Program Planning and Assessment (PPA) for Academic Programs Comprehensive Review, Annual Review & Action Plan Spring 2014 The purpose of Program Planning and Assessment at Hartnell College is to obtain an honest and authentic view of a program and to assess its strengths, opportunities, needs, and connection to the mission and goals of the college. The process is based on the premise that each academic program reviews assessment data and uses these data to plan for improvement. The results of these annual cycles provide data for a periodic (every five years) comprehensive review that shows evidence of improvement and outlines long-range goals. The Program Planning and Assessment process will improve and increase the flow of information about student learning, student success and student behavior at Hartnell College. The result of the process will also improve institutional effectiveness. Program/ Discipline Date Completed (must be in final form by 3/31/14)* 4/3/2014 Date Submitted to Dean 4/3/2014 Registered Nursing *Please note that you should work with your colleagues and dean to ensure that this report is completed, revised as needed, in its final form and submitted no later than the end of March. List of Contributors, including Title/Position Mary Cousineau Asst. Director of Nursing Janeen Whitmore, Faculty Barbara Durham, Faculty Toni Gifford, Faculty This PPA report is organized in 3 sections and 11 subsections as follows: I. Comprehensive Review – a. Overall Program Effectiveness, b. Instructional Staffing, c. CTE Programs – Labor Market & Achievement, and d. Program Goals. II. Annual Review – a. Course Data & Trends, b. Teaching Modality, c. Curriculum, d. Outcomes, and e. Previously Scheduled Activities. III. Annual Action Plan – a. New Activities and b. Resource Requests. 1 | Page INSTRUCTIONS ➔ For programs/disciplines scheduled for comprehensive review in spring 2014, please complete Sections I, II, and III. ➔ For programs/disciplines scheduled for annual review, please complete Sections II and III. I. COMPREHENSIVE REVIEW Please complete this section for programs/disciplines scheduled for comprehensive review in spring 2014. Go to Section II for programs/disciplines scheduled for annual review in spring 2014. A. OVERALL PROGRAM EFFECTIVENESS 1. Describe your program in terms of its overall effectiveness over the past several years. Please consider the questions below in describing your program/discipline/area. ● ● ● ● ● ● ● ● ● ● How are students/employees served by the program? What are the unique aspects of the program? How does the program relate to the needs of the community? How does the program interface/collaborate with other programs on campus?) What is working well in the program/discipline? If there is a sequence of courses in your program, what process or framework is used to ensure alignment? How is consistency maintained between/among multiple sections of a single course? Has the program explored alternative scheduling approaches? Do prerequisites, co-requisites and strongly recommended skills continue to meet program needs? Are there special considerations regarding capabilities of incoming students? What professional activities have faculty recently (last three years) participated in? [Begin response here] 2 | Page B. INSTRUCTIONAL STAFFING 1. In the table below enter the number of sections offered and the number of full time and adjunct faculty in your program/discipline by term over the past several years. Term No. of Full-time Adjunct Active Faculty Faculty Sections 2. What staffing factors/challenges have influenced the effectiveness of the program? [Begin response here CTE PROGRAMS – LABOR MARKET & ACHIEVEMENT Please complete this section if the program is Career Technical Education (CTE). Go to subsection D if the program is not CTE. 1. Describe the demonstrated effectiveness on the program over the past several years with levels and trends of achievement data, including degree/certificate completions (awards) and employment statistics. 3 | Page [Begin response here] 2. Describe the number of, activities of, and recommendations resulting from advisory committee meetings that have occurred over the past two years. What information and/or data were presented that required or currently require changes to be made to your program? (Please attach copies of meeting minutes over the past two years and a list of committee members and their respective industries/areas.) [Begin response here] 3. Does labor market data and/or the need for additional education indicate that changes should be made to your program? Does the program (continue to) meet a labor market demand and/or fulfill an important step toward higher/additional education? [Begin response here] C. PROGRAM GOALS 1. List and describe program/disciplinary goals for the next comprehensive review cycle—Fall 2014 through Fall 2018. Be sure to highlight innovative, unique, or other especially noteworthy aspects. A new mission and vision is currently before the board for approval in February. In considering your program’s future goals, please review the proposed new mission and vision statements. VISION STATEMENT Hartnell College will be nationally recognized for the success of our students by developing leaders who will contribute to the social, cultural, and economic vitality of our region and the global community. MISSION STATEMENT Focusing on the needs of the Salinas Valley, Hartnell College provides educational opportunities for students to reach academic goals in an environment committed to student learning, achievement and success. [List and describe program goals here] 1) 2) 3) 4) 4 | Page 5) II. ANNUAL REVIEW This section must be completed for ALL academic programs, including those scheduled for a comprehensive review in spring 2014. A. COURSE DATA & TRENDS 1. Please evaluate the 3-year trend of enrollment and success of courses in your program/discipline. Identify the courses you are choosing to examine this current year in the list below. You do NOT need to evaluate trends for each course every year. Course Number Course Name Does the course have any DE (online or hybrid) sections? NRN 30 NRN 41 NRN 225 Pharmacology for Nursing Practice no Nursing Theory I no Success for Registered Nurses no Please use the data that have been provided. Analyze trends that you observe with respect to the data for the identified courses and answer the following questions. ENROLLMENT 2. Review the enrollment data. Describe and analyze any patterns or anomalies that you notice. What do you make of these patterns or anomalies? What actions should be taken to ensure continuous improvement? Enrollment Course NRN 225 Spring 2010 2 Fall 2010 5 Spring 2011 2 Fall 2011 Spring 2012 4 5 Fall 2012 Spring 2013 Fall 2013 NRN 30 50 38 32 N/A 36 NRN 41 50 38 32 N/A 36 NRN 41.1 NRN 41.2 50 50 38 38 32 32 N/A N/A 36 36 NRN 41.3 50 38 32 N/A 36 The Fall Class of 2010 had a larger enrollment because of a grant-funded cohort of night/weekend students in addition to the daytime students. After Fall 2010, enrollment in the RN program varied from 32-38 students due to: 1) reduced demand for RN graduates and limited clinical teaching sites because the recession lowered the patient census in local health 5 | Page care facilities 2) need for extra “slots” for students in the BSN at CSUMB who would return to Hartnell for clinical experiences. Historically, the Hartnell RN Program has accepted around 40 students each Fall Semester. Because the first semester RN courses are co-requisite courses and because RN students must study theory and clinical simultaneously, statistics for NRN 30 and all NRN 41.