College of the Redwoods - Instructional Program Review College of the Redwoods Comprehensive Instructional Program Review Registered Nurse College of the Redwoods - Instructional Program Review Signature Page Programs of Study AS- Registered Nursing;AS- LVN to RN upgrade Degrees: Certificates: CA - LVN-RN upgrade Subject Areas Reviewed: We certify that this program review document represents the plans, goals, and critical analysis of this instructional program. Please enter name and signature Author(s): K Dunleavy;J Gibbs, J Tatum,C Wolfsen,P Girczyc Date: 03/08/2010 Date: Division Chair: P Girczyc Dean / V. P.: Date: 03/8/2010 Validation: College of the Redwoods - Instructional Program Review Responding to Questions The document includes questions to which programs respond. After each question is an answer box. If you type your response in the answer box, it will expand to contain your complete answer. Any kind of formatting can be included in the answer box, including different typefaces. Some formatting (such as bulleted lists) can affect the borders of the answer box, but this can be cleaned up using the usual Word formatting commands. For information on Program Review: If you have questions about the College of the Redwoods Program Review process or the Program Review Word document, contact: Marjorie Carson Vice President of Instruction marjorie-carson@redwoods.edu For questions regarding data included in this document, please contact: Martha Davis Director, Institutional Research 707-476-4364 martha-davis@redwoods.edu College of the Redwoods - Instructional Program Review Table of Contents The table of contents allows access to all pages of the document. Overview Program Overview ......................................................................................................................... 5 Section 1. Demand, Success, and Retention Section 1.01. Demand, Fill Rates & Success ............................................................................. 6 Section 1.02. Degrees and Certificates Awarded ..................................................................... 17 Section 1.03 Benchmarking Completions……………………………………………………17 Section 2. Learning Outcomes and Curriculum Section 2.01. Program & Student Learning Outcomes ............................................................ 20 Section 2.02. Course Sequencing, Curriculum, Pre-requisites, Co-requisites, and Advisories on Recommended Preparation Section 3. Program Management Section 3.01. Efficiency ........................................................................................................... 25 Section 3.02 Program Advisory Committees……………………………………………..…25 Section 4. Faculty Section 4.01. Section 4.02. Section 4.03. Section 4.04. FTEF, Adjunct FTEF, and Full-Time/Part-Time Ratio ..................................... 27 Teaching/Service Time....................................................................................... 28 Projected Personnel Needs …………………………………………………..28 FT Faculty Development Activities .................................................................. 29 Section 5. Plans Section 5.01. Section 5.02. Section 5.03. Section 5.04. Planning Assessment .......................................................................................... 30 Resources............................................................................................................ 32 Student Services Resources ................................................................................ 32 Budget ............................................................................................................... 33 Section 6. Program Review Process Assessment Section 6.01 Section 6.02 Assessment of Self Study ................................................................................... 34 Assessment of Self Study ................................................................................... 34 College of the Redwoods - Instructional Program Review Overview Please give a brief overview of your instructional program. Describe the relationship of your program to the mission of the college. College of the Redwoods Mission Statement The Redwoods Community College District has a commitment both to our students and to our community. We are committed to maximizing the success of each student with the expectation that each student will meet her or his educational goal, achieve appropriate learning outcomes in his/her courses and programs, and develop an appreciation for life-long learning. In partnership with other local agencies, we are also committed to enriching the economic vitality of the community whom we serve. The following are three equally important, primary missions of the Redwoods Community College District: 1. Associate Degree and Certificate Programs 2. Academic and Transfer Education 3. Professional and Technical Education Program The Registered Nursing Program is strongly aligned with the Mission of the College. Throughout the school year the RN Program students and faculty are interacting with community members six days a week, in the emergency rooms, intesive care units and other hospital units, long term care, clinic and home settings. The work of the Department is real time, real people based, an awesome responsibility. Over 90% of students admitted to the Program meet the educational goals by achieving multiple learning outcomes by course and Program. Continued learning is a requirement for on going licensure as an RN. Seventy-five percent of Program graduates are hired before graduation. The PRogram works closely with healthcare agencies in all aspects of the education, training and entry level work expectations. Anecdotal reports estimate that anywhere between 75%-80% of all RN s employed locally are graduates of our Program. All RN graduates receive Associate of Science degrees. In September 2009, the California Board of Registered Nursing unconditionally continued the Program's approval through Fall 2016. College of the Redwoods - Instructional Program Review Section 1 Demand, Success, and Retention This section relates to the following goal(s) of the college Strategic Master Plan: Goal 4. Goal 5. Contribute to the economic, cultural and social well-being of the North coast community Ensure student access 1.01. Demand, Fill Rates & Success Analyze the enrollment and success data provided by Research & Planning and answer the following questions. Part 1. Enrollments For the purposes of these charts here, course sections have been broken down by class start time. The definitions for each start time are as follows: Early Morning Before 10:00AM Prime Time From 10:00AM to 2:30PM Late Afternoon From 2:30PM to 5:30PM*/6:00PM Evening 5:30PM*/6:00PM and later Weekend Saturday or Sunday classes TBA No scheduled start time * Evening is defined differently for semesters prior to Fall 2009 Each classification was weighted according to the following schedule: Weekend Evening Late Afternoon Early Morning Prime Time If a section had start times that fell into more than one category, it would be placed in the higher weighted category. For example, if a section met on a Saturday and started at 10:30AM, it would be considered a Weekend section. Note: Tables are provided by Program for overall for non-AA programs. Data include all Distance Education Courses. Tables are provided on a district-wide basis for Liberal Arts Areas Of Emphases Data from the 2008-2009 Academic Year is currently incomplete. This data will be subject to change upon the completion of the 2008-2009 Academic Year. Due to data factors, some of the tables in this document include data