Annual Program Review Update Program/Discipline: Registered Nursing / Health Occupations________ Date: ___________10/07/2007_________________ This review separates the NURS 60 course from the other NURS courses. It is open to LVNs as a prerequisite to the Career Mobility Program. The RN program requires admission prior to enrollment in all NURS designated courses except NURS 60. The RN program progresses over four semesters. The pattern is: NURS 21 & Nurse 10A (1st semester - Fall); NURS 22 & NURS 10 B (2nd semester Spring); NURS 23 (3rd semester – Fall); and NURS 24 (4th semester – Spring). Trends and Relevant Data 1. Has there been any change in the status of your program or area? (Have you shifted departments? Have new degrees or certificates been created by your program? Have you added or deleted courses? Have activities in other programs impacted your area or program? For example, a new nursing program could cause greater demand for life-science courses.) If not, skip to #2. Note: curricular changes should be addressed under 12-14. The Associate Degree in Nursing (ADN) curriculum changed in Fall 2006 with the deletion of 4 skills lab courses; NURS 51, NURS 52, NURS 53 and NURS 11. A critical thinking nursing intervention component was added to the major theory courses; NURS 21, NURS 22 & NURS 23. The lecture/lab units in these major courses were increased to accommodate the new objectives. Overall, the inactivation of four courses resulted in a decrease of TLU’s. Additionally, the mandate by the Community College Chancellor’s Office (CCCO) to increase enrollments and improve program retention resulted in changes in enrollments and in the admission process. The increase in students is directly tied to this Increased Enrollment Grant. Funds are used to support added clinical teaching faculty required for the increase in clinical lab sections. A “Remediation, Retention, Assessment & Preparation” (RRAP) Program manager position replaced the former Skills Lab Manager Position. It is funded by the Increased Enrollment Grant from the CCCO. This position is 80% with the goal of improving student retention rates in the Health Occupations programs, particularly the RN track. 2. Have there been any significant changes in enrollment, retention, success rates, or student demographics that impact your discipline? If so, please include data sheets (Excel or Word format) showing these changes. RN 1st yr RN 2nd yr NURS 60 Fall 07 45 60 Spring 07 39 46 39 Spring 06 38 52 15 Fall 06 44 46 Fall 05 41 50 Spring 05 40 45 Fall 04 40 45 Average completion CA or AA Average class size/section 44/ yr X X (Please note, these numbers are derived from the archived census enrollment 1 information form the IR website.) Information on student demographics, retention and program completion rates are not available at this time. This information will be compiled for the annual required state Board report. As mentioned above, the increase in enrolled students is directly tied to the CCCO increased enrollment grants. An additional 9 students have been accepted in the RN program annually since Fall 2003. An additional 5 students have been admitted to the LVN-RN Career Mobility program since Fall 2004. In 2007 an additional 10 LVN students from the Del Norte community have been admitted into the Eureka campus Career Mobility Program. The addition of these 10 students will continue every other year. State Licensing Board Pass Rates: ‘04-’05 ‘05-’06 ‘06-’07 93.4% 85.7% 88.4% These are reported for first time taken pass rates and are available on the California Board of Registered Nursing website. Six of the 8 students who failed the NCLEX on first try were LVN-RN Career Mobility students. 3. Occupational programs must review the update of their labor-market data, some of it provided by Institutional Research, to illustrate that their program: a. Meets a documented labor market demand. California has the fewest number of Registered Nurses per capita when compared to the rest of the United States. The need for RNs will increase over the next decade. The hourly mean wage for an RN in California is $36.12 and annually it is $75,130 (based upon 2005 data, Bureau of Labor Statistics). b. Does not represent duplication of other training programs in the region. Humboldt State University (HSU) maintains a Baccalaureate of Science in Nursing (BSN) program. Annually, an average 4 College of the Redwoods graduates continue their education pursuing a BSN at HSU. c. Is of demonstrated effectiveness as measured by the employment and completion success of its students. Information on student preparation is gathered during the HSU-CR Nursing Community advisory committee. This is attended by hospital and other community employers. This past Spring, an exit survey was completed by program graduates. A plan needs to be developed with the IR department to collect and track this information so that it is readily available for year to year comparisons. Other Resources 4. Do you have needs (professional development, library resources, and so forth) not previously required by the discipline or not previously addressed in budget or equipment considerations? Please describe. With the pressure to increase RN program numbers, the biggest challenge faced by the HO department is the availability of hospital and community clinical lab placements. In response to the need to increase RNs in California, HSU has changed its curriculum. It is now a 5 semester nursing major with every semester admissions. This will result in an increase of 20 RN program admissions annually and an overall impact of 60 additional HSU students requiring clinical placements. The nursing faculty from HSU and CR are holding joint meetings to address the Master Clinical Schedule changes and seeking creative ways to meet this challenge. There is a need to improve technology resources. This is being addressed through CCCO grant funds. 