-- courses will have the same the same number of students begin each course. Enrollment each Fall Semester includes new generic RN students and returning students (who withdrew or failed in the previous Fall Semester). Whether to include the “returning” students or to specify which cohort “returning” students are assigned to causes variation in statistical results for success and attrition. The California Board of Nursing follows students in a specific cohort and reports attrition by a specific point in time in the Fall Semester for all students currently enrolled. SUCCESS 3. Review the success data. Describe and analyze any patterns or anomalies that you notice. What do you make of these patterns or anomalies? What actions should be taken to ensure continuous improvement? Retention % Course Fall 2010 NRN 225 Fall 2011 20 Spring 2011 100 Fall 2012 75 Spring 2012 80 NRN 30 NRN 41 NRN 41.1 NRN 41.2 90 90 78 90 NRN 41.3 90 Spring 2013 NA NA NA NA 89 89 89 89 NA NA NA NA 84 84 84 NA NA NA 76 76 76 84 NA 76 NA 89 NA 84 NA 76 11 Fall 2013 71 Program Completion rates from Standard 6 ACEN report 2013: 78%% * 2012: 86%* 2011: 87%* Students have a choice whether to take NRN 225 Success for Registered Nursing Students for enrichment during the first semester or for remediation after withdrawal/failure in the first semester the following Spring Semester. The majority of students who enroll in this course are returning students. Further investigation is needed to evaluate which teaching modalities are most effective in empowering the returning students to complete the RN program. Anecdotal information suggests self-efficacy and personal life issues play a large role compared to reviewing essential content. Continued use of ATI learning modules and practice test questions is planned. DEGREES AND CERTIFICATES 6 | Page 4. Describe the demonstrated effectiveness of the program over the past several years with levels and trends of achievement data, such as degree and certificate completions/awards. Degree Spring 2011 Fall 2011* Spring 2012 Spring 2013 33 7 39 30 Passed NCLEX32/33 7 38/39 RN 1st time *night/weekend cohort graduated in December 2011. 29/30 The RN program has consistently graduated between 30 to 40 students in the past three years with the higher number of graduates in Fall 2011-Spring 2012 because of the added night/weekend cohort. B. TEACHING MODALITY 1. Enter the number of Distance Education Courses, both fully online and hybrid sections, along Term Fall 2010 No. of DE/ Online Sections 0 Spring 2011 Fall 2011 Spring 2012 Fall 2012 0 0 0 0 Spring 2013 Fall 2013 0 0 No of Hybrid Sections 1 Fulltime Faculty 1 Adjunct Faculty 2. Compare student success in the DE teaching environment with success in the faceto-face teaching environment in the same course. Are there differences? To what do you ascribe the differences in your program? Discuss any other relevant factors regarding diverse teaching modalities and environments, such as specific locations. NRN 30 Pharmacology for Registered Nurses was approved by campus Curriculum Committee to be a hybrid course prior to when it was taught in Fall 2010. In Spring 2014, NVN 131 (now cross-listed as NVN 70/NRN 70) has also been approved as an online/hybrid course. Faculty members have not completed the required training to be on-line instructors. One of the goals for the upcoming year is to have all full time faculty members enroll in approved online training courses for the college so that more approved courses could be taught in this manner. DE courses could be given from either of the campuses; i.e., Alisal, King City, or the main campus by use of live video streaming. Faculty could hold the live class at one of the 7 | Page campuses and rotate each month so that there would be interaction with each group of students at various campuses. 3. Describe the process to change and improve student success in DE courses/sections in your program, and any other relevant factors regarding diverse teaching modalities and environments, such as specific locations. All RN courses are held at the same campus location using the same modality of teaching. Comparisons could be made regarding the outcomes for students who graduated as part of the night/weekend cohort to daytime students during the years 2010-2011, but there was only one cohort and the program did not continue because it was grant-funded. Therefore, with such limited data, it is not useful in determining the future direction of the RN Program. All Full Time Faculty need to attend online training on how to set up online and distance education courses. At the present time, all three campuses in the Hartnell District; i.e., Main Campus, Alisal, and King City, have the necessary equipment for video streaming. Students would have access to a “live” teacher without having to leave their own locality. It would ideal if the faculty of record would rotate campuses each month so that each group would have the benefit of speaking with the instructor face to face. More students would have access to these courses without having the mandatory “cap” set at 3o or 35. C. CURRICULUM Complete the following tables pertaining to courses scheduled for review. Courses Faculty (a) Was the course Date of approval scheduled for member(s) reviewed and (b) taken (or anticipated review during AY responsible for through the curriculum approval) by 2013-14 as coordinating process? Curriculum previously Committee specified Approved by Curriculum N/A Committee November 17, 2011; Review in AY 2014NRN 225-228 Nancy Schur 2015 in regard to curriculum and course completion rates. Janeen 3-27-2014 NRN 99 Yes Whitmore NRN 70 (crossJaneen Yes 3-27-2014 listed Growth & Whitmore Development course from NVN 131) Note: ALL