Austin Community College
Associate Degree Nursing Program
Systematic Plan of Evaluation (SPE)
Standards & Criteria
(revised: 3/29/2016)
To be complete SPE for 2015-2016 school year, to be reported on in May 2016
Standard 1: Mission and Administrative Capacity
The mission of the nursing education unit reflects the governing organization’s core values and is congruent with its mission/goals. The governing organization and
program have administrative capacity resulting in effective delivery of the nursing program and achievement of identified program outcomes.
Criterion 1.1: The mission/philosophy and outcomes of the nursing education unit are congruent with the core values and mission/goals of the governing organization.
Expected Level of Achievement (ELA):

The mission/philosophy and outcomes of the nursing education unit are congruent with the core values and mission/goals of the governing organization
Component
Documentation
Responsibility
Mission
ADN Home Page
Curriculum Committee
Philosophy
ADN Faculty Handbook
Outcomes
(http://www.austincc.edu/health/r
nsgfac/resources.php)
ADN Student Handbook
(http://www.austincc.edu/health/r
nsg/handbooks.php)
Frequency Cycle
Annually (May)
Assessment Method
Review of ADN Faculty
Handbook
Review of ADN Student
Handbook
Review of ACC Catalog &
Website
ACC Catalog & Web Site
http://www.austincc.edu/catalog
Report of Data
Component
Actions
Results
Development, Maintenance, Revision
Mission & Philosophy and
Outcomes
1
Standard 1: Mission and Administrative Capacity
Criterion 1.2: The governing organization and nursing education unit ensure representation of the nurse administrator and nursing faculty in governance
activities; opportunities exist for student representation of governance activities.
Definitions:

College definition of governance: A system of decision-making processes in which trustees, administrators, faculty, staff, and students advance the
mission, goals, and values of the college through appropriate collaboration.

Nursing program definition of governance: The process of guiding the actions of the faculty, staff, and students associated with the nursing program
in order to meet the outcomes of the program and its members while ensuring quality and consistency.
Expected Level of Achievement (ELA):
Nurse Administrator:

The nurse administrator participates in governance activities.
Faculty:

25% of full-time nursing faculty participate on college-wide committees

100% of full-time nursing faculty participate on ADN committees
Students:

100% of the ADN standing committees (Educational Resources, Curriculum Committee, Admissions Committee) have student representation in
accordance with the ADN Faculty By-Laws

75% of currently enrolled students will complete course evaluations
Component
Nurse Administrator
Documentation
ADN Committee Minutes
Responsibility
Accreditation Committee
Frequency Cycle
Annually (May)
Department Chair
Faculty
ADN Committee Minutes
Faculty Data Forms
ADN Faculty Survey
Accreditation Committee
Annually (May)
Assessment Method
Review of ADN Committee
Minutes
From the ADN Faculty Survey,
tabulate percentage of faculty
serving on:
 college-wide committees
or
 task force ADN
committees
2
Students
ADN Committees Minutes
Accreditation Committee
Course & Program Evaluations
Annually (May)
Assessment of faculty committee
minutes indicating student
representation on ADN
committees
Response rate on course &
program evaluations
Report of Data
Component
Actions
Results
Development, Maintenance, Revision
Nurse Administrator
Faculty
Students
3
Standard 1: Mission and Administrative Capacity
Criterion 1.3: Communities of interest have input into program processes and decision making.
Definitions:

Communities of interest- Persons, groups, agencies, and organizations that influence the mission, services, and graduates of the nursing education unit.
(examples include: employers, students)

Healthcare Workforce Alliance of Central Texas- is an industry-led and community sponsored group that exists to collectively address the workforce
needs of the healthcare industry in the Greater Austin community.
ADN Advisory Committee - The Associate Degree Nursing Department Advisory Committee is composed of recognized leaders in the field in Austin
Community College’s service area. Members convene regularly to offer their combined expertise to influence the curriculum structure and instructional
methods of the Nursing program.
Associate Degree Nursing Student Association - to serve as the pre-professional organization for future nurses


