Year-end Report – Teaching Department Queensborough Community College DEPARTMENT: Year: 2014- 2015 Nursing A. DEPARTMENT SERVICES/ACTIVITIES REPORT IN 2014-15 1. Department-sponsored services (fall and spring semesters combined) Area of Service Number Served 464 10,284 student visits 464 2,583 student visits 464 138 31 84 Nursing Resource Center Nursing Practice Labs Virtual Hospital/Simulation Lab Orientation Workshop for incoming NU 101 Students Speech Remediation Workshop for Nursing Students HESI Live Review for NCLEX Prep January & June Mentoring Program Area of service (for example): a department-run learning laboratory (not laboratories for which students register as part of their courses), the reference desk or reserve area of the Library, department tutoring program, etc. (Note: Do not report courses or laboratories for which students register.) 2. Department-sponsored faculty/staff development activities Type of Activity and Topic Date Number Attending 11/19/14 20 HESI Faculty Workshop Advancing Health, Leading Change: The Evolving Role of the Nurse Transforming Nursing Education: Successful Strategies to Prepare for Professional Practice 3/20/15 10 5/26/15 21 Note: Faculty and staff development activities (grants, presentations, exhibitions, performances, publications, instructional improvement activities, laboratory development, curriculum development, etc.) B. COURSE CHANGES IN 2014-15 New, revised, or deleted Not applicable Course number Course title Semester approved Comments 1 Year-end Report – Teaching Department Queensborough Community College Year: 2014- 2015 C. PROGRAM CHANGES IN 2014-15 Program Program change* Effective Date (Semester Comments and year) Spring 2015 Approved by CUNY BOT & NYS Ed Dual/ Joint Program with School of Initiated Professional Studies(SPS) *Key: (a)=initiated, (b)=closed, (c)=renamed, (d)=modified D. DEPARTMENT CHANGES IN 2014-15 Type (see menu below) Professor Regina Cardaci Description of Change resignation Reason for Change Higher salary Date/Semester Fall 2014 Professor Eileen Tittmann resignation Spring 2015 Professor Janet Franzese New hire Travia/Fall 2014 Retirement/Spring 2015 Retirement Camille Testa COA resignation Higher salary Fall 2014 Daina Rivera COA New hire Replacement line 3/2/15 Spring 2015 Evaluation of Change* Hired new faculty member for Fall 2015 Hired new faculty member for Spring 2015 Replacement for Eileen Tittmann. Janet is a productive and collegial member of the faculty. Satisfactory student and peer evaluations. Hired new COA Daina is highly productive and collegial. Works well with students and faculty and has done an excellent job with our Fall 2015 Admissions. *Please note that, if change has been too recent to evaluate, you may indicate NA. E. DEPARTMENT ASSESSMENT IN 2014-15 1. Departmental procedures for conducting assessment The fundamental elements of standard 14 (assessment of student learning) of the Middle States Commission on Higher Education include: clearly articulated statements of expected student learning outcomes…at all levels (institution, degree/program, course) and for all programs that aim to foster student learning and 2 Year-end Report – Teaching Department Queensborough Community College Year: 2014- 2015 development; a documented, organized, and sustained assessment process to evaluate and improve student learning; evidence that student learning assessment information is shared and discussed with appropriate constituents and is used to improve teaching and learning. Describe below the department’s ongoing procedures for assessing student learning and using assessment results to improve teaching and learning. In your description, please explain how the department fulfills each of the Middle States fundamental elements above. The Nursing Department assessment involves student, course and program assessment. Student assessment includes Clinical Progress Reports, Course Department Exams and Writing Intensive Assignments. Course Assessment includes End-of Semester Course and Facilities Evaluation and course data on student progression (lecture grades, clinical grades and exam reports). Program Assessment includes NCLEX Pass Rates, Program Completion Rates, and program satisfaction as indicated on the Graduate Follow-Up Questionnaire, Employer Survey, Exit Questionnaire and Job Placement Rates as indicated by the Graduate Follow-Up Survey responses. Aggregated evaluation findings are reported and discussed at the SEP (Systematic Evaluation Plan) Meetings in January and June and End-ofSemester Meetings to inform Program decision making and maintain or improve student learning outcomes. Evaluation findings are shared with communities of interest (Advisory Council, Graduates, Students, Grant Sponsors and the College Community/Academic Senate). Data and decisions are reported in the SEP. Decisions, requests and actions are then reported in the End-of Year Reports and submitted to Academic affairs for inclusion in the College Strategic Plan. Regular Advisory Board Meetings and Nassau/Suffolk Council Meetings provide feedback from clinical agencies as to whether students are prepared for the workforce and meet the needs of the agencies that hire QCC students. 