NORTH CENTRAL ASSOCIATION STUDENT ASSESSMENT PLAN 2006 College of Education and Human Services Progress Report #9

Program: B.S. in Nursing

Program Goal: Graduates will be ready to practice professional nursing in all of the disciplines specialties.

OUTCOMES ASSESSMENT FINDINGS/RESULTS REVIEW OF RESULTS ACTIONS MEASURES (comparisons with target objectives) (Direct) A. Students demonstrate Mastery of skills tested in Sophomores Faculty reviewed skills testing results at Benchmarks met so no competency in progressively designated classes (NUR 216, NUR 216 (Basic): 62.5 % pass on School evaluation meeting May, 2006. further action required. difficult nursing skills in the 226, and 306) through student 1st testing, 18 % 2nd testing, 19.5 % Nursing Resources Laboratory demonstration (“skills checks”) 3rd testing Benchmark set Dec 2004 - 95% of Program Evaluation (NRL). in the Nursing Resource Lab. students achieving competency with three Committee’s (Example of skills checks NUR 216 (Accelerated): 95 % opportunities to test. Comprehensive Plan will Note. Students must demonstrate evaluative tool attached). pass on 1st testing, 5% 2nd testing include a system for competency in nursing skills in the It was noted that all students in the ongoing review of the campus lab before performing In senior level class (NUR Juniors sophomore classes were able to progress skills monitors and such skills in clinical settings. 420) students complete a peer NUR 226 (Basic): 50 % pass on 1stt in the major based on skills competency correlation with evaluation of skill proficiency. testing, 40% 2nd testing, 10 % 3rd checks. progression in clinical testing experiences There continues to be significant difference NUR 226 (Accelerated): 100 % between Basic and Accelerated students’ The Resource pass on 1stt testing success on first testing with basic students Laboratory Staff and passing at lower. Medical Surgical Faculty NUR 306 (Basic): 75% pass on 1st will review outcomes testing, 21 % pass on 2nd testing. Inter-rater evaluation of skills checklists from the two aspects of reflect strong reliability between evaluators. clinical skill development NUR 306 (Accelerated): 85% pass to identify opportunities on 1st testing, 15 % pass on 2nd to ensure development testing. of fundamental skills.

Seniors 100% of seniors participate in the peer evaluation -- all satisfactory.

OUTCOMES ASSESSMENT FINDINGS/RESULTS REVIEW OF RESULTS ACTIONS MEASURES (comparisons with target objectives) NCA Status Report #9 Page 1 of 5 B.S. in Nursing OUTCOMES ASSESSMENT FINDINGS/RESULTS REVIEW OF RESULTS ACTIONS MEASURES (comparisons with target objectives) (Direct) (Direct) Sophomores Student data reviewed at School Clinical Evaluation Tool NUR 216: 75 % A, 26 % B, 1 % C evaluation meeting May, 2006. Meets benchmark so no B. Students will apply NUR 226: 75 % A, 19 % B, 2 % C, further action required. professional nursing standards* in Students must meet standards 4 % F Benchmark set in Dec 2004 is 90% of clinical practice areas. as evaluated in each course students should successfully achieve the *Professional nursing standards through a course-specific Juniors objectives. Program Evaluation are defined in the Ohio Nurse clinical evaluation tool NUR 306: 81 % A, 15 % B, 3 % C, Committee to collect all Practice Act and by the document (example of tool attached). 1 % F Faculty discussed potential for current evaluation tools Essentials of Baccalaureate The clinical evaluation tools NUR 313: Psych – 93 % A , 7 % B inconsistency in rating scales with current and based on review Nursing Practice, developed by identify areas of practice to be NUR 326: Peds – 90 % A , 10 % B clinical evaluation tools and the need to determine template for the American Association of determine clear criteria. clinical evaluations and observed by clinical faculty. NUR 382: Maternity – 85 % A, Colleges of Nursing (AACN). related criteria. 13 % B, 2 % C Seniors Under the guidance of NUR 411: Home Care – 100 % A Course Coordinators, NUR 414: Comm. – 78 % A, Faculty from each clinical area will then review 14 % B, 2 % C evaluation tools and NUR 441: Comm. – 86 % A, 14 % B revise as needed to NUR 416: Complex – 88 % A, measure desired 6 % B, 6 % C behaviors. NUR 420: Role Practicum – 96 % A 14 % B

