliers (Newton & Lang, 2016; Lancaster & Clarke, 2016). Further, such websites offer a range of services to produce different forms of assessment (e.g. dissertations, case studies, lab reports) at affordable prices and within short time scales. There is the possibility that features of these websites are ‘persuasive’. Adopting a usability framework to assess particular dimensions of websites, such as judged credibility or user involvement, Rowland and her colleagues (2018) identified how the eleven ‘contract cheating’ websites they reviewed, included a number of features relevant to a credibility dimension (e.g. content assuring qualified writers, confidentiality) and an involvement dimension (e.g. live chat, 24/7 help facility). Such websites also have conflicting messages for students.Footnote2 These findings have implications for academic integrity strategy in universities and colleges: How are we talking to students about the problem of these services and of contract cheating? In what ways can we enable staff within institutions to ensure effective discussions with students about this issue?Academic Integrity In Nursing Education Essay

The idea of the ‘vulnerable’ student has been put forward, who is essentially under pressure and may, for example, be more readily persuaded by the information on custom essay writing websites (Rowland et al., 2018). But it could be valuable to take a different angle: lines of enquiry or investigations could consider those students who undertake good academic practice in completing their assessment tasks – What are the key factors that influence their behaviour? How do they respond to pressures (internal and external)? What do they do that makes a difference?Academic Integrity In Nursing Education Essay

Re-visiting assessment practices
In the evolving field of academic integrity, perspectives have consistently emphasised the importance of enhancing assessment practices as a key part of institutional strategy for academic integrity (e.g. Macdonald & Carroll, 2006; Morris, 2016; Sutherland-Smith, 2008). Good practice guidance for institutions has included advice on re-designing assessment to minimise opportunities for student academic misconduct, primarily focused on student plagiarism. However, although good practice guidelines for assessment are often based on evidence (e.g. Gibbs & Simpson, 2004) assessment strategies assumed to address academic integrity issues have, in the main, not be the subject of studies evaluating their effect or impact on student attitudes or behaviour (or the possible reduction in incidences of student plagiarism). Widely cited strategies have emerged, such as changing assessment tasks each year or assessing the process of developing an assignment, as well as the final output (e.g. Hrasky & Kronenberg, 2011).Academic Integrity In Nursing Education Essay

With the growing recognition that third-party services could be employed by students for all kinds of tasks (e.g. critical reflections, lab reports) and can be delivered quickly to students (e.g. within a day), recommendations have been offered to prevent the use of custom writing services (Newton & Lang, 2016; Lancaster & Clarke, 2016). These include, for example, oral assessments in the form of in-class or recorded presentations, interviews or vivas, or seminar debates (see also Joughin, 2010). It has also been necessary to question commonly held ideas relating to how assessment design is a key solution to contract cheating (Bretag & Harper, 2017): for instance, ‘personalised, sequential and original assessments’ will not necessarily prevent this form of academic misconduct as, in principle, any form of assessment (or aspects of an assignment) can be outsourced. Informed by the outcomes of a project on contract cheating and assessment design, valuable advice and guidance assets have been produced for the higher education sector.Footnote3These resources explore the underpinnings of the problem of contract cheating, with suggested actions for institutions, educators and students. For example, in the guidance ‘Managing risk for different assessment types’, seven types of assessment strategies are re-visited that are relevant to the issue (e.g. in-class assessment, vivas) and are evaluated in the light of risk (for outsourcing behaviours) and advantages in terms of student learning.Academic Integrity In Nursing Education Essay

Across higher education over the last decade, there has been a focus on improving assessment practices within universities and colleges through using evidence-informed frameworks and methodologies, with national and institutional projects undertaken to transform assessment policy and practice (e.g. Boud and Associates, 2010; Ferrell, 2013; HEA 2012; Jessop & Tomas, 2017). This is an area that institutions should continue to progress. In the light of academic integrity concerns about the outsourcing of assessment, it is recommended that institutions ensure ‘that students understand what is required in assignments, and that they receive sufficient feedback to learn from that work’ (Bretag et al., 2018, p. 14). The idea of developing assessment literacy is valuable in this regard, in which establishing a community of practice for staff and students is necessary for facilitating a shared understanding of assessment standards within subject, discipline or professional areas (HEA, 2012; Price et al., 2012). Assessment literacy includes developing an understanding of how assessment relates to learning and the assessment process, a grasp of the nature and meaning of assessment criteria and standards, and building skills in self- and peer-assessment (Price et al., 2012). In practice, assessment literacy might be fostered through the implementation of an assessment protocol for staff and students, and integrating activities in curriculum that involve students constructing, discussing and applying assessment criteria, and using exemplars (see Anglia Ruskin University, 2018). Essentially, this approach can help students to understand what is expected and required of them through active participation, opportunities to prepare for assessments (e.g. in-class discussion about an assignment brief) and the process of formative feedback.Academic Integrity In Nursing Education Essay

