LA HARBOR COLLEGE Student Learning Outcomes (SLOs) Assessment Report Course Assessment Division: Health Sciences Discipline/Program: Nursing Course Number and Name: N321: Nursing Process and Roy Adaptation Model Program Contact Person: _Jenny Arzaga_____________________ Phone: (310) 233 – 4384_______________________________ Reviewed by: Date: Institutional Learning Outcomes 2 5 Joachin Arias, Ph.D., SLO Assessment Coordinator December 18, 2014 Program Learning Outcomes Course Intended Outcomes Means of Assessment and Criteria for Success Summary of Data Collected Integrate the nursing process using the Roy Adaptation Model to promote adaptation of individuals, groups, and the community. Establish and demonstrate a theory based for understanding and implementing the basic concepts of the Roy Adaptation Model for Nursing. Mean: Quiz #1 Criteria: 80% of students will answer 75% or > on multiple-choice questions related to the basic concepts of the Roy Adaptation Model Correctly. Fall 2014: 10 questions on quiz #1 Roy Adaptation Model (51 students took Quiz #1): 45/50 students received >75%; 90% obtained > 75% on Quiz #1. Internalize professional standards of nursing practice Describe the organization framework of the ADN curriculum and how it is derived from the mission and philosophy of the program. Mean: Lecture & discussion; Verification of Receipt of Nursing Program Student Handbook. Criteria: Quiz #1. Fall 2014: Typically when students asked of LAHC Nursing Program organizational framework of ADN curriculum, only few 1 Use of Results Fall 2014: Criteria met in Quiz #1 specific to Roy Adaptation Model. Continue with concepts from Roy Adaptation Model and continue making concepts of model student friendly for beginning level nursing students, providing every day real life problems to apply to model initially. Continue with Introduction to Roy Adaptation Model Workshop for incoming 1st semester nursing students. Continue focusing on Roy Adaptation Model for understanding 2nd level stimuli. Fall 2014: Reviewing LAHC Nursing Program organizational framework of ADN curriculum assists incoming students to understand 2 Formulate clinical judgments in practice that promote the health of patients Correctly use beginning level interviewing, history taking and physical assessment and measurement skills to collect a database for nursing practice. 2 80% of students will answer 75% or > on multiple-choice questions; 100% of students will submit signed form of Verification of Receipt of Nursing Program Student Handbook by end of first clinical week. aware of, therefore first class meeting students instructed to research organizational framework of ADN curriculum found in LAHC nursing website for discussion during next class meeting. In addition to, students instructed to peruse through the California Board of Registered Nurses website. 1 question on Quiz #1 specific to theorist used at LAHC ADN Program. 100% of students answered 1/1 question correctly; 100% of students submitted signed form of Verification of Receipt of Nursing Program Student Handbook to respective clinical instructor end of first clinical week. organization of curriculum and how will proceed through each semester in nursing program. Assist students to make connection with and understand how chosen nursing model utilized throughout program. Consistently, when students return next class meeting to discuss findings of California Board of Registered Nurses website, many students intrigued with information found in disciplinary actions. Will continue to discuss LAHC Nursing Program organizational framework of ADN curriculum, as well as continue to introduce California Board of Registered Nurses website for professional development. Mean: Quiz #3 & Final Examination. Criteria: 80% of students will answer 75% of questions related to history and physical assessment correctly on a multiple choice Quiz #3 and Final Examination. Students as a cohort will score above the national percentage in the Kaplan Test of Fundamentals of Nursing. Fall 2014: 30 questions on quiz #3 Physiological Mode. (51 students took Quiz #3): 44/51 students received > 75%; 86% obtained > 75% on Quiz #3. Final Examination median score 41/60 = 68%. Fall 2014: Criteria met in Quiz #3. Content also taught in concurrent N313 course, will continue to focus on nursing physical assessment skills and keep concurrent with what learned in N313 for consistency and reinforcement. Continued to utilize History & Assessment form and have students fill out using course case study Mr. CVA. Criteria not met in final, same median score as last semester. Will continue to spend more time with beginner level assessment and measurement skills for collecting database for nursing practice –to include more attention to ineffective behaviors and clustering of modes according to Roy Adaptation Model. Plan to revise/rewrite final exam questions as per student evaluations, several comments regarding final exam item writing. Criteria not met, according to Kaplan, national percentage in the Nursing Process: Assessment category is 60.0% (Kaplan and Lippincott & Wilkins, 2008). 