for that year, others do not. College of the Redwoods - Instructional Program Review Table 1.01A. Enrollments Number of students enrolled at census date Early Morning Prime Time Late Afternoon Weekend TBA Total 2004 2005 163 170 50 33 416 Enrollment 2005 2006 2006 2007 167 147 143 33 40 86 48 44 1 398 311 2007 2008 273 19 19 20 331 2008 2009 294 47 18 359 350 300 250 200 150 100 50 - 2004 2005 2005 2006 2006 2007 2007 2008 Early Morning Prime Time Late Afternoon Weekend TBA 2008 2009 Number of students enrolled at census date (total enrollment district wide) Early Morning Prime Time Late Afternoon Evening Weekend TBA Total 2004 2005 8,107 13,631 4,775 5,645 587 6,641 39,386 2005 2006 7,468 12,702 4,127 4,671 441 6,944 36,353 2006 2007 6,602 11,520 3,588 3,968 320 5,366 31,364 2007 2008 6,426 11,526 4,801 4,579 238 5,912 33,482 2008 2009 5,812 11,667 5,002 4,926 477 5,584 33,468 16,000 14,000 12,000 10,000 8,000 6,000 4,000 2,000 0 2004 2005 2005 2006 2006 2007 2007 2008 Early Morning Prime Time Late Afternoon Evening Weekend TBA 2008 2009 Table 1.01B. Weekly Student Contact Hours (WSCH) Early Morning Prime Time Late Afternoon Weekend TBA Total 2004 2005 1,890 288 522 1,368 4,068 WSCH 2005 2006 2006 2007 2,214 2,142 306 90 468 1,260 1,764 1,800 18 4,752 5,310 2007 2008 2,304 72 90 306 2,772 2008 2009 2,610 126 54 2,790 2007 2008 2008 2009 3,000 2004 2005 2,500 2005 2006 2,000 1,500 2006 2007 1,000 500 2007 2008 Early Morning Prime Time Late Afternoon Weekend TBA 2008 2009 Table 1.01C. Number of Section 2004 2005 Early Morning Prime Time Late Afternoon Weekend TBA Total 10 6 3 4 23 Sections 2005 2006 2006 2007 10 10 6 3 2 5 5 5 1 23 24 9 2 2 1 14 12 10 4 2 16 10 2004 2005 8 2005 2006 6 4 2006 2007 2 2007 2008 0 Early Morning Prime Time Late Afternoon Weekend TBA 2008 2009 Table 1.01D. Fill Rate Percentage of available seats filled (census enrollment divided by class size) Early Morning Prime Time Late Afternoon Weekend TBA Total 2004 2005 94% 88% 83% 83% 89% Fill Rates 2005 2006 2006 2007 93% 85% 95% 37% 95% 96% 96% 90% 20% 94% 77% 2007 2008 97% 27% 24% 100% 73% 2008 2009 83% 47% 120% 2004 2005 100% 2005 2006 80% 60% 2006 2007 40% 20% 45% 73% 2007 2008 0% Early Morning Prime Time Late Afternoon Weekend TBA 2008 2009 College of the Redwoods - Instructional Program Review Table 1.01E. FTES Early Morning Prime Time Late Afternoon Weekend TBA Total 2004 2005 66.21 15.67 19.43 23.9 125.21 FTES 2005 2006 64.31 13.81 18.73 33.48 130.33 2006 2007 60.54 2.27 29.31 31.43 0.03 123.59 2007 2008 129.57 1.79 1.49 11.95 144.8 2008 2009 138.71 3.39 0.75 142.85 160.00 140.00 120.00 100.00 80.00 60.00 40.00 20.00 0.00 2004 2005 2005 2006 2006 2007 2007 2008 Early Morning Prime Time Late Afternoon Weekend TBA 2008 2009 Review and analyze the fill rate data (Tables 1.01 A-E) provided by Institutional Research and answer the following questions: 1. Overall, is your enrollment increasing, decreasing, or remaining the same? 2. The RN Program is fully subscribed with a substantial waitlist. There are, on average, 150 eligible applicants per year for 45 seats in the first semester. The LVN-RN Career Mobility Program has experienced an increase in applicants from 10 in 2005 to 35 in 2009 to fill 8 seats. As a result of grant support from the State through the Community College Chancellor's office we have been able to increase enrollment since 2005. Because clinical opportunties are finite further increased enrollment is not feasible. Clinical resources and agencies are shared and negotiatied among programs within CR and between CR and HSU. The clinical agencies in our community cannot accommodate any more students. ( In 2008 HSU increased enrollments adding 50 additional nursing students.) The Board of Registered Nursing allows RN programs to use simulated clinical excperiences for up to 25% of clinical education. We are working to creatively and effectively incorrporate our newly established Simulation Center to both improve SLOs and relieve some of the pressure hospitals and other clinical agencies are experiencing. Some clinical lab sections are more popular with weekend clinical times the least favorite; but all courses and sections run at capacity. Additionally, our RN students are asked to travel to Crescent City for labs at Sutter Coast Hospital. The hospital has provided generous support for this experience by covering travel, room and board for students and faculty in this clinical section. NOTE: RN faculty met with IR staff in order to understand the supplied data and place it in the context of our program and its needs. Data most valuable to us is based upon cohort information. All students in various courses and sections are part of the RN Program ( except for one course NURS 60). Data based upon number of seats is not very helpful for decision making or tracking through the four semesters of the Program. IR is willing to run data based upon unduplicated head count so that we can look at individual students as they progress through the Program. IR is also ready to add external data points like State licensing exam pass rates and pre entry assessment test scores. 2. Is your enrollment growing/declining for sections scheduled at particular times, or is the growth consistent? Review the detailed data by course to see if there are trends in specific courses. 3. THIS ANSWER IS INCLUDED ABOVE DUE TO DIFFICULTIES WITH FORMATTING College of the Redwoods - Instructional Program Review College of the Redwoods - Instructional Program Review 1.01F. Course Success Rates Percentage of students enrolled at census receiving a grade of A, B, C, or Credit 2004 - 2005 2005 - 2006 2006 - 2007 2007 - 2008 2008 - 2009 Success Total Enrolled Success Total Enrolled Success Total Enrolled Success Total Enrolled Success Total Enrolled NURS-10A 93% 41 93% 41 93% 42 95% 44 93% 45 NURS-10B 93% 41 95% 38 97% 38 95% 43 89% 46 NURS-11 98% 49 NURS-199 81% 27 81% 27 85% 20 NURS-21 95% 40 90% 41 91% 44 91% 45 98% 45 NURS-22 92% 38 89% 38 95% 40 98% 43 93% 45 NURS-23 89% 45 96% 50 98% 46 100% 60 92% 59 NURS-24 100% 40 96% 48 100% 46 98% 60 96% 56 NURS-41 100% 2 100% 2 33% 3 76% 21 NURS-51 98% 40 98% 41 NURS-52 97% 38 95% 38 NURS-53 91% 45 98% 50 NURS-60 100% 11 80% 15 72% 39 83% 18 86% 29 Total 95% 430 94% 402 91% 325 95% 340 92% 366 Review the program success rates in the table above (1.01F) and use the text box below to answer the following questions. Be thorough and be sure to touch on any significant change in the data. 1) Identify overall changes in success rates. To what do you attribute these changes? 2) How do course success rates compare to the overall success rates for the program? 