2a. Departmental participation in self-study/program review during 2014-2015, if applicable Not applicable 2b. Program review follow-up (from 2013-14 to 2014-15) Action item from program review Timeline for completion Accomplishments during current year Not applicable Note: If your department was involved in a program review in the previous academic year, the table above must be filled in. 3a. Course assessment follow-up (from 2013-14 to 2014-15) Course(s) assessed from previous year Action plan from previous year Evaluation of Results Follow-up 3 Year-end Report – Teaching Department Queensborough Community College NU 101 Continue to Monitor surveys. NU 102 Continue to monitor surveys. NU 201 Continue to monitor surveys. NU 202 Continue to monitor surveys. On Graduate Exit Questionnaire, student’s comments recommended that psych content be together. As a result of changes in earlier Nursing courses, NU 202 changes will be implemented In January 2017. NU 204 Continue to monitor surveys. Expected Level of Achievement met. 3b. Of the Fall NU 101 students, 97.7 % reported that they strongly agree or agree that the Course content /campus labs and clinical experience correlated with course outcomes. However in the fall NU 202 exit questionnaire, only 28.2% of students reported that NU 101 prepared them for NU 102. Of the Fall NU 102 students 95.9 % strongly agreed or agreed that that course content, campus labs and clinical experience correlated with course outcomes. 95.8% of Fall NU 201 students strongly agreed or agreed that course, campus and clinical experience correlated with course outcomes. Year: 2014- 2015 Continue to monitor surveys. Curriculum Committee to review NU 101 content to respond to student surveys to include more relevant med-surg content in NU 101. Failure rate in NU 102 remains high. Curriculum Committee revision recommendations approved by faculty and Peds and Psych will be moved out of NU 102. NU 201 will be revised to include Peds/ women’s Health beginning in Fall 2016, to facilitate a stronger med/surg program within the first year of the Program. On Graduate Exit Questionnaire, students comments recommended that psych content be together, rather than in two semesters and Peds/Women’s’ Health be taught together. All Psych content will move up to NU 202 in January 2017. Monitor Student Course and Graduate Exit Surveys. Course assessment: current year NU 102 Relevant General Educational Outcomes 1.Communicate effectively through reading, writing, listening and speaking Relevant Curricular Outcomes •Communication Demonstrate effective therapeutic communication through verbal, nonverbal, written and technological communication when providing clientcentered care. Evaluation of Assessment Results See pages:12-15 Action plan See pages:12-15 4 Queensborough Community College 2. Use analytical reasoning to identify issues or problems and evaluate evidence in order to make informed decisions. 3. Reason quantitatively and mathematically as required in their fields of interest and in everyday life. 4. Use information management and technology skills Effectively for academic research and lifelong learning. 5. Integrate knowledge and skills in their program of study. (5 continued) … 6. Differentiate and make informed decisions about issues based on multiple value systems. Year-end Report – Teaching Department • Clinical Decision Making Apply critical thinking strategies, NU-102 and general education course content, and fundamental evidence-based best practice information to plan and implement safe, effective, quality care for adult and pediatric client(s). • Assessment Conduct comprehensive assessments of adult and pediatric clients utilizing the nursing process, multiple data sources and incorporating developmental and cultural influences to establish a foundation of nursing care. • Clinical Decision Making Apply critical thinking strategies, Nu-102 and general education course content, and fundamental evidence-based best practice information to plan and implement safe, effective, quality care for adult and pediatric client(s). •Professional Behaviors Apply knowledge of nursing best practice and professional standards when planning and implementing safe, effective, quality, client-centered nursing care for the adult and pediatric client. •Managing Care Utilize agency management systems to provide safe, effective clientcentered care to the adult and pediatric client(s). • Clinical Decision Making Apply critical thinking strategies NU-102 and general education course content, and fundamental evidence-based best practice information to plan and implement safe, effective, quality care for adult and pediatric client(s). • Caring Interventions