Implications for staff professional development
With regard to the issue of contract cheating, two key implications for staff professional development are clear: the need for good practice guidelines to assist staff in identifying the possibility of contract cheating, and guidance on how to facilitate effective discussions with students about academic integrity issues. Recent survey findings indicate that many staff think that contract cheating is ‘impossible to prove’ (57%) and/or may not feel they are supported by senior management about this matter (Harper et al., 2018). However, these researchers highlight that cases of contract cheating can be pursued effectively in institutions, but institutions may not necessarily be ensuring that all relevant staff engage with the issue or are not always communicating aspects about the process for referring cases or the outcomes from these cases.Academic Integrity In Nursing Education Essay

A sustainable institutional strategy must involve a full consideration of how staff can be kept informed of contemporary academic integrity concerns, such as contract cheating, and how academic integrity champions or specialists across an institution (e.g. working at the subject or departmental level) can disseminate working knowledge of process and enable the sharing of good practice in identifying possible academic integrity breaches. Rogerson (2017) offers a practical process linked to the assessment cycle of preparing, marking and evaluating tasks, which involves identifying, recording and investigating irregularities that may be due to a student outsourcing their work. For example, while marking a student assignment, irregularities can be considered and documented; these are indicative signals relating to, for instance, the content (e.g. not addressing the assignment question) or referencing (e.g. using irrelevant sources). This evaluative approach is refreshing as it is tied to interactions with students:

‘Explanations can then be sought from the student as to why the observations appear the way they do … Conversations … enlighten us and provide opportunities to … evaluate learning practice and differentiate between contract cheating and poor academic writing skills’ (Rogerson, 2017, p. 12).Academic Integrity In Nursing Education Essay

A recurring theme in the current literature is the importance, in teaching and learning environments, of building relationships with students and holding discussions with them about academic integrity issues (Bretag et al., 2018; Ellis et al., 2018; Rogerson, 2017; Rowland et al., 2018). For example, there are specific suggestions for educators about how they might talk with students about academic writing services, such as the meaning of the help that these websites offer, so that educators can ensure students are fully aware of the sources of support at their institution (Rowland et al., 2018). An institutional approach should develop ways to support staff practices to talk with students about this issue of concern.Academic Integrity In Nursing Education Essay

Conclusions
It is a deeply concerning that academic writing services are widely available and that a small minority of students are turning to a third party to produce their assignments. Recent reports on how EduBirdie, for example, has essentially been promoted in social media platforms continue to heighten concerns about the extent of contract cheating. There is, however, a need to remain cautious of claims that the incidence of contract cheating is increasing, as little baseline data is available to support this. Such investigations on a potential increase would also be confounded by the complexity of contract cheating and changes in the field about how the problem is understood (e.g. a number of different student outsourcing behaviours have been established). On this note, based on their meta-analysis, Curtis and Clare (2017) report that they ‘did not find any clear evidence of a historical trend for contract cheating to be more prevalent’ (p. 123).

This paper has offered five areas of consideration that are pertinent for an institutional response to the issue of contract cheating. There must be continued international work to emphasise that academic integrity matters: over the last ten years, there is much that higher education institutions have focused on to develop policy for student academic misconduct and improve teaching, learning and assessment practices. With the issue of contract cheating taking centre stage in the academic integrity debate over recent years, it is clear that institutions will need to continue to review and develop existing policy and procedures. Furthermore, such work should be part of an integrated institutional academic integrity strategy, which a university or college determines through building on their existing approach, with students and staff working in partnership on shared aims and principles.

In international scholarship (Draper et al., 2017; Newton & Lang, 2016) and at sector and national levels (Bretag & Harper, 2017), there are calls to introduce legislation, so that it is illegal to advertise or offer contract cheating services (QAA, 2016). This would be in line with legislation in New Zealand and the recent publication in Ireland of the Amendment Bill for Qualifications and Quality Assurance (Education and Training), which gives the national agency, Quality and Qualifications Ireland ‘statutory powers to prosecute “essay mills” and other forms of academic cheating’ (Department of Education and Skills, 2018). In the UK, there is currently a petition to Government to ‘Ban the provision and advertising of “essay mill” cheating services’,Footnote4 with current endorsement of this petition expressed by, for example, a senior leader at an institution (Smith, 2018). It is generally recognised that if such services were illegal, this could help to provide a clear and consistent message to students about their use. Legislation could therefore solve aspects of the issue of contract cheating. It is vital, however, that universities and colleges extend and establish strategies to embed the values, principles and practices aligned to academic integrity. Further, it may well be worth exploring a protocol for academic integrity for the higher education sector at an international level, building on the ideas for a universal code of expectations and practices (Stuhmcke et al., 2016). Academic Integrity In Nursing Education Essay

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