3) Provide a plan (if necessary) within Section 5.01 for adjusting to changes in success and retention. SLO and PLO assessment results might help to determine the required adjustments. The Program success rates have remained stable according to the above data. This data does not take into account students who fail or drop from the Program and are readmitted. All students are allowed only two Program admissions. We look forward to a chohort report in order to have sufficient information to be able to actually assess Program admission and retention rates. SEE APPENDIX D FOR PROGRAM DATA AS REPORTED TO THE BOARD OF REGISTERED NURSING College of the Redwoods - Instructional Program Review Table 1.01G. Course Success Demographics Health Occupations -- RN Success by Demographics CR Overall Program Overall Ethnicity Group African-American American Indian/Alaskan Native Asian Hispanic Pacific Islander White Unknown Age Group 17 or less 18 to 21 22 to 25 26 to 30 31 to 40 41 to 50 51 and over Gender Group Female Male 2005 - 2006 2006 - 2007 2007 - 2008 67% 68% 68% 95% 91% 94% 0% 89% 0% 95% 0% 94% 96% 100% 62% 0% 85% 0% 93% 94% 100% 40% 0% 94% 67% 95% 98% #N/A 0% 89% 95% 97% 87% 100% #N/A 0% 100% 92% 84% 98% 84% #N/A 0% 98% 94% 92% 94% 100% 95% 89% 91% 89% 95% 92% Comment on data comparisons among the ethnic, age and gender breakdowns. Regarding the RN Program success rate 2005-2009 by demographics the above data shows low rates in American Indian/Alaskan Native, Asian, and Pacific Islander student groups. In reality these numbers may reflect one or two students per year in the above academic year. Required prerequisite completion before program entry, a random-sampling pool to select from eligible applicants to fill open seats and the community-wide census related to ethnic percentage all impact the students who enter the CR RN Program track outreach to these student groups at the high school and pre-high school levels might encourage more applicants who are prepared for the rigor of the Nursing Program. Due to the fact that the RN Program requires a prerequisite track and a clear setting of academic goals, students in the 17 to 21 year age group rarely are admitted to the RN Program. Out reach to the local junior high and high school students may facilitate younger program-ready students. Over all retention rates in 22 to 30 year old students has remained consistently strong. The retention rate dips in31 to 40 year olds and 51+ y ear olds improved in part due to the focus on retention (RAP counselor) . More males have been admitted to the RN program with overall high completion rates. Because this data is not based upon unduplicated head count it is impossible to confidently comment on the information for use in planning or program changes. Program faculty would like to have detailed information aobut successful and unsuccessful students by demographics including, socioeconomic status and factors such as; displaced worker, single parent, first time college, veteran etc. This would allow the Program faculty to fine tune it's retention strategies. College of the Redwoods - Instructional Program Review College of the Redwoods - Instructional Program Review Table 1.01H. Course Retention Rate Percentage of students enrolled at census receiving a grade other than W (Withdraw) NURS-10A NURS-10B NURS-11 NURS-199 NURS-21 NURS-22 NURS-23 NURS-24 NURS-41 NURS-51 NURS-52 NURS-53 NURS-60 Total 2004 - 2005 2005 - 2006 2006 - 2007 2007 - 2008 2008 - 2009 Retained Total Enrolled Retained Total Enrolled Retained Total Enrolled Retained Total Enrolled Retained Total Enrolled 98% 41 98% 41 95% 42 98% 44 100% 45 98% 41 100% 38 100% 38 100% 43 98% 46 98% 49 81% 27 81% 27 90% 20 98% 40 98% 41 93% 44 98% 45 100% 45 97% 38 100% 38 100% 40 100% 43 98% 45 91% 45 98% 50 98% 46 100% 60 100% 59 100% 40 100% 48 100% 46 100% 60 100% 56 100% 2 100% 2 100% 3 90% 21 98% 40 98% 41 97% 38 100% 38 91% 45 98% 50 100% 11 100% 15 77% 39 89% 18 97% 29 97% 430 99% 402 94% 325 97% 340 98% 366 Review the program retention rates in the table above (1.01H) and use the text box below to answer the following questions. Be thorough and be sure to touch on any significant change in the data. 1) Identify changes in retention rates. To what do you attribute these changes? 2) Review retention rates by course. How do course retention rates compare to the program rate overall? 3) Provide a plan (if necessary) within Section 5.01 for adjusting to changes in success and retention. SLO and PLO assessment results might help you determine needs. The course retention rates reported in these tables look very good. NURS 21 is the first course within the RN program. Students who are not able to meet the challenge of the RN program typically do not pass this first course, leading to 93-98% retention rate in the course. Once the student has successfully adapted to the rigor of the program, retention rates only slightly varies from 98-100% in Nurs 22, 23 and 24. Any students who fail or drop from any course must attend an Exit Interview with the Program Director in order to be eligible for readmission in the next academic year. Beginning in 2008, these exit interviews included a plan for success. If the difficulty is academic,the student is given a remdiation contract developed by the course faculty and Director. This contract frequently includes additional course work and learning assessments. The data in this course retention report do not reflect the way SLOs and PLO s are evaluated in the Program. In this way it is misleading and much more favorable to the Program. The MAJOR courses are ( inorder of appearance on the above table) NURS 10A / NURS 10B / NURS 21 / NURS 22 / NURS 23 / NURS 24. The ADN Program looks at the successful retention and completion of all 6 of these courses required for graduation. Program retention is reported annualy to the Board of Registered Nursing. The ADN Program has had a retention rate of 11% in 2005 and 8% in 2008. These numbers more accurately reflect our PRogram expectations and external evalautions. The following is a listing of factors that has positively influenced course and Program retention rates: A grant funded position; Retention Specialist was filled November 2007. This position responsibilities included working with “at risk” students to develop successful study habits and testtaking strategies. A section of GS 150- College Success was created and taught by the Retention Specialist. Focus of this class included strategies for success in the Health Occupation Department, most specifically the RN program. The course is also included in the remediation plans for at risk applicants. College of the Redwoods - Instructional Program Review A Chancellor’s Office (CCCO)Approved Assessment Instrument (ATI Test of Essential Academic Skills (TEAS) was implemented and a state wide study resulted in a CCCO approved “cut score” to determine ADN Program success was set. CCC ADN Programs with attrition rates below 15% were funded to implement this Assessment strategy. A pilot program was initiated in 2007 including C/R. Any student falling below a composite score of 67% was encouraged to complete a remediation plan that included the GS 150 College Success for Health Occupations course. Formal announcements were made via the HO website/ the Catalog/ and the Program applications notifying constituents of the admission criteria changes. In 2008 & 2009, ATI TEAS Testing became mandatory and students who had a composite score below 67% were provided with a remediation contract. Successful completion of the contract which included the GS 150 course and individually agreed upon coursework in Math and English resulted in program admission. Three student met this criteria and remediated through this program. An “early warning system” was set in place which includes course faculty meeting with at risk students to review and refine successful study habits and test-taking strategies. An experimental course NURS 188 was approved for Fall 2009, to accommodate student-learning needs. Additionally, any student who does not demonstrates a competency in the clinical setting receives a Skills Lab Referral. This referral precipitates the Skill Lab Instructor to work one-on-one with the student to facilitate increased understanding of skills and gives the student the opportunity to practice skills in the safely of the Skills Lab before going to clinical to then demonstrate skill competency. SEE APPENDIX D for Program retention as reported to the BRN College of the Redwoods - Instructional Program Review Table 1.01I Overall Success Rate in Courses in Major by Students’ English and Math Level PASSED 1A