Expected Level of Achievement (ELA):
 The ADN program will have advisory committee meetings bi-annually with representation of persons and groups from community agencies,
organizations, and educational institutions
 The ADN program will provide bi-annual information sessions, open to the community allowing for input from prospective students and the public
 The Program will have representatives attend HWACT quarterly meetings and ad hoc clinical scheduling meetings
Component
Documentation
Responsibility
Frequency Cycle
Assessment Method
4
Communities of
Interest
HWACT committee meeting Minutes
Advisory committee meeting minutes
Correspondence from THECB & BON
(electronic & written notifications)
Admissions
Annually (May)
Review of advisory committee &
HWACT meeting minutes
Review of advisory committee
minutes
Review of correspondence from the
THECB and BON.
Review of ADNSA minutes
ADNSA meeting minutes
http://www.austincc.edu/health/rnsg/a
dnsa.php
Report of Data
Component
Actions
Results
Development, Maintenance, Revision
5
Communities of
Interest – Health
Workforce Alliance of
Central Texas
(HWACT)
http://www.healthcare
workforceallianceofce
ntraltexas.org/
Texas Board of
Nursing (TBON)
Texas Higher
Education
Coordinating Board
(THECB)
Advisory Committee
Meeting Minutes
ADNSA
Prospective Nursing
Students
6
Standard 1: Mission and Administrative Capacity
Criterion 1.4: Partnerships exist that promote excellence in nursing education, enhance the profession, and benefit the community.
Definition:

Partnership- An agreement (formal relationship) between a nursing education unit/governing organization and an outside agent/agency to accomplish
specific objectives and goals over a period of time. This does not include clinical agreements for student learning experiences required by the nursing
program.
Expected Level of Achievement (ELA):

100% of the community partnerships are current, active and benefit the community
Component
Partnerships
Documentation
Partnership Agreements
Faculty Survey
Responsibility
Accreditation Committee
Spring & Fall
(May & December)
Report of Data
Component
Frequency Cycle
Assessment Method
Review Bi-annual Faculty
Survey for Events attended
Actions
Results
Development, Maintenance, Revision
Partnerships
Partnerships that are
current, active and
benefit the community:
7
Standard 1: Mission and Administrative Capacity
Criterion 1.5: The nursing education unit is administered by a nurse who holds a graduate degree with a major in nursing.
Expected Level of Achievement (ELA):

100% compliance with qualifications & responsibilities designated by the college position description and the BON rules & regulations:
- Master’s degree in Nursing
- Current licensure as a registered nurse in the state of Texas
Component
Qualifications
Documentation
Responsibility
Personnel File
Department Chair
Frequency Cycle
Annually (May)
Assessment Method
Review of Faculty Data Form
ADN Faculty Data Form
Review of Personnel File
Department Chair CV
Review license verification
on BON website.
License verification from BON
website
(https://www.bon.state.tx.us/olv/
rninq.html)
Report of Data
Component
Results
Actions
Development, Maintenance, Revision
Qualifications
8
Standard 1: Mission and Administrative Capacity
Criterion 1.6: The nurse administrator is experientially qualified, meets governing organization and state requirements, and is oriented and mentored to the role.
Expected Level of Achievement (ELA):

100% compliance with qualifications & responsibilities designated by the college position description and the BON rules & regulations:
- Master’s degree in Nursing
- Current licensure as a registered nurse in the state of Texas