NRN courses were approved in 10/2011 8 | Page Courses scheduled for review during AY 2014-15 Faculty member(s) responsible for coordinating Target semester and year—Fall 2014 and Sp 2015 NRN 50 series Mary Davis Fall 2014 D. OUTCOMES Use your Program Outcome Maps to assist you in this subsection. As you plan your course assessments, keep the higher level program outcome in mind. While course level assessment serves the purpose of examining the teaching and learning for that particular course, it also provides the data that will be viewed collectively for assessment of the associated program level outcomes. PROGRAM LEVEL OUTCOMES 1. Please complete the following tables. List Program level outcome(s) scheduled for assessment as previously specified List Program level outcome(s) scheduled for assessment as previously specified #1: Communicate with clarity, purpose and sensitivity with patients, families, communities, and inter-professional team members #3: Utilize evidence based practice and critical thinking skills when applying the nursing process to the nursing care of patients 9 | Page What changes have occurred in the program/discipline as a result of dialogue? Was the Program Outcome Assessment Summary completed? What changes have occurred in the program/discipline as a result of dialogue? Was the Program Outcome Assessment Summary completed? 1) Revised Portfolio Tool “Professional Communication” for easier use and to incorporate process recording. 2) Added ATI Nurses’ Touch online course with videos of nurse-client communication 3) Arranged faculty training for use of Nurses’ Touch(7/13) 3) Introduced & integrated SimChart (simulated electronic health record) into skills and sim lab courses 4) See Outcome #4 for Diversity Tool 1) Increased complexity in Clinical Reasoning Seminars (CRS) and added scenarios based on QSEN Knowledge, Skills, and attitudes (KSAs). 2) Moved content on EBP from NRN 110 to NRN 41 so that EBP content Only partially— to be completed in Spring 2014 Only partially-- to be completed in Spring 2014 throughout the lifespan. Outcome #9: Demonstrate competence in nursing skills and caring practice at an entry level into the nursing profession in accordance to quality and safety initiatives. 4. Integrate cultural competence in providing holistic nursing care across the lifespan based on knowledge of physical, social, and behavioral sciences. can be tested in NRN 41. 3) Revised/improved library experience using search engines and critiques of EBP research papers. 3) Required EBP articles to be attached to assignment to determine if students understood what an EBP article is. 4) Increased number of EBP-related assignments in all types of courses, e.g., theory, clinical, skills lab, and clinical reasoning seminar. 1) Delineated faculty responsibilities for tracking skills completion 2) Added “#attempts” on competency forms 3) Revised skill point distributions 4) Added skills are earned and addition of consequences for performing skills after the due date 4) Attendance at faculty training in High Fidelity Simulation—these strategies augment acquisition of skills in all settings (skills lab, clinical, and sim lab) 5) All Faculty to continue to integrate Qsen competencies for “safety” into all courses and all semesters. 1) Changed Diversity Portfolio Tool to an interview format rather than looking up religion/culture and comparing to clients current practices. - interview format allows for studentpatient relationship. - Initial response from students was positive. 3) Clinical Daily Collection tool modified to reflect HOW the student adapted their plan of care as a result of the patient’s culture or religious preferences, thus improving communication. Further conversation January 2014: What we found: 100% of students in first and third semester clinical courses achieved outcome. However, the students do not fully appreciate the rationale, relevance, and need for this SLO when providing client care. 50% of students in NRN 43.1 found the 10 | Page Only partially— to be completed in Spring 2014 Yes, January 17, 2014 RN Class of 2012’s 12month Post-grad RN Program Survey 4 strongly agreed and 10 agreed that this Program Outcome was met. (Used comparative tool) RN Class of 2013, a 6month post-grad RN Program Survey, 11 strongly agreed and 4 agreed that outcome was met. (Used interview tool) Increased number of students agreeing that the outcome was met-indicates improved trend diversity tool/interview was “the least useful” compared to all the other required clinical documents. We also looked at the Daily Data Collection document that incorporated the cultural components of providing care; however, the students did not fill in this section nor address the intent of the cultural questions. What our next steps are: 1) Involve adjunct clinical faculty in the Program Evaluation process (done today) for greater appreciation of links between courses and program outcomes, as applied in the clinical setting. 2) Adapt the Diversity Interview to the second semester (childbearing and childrearing) Done Sp 2014 for NRN 42.1. 3) Continue to refine the clinical document so the student can demonstrate and document adaptation of nursing care based on cultural, religious, and developmental background in a quick manner. 4) Use effective guest speakers who can illustrate the relevance and importance of cultural aspects of nursing care in the various semesters of the program. Spring 2014: Done in NRN 44 with palliative care guest speaker; Hospice (4/2014) seminar—grief in adolescents (4/2014) 4) Improve the organization of the clinical portfolios and other clinical documents on the electronic blackboard for easier retrieval. Be sure the students are using the most current version of the portfolio tool/diversity interview tool. Done-Spring 2014 a useful Tool for description of cultures and religions posted on NRN 42.1 electronic blackboard for easy retrieval in the clinical setting. 4) Each semester, lead faculty will explain the use of the Diversity Tool Interview and the importance of this SLO in client care. 5) Pull it from the bottom up—ask for the students’ perspective on culturally 11 | Page competent nursing. 7. Assume responsibility for the promotion, maintenance, restoration, and optimization of health for patients, families, and communities by utilizing the nursing process and a variety of teaching/learning strategies. List Program level outcome(s) scheduled for assessment in AY 14-15 2. Access information required to assess, plan, implement, and evaluate patient care in accordance with legal and ethical standards. 5. Value lifelong learning, continuing education, and accountability for professional practice and development. 