ENGL-1A ENGL-150 ENGL-350 UNKNOWN Success Enrolled Success Enrolled Success Enrolled Success Enrolled Success Enrolled NURS-10A 91% 74 93% 29 100% 1 97% 68 NURS-10B 98% 41 91% 22 96% 56 NURS-199 84% 25 78% 9 81% 32 NURS-21 91% 75 83% 30 100% 1 99% 69 NURS-22 98% 41 87% 23 95% 57 NURS-23 96% 78 95% 41 97% 96 NURS-24 100% 53 93% 30 99% 71 NURS-41 100% 1 50% 2 NURS-60 86% 22 71% 17 0% 2 100% 1 77% 30 Total 94% 410 89% 201 50% 4 100% 1 95% 481 NURS-10A NURS-10B NURS-199 NURS-21 NURS-22 NURS-23 NURS-24 NURS-41 NURS-60 Total TRANSFER-LVL MATH-120 MATH-380 MATH-375 MATH-371 UNKNOWN Success Enrolled Success Enrolled Success Enrolled Success Enrolled Success Enrolled Success Enrolled 94% 65 87% 47 100% 1 100% 1 98% 58 98% 41 90% 30 98% 48 83% 23 86% 14 79% 29 91% 66 85% 48 100% 1 100% 1 100% 59 98% 41 87% 31 96% 49 93% 61 95% 66 100% 5 100% 2 100% 1 99% 80 100% 39 96% 51 100% 1 100% 2 98% 61 100% 1 50% 2 80% 5 89% 18 62% 13 60% 5 100% 2 76% 29 94% 341 91% 306 76% 21 82% 11 100% 3 95% 415 1. What pattern can be identified in the program success rates based on the students’ skill level in English and Math? Has the success rate changed since the last review? All of the students enrolled in the ADN Program must be successful in degree level MAth and English to complete the Program. The NURS 60 students are LVN students who are preparing to enter the LVN-RN Career Mobility Program. This group are less likely to have had degree level Math while enrolled in the N60 class. There are no other identifiable patterns to be addressed. 2. How has the program responded to these patterns or changes, and how will the program respond in the future? This information as reported is very good . There is a need for more meaningful data. In order to make this happen,the faculty need to form specific questions that reflect their concerns with student preparation in Math and English and present a request to IR for information. Each course within the RN program NURS 21,22,23,24, as well as Pharm 10A & B has incorporated at least one critical thinking assignment that includes writing a scholarly paper outlining a critical component in nursing. For example, in NURS 21, each student must write a critical thinking assignment outlining a client’s medical history and two nursing diagnoses. All critical thinking assignments are graded based upon content and scholarly writing. Within NURS 21,22 & 23, mathematical medication calculations concepts are incorporated into the course structure. The student must achieve a 95% in the final mathematical medication calculations examinations in order to progress within the program. The RN program will continue to incorporate these components in each course. College of the Redwoods - Instructional Program Review College of the Redwoods - Instructional Program Review 1.02. Degrees and Certificates Awarded (If the review is a program of study leading to a degree or certificate) Title NURS.AS.LVN to RN Award Associate of Science NURS.AS.Registered Nursing Associate of Science 51.1601 123010 NURS.CA.LVN to RN Upgrade Certificate of Achievement Certificate of Completion Certificate of Achievement Certificate of Completion 51.1601 123010 51.1601 123010 NURS.CA.RN AS Total Registered Nursing Completions By Year 20032004 20042005 20052006 20062007 20072008 28 40 46 47 58 28 40 46 47 58 CIP Code TOPS Code 51.1601 123010 80 20032004 60 20042005 40 20052006 20 20062007 0 20072008 AS Given the enrollment, success and retention data, comment on the number of completions listed in the data above. CIP Codes and TOP Codes match the ones currently files with our curriculum documents for NURS.CA.RN, NURS.AS.Registered Nursing, NURS. CA.LVN to RN Upgrade and NURS.AS. LVN to RN. The curriculum committee review process validates this codes before filing them in the official campus curriculum Over all, the averaged completion rate of students who enter the second year of the RN Program is above 95%; generally students either withdraw from the program due to “life” circumstances, personal choice or academic/clinical failure. The numbers in this table reflect increased enrollment between academic year 2003-2004 (30 students), 2004-2005 (40 students), 2005-2006 and 2006-2007 (50 student) and 2007-2008 (60 students). The figures show RN program completion rates of 93%, 100%, 92%, 94% and 97% respectively. Academic year 2008-2009 continued with the increased enrollment trend yielding a similar <5% non-completion rate during the final course in the RN Program sequence. Each student who leaves the program for personal or academic reasons is given an exit interview and recommendations of student action or remediation made to enhance the likelihood of subsequent reentry. The over-all RN Program completion rate is high. 1.03. Benchmarking Completions For Career Tech Ed Areas only: How does program’s completion data compare with the state target for your program? Career Technical CR State Area Expectation # of Degrees # of Certificates College of the Redwoods - Instructional Program Review 1. Comment on differences between CR completion rates and those expected by the State for Career Tech Ed Areas. Although the above table was not populated by IR, the Program can report the following: Our attrition rates for the RN Program hover around 8%. The State uses an attrition rate of 15% as the benchmark . The NCLEX ( National Nursing licensing exam) pass rate results for first time takers are as follows: 2004-2005 2005-2006 2006-2007 2007-2008 2008-2009 # students/pass rate # students/ pass rate # students/pass rate # students/pass rate # students/pass rate 35 / 94.29% 35 / 82.86% 69 / 89.86% 43 / 88.37% 69 / 81.16% The State benchmark is 75% for this group. Most students are successful on their second attempt, making the overall pass rates for the Program at 98%. This infomration is available on the BRN website. The above data is based upon a calendar year and does not directly reflect annual graduates. Although the Program is performing above the benchmark level, faculty would like to have more precise cohort data in order to make targeted curriculum and student support decisions. 2. Describe any information you may have on employment of program graduates within this field. There has not been a formal post graduate emplyemnt survey completed for this Program for many years. A Program generated survey of 2007 graduates showed that 75% had positions immediately upon graduation. Annual salaries range from $40,000 to $70,000 throughout the State. 3. If applicable, complete the table below with the number of program students who have transferred to a 4-year institution after being enrolled in this program. Also provide the number of those students who ultimately graduated from the transfer institution. Transferred Graduated from Transfer Institution Students who completed Students no longer enrolled w/o completion 4. Describe any information you may have on transfer of students enrolled in this program For the last two years an infomral survey showed that 1/3 of the entering class possessed either a Bachelor's or Master's degree in another area of study and 1/3 of the students planned on continuing on College of the Redwoods - Instructional Program Review to a baccalaureate orhigher degree. Students are encouraged to continue on to a Baccalalureate degree in nursing, though this is difficult to do locally. College of the Redwoods - Instructional Program Review Section 2 Learning Outcomes & Curriculum This section relates to the following goal(s) of the college Strategic Master Plan: Goal 1: Enable student attainment of educational goals 2.01. Program and Student Learning Outcomes 1. List