The nurse administrator is oriented and mentored to this role
Component
Qualifications
Documentation
Responsibility
BON & ACC qualifications
Department Chair
Frequency Cycle
Annually (May)
Assessment Method
Review of BON & ACC
qualifications
ADN Faculty Data Form
Review of Faculty Data Form
Personnel File
Review of Personnel File
License Verification from BON
website
Review license verification on
BON website.
(https://www.bon.state.tx.us/olv/
rninq.html
Oriented and Mentored
College wide Deans &
Department Chair meetings
Department Chair
Accreditation Committee
Annually (May)
Review of ADN Nurse
Administrator Survey
Health Science Department
Chair
Actions
Report of Data
Component
Results
Development, Maintenance, Revision
Qualifications
Oriented and Mentored
9
Standard 1: Mission and Administrative Capacity
Criterion 1.7: When present, nursing program coordinators and/or faculty who assist with program administration are academically and experientially qualified.
Expected Level of Achievement (ELA):

Nursing program coordinators and/or faculty who assist with program administration are academically and experientially qualified
Component
Coordinators & Qualifications
Documentation
Responsibility
Personnel File
Assistant Department Chair
Annually (May)
Assessment Method
Review of Personnel File
ADN Faculty Data Form
Review of ADN Faculty Data Form
Program Coordinator CV
Review of Program Coordinator CV
License verification from BON
website
Review of License verification from
BON website
(https://www.bon.state.tx.us/olv
/rninq.html)
(https://www.bon.state.tx.us/olv/rninq.
html
Report of Data
Component
Frequency Cycle
Actions
Results
Development ,Maintenance, Revision
Coordinators & Qualifications
10
Standard 1: Mission and Administrative Capacity
Criterion 1.8: The nurse administrator has authority and responsibility for the development and administration of the program and has adequate time and
resources to fulfill the role responsibilities.
Expected Level of Achievement (ELA):

100% compliance with qualifications & responsibilities designated by the college position description and the BON rules & regulations:
- Responsible and accountable for program administration
- LEH & Workload

The nurse administrator will agree that they have adequate time and resources to fulfill role responsibilities
Component
Documentation
Responsibility
Frequency Cycle
Assessment Method
Authority & Responsibility
Job description
Department Chair
Annually (May)
Review and Evaluation of
Department Chair Job Description
duties and responsibilities.
Time & Resources
Human Resources time release,
LEH, & workload release for
Department Chair
Department Chair
Annually (May)
Review and Evaluation of
Human Resources time release,
LEH, & workload release for
Department Chair
Report of Data
Component
Actions
Results
Development ,Maintenance, Revision
Authority & Responsibility
Time & Resources
11
Standard 1: Mission and Administrative Capacity
Criterion 1.9: The nurse administrator has the authority to prepare and administer the program budget with faculty input.
Expected Level of Achievement (ELA):

The department chair has the authority to prepare and administer the budget

The department chair participates in the annual master plan budget process

The faculty will have input into the program budget
Component
Program Budget
Documentation
Responsibility
Department Chair job
description
Assistant Department Chair
Frequency Cycle
Annually (May)
General Budget Ledgers
ADN Faculty Meeting minutes
Accreditation Committee
Report of Data
Component
Review of Department Chair job
description
Review of Master plan budget
initiatives.
Program Budget
Faculty Input
Assessment Method
Annually (May)
Review of ADN Faculty Meeting
minutes
Actions
Results
Development ,Maintenance, Revision
Program Budget and Faculty
Input
12
Standard 1: Mission and Administrative Capacity
Criterion 1.10: Policies for nursing faculty and staff are comprehensive, provide for the welfare of faculty and staff, and are consistent with those of the
governing organization; differences are justified by the goals and outcomes of the nursing education unit.
Definition:

Welfare of Faculty and Staff – policies affecting faculty and staff promulgated by the governing organization and nursing education unit
including, but not limited to: non-discrimination, appointment, rank, grievance, promotion, rights and responsibilities, salaries/benefits, and
workload.
Expected Level of Achievement (ELA):

