The score ranges
Each letter covers a range on the 0 to 500 scale.
| Grade | Score |
|---|---|
| A | 450 to 500 |
| B | 350 to 440 |
| C+ | 300 to 340 |
| C | 200 to 290 |
| D | 100 to 190 |
| E | 0 to 90 |
How Writing and Speaking are scored
The criteria are the same in every nursing test, and each one gets its own score from the assessors.
Writing
| Criterion | What is assessed |
|---|---|
| Purpose | Whether the reason for the letter is clear right from the start. |
| Content | Whether all the case information the reader needs is there and correct. |
| Conciseness and Clarity | Whether the letter leaves out what the reader does not need. |
| Genre and Style | Whether the tone and register suit the reader. |
| Organisation and Layout | Whether the information follows a logical order and a letter format. |
| Language | Grammar, vocabulary, punctuation and spelling. |
Speaking: language
| Criterion | What is assessed |
|---|---|
| Intelligibility | Being easy to understand: pronunciation, rhythm and intonation. |
| Fluency | Speaking at a natural pace, without hesitation that gets in the way. |
| Appropriateness of Language | Vocabulary and register suited to talking with a patient. |
| Resources of Grammar and Expression | Range and accuracy of structures. |
Speaking: clinical communication
| Criterion | What is assessed |
|---|---|
| Relationship building | Building trust and showing empathy. |
| Understanding and incorporating the patient's perspective | Understanding the patient's concerns and taking them into account. |
| Providing structure | Guiding the conversation with a clear beginning, middle and end. |
| Information gathering | Asking the right questions and listening to the answers. |
| Information giving | Explaining clearly and checking that the patient has understood. |