program learning outcomes for each degree or certificate within this program area. Group these by the specific degree or certificate, using the following table to align program student learning outcomes with courses in which each program learning outcome is addressed. Program Learning Outcome SEE APPENDIX A: Student and Program learning outcomes Course (s) Addressing PLO SEE APPENDIX A 2. Describe how program learning outcomes are being assessed, and how those assessments are being documented and used to meet the program objectives. Attach annual update tables as an Appendix to document your progress in this area. SEE APPENDIX E for annual report information 3. Describe how program-specific course learning outcomes (Student learning outcomes for courses) are being assessed, and how these assessments are being documented and used to meet program objectives. Attach annual update tables as an Appendix to document your progress in this area. Course and Program Learning Outcomes are assessed in the following manner. Each semester the student nurse is introduced to an increasingly complex notion of client. The student nurse also masters the skills needed to develop a caring collaborative relationship that moves these clients toward health. Role competencies are organized into three major categories as defined by the National League for Nurses: provider of nursing care, manager of nursing care, and member within the discipline of nursing. In the first semester, the student provides one-to-one care to individual clients, who have commonly occurring physiological conditions with predictable outcomes or who seek health promotion. In the College of the Redwoods - Instructional Program Review second semester, interactions are expanded to include care of the family as client, and care of two individual clients who have conditions resulting in unpredictable outcomes with less defined alternatives. In the third semester, the student expands the caring collaborative relationship to include members of the health team. The student provides care to three clients with more serious and complex conditions and those individuals or families who are dysfunctional and have long-term needs. In the fourth and final semester, the student nurse-client interactions involve collaboration and coordination with community resources. The student provides care to four clients with increasingly complicated and critical conditions, and develops the skills needed to manage a group of clients. To summarize, program content and clinical experiences progress from simple to complex, normal to abnormal, functional to dysfunctional nursing care situations. Concurrently, the recipient of nursing care increases in complexity and number. New knowledge and skills are continuously acquired while previous knowledge and skills are refined. At completion of the nursing program, the successful student gains the knowledge, skills, and personal qualities necessary to be a competent, caring, and effective Registered Nurse. Course specific student learning outcomes and leveled objectives are summarized in the attached documents, Leveled ADN Objectives and a summation of the ADN Curriculum (see attached). Students are evaluated theoretically and clinically based upon these leveled objectives. Documentation of achievement of these leveled objectives are reflected in each individual student’s clinical evaluation and their ability to successfully pass each course. Learning experiences and instructional strategies that lead to development of nursing competency are described in each course packet. These include readings, collaborative learning projects, seminars, written assignments and examination, videos, skills competency testing, clinical simulations (including low- and high-fidelity manikins), actual clinical assignments, nursing care plans, case studies, patient assessments, teaching plans, process recordings, internet assignments, critical thinking projects with oral presentations, and community projects. These methods are consistent with the faculty belief that students vary in learning styles and have different potentials for growth, prior experiences, and levels of motivation and are designed to meet the learning needs of our diverse student population. Measurable evaluation criteria are used in all four semesters of clinical experience. Each course packet includes a leveled clinical evaluation tool that facilitates the student’s successful profession toward the achievement of the program’s outcome objectives and the capacity to function as an entry-level registered nurse after passage of the NCLEX SEE APPENDIX F FOR COURSE AND CLINICAL ASSIGNMENTS. 4. Describe how your learning outcome assessment results (both for PLOs and SLOs) are being discussed within your program and within the wider district and community. This may include methods to ensure there is input and feedback from Students, Faculty, Associate Faculty, Administrators, and/or Advisory Groups. Learning outcomes assessment results are reviewed at the course and program levels, as well as on a national level as determined by the NCLEX pass rate and annual reports from the National Council of State Boards of Nursing (NCSBN) detailing test plan performance of Program graduates. Revisions, modifications and enhancements to the program are discussed and implemented with input from faculty, associate faculty, students, local advisory committee and national nursing standards. Faculty, associate faculty and students are given the opportunity to critique and make suggestions for course enhancements at the end of each semester and during HO Department meetings. Enhancements to the curriculum are made based upon this feedback and in alignment with changes in local and national nursing standards. College of the Redwoods - Instructional Program Review 5. Describe how you have tied the results of learning outcomes assessments (both for PLOs and SLOs) to requests for resources, including budgets, equipment, facilities, and staffing. In 2005 California was ranked 50th in national nurse to population ratios.In recognition of this crisi, the State legislature took action and implemented a $14 billion Nursing education initiative. In 2009 California increased the number of RN graduates by 27%, improving it's status to 47th out of 50 states. During this time, C/R's program applied for and received over $500,000 to increase enrollments and improve PRogram retention. The Grant applications requested funds for faculty to support increased enrollments, change curriculum and learning strategies to include new technologies, student pre admission assessments and retention policies. These requests were all derived from learning outcome assessments and plans derived through faculty discussion. Funds were also used to support equipment needs- identified through past Program Reviews- in pre requisite courses. Biology purchased a new cadaver, supplies and recalibrated the lab microscopes, Arts, Language and Social Sciences purchased instructional media . Additionally, technology resources for the District were supported including a streaming web server, and computers for student services. The Measure "Q" bond funds were also used to remodel and update the on campus classrooms, technologies and learning labs. All of the grant objectives were designed to impact learning outcomes and support student success. 