100% of specified nursing policies will be comprehensive and consistent with those of the governing organization:
- Non-discrimination
- Faculty appointment
- Academic rank
- Grievance procedures
- Promotion
- Salary & benefits (full-time faculty)
- Rights & responsibilities
- Termination
- Workload
Component
Non-Discrimination
Faculty Appointment
Academic Rank
Documentation
Equal Employment/Affirmative Action:
http://www.austincc.edu/hr/employeehandboo
k/college.php#eeo
Disabilities Act:
http://www.austincc.edu/admrule/6.01.003Gui
deline.htm
Faculty Appointments:
http://www.austincc.edu/admrule/6.04.001.htm
http://www.austincc.edu/board/policies/f4.php
Faculty Titles and Placement:
http://www.austincc.edu/board/policies/f4.php
http://www.austincc.edu/board/policies/f5.php
Responsibility
Admissions
Committee
Frequency Cycle
Annually (May)
Assessment Method
Review of Employee Handbook:
http://www.austincc.edu/hr/employ
eehandbook/
Review of Administrative Rules:
http://www.austincc.edu/admrule/
Board of Trustees: Policies
http://www.austincc.edu/board/poli
cies/f4.php
Review of ACC Faculty
Handbook:
http://www.austincc.edu/health/rns
gfac/documents/adn_faculty_hand
13
book.pdf
Grievance Procedures
Employee Complaints:
http://www.austincc.edu/admrule/6.08.005.htm
Promotion
Faculty Placement & Advancement:
http://www.austincc.edu/admrule/6.05.002.htm
Salary and Benefits
Salary Scales:
http://www.austincc.edu/hr/compensation/sala
ryscales.php
Leave Benefits:
http://www.austincc.edu/hr/employeehandboo
k/leavebenefits.php
General Benefits Insurance:
http://www.austincc.edu/hr/employeehandboo
k/groupinsurance.php
Rights and
Responsibilities
Ethics/Standards of Conduct:
http://www.austincc.edu/hr/employeehandboo
k/compliancepolicies.php#conduct
Termination
Due Process/Termination:
http://www.austincc.edu/board/policies/f8.php
http://www.austincc.edu/admrule/6.08.001.htm
Progressive Discipline/Termination:
http://www.austincc.edu/board/policies/f4.php
http://www.austincc.edu/admrule/6.08.003.htm
Workload
Faculty Workload:
http://www.austincc.edu/admrule/4.03.004.htm
http://www.austincc.edu/board/policies/d3.php
ACC Faculty Handbook found on page 32 of
ACC ADN Faculty Dropbox
14
Report of Data
Component
Actions
Results
Development, Maintenance, Revision
Non-Discrimination
Faculty Appointment
Academic Rank
Grievance Procedures
.
Promotion
Salary & Benefits (fulltime faculty)
Rights and
Responsibilities
Termination
.
Workload
15
Standard 1: Mission and Administrative Capacity
Standard 1.11: Distance education, when utilized, is congruent with the mission of the governing organization and the mission/philosophy of the
nursing education unit.
Definitions:

Distance Education – an educational process in which the majority of the instruction occurs when a student and instructor are not in the same
place. Instruction may be synchronous or asynchronous.
Expected Level of Achievement (ELA):

This standard is not applicable to our program. The ACC ADN program does not offer distance education
Component
Not applicable
Documentation
Responsibility
Report of Data
Component
Frequency Cycle
Assessment Method
Actions
Results
Development ,Maintenance, Revision
16
Standard 2: Faculty and Staff
Qualified and credentialed faculty are sufficient in number to ensure the achievement of the student learning outcomes and program outcomes. Sufficient
qualified staff are available to support the nursing education unit.
Criterion 2.1: Full-time faculty hold a minimum of a graduate degree with a major in nursing.
(Full-and part-time faculty include those individuals teaching and/or evaluating students in classroom, clinical, or laboratory settings.)
Definitions:
 Full-time faculty (defined by ACEN) - persons who teach and/or evaluate students and have full-time faculty employment status as defined by the
governing organization and the nursing education unit.