5. Does your discipline need additional support from Student Services beyond that previously provided? Current support is adequate. Student Services works closely with the RN program in terms of outreach, advising and program admissions. We appreciate the addition of a counselor to Student Services resources. Human Resource Needs 6. Complete the Faculty Employment Grids below (please list full- and part-time faculty numbers in separate rows): This data is difficult to interpret. The information needs to be customized to the particulars of this program. Faculty Load Distribution in the Program Discipline Name (e.g., Math, English, Accounting) Total Teaching Load for fall 2006 term NURS 132 % of Total Teaching Load by Full-Time Faculty % of Total Teaching Load Taught by PartTime Faculty Changes from fall 2005 Explanations and Additional Information (e.g., retirement, reassignment, etc.) 64.8% 35.2% (F 2005 61% or +3.8%) (F 2005 39% or -3.8%)) -16 TLUs (F 2005 =148) Curriculum change % of Total Teaching Load Taught by PartTime Faculty Changes from spring 2006 Explanations and Additional Information (e.g., retirement, reassignment, etc.) -4.5 TLUs (S2006=166) Curriculum change Faculty Load Distribution in the Program Discipline Name (e.g., Math, English, Accounting) Total Teaching Load for spring 2007 term % of Total Teaching Load by Full-Time Faculty NURS 161.5 61.3% 38.7% (S 2006 59.4% or +1.9%) (S 2006 43.6% or -4.9%) Do you need more full-time faculty? Associate faculty? If yes, explain why and be sure to include data sheets justifying the need. Yes. There are difficulties recruiting RN faculty. Salaries and benefits make recruitment difficult. Community College salaries for associate faculty are not competitive compared to those in health care industries (see Occupational overview for ADN program). The addition of a full time faculty position would return the HO department back to its staffing numbers in 1994. The addition of another RN faculty would increase the curricular consistency, improve the ability of HO faculty to participate on college wide committees and decrease the hours of effort spent mixing hours, contracts and availability for faculty across the HO spectrum. A master’s prepared RN faculty would provide the HO department with the flexibility to accommodate the demand for increases in all programs, especially in the LVN program. 7. Complete the Staff Employment Grid below (please list full- and part-time staff numbers in separate rows: Staff Employed in the Program Assignment Full-time (e.g., Math, (classified) English) staff (give number) HO 1 Part-time staff (give number) Gains over Prior Year 0 0 Losses over Prior Year (give reason: retirement, reassignment, health, etc.) n/a Do you need more full-time staff? Part-time staff? If yes, explain why and be sure to include data sheets justifying the need. Yes. This is covered with the current benefit of a 20 hr/wk work study student. The additional assistance has allowed the Department to complete data entry to log student transcripts for admissions, calculate overall GPAs and capture information from currently enrolled students. 8. If necessary, to clarify your needs, please comment on current available staff and distribution of FTE's for contract and part-time faculty. Describe strengths and weaknesses of faculty/staff as appropriate to program's current status or future development. Facilities 9. Comment on facilities the program uses, their current adequacy, and any immediate needs. Have your discipline’s facilities needs changed? If so, how? Please provide a data-based justification for any request that requires new or additional facilities construction, renovation, remodeling or repairs. We are undergoing major renovation of the nursing laboratory. This is supported by Measure Q funds. Equipment 10. Have your discipline’s equipment needs changed? If so, how? Is equipment in need of repair outside of your current budget? Please provide a data-based justification for any request that requires a new or additional budget allotment. Equipment updates are part of the Measure Q remodel. This update is intended to improve instructional capability. Learning Outcomes Assessment Update 11. How has your area or program been engaged in student learning outcomes assessment? a. Summarize your results. b. What did your program learn from these results that enabled you to improve teaching and learning in the discipline? c. How have part-time faculty been made aware of the need to assess SLOs? Enrollment data provided by IR shows an overall success rate in the 90% or above for the NURS courses. Over the past year HO has been entering data related to RN student pre-admission coursework, assessment tests and transcripts from other schools. This fall RN students will all take the TEAS assessment test. The purpose of this data collection is to begin the process of setting pre-admission criteria that will predict successful completion of the RN program, or allow students to remediate based upon areas of need identified through testing. This is an exciting project designed to promote not only student success, but also to promote diversity in the RN workforce. The HO Department needs assistance from IR to track student information and outcomes and perform appropriate statistical analysis. **Curriculum Update. (Reminder: Send updated course outlines to the Curriculum Committee.) 12. Identify curricular revisions, program innovations, and new initiatives undertaken in the last year. The Associate Degree in Nursing (ADN) curriculum changed in Fall 2006 with the deletion of 4 skills lab courses; NURS 51, NURS 52, NURS 53 and NURS 11. A critical thinking nursing intervention component was added to three major theory courses; NURS 21, NURS 22 & NURS 23. The lecture/lab units in these major courses were increased to accommodate the new objectives. Overall, the inactivation of four courses resulted in a decrease of TLU’s. 13. Identify curricular revisions, program innovations, and new initiatives planned for the next year. The coming year will be filled with moving, renovating and focusing on student success. This year is the Board of Registered Nursing (BRN) Self Study year. Faculty are currently looking at developing a behavioral based student clinical evaluation tool in preparation for the BRN accreditation visit scheduled for the Fall 2008. 