2.02 Course Sequencing, Curriculum, Pre-requisites, Co-requisites, and Advisories on Recommended Preparation 1. Outline the curriculum as it is being implemented for a full-time student completing each degree or certificate in this program. The outline should include course number, course, title, units, lecture hours, and lab hours for each semester for the complete curriculum. Indicate if any of the courses requires a pre- or co-requisite Semester SEE APPEN DIX B Course Number Course Title SEE APPENDIX B Units SEE APPEN DIX B Lecture Hours SEE APPEN DIX B Lab Hours SEE APPEN DIX B Pre or Coreq. SEE APPEN DIX B 2. Comment on availability of courses listed in the program curriculum outline. Are specific required courses only available during specific semesters, days, or times. How does this influence a student’s ability to complete the program of study? Yes, all of the core nursing courses have a fixed semester, with specific lecture dates and usually two different clinical lab patterns (ie Mon afternoon/ Tues morning or Wed Afternoon/Thur morning). There is only one admission of 45 students into the RN program for first-year entry generic students, which occurs each fall semester. Those who do not gain admission the same year that they put their application in are then placed on a wait list, guaranteeing eventual admission into the program. Then, dependent upon available class positions in the second year of the nursing program, there is one admission each fall for the LVN-to-RN Advance Placement nursing students. These LVN’s join in with the on-going generic nursing students to complete the last two semesters of the RN nursing program. These patterns and start limitations could pose challenges to students completing other co-requisites and/or courses for their degree. College of the Redwoods - Instructional Program Review Other non-nursing courses, required for the degree/certificate, are offered over a variety of semesters and days/times, thereby giving students choices to take their pre-requisites and other required degree courses ahead of time. Many students choose to get these courses completed before entering into the program to either help lighten the load and/or to create time to also work while attending school. It is also important to note that N60 has been taught most years in the Spring semester, but may not be offered annually in the future. This course-offering withhold may develop due to increasing fiscal concerns and/or because of impacted waiting lists for LVN students wishing to advance place into the second year and only a limited number of open spaces for entry. 3a. Refer to the curriculum outline in question #1. Would adding a prerequisite or advisory to any course within the program increase the success rate within the course? There is no evidence for a need to add any new prerequisites to the present curriculum pattern for the nursing program. Although not a prerequisite, we do advise pre-nursing students to get their math degree requirement completed before entry, as it may help them with medication calculation application taught in the first semester and throughout the nursing program. It also seems helpful, to advise students who are trying to get into the program (ie on a wait list) to complete as many of their degree courses as possible to ease their load while in the nursing program. We also advise taking courses, such as Nutrition (HO 15), PSYCH 1 or 11, and SOC 1,2 or ANTH 3, while waiting to get in, because these can be very helpful in understanding the full scope of nursing content/practice. 3b. Are there drawbacks to current prerequisites or advisories to any of the courses. No. Our prerequisites are in alignment with other successful nursing programs throughout the state of California and are in compliance with Title V regulations. 4a. As part of your self-study, review and summarize the development of curriculum in the program, including any changes in required prerequisites or corequisites. Our nursing curriculum, including accurate re-assessment of appropriate prerequisites and co-requisites, went through moderate revisions over the past five years. These changes were based on: a. a state-wide effort to create an alignment with other community college nursing programs to be in compliance with Title V regulations and assist students in realistically achieving their nursing educational goal within a reasonable timeframe, thereby creating more graduates eligible to take their RN-NCLEX exams and enter the world of professional nursing, especially in such a time of nursing shortage. b. the desire to integrate the separate nursing skills courses (N11, N51, N52, & N53) back into the main theory-practicum nursing courses to promote better learning and application of critical thinking within nursing practice. c. the need to ensure that our courses were currently in compliance with BRN (Board of Registered Nursing) regulations and recommendations for current, safe practice. 4b.Use the grid below to report recent additions, deletions, or revisions of courses. Semester Course Fall – 1st yr NURS 10A Year Course Outline Last Updated 2008 Year Next Update Expected 2013 College of the Redwoods - Instructional Program Review Fall 1st yr Spring 1st yr Spring 1st yr Spring Fall 2nd yr Spring 2ndyr NURS 21 NURS 10B NURS 22 NURS 60 NURS 23 NURS 24 2006 2008 2006 2005 2006 2009 2011 2013 2011 pending 2011 2014 College of the Redwoods - Instructional Program Review Section 3 Program Management This section relates to the following goal(s) of the college Strategic Master Plan: Goal 2: Goal 3: Develop and manage human, physical and financial resources to effectively support the learning environment Build a culture of assessment 3.01. Efficiency (FTES, WSCH, FTEF, FTES per FTEF) Instructions: Analyze the FTES, WSCH (Weekly Student Contact Hours), FTEF, and WSCH per FTEF (Full-Time Equivalent Faculty) data provided by Institutional Research and answer the following questions. Table 3.01A. FTES, FTEF, and Efficiency (Fall and Spring semesters only) (FTES: Full-Time Equivalent Students, WSCH: Weekly Student Contact Hours, FTEF: Full-Time Equivalent Faculty) FTES WSCH FTEF FTES per FTEF 2005 - 2006 2006 - 2007 2007 - 2008 2008 - 2009 1893.2 2053.88 3621.92 3958.33 74340 89046 57294 64386 19.89 25.12 26.08 33.88 95.18 81.76 138.88 116.83 Describe dynamics and developments related to the trends listed in Table 3.01A above. 2005-2006 represents the last academic year for which no increased enrollment funding. The following years represent increased numbers of students and therefore increased FTEF. 2007-2008 saw an increase in the 2nd year LVN to RN Career Mobility students and the larger increase in 2008-2009 resulted from a change in TLU designation for nursing clinical laboratory TLU s from 1TLU/18 hours of lab to 1.25 TL /18 hours of lab. 3.02. Program Advisory Committees 1. Describe how program advisory committee activities have helped to improve the program. The RN Program has a formal Advisory Committee that meets annually in a joint meeting with HSU's Nursing Department. Informamly, there is a pre and post conference meeting with teaching team memers and clinical agencies. The findings from these meetings are reported out to the faculty, for policy and procedure alignment. There is a continuos effort to address issues and improve the fundtioning of the PRogram. Many of the issues identified result in changes to the Student Handbook of Program policies and procedures. College of the Redwoods - Instructional Program Review 2. Attach an appendix to this report that includes the membership, agendas, and minutes of program advisory committee meetings. College of the Redwoods - Instructional Program Review Section 4 Faculty This section relates to the following goal(s) of the college Strategic Master Plan: Goal 1: Goal 2: Enable student attainment of educational goals Develop and manage