Full-time faculty (defined by ACC) - full-time refers to anyone paid on the full-time faculty pay scale.
Expected Level of Achievement (ELA):
 100% of full –time nursing faculty will have a Master’s degree in nursing, or higher
Component
Qualifications
Documentation
Personnel File
Responsibility
ADNSA
Frequency Cycle
Bi-annually
Assessment Method
Transcript Evaluation
Application Review
Bi-annual faculty survey
Report of Data
Component
Actions
Results
Development, Maintenance, Revision
Qualifications
17
Standard 2: Faculty and Staff
Criterion 2.2: Part-time faculty hold a minimum of a baccalaureate degree with a major in nursing; a minimum of 50% of the part-time faculty also hold a graduate
degree with a major in nursing.
Definitions:

Part-time faculty (defined by ACEN)- Persons who tech and/or evaluate students whose appointment is less than full-time as defined by the governing
organization and the nursing education unit.

Adjunct faculty (defined by ACC) - refers to those faculty appointed on a course-by-course basis for a term not to exceed one semester per contract period,
except where the adjunct faculty member has a Multiple Semester Term Appointment, which guarantees courses during the academic year term (subject to
sufficient enrollments).
Expected Level of Achievement (ELA):

100% of part-time (adjunct) faculty will have a Masters Degree in Nursing or higher
Component
Faculty Credentials
Documentation
Personnel File
Responsibility
Frequency Cycle
Department Chair
At time of hire
Accreditation Committee
Annually (May)
Assessment Method
Transcript Evaluation
Application Review
Review of Faculty Data Form
Report of Data
Component
Actions
Results
Development, Maintenance, Revision
Faculty Credentials
18
Standard 2: Faculty and Staff
Criterion 2.3: Faculty (full-and part-time) credentials meet governing organization and state requirements.
Expected Level of Achievement (ELA):
 100% of full-time and part-time (adjunct) faculty credentials meet governing organization and state requirements
Component
Faculty Credentials
Documentation
Responsibility
Frequency Cycle
Personnel File
Transcript Evaluation Application
Review
Faculty Data Form
Review of Faculty Data Form
BON standards
Review of SACSCOCs Requirements
ACC/SACSCOC standards for
credentialing
Review of BON standards
SACSCOC Requirements
Assistant Department Chairs
Annually (May)
Review of ACC standards for
credentialing
Report of Data
Component
Assessment Method
Actions
Results
Development, Maintenance, Revision
Faculty Credentials
.
19
Standard 2: Faculty and Staff
Criterion 2.4: Preceptors, when utilized, are academically and experientially qualified, oriented, mentored, and monitored, and have clearly documented roles and
responsibilities.
(new standard)
Expected Level of Achievement (ELA):

The Associate Degree Nursing program at Austin Community College does not utilize preceptors
Component
Documentation
Responsibility
Assessment Method
None – Not Applicable
Not Applicable
Report of Data
Component
Frequency Cycle
Results
Results
Development ,Maintenance, Revision
20
Standard 2: Faculty and Staff
Criterion 2.5: The number of full-time faculty is sufficient to ensure that the student learning outcomes and program outcomes are achieved.
Expected Level of Achievement (ELA):

75% of the nursing faculty will be full-time

100% compliance with BON guidelines re: faculty to student ratio in the clinical setting
--1 faculty : 10 students
--1 faculty + 1 teaching assistant: 15 students

The number of full-time faculty is sufficient to ensure that the student learning outcomes and program outcomes are achieved
Component
Staffing & Utilization
Documentation
Faculty Roster
Responsibility
Curriculum Committee
Frequency Cycle
Assessment Method
Annually (May)
Calculate % full-time faculty
College Standard
Review Faculty Roster
SACSCOC requirements
Review College Standard
Review SACSCOC
requirements
Staffing & Utilization
BON requirements
Curriculum Committee
Review clinical alpha roster
with faculty/student ratio for
compliance
Annually (May)
Teaching Assignments
Report of Data
Component
Results
Results
Development ,Maintenance, Revision
Staffing & Utilization
21
Standard 2: Faculty and Staff
Criterion 2.6: Faculty (full- and part-time) maintain expertise in their areas of responsibility and their performance reflects scholarship and evidence-based
teaching and clinical practices.
Definitions:

Scholarship - Activities that facilitate the enhancement of expertise and achievement of goals and outcomes of the nursing education unit. This may
include, but are not limited to: application of knowledge, teaching, service, practice, and research.