Sophomores Meets benchmark so no B.1. Nursing Care Plan NUR 216: 100 % satisfactory further action required. Students demonstrate ability to NUR 226: 75 % A, 19 % B, 5 % C, Student data reviewed at School plan, deliver and evaluate Students complete written evaluation meeting May 2006. outcomes of professional nursing nursing care plans Juniors Program Evaluation care. documenting use of the NUR 306: 87 % A, 11 % B, 2 % C Benchmark set Dec 2004 was 90% of Committee to collect all nursing process in care NUR 313: Psych – 79 % A , 16 % students should successfully achieve the current evaluation tools delivery. These care plans B, 5 % C objectives. Achieved in all courses. and based on review determine template for document student assessment NUR 326: Peds – 80 % A , 20 % B and analysis of the nursing Faculty discussed potential for clinical evaluations and NUR 382: Maternity – 64 % A, concerns, the student action inconsistency in rating scales with current related criteria. and the observed outcome. 34 % B, 2 % C clinical evaluation tools and the need to The care plans are evaluated Seniors determine clear criteria. Under the guidance of by the clinical faculty and NUR 411: Home Care – 63 % A, Course Coordinators, Faculty from each clinical assigned a score. 27 % B area will then review NUR 416: Complex – 60 % A, evaluation tools and 33 % B, 7 % F revise as needed to NUR 420: Role Practicum – 43 % A measure desired 57 % B behaviors. NCA Status Report #9 Page 2 of 5 B.S. in Nursing OUTCOMES ASSESSMENT FINDINGS/RESULTS REVIEW OF RESULTS ACTIONS MEASURES (comparisons with target objectives) (Direct)

OUTCOMES ASSESSMENT FINDINGS/RESULTS REVIEW OF RESULTS ACTIONS MEASURES (comparisons with target objectives) (Direct)

Process Recording Sophomores Student data reviewed at School Meets benchmark so no B.2 Students will demonstrate Students complete ‘Process NUR 216: 47 % A, 26 % B, 26 % C, evaluation meeting May 2006. further action required. therapeutic communication skills Recordings” of their 1 % F in clinical practice. interactions with clients at NUR 226: 50 % A, 30 % B, 20 % C Benchmark was set Dec 2004 -- that 90% each level of nursing courses. of students should successfully achieve the Program Evaluation Process recordings are scored Juniors objectives. Committee to collect all by clinical faculty based on current evaluation tools defined criteria. (PR NUR 306: 64 % A, 32 % B, 1 % F Available data shows that students are and based on review evaluation tool attached.) NUR 313: Psych – 77 % A, 26 % B, meeting the standards. determine template for 3 % C clinical evaluations and Faculty noted that sophomore students related criteria. In the PR, students document NUR 326: Peds – 87 % A , 13 % B reflection on use of demonstrate less proficiency with the therapeutic communication NUR 382: Maternity – 83 % A, Process Recording than do more Under the guidance of techniques, identify non- 15 % B, 2 % C advanced students and question whether Course Coordinators, therapeutic communications this is variation in competency Faculty from each clinical and suggest alternative Seniors development or an unrelated change in area will then review actions. expectations. evaluation tools and revise as needed to NUR 411: Home Care – 100 % A NUR 226 : communication measure desired with adult client NUR 414: Comm. – 69 % A, behaviors. 25 % B, 6 % C NUR 313 communication with NUR 441: Comm. – 93 % A, 7 % B client with a mental health condition NUR 306 communication with adult having acute illness NUR 325/382 communication with family group NUR 414 teaching communication with community group