2 1, 4 Provide safe, patientcentered care Discuss the components of a nursing model, including definitions, assumptions, beliefs, and application to nursing practice. Mean: Quiz #1, #2, & Final Examination. Criteria: 80% of students will be able to define person, environment, nursing, health as identified by the model with a score greater than 75% on a multiple choice examination. Fall 2014: 10 questions on quiz #1 Roy Adaptation Model (51 students took Quiz #1): 45/50 students received >75%; 90% obtained > 75% on Quiz #1. 20 questions on quiz #2 Nursing Process (51 students took Quiz #2): 44/51 students received > 75%; 86% obtained > 75% on Quiz #2. Fall 2014: Criteria met in Quiz #1 specific to Roy Adaptation Model and Quiz #2 Nursing Process. Continue to monitor. Assimilate effectively within nursing and interprofessional teams fostering effective communication to achieve quality patient care Utilize prototype case studies to develop nursing care plans using the Roy Adaptation Model. Mean: Care Plan Rubric Criteria: 95% of students in class will score an average of 7.5 or above out of a maximum 10 points in writing nursing care plans utilizing a Fall 2014: All students participated. Four nursing care plans assigned. NCP #1: 44/51 = 86% obtained > 75% on NCP #1 Fall 2014: Criteria not met in NCP #1 – first NCP of class, remainder of NCPs criteria met. NCP # 3, #4 one LVN student stopped attending class, and did not officially drop 3 2 Integrate best current evidence with clinical expertise for optimal health care Describe the relationship of the nursing process and a critical thinking model for nursing practice. 4 prototype case study. NCP #2: 51/51 = 100% obtained > 75% on NCP #2 NCP #3: 50/51= 98% obtained > 75% on NCP #3 NCP #4: 50 /51 =98% obtained > 75% on NCP #4 Overall, 96% achieved 7.5 points or above in writing 4 nursing care plans per rubric. course, skewing results. Mean: Kaplan Integrated Testing Fundamentals Criteria: Students as a cohort will score above the national percentage in the Kaplan Test of Fundamentals of Nursing. Fall 2014: Students as a cohort scored in the components of the nursing process 1) Assessment: students as a cohort scored 63.1%,whereas the normed scored 60.0%, 2) Diagnose: students as a cohort scored 69.1%, whereas the normed scored 67.0%, 3) Planning: students as a cohort scored 73.0%, whereas the normed scored 68.0%, 4) Implementation: students as a cohort scored 66.5% *, whereas the normed scored 68.0%, 5) Evaluation: students as a cohort scored 70.9%, whereas the normed scored 62.0%. Students as a cohort scored 74.0% in Clinical Concept: Critical Thinking, whereas the normed scored 70.0%. Fall 2014: Using Kaplan Integrated Testing Fundamentals, criteria not met for Implementation, students as a cohort scored 66.5%, whereas the normed scored 68.0%. Last semester did not meet benchmark for assessment (barely 60.5%), and did not meet benchmark for implementation (67.0%). This semester met benchmark for assessment and did not meet benchmark for implementation. Nursing process relies on assessment first in order to execute problem-solving method. Continue with time spent with beginner level assessment and measurement skills for collecting database for nursing practice –to include more attention to ineffective behaviors and include nursing interventions/implementation to make ineffective behaviors effective. 5 3 Describe strategies for improving outcomes of care in clinical practice Incorporate information and technology to communicate, manage knowledge, mitigate error, and support decision making N/A N/A N/A Begin to document assessment data, plan, implement and evaluate nursing care using SOAPIE and FOCUS format for documentation. Mean: Documentation using a SOAPIE note with all modes and needs areas of the nursing model. Criteria: 90% of the students will develop a SOAPIE note with each 4 nursing care plans. Fall 2014: Briefly spent time informing students that in reviewing NCP formulated could take apart sections of NCP (i.e. assessment, intervention, and evaluation) to formulate a FOCUS note. 5 Criteria met, according to Kaplan, national percentage in the Clinical Concept: Critical Thinking category is 71.8% (Kaplan and Lippincott & Wilkins, 2008). N/A Fall 2014: Continued to apply objective briefly this semester. Most local hospitals, if not all facilities LAHC Nursing Program affiliates with has transitioned into Electronic Medical Records (EMR), displacing much need for handwritten focus notes/charting. Although, still an important fundamental nursing concept to continue to speak of. Content taught in concurrent course N313. 6