human, physical and financial resources to effectively support the learning environment 4.01. FTEF, Associate FTEF, and FT/PT Ratio Instructions: Analyze the data on FTEF, adjunct FTEF, and the full-time/part-time ratio provided by Institutional Research and answer the following questions. Table 4.01A. FTEF and Full-Time/Part-Time Ratio (Fall and Spring semesters only) 2005 - 2006 2006 - 2007 2007 - 2008 2008 - 2009 FTEF % of Total FTEF % of Total FTEF % of Total FTEF % of Total Associate Faculty 2.87 42% 2.42 24% 3.44 38% 4.35 38% Regular Staff/Non-Overld 4.1 58% 4.1 76% 3.96 62% 5.17 62% Total 6.98 100% 6.52 100% 7.4 100% 9.52 100% 1. What do the program data indicate? Identify any important trends and explain if necessary. The increases in enrollment over the past three years and resulting ability through grant funds to hire AF are the trends that inflence these numbers. In 2008-2009 a FT facutly was brought in through grant funds. What is not shown here is the actual numberr of AF needed to achieve the FTEF. In Nursing it is very difficult to find qualified nurses who are willing to flex their work hours inorder to teach as part of the Program. SEE APPENDIX F for lists of faculty and clinical assignments throughout the curriculum 2. Does the FT/PT ratio affect the program? Are new faculty needed? AF are oriented to the curriculum and the Lead FT faculty is reponsible for orienting and mentoring them. The addition of a grant funded FT faculty has aided the curriciular continuity for students. The College does not currently have a process for allowing grant funded positions to transitioned into the tenured faculty pool. This lack of process impedes the Program from being able to plan into the future and does not allow the school to captilize on the benefit that grant funding provides. The PRogram does need a tenure track facutly member for continuity and to sustain the enrollments in the Program.This is a request that has been made in every Program Review document. College of the Redwoods - Instructional Program Review 4.02. Teaching/Service Time Instructions: Fill in the data below and answer the questions that follow. Table 4.02A. Teaching/Service Time Currently on leave (yes/no) no no no no FT Instructor Name J Gibbs K Dunleavy C Wolfsen J Tatum Retired in last 2 years no no no no FT hired in last 3 years no no no no Load Reduction* *e.g. reassignment, etc. 1. Given the data, how have these activities impacted the program? There has been no impact, however if any answer above were to become a"Yes", the impact would be profound. 2. Will these and any other activities affect the program in the future? The average age of nursing faculty in California is 56 y/o. This represents a challenge for finding and recruiting nursing faculty in the future. The current faculty have mentored six Master's in Nursing Education students and remain committed to continuing this practice as an investment in the future of nursing education. 4.03. Projected Personnel Needs 1. Describe how faculty and staff availability impacts this program. Include in the impact statement, how Program Learning Outcome assessments are linked to the program needs. Recruiting AF, hiring and processing new AF, orienting and mentoring new faculty are expensive time consuming activities that could be decreased with stable FT faculty. The Program is constantly at risk of inadequate human resources. To help address this issue, the State Senate amended the Ed Code to allow AF nursing faculty to be employed more than 67% in any semester, not to exceed an average of 67% over 4 semesters through 2014. The issue is two fold in Nursing. First, there is an inadequate pool of qualified and interested faculty and second, the salary and benefits for AF and for FT faculty are below market standards for the nursing profession. College of the Redwoods - Instructional Program Review The Learning outcomes are impacted by lack of FT faculty. Though the current Af are dedicated and do a solid job of working with students, each AF is also working and committed to full time positions in local health care agencies. The students benefit from AF familiarity with the local hospitals, but in reality this alos means that the AF have a primary loyalty to their "real" workplace" Consequently, it is difficulty for AF to attend Department meetings and College activities. They do not have the "big picture" of the College or the curriculum. Students do not get the benefit of consistent and concurrent lecture /lab integration. REFER TO APPENDIX F for an quick look at the staffing numbers Note: New or replacement positions may be requested using the process described in the annual update template (sections 6 and 7). 4.04. FT Faculty Development Activities 1. How have Faculty Professional Development Activities affected the program? Provide examples of how these activities have improved program and course learning outcomes. Faculty have been dedicated to taking on two new areas involving professional development. The use of Human Patient Simulators in nursing education has taken hours and effort. The PRogram implemented a learning strategy system through Assessment technoligies Institute (ATI). This program has required course and grading adjustments, policies changes and multiple help sessions. It is too early to know how learning outcomes will be impacted by these changes. College of the Redwoods - Instructional Program Review Section 5 Plans This section relates to the following goal(s) of the college Strategic Master Plan: Goal 1: Goal 2: Goal 3: Goal 4: Goal 5: Enable student attainment of educational goals Develop and manage human, physical and financial resources to effectively support the learning environment Build a culture of assessment Contribute to the economic, cultural and social well-being of the North coast community Ensure student access 5.01. Planning Assessment Summary, Goals, and Recommendations 1. Summary Describe the Program Strengths (Consider how these strengths can be marketed to the community and provide suggestions to PR department) The Program's greatest strength is the dedication of Program faculty and staff to student success. Throughout the District, faculty and staff also provide wonderful support to potential and current students in terms of energy, resources, quality knowledge in related disciplines and flexibility. Student Services staff are consistently willing to give additional consideration to the needs of the nursing students., from the Learning Resource and Testing Center staff ,and DSPS programs, to the financial aid Department, counselors,advisors and admissions and records staff! Nursing education is a "high stakes" program producing graduates who find secure, reasonably compensated employment with solid career mobility potential.\ The availability of grant funds have allowed faculty to introduce new teaching technologies and integrate theory and skills throughout the curriciulum. Increasing class size has contributed to the College's overall FTEs and provided opportunities for innovation. The introduction of Simulated clinical experiences is receiving positive student response. Describe the Program Weaknesses There is a need for improved use of available data to address retention and student performance. The Program constantly struggles to meet the demands of the marketplace and the changes within the Healthcare industry. 