NCA Status Report #9 Page 3 of 5 B.S. in Nursing OUTCOMES ASSESSMENT FINDINGS/RESULTS REVIEW OF RESULTS ACTIONS MEASURES (comparisons with target objectives) (Direct) C. Students will demonstrate Students take the following Students achieve the mastery of nursing knowledge standardized test as Across all courses, 55% of students The benchmark is scoring at or above the target score for based on standardized tests in all assessment of course material have tested at or above the 60th 60th percentile when compared to peers. progression in the subjects in the major. using ATI subject matter tests percentile compared to peers on (This was raised during the current AY program. in: first testing. from the 50th percentile.) If not met, must remediate and re-test through a computer- Faculty development Fundamentals of Nursing However, there is a significant based, non-proctored test having correctly sessions are planned for Acute care difference between cohorts answered at least 85% of the questions. August to prepare all Pharmacology regarding pass rates on first try. faculty to independently Mental Health Determined most students retaking the access ATI records to Maternity Care For those who do not achieve the non-proctored test do so immediately assist them in Pediatric Care 60th percentile, the number following the initial testing without any Monitoring outcomes for Community Health successfully passing the non- study period. They then successfully meet their clinical area as a Readiness for licensure proctored testing requirement is the “cut” score, however only in many measure for curriculum 100%. (This is a requirement for cases with the assistance of classmates, review. (ATI = Assessment progression in the program.) repeated tries on the same test, and open Technologies Inc, nationally- workbook. Faculty will look for normed tests for nursing 75 % of senior students pass the trends in testing for majors in identified subject NCLEX Predictor ATI, a more At the senior level, students must individual students who areas. Tests evaluate for comprehensive standardized test on demonstrate readiness for licensure may be having difficulty knowledge needed for safe their first try. through a comprehensive ATI test. in test performance. And practice in the discipline. Students must re-test until readiness for continue to support licensure is demonstrated. students one to one as needed. Students do achieve the target scores. Beginning Fall 2006 a second version of the non-proctored test will be available and used in retesting to minimize effect of collaboration.

D. Graduates will successfully NCLEX - RN is the national In 2001, 71 % of graduates passed The target score for success is to have Since benchmark was pass the NCLEX exam – the licensing examination for the NCLEX on first taking. CSU graduates pass rate to be at or above met, no further action national Registered Nurse Registered Nurses. In 2002, 77 % passed. 95% of the national mean for each testing. needed. licensing exam required for In 2003, 88 % passed. practice. In 2004, 89% passed. In 2002, the 95% of the national mean was For future review, faculty In 2005, 90.48 % passed first try 78%; in 2003 it was 85%, in 2004 it was requested a breakdown 85%. by cohort and track to support assessment of In 2005 the national mean was 87.88 % outcomes.

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Since 2003, CSU graduates have met the target score.

OUTCOMES ASSESSMENT FINDINGS/RESULTS REVIEW OF RESULTS ACTIONS MEASURES (comparisons with target objectives) (Indirect) E. Graduating students express Exit interviews conducted as a All cohorts of graduating seniors Faculty discussed exit interview data in No further action readiness for professional work. focus group. meeting in facilitated focus groups Dec 04; May 05, and May 2006 and required at this time. expressed their perception they are determined the presence of an objective ready to begin their professional facilitator and the addition of an More formal data nursing career. anonymous brief written response as well collection process has broadened the scope of data. including the formal focus groups and written feedback will be continued.

This data will be reviewed in more detail by faculty and administration.

F. Alumni express perception Alumni survey, conducted 23% response rate for graduates of Response rate was lower than desired. Faculty identified they were preparedness for every three years as a web- preceding 2 years. And innovative mechanisms for future data individual alums currently professional work. based survey. Data last collection are been discussed. working at major local obtained Nov 04. All graduates reported being ‘ready’ health agencies. They to function as professional nurse on Available data indicates positive outcome. agreed to serve as survey items. survey assistants to help achieve a higher response rate in next round. No Alumni Survey completed in study year.

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