6. Advocate for patients, consumers, and the nursing profession through the involvement in healthcare policy and nursing practice. 8. Use the principles of ethical decision-making according to the Nursing Code of Ethics and Patient Bill of Rights when planning care. No, to be completed Spring 2014 Have your course level SLOs needed for this program level outcome been assessed or scheduled for assessment? Yes SLO’s not directly applicable to this PLO; Will need information from graduate surveys too Yes There is no SLO that speaks to advocacy through health policy. Yes 2. Describe how program level outcomes were specifically addressed by the program/discipline during the past year. For example, were data gathered at the course level? Was there review and analysis of the data? How did the discipline faculty engage in discussion? Were any interventions conducted? Are there any plans to make changes to certificate/degree programs or improvements in teaching and student learning? SLO data were gathered on all RN courses taught during the Fall Semester 2013 using the more than one SLO for each course. The Faculty of Record for each course obtained the required data. Next, the faculty of record discussed the results and the data-gathering process with other faculty teaching in the same level (usually 2 full-time faculty for each level). In Faculty meetings designated for this purpose, the results of the SLO’s were discussed with the larger group—this past Fall on December 13, 2013. In January 2014, the SLO results were discussed with full-time AND adjunct faculty (a much larger group) according to specific program outcomes (PLO’s) with a focus on Program Outcome #4. Several other meetings were planned for this process in the Fall 2013 but they were canceled because of campus-wide meetings required for the accreditation process. 12 | Page Program Outcome #4: Integrate cultural competence in providing holistic nursing care across the lifespan based on knowledge of physical, social, and behavioral sciences. What we found: 100% of students in first and third semester clinical courses achieved this outcome. However, the students do not fully appreciate the rationale, relevance, and need for cultural competence when providing “holistic” client care. 50% of students in NRN 43.1 found the diversity tool/interview was “the least useful” compared to all the other required clinical documents. The Daily Data Collection required clinical document that has questions regarding the cultural components of providing care was not consistently filled out. What we plan to do: We plan to emphasize both the cultural section of the Daily Data Collection and the Diversity Interview in all semesters by teaching students and adjunct clinical faculty its importance (as a PLO). In particular, clinical faculty will question students on how care was adapted for the client based on cultural, religious, and developmental factors. What was striking is the response of adjunct clinical faculty who expressed increased awareness of the need to emphasize activities that lead to Program Outcomes. The RN Program faculty has been historically focused on the SLO data and needs to complete the analysis of how the designated SLO’s link to the Program Outcomes—See the previous section for our progress thus far. I would like to see students admitted each semester. We have so many applicants - it is a pity that we can’t take more. Clinical sites may need to be expanded to include more community areas, clinics, outpatient services. We would also need more space to take in more students each semester and more faculty. Bring in an outside consultant (Caputi?) to help revise our curriculum and bring it more up to date. Seek out male instructors for our students in our program and this may help with the retention of our male students. Male students may stay in the program if they have more male nurse role models. Using evidence based practice (PLO#3) and ethical decision making (PLO#8) are also used in clinical, but are evaluated more consistently in the clinical reasoning seminar courses. Valuing lifelong learning (PLO#5) is more difficult to measure within specific courses; however, upon completion of the program, several surveys are sent to the graduating class to determine who is working or returning to school as a measure of lifelong learning. We recognize the need to better integrate nursing informatics throughout the nursing program. The faculty have discussed alternate clinical assignments, homework, or in class assignments with a specific focus on accessing patient information to assess, plan, implement, and evaluate nursing care. We have reviewed and tried several different electronic health records (EHR) from various vendors to find one that suits our needs. In terms of patient advocacy (PLO#6), we have identified that we do not evaluate the full scope of the program outcome. Students advocate for their patient while in the clinical setting (microsystem), however, we do not have any activities aimed at the mesosystem level (advocacy for the consumer or nursing profession) or macrosystem level (involvement in changing healthcare policy). It could be argued that the final project in fourth semester (Image of Nursing) captures advocacy on a mesosystem level. CORE COMPETENCIES 3. Describe how Core Competencies were specifically addressed by the program/discipline during the past year. For example, were data gathered at 13 | Page the course level? Was there review and analysis of the data? How did the discipline faculty engage in discussion? Were any interventions conducted? Are there any plans to make changes to courses or improvements in teaching and student learning? Hartnell College Core Competencies were not assessed in the RN Program this past academic year. The RN course SLO’s link to Program Outcomes which link conceptually very well Hartnell Core Competencies except for asethetic appreciation. No specific data was collected or extrapolated for the college’s core competencies. The course SLO’s have been mapped to the core competencies and program outcomes for the nursing program. As the annual review process becomes more familiar and more ‘intentional’, the SLOs and PLOs will evolve to reflect the college’s core competency statements. Despite the lack of data at the course level, the discipline faculty will be discussing how to integrate the core competencies better, as well as improving SLOs and PLOs as needed during an upcoming faculty retreat. Anecdotally, several of the core competencies are indirectly evaluated as these core competencies are very similar to the outcomes of the nursing program. Hartnell College Core Competencies