Demonstrate compassionate and respectful nursing behaviors when caring for diverse adult and pediatric client(s) and working with members of the healthcare team that results in dignified quality care. • Teaching/Learning Incorporate principles of teaching, learning, and developmental and cultural influences when developing a teaching plan for the adult and pediatric client(s). • Clinical Decision Making Apply critical thinking strategies, NU-102 and general education course content, and fundamental evidence-based best practice information to plan and implement safe, effective, quality care for adult and pediatric client(s). Year: 2014- 2015 See pages:12-15 See pages:12-15 See pages:12-15 See pages:12-15 See pages:12-15 See pages:12-15 See pages:12-15 See pages:12-15 See pages:12-15 See pages:12-15 5 Year-end Report – Teaching Department Queensborough Community College Year: 2014- 2015 7. Work collaboratively in diverse groups directed at accomplishing learning objectives 8. Use historical or social sciences perspectives to examine formation of ideas, human behavior, social institutions, or social processes. 9. Employ concepts and methods of the natural and physical sciences to make informed judgments. • Collaboration Interact respectfully with peers and agency nursing staff in shared decisionmaking to administer quality, safe, effective care to adult and pediatric clients. • Clinical Decision Making Apply critical thinking strategies, NU-102 and general education course content, and fundamental evidence-based best practice information to plan and implement safe, effective, quality care for adult and pediatric client(s). See pages:12-15 See pages:12-15 See pages:12-15 See pages:12-15 • Clinical Decision Making Apply critical thinking strategies, NU-102 and general education course content, and fundamental evidence-based best practice information to plan and implement safe, effective, quality care for adult and pediatric client(s). See pages:12-15 See pages:12-15 10. Apply aesthetic and intellectual criteria in the evaluation or creation of works in the humanities or the arts. • Caring Interventions Demonstrate compassionate and respectful nursing behaviors when caring for diverse adult and pediatric client(s) and working with members of the healthcare team that results in dignified quality care. See pages:12-15 See pages:12-15 Analysis of Assessment Results: The NU-102 clinical instructors record the grades of each student at midterm and end of semester and a written report is provided to each student. The following tables demonstrate that a total of 33 students, or 54%, received a NI – Needs Improvement at midterm and 1 student received a U - Unsatisfactory. The remaining 35 students, or 56%, received S – Satisfactory. By end-of-semester 57 students received S – Satisfactory and 1 student received U – Unsatisfactory. Midterm Evaluation n Percent S – Satisfactory 28 45% NI – Needs Improvement 33 54% U - Unsatisfactory Total 1 62 1% 100% 6 Year-end Report – Teaching Department Queensborough Community College Final Evaluation S – Satisfactory U – Unsatisfactory Total n Percent 57 93% 1 1% 58 94% Year: 2014- 2015 Four (4) students, or 6%, dropped out of the course after midterm but prior to end-of-semester due to failing grades in theory. Students must be successful in both the clinical and theory components of this course in order to move forward to the next semester. The following tables provide a further breakdown examining the number of students who successfully achieved each of the Student Learning Outcomes at mid-term and end-of-semester. Mid-Semester – Fall 2014 Student Learning Outcomes Professional Behaviors – Apply knowledge of nursing best practice and professional standard when planning and implementing safe, effective, quality, client-centered care for the adult and pediatric client. Communication – Demonstrate effective therapeutic communication and other appropriate Communication modalities when providing client-centered care. Assessment – Perform comprehensive assessments on adult and pediatric clients utilizing the nursing process, multiple data sources and incorporating developmental and cultural influences to establish a foundation of nursing care. Clinical Decision Making – Apply critical thinking strategies, NU-102 and general education course content, and fundamental evidence-based best practice information to plan and implement safe, effective, quality care for adult and pediatric clients. Caring Interventions – Demonstrate compassionate and respectful nursing behaviors when caring for diverse adult and pediatric client(s) and members of the healthcare team that results in dignified, quality care. Teaching Learning – Incorporate principals of teaching learning, and developmental and cultural influences when developing a teaching plan for the adult and pediatric client(s). Collaboration – Interact respectfully with peers and agency nursing staff in shared decisionmaking to administer quality, safe, effective care to adult and pediatric clients. Managing Care – Utilize agency management systems to provide safe, effective clientcentered care to the adult and pediatric client(s). S NI U 53 9 0 49 13 1 43 19 1 35 27 0 54 7 1 52 10 0 48 13 1 48 13 1 7 Queensborough Community College Year-end Report – Teaching Department Year: 2014- 2015 Clearly the student-learning outcome Clinical Decision Making was the most difficult outcome for these nursing students to achieve. 