14. Complete the grid below Course 1. NURS 21 Year Course Outline Last Updated 2006 2. 3. 4. 5. NURS 22 NURS 23 NURS 24 NURS 10A 2006 2006 2003 2003 6. NURS 10B 1999 7. NURS 60 2002 Year Next Update Expected 2011 2011 2011 2008 Currently in curriculum committee Currently in curriculum committee 2008 Goals and Plans 15. If you have recently undergone a comprehensive review, attach your Quality Improvement Plan if applicable. 16. If you do not have a QIP, what goals and plans does your area have for the coming year? The goals for the coming year: Develop a plan for assessing student demographics, outcomes, and program/ employer satisfaction Meet to implement cross curricular course content Pursue the addition of a full time faculty Complete Board of Registered Nursing self-study in anticipation of Fall ‘08 accreditation visit Develop behavioral based clinical evaluation tool Introduce “clicker technology” into classroom Address fit of SLOs between RN and LVN programs Analyze NCLEX results for areas of strength and areas of deficiency Program Outcomes Summary Program Name: Licensed Vocational Nursing Effectiveness Performance Standard Indicator Measurement/Data Source Responsible for collecting data I. Effectiveness A. Quality of Education Student Satisfaction At least 85% of RN program graduates Exit and Alumni will indicate they are satisfied with the Surveys quality of their education. Professional licensure Program graduates will successfully pass licensure exams at or above available norms (national or state). State Board licensure Exam Scores Employer Satisfaction At least 85% of employers will indicate program graduates are academically prepared for employment. Employer Survey IR At least 85% of employers will indicate program graduates are competent in general education. Employer Survey IR Faculty Credentials IR HO Director IR 100% of faculty must meet State Board Faculty personnel or Certification requirements and file minimum qualifications per CCCO HO Director 100% of faculty must meet external accreditation standards HO Director Faculty personnel file 7 (year) (year) (year) (year) Program Name: Dental Assisting Effectiveness Indicator Performance Standard Measurement/Data Source Responsible (year) (year) (year) (year) for collecting data B. Vitality Graduates Job Placement Student Retention At least 90% of entering students graduate.. Data IR At least 90% of graduates who continue to RN program will pass RN state Boards At least 90% of program graduates will secure employment in their field of study within six months of graduation. Adequate to ensure program efficiency. Data IR Graduate/alumni survey IR Fall to spring retention data including transfers and readmits IR All students leaving program early will have an exit interview and data will be collected Student demographics are collected and assessed for enrollment and completion rates HO Director Assistant Director IR IR HO Director Faculty Instructional Program Review—Appendix B: Annual Update Forms Annual Program Review Update Campus/Program Needs Worksheet This section to be filled out by the program at each campus This section to be filled out by Subcommittee 1. Institutional Research support specific to Department reporting needs. 2.Standardized reporting mechanism for State Board requirements 3. 9 Low Moderate High Not Approved Very High List Resources Needed for Academic Year_______2007-2008____________ Approved Approval Status Degree of Justification (as substantiated by the program review) Campus/Program Needs Worksheet 1. One Full time HO faculty Low Moderate List Faculty Positions Needed for Academic Year____2007-2008_______________ High Please list/summarize the needs of your program on your campus below This section to be filled out by Subcommittee Degree of Justification (as Approval substantiated by Status the program review) Not Approved Very High This section to be filled out by the program at each campus Approved Annual Program Review Update Campus/Program Needs Worksheet This section to be filled out by the program at each campus This section to be filled out by Subcommittee Please list/summarize the needs of your program on your campus below Approval Status List Staff Positions Needed for Academic Year___2007-2008________________ Approved 1. none Low High Not Approved Very High Degree of Justification (as substantiated by the program review) Moderate Annual Program Review Update Campus/Program Needs Worksheet 1. Measure Q funds are in use for facilities. 2. Equipment needs have been met from grants and VTEA funds 3. 4. 5. Approximate Cost Low List Equipment or Equipment Repair Needed for Academic Year____2007-2008_______________ Moderat e Please list/summarize the needs of your program on your campus below High This section to be filled out by Subcommittee Approval Degree of Status Justification (as substantiated by the program review) This section to be filled out by the program at each campus Approve d Not Approve d Very High Annual Program Review Update Campus/Program Needs Worksheet 1. Measure Q funds are in use for facilities and equipment Low Approximate Cost Moderate List Facility Needs for Academic Year___________________ (Remodels, Renovations or added new facilities) High Please list/summarize the needs of your program on your campus below Not Approved Very High This section to be filled out by Subcommittee Approval Degree of Status Justification (as substantiated by the program review) This section to be filled out by the program at each campus Approved Annual Program Review Update