were not assessed in the RN Program this past academic year. The RN course SLO’s link to Program Outcomes which link conceptually very well Hartnell Core Competencies except for asethetic appreciation. No specific data was collected or extrapolated for the college’s core competencies. The course SLO’s have been mapped to the core competencies and program outcomes for the nursing program. As the annual review process becomes more familiar and more ‘intentional’, the SLOs and PLOs will evolve to reflect the college’s core competency statements. Despite the lack of data at the course level, the discipline faculty will be discussing how to integrate the core competencies better, as well as improving SLOs and PLOs as needed during an upcoming faculty retreat. Hartnell College Core Competency Anecdotally, several of the core competencies are indirectly evaluated as these core competencies are very similar to the outcomes of the nursing program. Nursing Program Outcome 1: Communicate with clarity, purpose and Communication: Students should read, sensitivity with patients, families, communities, and write, speak, and verbally comprehend at a college level. inter-professional team members. 14 | Page 2: Access information required to assess, plan, implement, and evaluate patient care in accordance with legal and ethical standards. Information skills: Students should define information needs, access information efficiently and effectively, evaluate information critically, and use information ethically. 3: Utilize evidenced based practice and critical Critical Thinking: Students should use thinking skills when applying the nursing process to quantitative and logical reasoning to analyze the nursing care of patients throughout the lifespan. information, evaluate ideas, and solve problems. 4: Integrate cultural competence in providing holistic nursing care across the lifespan based on knowledge of physical, social, and behavioral sciences. Personal Growth and Responsibility: Students should develop individual responsibility and personal integrity as well as contribute to their well-being and that of others, their community, and the world. Global awareness: Students should recognize and respect the cultural, economic, social, and political, biological, and interdependence of global life. Aesthetic Appreciation: Students will acquire an appreciation and involvement in the creation or performance of the work of fine arts/music/culture. 5: Value lifelong learning, continuing education, and accountability for professional practice and development. Personal Grow and Responsibility: Students should develop individual responsibility and personal integrity as well as contribute to their well-being and that of others, their community, and the world. 6: Advocate for patients, consumers, and the nursing profession through the involvement in healthcare policy and nursing practice. Global awareness: Students should recognize and respect the cultural, economic, social, and political, biological, and interdependence of global life. 7: Assume responsibility for the promotion, maintenance, restoration, and optimization of health for patients, families, and communities by utilizing the nursing process and a variety of teaching/learning strategies. Personal Grow and Responsibility: Students should develop individual responsibility and personal integrity as well as contribute to their well-being and that of others, their community, and the world. 8: Use the principles of ethical decision-making according to the Nursing Code of Ethics and Patient Bill of Rights when planning care. Personal Grow and Responsibility: Students should develop individual responsibility and personal integrity as well as contribute to their well-being and that of 15 | Page others, their community, and the world. 9: Demonstrate competence in nursing skills and caring practice at an entry level into the nursing profession in accordance to quality and safety initiatives Personal Grow and Responsibility: Students should develop individual responsibility and personal integrity as well as contribute to their well-being and that of others, their community, and the world. COURSE LEVEL STUDENT LEARNING OUTCOMES 1. Please complete the following tables. List courses scheduled for SLO assessment (in 2013) In what term was the course assessed? Was the Course Assessment Summary Report completed? NRN 110 NRN 41 NRN 41.1 NRN 41.2 Fall 2013 Fall 2013 Fall 2013 Fall 2013 Yes Yes Yes Yes NRN 41.3 Fall 2013 Yes NRN 30 Fall 2013 Yes NRN 42 NRN 42.1 NRN 42.2 NRN 42.3 Sp 2013 Sp 2013 Sp 2013 Sp 2013 Yes Yes Yes Yes NRN 43 NRN 43.1 Fall 2013 Fall 2013 Yes Yes NRN 43.2 Fall 2013 Yes NRN 43.3 NRN 44 Fall 2013 Sp 2013 Yes Yes NRN 44.1 NRN 44.2 Sp 2013 Sp 2013 Yes Yes NRN 50.41 Fall 2013 Yes NRN 50.42 NRN 50.43 Sp 2012 Fall 2013 Yes Yes NRN 50.44 Sp 2013 Yes NRN 225 Fall 2013 Yes NRN 99 Sp 2013 Yes 16 | Page List courses scheduled for SLO assessment in AY 2014-15 Faculty member(s) responsible for coordinating Target semester and year— Fall 2014 or Sp 2015 NRN 110 Mary Cousineau Fall 2014 NRN 30 NRN 41.1 Mary Cousineau Mary Cousineau Fall 2014 Fall 2014 NRN 41.3 Toni Gifford Fall 2014 NRN 42.1 NRN 42.3 Mary Cousineau Toni Gifford Spring 2015 Spring 2015 NRN 43.1 Barbara Durham Fall 2014 NRN 43.3 Barbara Durham Fall 2014 NRN 44 NRN 44.1 Barbara Durham Barbara Durham Spring 2015 Spring 2015 NRN 225, NRN 226, NRN 227, and NRN 228 Nancy Schur Fall 2014 & Spring 2015 NRN 50 series Mary Davis Fall 2014 & Spring 2015 NRN 99 NRN 70 (new course for RN’s crosslisted with NVN 170) Janeen Whitmore Janeen Whitmore Spring 2015 Fall 2014 & Spriing 2015 Describe course level assessments results and how they will influence your plans moving forward. NRN 110 NRN 41 NRN 41.1 NRN 41.2 NRN 41.3 NRN 30 NRN 42 NRN 42.1 NRN 42.2 17 | Page In Fall 2014 reduce number of Monday afternoon classes; students lose interest in ACE conflict resolution strategies once nursing courses have started; eventually decrease units to ~ 1.3 from 1.5 units Distribute teaching responsibilities to ensure logical flow of content and balanced teamteaching approach Consider additional part-time clinical faculty to manage out-rotations and larger clinical groups; refine and revise clinical tools and evaluations according to level/semester Increase depth and complexity of scenarios; continue self-eval rubric Continue sim lab experiences in skills lab; improve scenarios for competency testing; implement & evaluate various simulated or actual (agency-specific) EHR’s in skills/sim lab Add online Adaptive quizzing with textbook for practice of pharm NCLEX-style questions to be assessed Sp 2014 to be assessed Sp 2014 to be assessed Sp 2014 NRN 