27 of 62 students, or 43%, needed to improve their clinical decision making skills at mid-semester. Assessment followed with 19 students, or 31%, needing improvement, Collaboration, Communication, and Managing Care each show 13 students, or 21%, needing improvement, Professional Behaviors with 9 students, or 15%, Teaching Learning with 10 students, or 16%, and Caring Interventions with 7 students, or 11%, needing improvement in attaining the Student Learning Outcomes. 8 Queensborough Community College Year-end Report – Teaching Department Year: 2014- 2015 End-of-Semester - Fall 2014 Student Learning Outcomes S Professional Behaviors – Apply knowledge of nursing best practice and professional standard when planning and implementing safe, effective, quality, client-centered care for the adult and pediatric client. Communication – Demonstrate effective therapeutic communication and other appropriate Communication modalities when providing client-centered care. Assessment – Perform comprehensive assessments on adult and pediatric clients utilizing the nursing process, multiple data sources and incorporating developmental and cultural influences to establish a foundation of nursing care. Clinical Decision Making – Apply critical thinking strategies, NU-102 and general education course content, and fundamental evidence-based best practice information to plan and implement safe, effective, quality care for adult and pediatric clients. Caring Interventions – Demonstrate compassionate and respectful nursing behaviors when caring for diverse adult and pediatric client(s) and members of the healthcare team that results in dignified, quality care. Teaching Learning – Incorporate principals of teaching learning, and developmental and cultural influences when developing a teaching plan for the adult and pediatric client(s). Collaboration – Interact respectfully with peers and agency nursing staff in shared decisionmaking to administer quality, safe, effective care to adult and pediatric clients. Managing Care – Utilize agency management systems to provide safe, effective clientcentered care to the adult and pediatric client(s). NI U 57 0 0 57 0 1 57 0 1 57 0 0 57 0 1 57 0 0 57 0 1 57 0 1 The above chart demonstrates that most of the students, or 93%, were successful in converting their NI – Needs Improvement performance to a S- Satisfactory grade by end-of-semester. One student was not successful in achieving a satisfactory performance for the Student Learning Outcomes of Communication, Assessment, Caring Interventions, Collaboration and Managing Care. This student was Unsatisfactory at midterm and final. Four (4) students, or 6%, dropped out of the course after midterm but prior to end-of-semester due to failing grades in theory. Students must be successful in both the clinical and theory components of this course in order to move forward to the next semester. 9 Queensborough Community College Year-end Report – Teaching Department Year: 2014- 2015 Student Learning Outcomes NU 102 Clinical Progress Report Results and Student Learning Outcomes The assessment results for the fall 2014 semester provide confirmation of the Student Learning Outcomes that have been achieved, and those which were not met for the sample of NU102 students evaluated at the end of the semester. Overall, the results indicate that this sample of students performed successfully in the clinical component of this course. The one student who did not move forward to the next nursing course did not meet the competencies of Communication, Assessment, Caring Interventions, Collaboration and Managing Care and was therefore unable to achieve the Student Learning Outcome associated with those competencies. Students must achieve all of the Student Learning Outcomes in order to be successful and move forward in the program. The majority of students, however, have demonstrated proficiency in meeting the competencies associated with each of the Student Learning Outcomes. The difficulty in achieving the student-learning outcome, Clinical Decision Making, reflects the complex content of this nursing skill. Nursing students are required to apply general education, nursing theory, critical thinking and evidence-based information to support clinical judgments to achieve positive outcomes in adult and pediatric clients. This is an intricate skill that requires consistency, practice and active learning from the nursing student. Students should be supported throughout the