2. Vision and Goals a. Based upon data from California 2025 and/or data from Institutional Research, briefly describe how you would like your discipline to evolve in the next five years. In what ways does your current state differ from your desired state? College of the Redwoods - Instructional Program Review The Program is in the midst of a movement to transform nursing education to meet the demands of the 21st Century. This education will be learner rather than teacher centered and will use technology to create this learning environment. The faculty are dedicated to the creation of a seamless progression from ADN to BSN education with the ultimate goal of increasing the numbers of nursing faculty for the future. b. What specific goals and objectives would you like to achieve to move you toward your vision? The overall goal of the program is to provide quality nursing education that is current and relevant to the needs of the commuity. In order to achieve this goal, faculty need to maintain current and relevant knowledge in the rapidly evolving healthcare scene. c. What support from the college or district is needed to help you achieve your goals and objectives? The Program needs support for on going continuing education through attendance at state and national conferences. The Program also needs to recruit and support new faculty to fill vacanicies that are sure to occur over the next five years. d. What documentation/evidence will demonstrate that you are making progress toward achieving your goals, objectives, and vision? Innovations in the classroom and increased incorporation of new technologies, including but not limited to human patient simulation will be documented through student and faculty evalautions. The documentation of continued mentoring for Master's degree students and the actual existence of a semaless pathway for educational progression for ADN nursing graduates. 3. Recommendations List recommendations for program improvement generated by this report in the box below. List these by number and use these numbers in the Quality Improvement Plan described below. (copy and paste one QIP grid for each recommendation) The following QIPs are derived from this comprehensive program review document and from the Program's response to it's 2009 BRN Self-Study and accreditation visit. 4. Completing the Quality Improvement Plan (QIP) The Quality Improvement Plan (QIP) is intended to assist the program in thinking and planning for a minimum of the next three years. The purpose of the QIP is to provide a format for translating both the comprehensive review recommendations into actions for improving or maintaining the quality of the program; it is also a mechanism for administrators to determine input to the planning process. Because this document will be used to inform planning processes, it is very important that all the requested information be provided. QIP Chart Format Recommendation # Implement Data based decision making process College of the Redwoods - Instructional Program Review Recommendation Planned Implementation Date Estimated Completion Date Action/Tasks Measure of Success/Desired Outcome Estimated Costs Who is responsible? Consequence if not funded SEE APPENDIX QIP FOR ADDITIONAL OBJECTIVES. January 2010 ongoing - first report September 2010 Complete Program reporting to include patterns trends faculty analysis, outocme analysis ( change resolution) Develop report on student data including TEAS/ATI scores completion / retention NCLEX pass rates Demographic data for cohort graduates class '09.'10 & '11 Identify patterns and trends Establish Program benchmarks revise semester by semester course evaluation and program evaluation processes to include both formative and summative evaluation Action plan developed and implemented $8000 IR staff, designated faculty blind decision making 5.02. Resources Resource requests may be included in the annual review only 1. Describe how resource availability impacts this program. Include in the impact statement, how Program Learning Outcome assessments are linked to the resource needs. Resources may include alteration or additions to existing facilities, as well as technology including computer equipment and software, or any other equipment to support your discipline or program of study. The Program is sufficiently funded for resources thorugh the various grants that have been received. The Program is committed to sharing these resources with the College as appropriate. Note: Requests for resources should be described through the processes described in the annual update template (sections 8 and 9). 5.03. Student Services Resources Student Services Resources include Admission & Records, Financial Aid, Career Services, DSPS, EOPS, CalWORKS, Residence, Upward Bound and Student Conduct. College of the Redwoods - Instructional Program Review 1. Describe how Student Services Resources availability impacts this program. Student Services resources are adequate for the Program needs at this time. The Program has worked extensively with the DSPS staff to improve suport for students with learning differences. Students might be better served if there were advisors who specialized in the complexities of the Health Occuaptions Programs. Crisis counseling is another need, as students learn to cope with personal stresses and role transformation issues. One of the biggest issues impacting retention is personal stress. 5.04. Budget Budget Resources Consider the following budget categories: Supply and Printing, Equipment Replacement, Repair and Maintenance Professional Development Work-Study Additional Items 1. Is the funding for these areas adequate? If not, describe the impact of unaddressed needs on your discipline or program. If the program receives restricted funding, describe how this impacts the program. The discretionary budget for the Health Occupations Department goes almost entirely to support Allied Health Programs other than Nursing. The RN Program relies mainly on external restricted funding sources at this moment in time. College of the Redwoods - Instructional Program Review Section 6 Program Review Process Assessment This section relates to the following goal(s) of the college Strategic Master Plan: Goal 3: Build a culture of assessment 6.01. Assessment of Self Study 1. What changes will make the self-study process more helpful to you? The self study process for the RN Program is mandated by State Law ( The Nurse PRactice Act). Much of the information requested in the College's process is redundant and does not inform the internal Program planning and decision making. On the other hand, the details of course planning, curriculum progression, budget, facilities and student services are helpful to assess the interconnection of the PRogram with the College. We would like to be able to have a review that would excused us from some reporting with the assumption that a clear accreditation from the legislated oversight agency (BRN) met Program quality criteria. The opportunity to review enrollments, scheduling, pre requisite course success, budget, facilities,student services etc. is meaningful both programattically and as part of the District. The PRC template was very difficult to use for this Program's review. It worked well for the other Comprehensive Reviews. 6.02. Optional Program Summary 1. This is an opportunity for you to comment on the overall value and health of the Program. As mentioned throughout this review, the current focus on the nursing shortage and the implications for educational transformation are shining the spotlight on the work of this Program. The opportunity to enhance and update the RN Program is upon us and the faculty and staff are working to take advantage of the times. We recognize that this is a temporary state. We are constantly working to keep the future needs of the Program, the College and the Community in sight.