42.3 to be assessed Sp 2014 NRN 43 Plan on continuing to use the ATI assessments to support content being taught. Moving forward, student support to better utilize the focus review for specific topics will be developed. Low scoring areas on the Pharmacology and Mental Health assessments will be incorporated into lecture next year. Care plans and clinical paperwork are continually being revised based on student feedback to improve the quality of the forms. The SLOs for this course need to be reviewed for meaningfulness and relevance to program outcomes and core competencies. The clinical reasoning seminar course have been evolving over the last few semesters. The self-evaluation rubric has had many iterations while trying to find one that is most useful. Based on a specific learning activity (SBAR communication), students need more class time focused on learning the essential components of professional communication. Also, rubrics for skill competence and confidence were reintroduced. Moving forward, it is clear that all full and part time faculty need to have some “inter-rater reliability” in terms of grading the skills competencies. NRN 43.1 NRN 43.2 NRN 43.3 NRN 44 NRN 44.1 to be assessed Sp 2014 to be assessed Sp 2014 NRN 44.2 to be assessed Sp 2014 NRN 50.41 NRN 50.42 NRN 50.43 Orientation activity completed; provide additional information about activities completed in Open Lab to be assessed Sp 2014 Orientation activity completed; provide additional information about activities completed in Open Lab NRN to be assessed Sp 2014 50.44 Needs further analysis regarding student needs for content review (cognitive vs. affective NRN domain). New SLO using progress using ATI Learning Systems questions to be 225 implemented in Fall 2014. NRN 99 NRN 99 curriculum revised/approved with a new SLO to measure confidence in the work setting rather than completion of required hours. Plan to expand nurse residency to more community and acute settings based on positive employer feedback.. 4. Describe assessment activities that need to be strengthened or improved. What are the challenges to achieving these improvements? [Begin response here] Improvements in Assessment activities: ● Implement better methods of assessment of Success Courses (NRN 225, 226, etc.) ● Research factors leading to attrition of men in RN Program ● Correlate students’ scores on ATI proctored exams with Hartnell faculty course written exams 18 | Page Challenges in achieving these improvements: ● Time for research ● Need statistician to help with interpretation of data ● Desire to re-phrase SLO statements to “close the loop” vs. keeping SLO statements the same as data are entered into eLumen. ● PREVIOUSLY SCHEDULED ACTIVITIES This subsection focuses on activities that were previously scheduled. An activity can address many different aspects of your program/discipline, and ultimately is undertaken to improve or enhance your program/discipline, and keep it current. * For each activity that will continue into AY 2015-16 and that requires resources, submit a separate resource request in Section III. 1. Evaluate the success of each activity scheduled, including activities completed and those in progress. What measurable outcomes were achieved? Did the activities and subsequent dialogue lead to significant change in student learning or program success? Activity #1: Faculty Collaboration All faculty are better informed about local, state and national regulations, requirements, and trends when providing information in lecture courses for students and in anticipating curricular changes. Faculty have shared how to complete integrate technology and simulation in various types of nursing programs. Faculty have shared specific organizing approaches for nurse residency programs, program evaluation, and coordination of clinical space and experiences. Activity #2: High Fidelity Sim Lab High Fidelity Simulation Lab has been implemented in various ways in “regular” nursing courses including clinical, skills lab, and clinical reasoning seminars and also in elective simulation classes. In order for further integration to occur, there needs to be defined faculty responsibility and more space provided. In order for program outcomes in simulation to be measured consistently, there needs to be clear faculty responsibility for simulation activities assigned. We have progressed as far as possible under the present type of “organization.” (see barriers). Simulation is appreciated by both faculty and students with anecdotal evidence of its impact on learning outcomes. We need more space for coordination of Inter-professional Sim Lab experiences—each program has different schedules. Many faculty (include percentage of full/part time???) have attended training on simulation in order to increase utilization of simulation in different learning environments. The need to develop improved evaluation measures of simulation (now that sim is being used more often and by more faculty) is now a new activity for 2014-2015. Activity #3: SMART Classrooms SMART classroom needs are managed by collaboration of IT, AV, and the nursing and allied health department. Further discussion needed to determine which costs belong to the Nursing and Allied Health. Activity #4: ACEN Accreditation The faculty submitted a Candidacy Report in June 2013 which recommended revisions. The faculty are in the process of writing the subsequent report to be re-submitted in June 2014. 19 | Page Activity #5: Interprofessional Education During the first week of the semester, all students from the RN (2nd and 4th semester) and RCP programs collaborate to review previously taught skills and teach new skills. Outcome #9 related to Skill development is strengthened because students are more engaged in learning when having to teach others. This might be measured in SLO’s and course evaluations in clinical and Skills lab courses, as well as in the graduates’ Program Evaluations. Activity #7: Reduce units in RN Program--changed to NEW Activity for AY21-4-2015 Activity #6: Space Issues In Nursing and Allied Health Department Solving space issues is a long-term fix. In-between solutions include providing additional space the B Building and construction for temporary solutions. A college-wide solution is needed. in Activity #8: Improve first semester attrition Despite Multi-criteria Factors in the admissions process which gave credit to TEAS scores in addition to GPA, 9 students withdrew or failed during the first semester. 