semester to continue to work on their Clinical Decision Making skills. Students who receive a NI – Needs Improvement at midterm, in any of the eight (8) student learning outcomes, will meet with their clinical instructor to develop a written contract outlining specific criteria required to obtain a satisfactory grade. Suggestions for Addressing Areas of Improvement Suggestions for working on areas of improvement focus on creative and innovative approaches to teaching learning in the clinical area and on bringing the clinical experience into the theory component of the course, facilitating student’s ability to put their classroom knowledge to practice in the clinical setting. Students must be encouraged throughout the semester to become active participants in their learning experience. Active learning pedagogies must take place in the classroom to engage students with clinical realities. Students must actively participate, experience and apply knowledge in order to understand the clinical implications of nursing knowledge. There are many driving forces creating changes in nursing and healthcare today. It is imperative that we develop new ways of content delivery and teaching methods to support and encourage student’s clinical thinking/reasoning skills. 10 Queensborough Community College Year-end Report – Teaching Department Year: 2014- 2015 4. Results of certification examinations, employer and alumni surveys, student surveys, advisory board recommendations (if applicable, please use the table below) Data Source Results Action plan Certification exams NCLEX Pass Rates for 2014 90.91% NYS Pass Rate 76.76% Met ELOA: above State and National Rate. National Pass Rate 82% Employer/alumni surveys, including graduation and placement survey Graduate Surveys 50% response rate with a positive evaluation of the Program. Employer Surveys 3 responed. Met ELOA for alumni. Student surveys (current students) Overall, students satisfied with Program. Met ELOA Advisory Board recommendations Met on May 28, 2015. Recommendations include focus on collaboration within the healthcare team, importance of teaching assertive communication with physician team members and preparing patients for transition to home and community settings. Continue to discuss these topics and implement these skills across the curriculum. 5. Continue to email employers and send follow-up emails to encourage response. Use of computer to complete survey at meeting as well as paper copies. Other assessment activity (if applicable) Not applicable F. DEPARTMENT GOALS AND OBJECTIVES 1. Goals/objectives for 2014-2015 (Please indicate [Yes or No] if the objectives were part of the College’s Strategic Plan for 2014-2015.) Departmental goals/objectives 2014/2015 Implement 3rd Dual/Joint Program with CUNY School Strategic Plan Y/N Evaluation of achievement Resulting action plan Assist Students to achieve career goals. Open for first cohort this spring. Only one student applied. Met with QCC Faculty Advisor for SPS Dual/Joint. Advisor 11 Year-end Report – Teaching Department Queensborough Community College Year: 2014- 2015 of Professional Studies (SPS) Review PNET Courses and establish clear Department guidelines and policies. 2. Assist students to achieve career goals. PNET courses are offered in NU 201, 202 and NU 204.NU 101 offers PNET for mostly posting videos and for independent work outside of the classroom. PNET Courses are evaluated in the Course Evaluations at the end of each semester. In Nu 201, 202 and 204, students were mostly satisfied with the partially online course. In fall 2014, in NU 201, only 50% were satisfied with taking a partially online course. In spring 2015, 70% were satisfied. The goal to establish a faculty panel was not met. However a discussion with the NU 201 Coordinator, who is enrolled in the June 2015, PNET Faculty Development Workshop resulted in a plan to revisit a panel for fall 2015 where faculty offering a PNET course, meet regularly to align content and discuss best practices.. will meet with new incoming class to introduce program and address student questions. Set date for first meeting of PNET Faculty in fall 2015. Goals/objectives for 2015-2016 (Explain how these goals/objectives align with the College’s goals and Strategic Plan for 2015-2016) Departmental goals/objectives 2015-2016 Implement curricula changes in NU 101 for fall 2015 and for NU 102, for spring 2016. Increase retention rates in first year students. Mission/Strategic Plan Planned method of evaluation Demonstrate mastery of discipline-specific knowledge, skills, and tools required for entry into or advancement in the job market in their field. Demonstrate mastery of discipline-specific knowledge, skills, and tools required for entry into or advancement in the job market in their field. Monitor Course /Evaluations, exam grades, HESI Standardized Exams and progression rates. Track retention rates through office of Institutional Research & Assessment. 12