A TMCC COURSE ASSESSMENT REPORT (CAR) Revised 08/01/2011 Course Prefix, Number and Title: Nurs 170 ScbooVUnit: TMCC Maxine S. Jacobs Nursing Department Submitted by: Joy Alverson Contributing Faculty: Cindy Stone Academic Year: Spring 2015 Complete and electronically submit your assessment report to your Department Chair/Coordinator/Director. As needed, please attach supporting documents and/or a narrative description of the assessment activities in your program or discipline. Course Outcomes In the boxes below, summarize the outcomes assessed in your course during the year. Assessment Measures Assessment Results In the boxes below, summarize In the boxes below, summarize the methods used to assess course the results of your assessment outcomes during the last year. activities during the last year. Page I Use of Results Effect on Course In the boxes below, summarize how you are or how you plan to use the results to improve student learning. Based on the results of this assessment, will you revise your outcomes? If so, please summarize how and why in the boxes below: A TMCC COURSE ASSESSMENT REPORT (CAR) Course Prefix, Number and Title: Nurs 170 School/Unit: TMCC Maxine S. Jacobs Nursing Department Submitted by: Joy Alverson Contributing Faculty: Cindy Stone Academic Year: Spring 2015 Course Outcomes Assessment Measures Assessment Results Outcome #I Page 2 Use of Results Effect on Course A TMCC COURSE ASSESSMENT REPORT (CAR) Course Prefix, Number and Title: Nurs 170 SchooVUnit: TMCC Maxine S. Jacobs Nursing Department Submitted by: Joy Alverson Contributing Faculty: Cindy Stone Academic Year: Spring 2015 Course Outcomes Integrate and apply patient data to safely manage care within the interdisciplinary health care team for positive patient outcomes. Assessment Measures Ability will be measured by examination and quiz questions against predetermined standards and by a published clinical performance evaluation tool. Assessment Results Use of Results Effect on Course Students were able to create and implement a safe and effective plan of care for the patients in the clinical and skills lab setting. The students were also able to transfer their knowledge to satisfactorily complete exam questions based on safely managing care and identifying patient outcomes. All students (28) were successful in passing this course. Exam Averages for Spring 2014 Exam #1: 81.71 Exam #2: 83.21 Exam #3: 86. 79 Exam #4: 85.52 HESI : 89.05 Focus will continue on the specific exemplar diseases for this class. Utilize the CPET still in the clinical setting and exams in the academic class. Stress to the students how the specific concept taught in the academic setting is realized in the clinical setting. Knowledge of the concept can then be transferred to new disease processes not taught in the academic class. This broadens the students' experiences and knowledge base for clinical care. All exam questions are reviewed for robustness and validity to reflect concepts taught in the theory portion. In the fall of2014, a curriculum change was implemented where theory hours decreased from 5 hours to 4 hours of theory instruction. Also concepts were deleted and hours of instruction for certain concepts were adjusted. For example F & E and Acid/Base were decreased from IO hours of instruction to 8 hours of instruction. This may have affected exam score as seen in the comparison of the assessment results. In reviewing the decrease in the exam results instructors will continue to present a broader approach and not provide a too narrow focus on concept information. Review of exams focuses attention on areas needing improvement. This allows instructors to tailor lecture, case studies, and other fonns of instruction to recognized areas that need improvement. Examinations reflect a downward trend. HESI exam reveals above average compared to other schools of nursing across the country. Exam Averages for Spring 2015 Exam #1: 81 Exam #2: 80.79 Exam #3: 85.79 Exam #4: 88 HESI: 80.70 Page3 HESI results are reviewed to ascertain areas that need improvement. This semester reflected improvement especially in OB, where previous scores were lower. Modify exam questions to reflect broader concept based learning instead of narrow learning. This goes along with NCLEX exam questions. A TMCC COURSE ASSESSMENT REPORT (CAR) Course Prefix, Number and Title: Nurs 170 SchooVUnit: TMCC Maxine S. Jacobs Nursing Department Submitted by: Joy Alverson Contributing Faculty: Cindy Stone Academic Year: Spring 2015 Course Outcomes Outcome# 2 Communicate effectively with patients, family members and interdisciplinary team members. Assessment Measures Ability will be measured by a published clinical perfonnance evaluation tool. Assessment Results All 28 students met the criteria of a total of 154 points or better on the CPET and passed both OB and Med-Surg clinical components to progress to Nursing 202. Passage of CPET demonstrates that students have effective communication skills which are a necessity to care for patients in the clinical setting. Students realize that poor communication can lead to poor patient outcomes or a problem that will impact a patient directly. HESI exam: Communication was below average in interprofessional communications. On HESI exam only 2 questions were asked relating to this area, so results are not true indicators of student communication abilities. Page4 I Use of Results Students communicated verbally with the clinical instructors and hospital staff effectively to express the patient situation and what the students would do for and about patient problems. Students also communicated in the written fonn with the use of the concept map in the clinical setting. This is a written picture of the patient's history and problems that were encountered in the clinical setting. Another assessment tool for communication is the Skills lab simulations. Students are given the opportunity to communicate with a simulated physician and other simulated hospital personnel. These are observed with feedback given specifically to the primary RN and the other members of the team thru verbal and a written feedback sheet. Each student will be the primary RN at least once during the semester. I Effect on Course All instructors will continue to improve our communication skills to become role models for the students. Instructors in skills lab reinforce communication skills in a safe environment, ex: calling the physician (using an SBAR communication tool for clear concise relay of infonnation), speaking to family members and direct communication with other persons within the simulation such as an RN, CNA, patient and other staff members. Review of the HESI results on communication has shown that the importance of communication skills needs to be continually stressed and reinforced in the clinical and simulation environment. These conclusions are disseminated to all involved faculty in theory and clinical. A TMCC COURSE ASSESSMENT REPORT (CAR) Course Prefix, Number and T itle: Nurs 170 School/Unit: TMCC Maxine S. Jacobs Nursing Department Submitted by: Joy Alverson Contributing Faculty: Cindy Stone Academic Year: Spring 201 5 Course Outcomes Outcome #3 Demonstrate professional responsibility for safe medication administration. Assessment Measures Assessment Results Use of Results Eff'ec& on Course Ability will be measured by calculation questions on examinations and quizzes and by a published clinical perfonnance evaluation tool. All students were able to pass the MAPES exam with I00%. The use of HESI for the MAPES practice and testing was effective. Students were able to provide safe medication administration in the clinical and skills lab settings. Exams will continue to have a math component to keep students up on math skills. The CPET will continue to have a •4 item on medication calculations and administration to provide safe care to patients. Math calculations will continue to be incorporated into the skills labs for this course. Will continue to stress the 3 checks and 7 rights of medication administration for all students to follow. This has been an effective way to teach students the importance of consistent and careful medication administration. Clinical opportunities for medication administration will continue to be recognized and utilized for student ]earning. Please enter your name and date below to confinn you have reviewed this report: Title Name Date Department Chair/Coordinator/Director 7- I-/;> Dean 6"' '/,,,, I .j_.,,- Vice President of Academic Affairs and Student Services Page 5 /bJif.µ)el. 71~ ~ 0'~