3 of the 4 students from CSUMB were in this group and a disproportionate amount of men. In order to lessen the impact of exam and quiz scores as the sole criterion for passing theory courses (NRN 41 and NRN 30), students were given opportunity to earn points from homework and high scores on ATI proctored exams. Activity #9: Mentor New faculty and develop/retain Master’s level faculty One new full-time faculty and 4-5 new adjunct were hired in AY 2013-2014. Adjunct faculty have been evaluated for the first time ever in AY 2013-2014; Adjunct Faculty have been given opportunities to “grow” by lecturing and/or contributing to creation of clinical documents and nursing case studies, and taking part in program evaluation process. 1 Full-time faculty achieved approval for continuing in the second year of the tenure process. The hiring process has been streamlined and some barriers have been overcome in regard to orientation to clinical facilities. The new full-time faculty has attended local and national educational conferences and has worked closely with her peer-mentor and the Dean in improving her teaching. The RN program needs a new faculty who is specialized in psychiatric nursing. Clinical faculty are always needed. A competitive salary is needed for recruitment of these faculty. Activity 10#: Implement Electronic Health Records in all courses The implementation of a simulated EHR called SimChart was difficult due to steep learning curve for faculty with its implementation. Secondly, its value was not clear to Sim faculty and to the second year faculty. Students did not value this product as it was perceived as extra busy work. The faculty plan to trial another simulated EHR product in Fall 2014. The faculty realize that informatics needs to be fully integrated into the Hartnell RN Program to meet qsen objectives and expected standards of practice in the Affordable Care Act environment. “Meaningful use” of patient data has been mandated by federal law and nurses will be more involved in technology in the future. III. ANNUAL ACTION PLAN This section must be completed for ALL academic programs, whether scheduled for annual or comprehensive review in spring 2014. A. NEW ACTIVITIES This subsection addresses new activities for, and continuing new activities into, AY 2015-16. An activity can address many different aspects of your program/discipline, and ultimately is undertaken to improve, enhance, and or keep your program/discipline area current. A new activity may or may not require additional resources. Activities can include but are not limited to: 20 | Page ● ● ● ● ● ● ● ● ● ● NEW CURRICULUM FURTHER DEVELOPMENT OF THE PROGRAM OR SERVICE GRANT DEVELOPMENT AND PROPOSALS FACULTY AND STAFF TRAINING MARKETING/OUTREACH ENROLLMENT MANAGEMENT STUDENT SERVICES ADMINISTRATIVE SERVICES SUPPORT OPERATIONS FACILITIES 1. List information concerning new projects or activities planned. Please keep in mind that resources needed, if funded, would not be approved until spring 2015 and provided until FY 2015-16. Ongoing activities involving resources that will no longer be available from grant funds starting FY 2015-16 must be planned for appropriately. Activity Strate gic Plan Goal(s ) No. & Letter (e.g., 5A)* Related Courses, SLOs, PLOs, or goals Desired Outcome(s) Resources Needed 2A, 4B New AY 20142015:Redes ign NRN 50 courses for more effective and efficient learning (and lower units from 0.5 to 0.3) NRN 50.41, NRN 50.42, NRN 50.43, NRN 50.44 And their SLOs; Program Outcome #9 Increased student success and access. Increased student satisfaction with course resources and teaching methodologie s Quantitative and qualitative statistical data related to a correlation between Faculty Planning time New AY 20142015Evalua te Simulation —whether it leads to change in student behaviors 21 | Page 2A, NRN 41.1 and 2B, 5A 41.3, NRN 42.1 and 42.3, NRN 43.1 and 43.3, NRN 44.1, and NRN 99 and their Person Estimat Responsi ed Date ble of Complet ion (can be more than one year in length) Complet Mary Davis for e Spring curriculu 2014 m and revision; Implem all ent in faculty Fall in planning 2015 process Full time Sim Lab Coordinator, Research analyst support B. Durham Spring 2015 Comme nts that lead to change in patient outcomes SLO’s; Program Outcomes #1, 4, 6, 7, 9 simulation instruction and measurable changes in student behaviors New AY 5A, 4C 20142015Revise Competency checklists and scenarios to incorporate bar coding and CPOE and increase critical thinking NRN 50.41 NRN 50.42 NRN 50.43 NRN 50.44 Updated, clinically relevant skills lab experiences Prof. Expert time $2400.00 B. Samano Curricular Realignment with BSN requirements , transfer model curricula, and ACEN standards (including reductio of units) Consultant $12,000 Fall M. Cousinea 2015 u All faculty New AY 20142015Progra m Curricular Revision 6. Contin uing Activit y AY 20132014 Incorporate High Fidelity 22 | Page 2A, 2B All NRN courses RN Program Outcomes Spring 2015 All RN courses last approve d by Campus Curricul um Commit tee in Fall 2011. Due for revision by Fall 2016. Simulati on across all courses and disciplin es Continuin g Activity AY 20132014 Achieve AC EN accreditatio n and continued BRN accreditatio n approval 6A 7. Contin uing Activit y AY 20132014 Foster Student success in first semeste r 2A, 2B RN program Outcomes, and SLO’s for NRN 41, 41.2, 41.1, 41.3, 50, 41, 30 80% Completion Rate for RN Program; 8. 2A, RN program 2B, 3B Outcomes, and all RN courses Satisfied faculty (?); Faculty retention; 1-2 Adjunct clinical faculty obtain BSN degree; Adjunct faculty feel they are valuble ; Full-time faculty achieve Contin uing Activit y AY 20132014M entor new faculty and retain Master’s level faculty 23 | Page RN Program Outcomes ACEN accreditation BRN approval without recommenda tions $8,000 accrediting team costs J. Spring Whitmor 2015 e: lead ACEN $3,000 report D. editing fee Kaczmar : lead BRN Spring 2015 All faculty less than 5% attrition for Class of 2015 in second year Research; Workshop: a bout technology:et udes, ATI, pageburst; Offer Nursing Math Academy M. Spring Cousinea 2016 for u incomin g class “Class of 2016” Faculty Training: 1 adjunct to ACE FELI June 2014 ($2500) 2 Adjunct Faculty: Sim intensive training ($2000) 3. extra $ for meetings or training with full-time faculty ? M. Cousinea u; Desginat ed Peer Mentors tenure 9. Contin uing Activit y AY 20132014 Implement Electron ic Health Record in all courses 2A, RN Program 2B, 4C outcomes; National practice stanadards (qsen=inform atics) * See Appendix A for a list of the 11 goals in the college’s Strategic Plan. 24 | Page *** Please complete this page for each new activity. *** 1. This item is used to describe how the new activity, or continuing new activity, will support the program/discipline. Consider: ● Faculty ● Other staffing ● Facilities ● Equipment (non-expendable, greater than $5,000), supplies (expendable, valued at less than $5,000), ● Software ● Hardware ● Outside services ● Training ● Travel ● Library materials ● Science laboratory materials a) Describe the new activity or follow-on activity that this resource will support. [Begin response here] b) Describe how this activity supports any of the following: 1) Core Competency 2) Program level Outcome 3) Course level Outcome 4) Program/Discipline Goal 5) Strategic Priority Goal [Begin response here] c) Does this activity span multiple academic years? YES NO If yes, describe the action plan for completion of this activity. [Begin response here] d) What measureable outcomes are expected from this activity? List indicators of success. [Begin response here] e) What are the barriers to achieving success in this activity? [Begin response here] 25 | Page B. RESOURCE REQUESTS If new/additional resources are needed for your program/discipline, it is important that you identify them and project their cost, and that these resources and costs be considered through the College’s integrated planning (governance, budget development, funding decision making, and resource allocation) processes. A resource is likely to be something needed to support an activity that you have identified in IIIA. above, in which case you must link the resource with a specific activity number (first column below). ). All resource requests completed in the various columns of a specific row must be linked to the new or continuing activity numbered on the first column of that same row. A resource could also be something necessary for your program/discipline to function properly to improve student learning, such as updated equipment in a classroom; in such case be sure to note that the resource is NOT tied to a specific activity. Activity No. Personnel Classified Staff/ Faculty (C/F/M)* 2. High Fidelity Sim (from AY 20132014) F to Run Sim Lab: $89,000 + benefits 4. ACEN Accreditati on (from AY 20132014) C: $10,000 for accreditation support 26 | Page Supplie Techno s/ logy Equip Hardw ment are/ (S/E)* Softwar * e (H/S)* ** Contract Services ACEN accreditatio n costs and /or consultant with curriculum revision: $1 0,000 (from 2013) Traini ng Trav el Traini ng of Adjun ct Facult y in Sim Lab 3 x $900= $2700 (cost of Sim course at SJSU) Trav el mon ey for Sim cour ses Librar y Mater ials Scie nce Labs Projec ted Costs $91,7 000 $10,0 00 5. Interprofes sional education (from previous AY 20132014) F: P/T $14,300 8. Foster Student Success in First Semester ( from previous AY 20132014) F part-time for extra workshops 9. Mentor new faculty and retain Master’s level faculty (previous year 20132014) F part-time for training in simulation and ACE course methods/exp erience 27 | Page F Full-time faculty (8 Stipends) Supplie s for teachin g? More trainin g? Contract services: Research; Workshop: about technology —etudes, ATI, pageburst; Offer Nursing Math Academy Facult y Traini ng: Men in nursin g needs and teachi ng strateg ies; Pay for male studen ts to attend Semin ars for Men in Nursin g Facult y Traini ng: 1 adjunc t to ACE FELI June 2014 ($250 0) 2 Adjun ct $175 SVM H Facult y: Sim intensi ve trainin g ($200 0) 3. extra $ for meeti ngs or trainin g with fulltime faculty 10. Implement EHR throughout RN Program Equip ment $6,000 (?) for DocuC are startup and barcodi ng Contract Services for Docucare * Personnel: Include a C, F, or M after the amount to indicate Classified Staff, Faculty, or Manager. ** S for Supplies, E for Equipment. If additional supplies, for example, are needed for ongoing activities, this should be requested through the budget rollover process. *** H for Hardware, S for Software. * Personnel: Include a C, F, or M after the amount to indicate Classified Staff, Faculty, or Manager. ** S for Supplies, E for Equipment. If additional supplies, for example, are needed for ongoing activities, this should be requested through the budget rollover process. *** H for Hardware, S for Software. 28 | Page APPENDIX A. Strategic Priorities & Goals (from Hartnell College Strategic Plan 2013-2018) Priority 1: Student Access Goal 1A: Hartnell College will provide higher education, workforce development, and lifelong learning opportunities—with seamless pathways—to all of the college’s present and prospective constituent individuals and groups. Priority 2: Student Success Goal 2A: Hartnell College will provide a supportive, innovative, and collaborative learning environment to help students pursue and achieve educational success. Goal 2B: Hartnell College will provide a supportive, innovative, and collaborative learning environment that addresses and meets the diverse learning needs of students. Priority 3: Employee Diversity and Development Goal 3A: Hartnell College is committed to 1) increasing diversity among its employees; 2) providing an environment that is safe for and inviting to diverse persons, groups, and communities; and 3) becoming a model institution of higher education whose respect for diversity is easily seen and is fully integrated throughout its policies, practices, facilities, signage, curricula, and other reflections of life at the college. Goal 3B: To attract and retain highly qualified employees, Hartnell College is committed to providing and supporting relevant, substantial professional development opportunities. Priority 4: Effective Utilization of Resources Goal 4A: To support its mission, Hartnell College is committed to the effective utilization of its human resources. Goal 4B: Hartnell College is committed to having its physical plant, furnishings, and grounds maintained and replaced in a planned and scheduled way to support learning, safety, security, and access. Goal 4C: Hartnell College will maintain a current, user-friendly technological infrastructure that serves the needs of students and employees. Goal 4D: Hartnell College is committed to maximizing the use and value of capital assets, managing financial resources, minimizing costs, and engaging in fiscally sound planning for future maintenance, space, and technology needs. Priority 5: Innovation and Relevance for Programs and Services Goal 5A: Hartnell College will provide programs and services that are relevant to the real-world needs of its diverse student population, while also developing and employing a culture of innovation that will lead to improved institutional effectiveness and student learning. Priority 6: Partnership with Industry, Business Agencies and Education 29 | Page Goal 6A: Hartnell College is committed to strengthening and furthering its current partnerships, in order to secure lasting, mutually beneficial relationships between the college and the community that the college serves. 30 | Page