Functions of Scholarship - Scholarship of teaching – the transfer of the science and art of nursing from the expert to the novice, building bridges between the teacher’s own
understanding and the student’s learning.
- Scholarship of application – the maintenance of clinical competency of faculty and the advancement of clinical knowledge, including self
development to improve competency beyond the basic practice of professional nursing.
- Scholarship of integration – joining of interdisciplinary ideas, research, or practice between two or more disciplines, one of which is nursing.
- Scholarship of discovery (research) – the development of new and unique knowledge through conducting research or scholarly investigation.

Evidenced based teaching – teaching based on actions, processes, or methodologies that are grounded in and flow from the translation of substantive
and current research.
Expected Level of Achievement (ELA):

100% of the functions of scholarship will be demonstrated by the diversity of the nursing faculty

100% of the faculty incorporate evidenced based teaching into their teaching methodologies

100% of the faculty will comply with professional development requirements set forth by the college
Component
Scholarship
Documentation
ACC Faculty Evaluation
Summary Form
Responsibility
Department Chair
Frequency Cycle
Spring & Fall
Assistant Department Chair
ADN Faculty Data Form;
Faculty Portfolio
Evidence-based teaching
Theory - Course modules
Professional development
website
Review of Faculty
Evaluation Summary Forms,
Faculty Data Form, and/or
Faculty Portfolio
Review of Bi-annual Faculty
Survey
Accreditation Committee
Spring & Fall
Review of course modules
and clinical focus
Review of Bi-annual Faculty
Survey
Clinical – Clinical focus
Professional development
Assessment Method
Accreditation Committee
Spring & Fall
Review of professional
development website
Review of Bi-annual Faculty
Survey
22
Report of Data
Component
Actions
Results
Development, Maintenance, Revision
Scholarship
Evidence-based teaching
Professional development
23
Standard 2: Faculty and Staff
Criterion 2.7: The number, utilization, and credentials of staff and non-nurse faculty with the nursing education unit are sufficient to achieve the program goals
and outcomes.
Definitions:

Non-Nurse Faculty - Non-nurses who are academically qualified and teach a nursing course such as dietician, pharmacologist, or physiologist.
Expected Level of Achievement (ELA):

The Associate Degree Nursing program at Austin Community College does not utilize non-nurse faculty or staff
Component
Documentation
Responsibility
Assessment Method
None – Not applicable
Not applicable
Report of Data
Component
Frequency Cycle
Actions
Results
Development, Maintenance, Revision
24
Standard 2: Faculty and Staff
Criterion 2.8: Faculty (full- and part-time) are oriented and mentored in their areas of responsibility.
Expected Level of Achievement (ELA):

100% of newly hired ADN full-time will attend the ACC New Faculty Orientation

100% of newly hired ADN adjunct faculty will attend the ACC New Adjunct Faculty Orientation

100% of newly hired ADN faculty (full-time and adjunct) are oriented and mentored

100% of newly hired ADN faculty (full-time and adjunct) are assigned a mentor
Component
New Faculty Orientation and
Mentoring
Documentation
Responsibility
Mentor/Mentee Agreements
Department Chair
Frequency Cycle
Annually (May)
Assessment Method
Review of Mentor/Mentee
Assignments
Mentor/Mentee Checklists
Review of Mentor/Mentee
Checklists
New Faculty Committee
Minutes
Review of New Faculty
Committee Minutes
Mentee Checklists
Review of New Faculty
Marlene Meador, Ann
Hearn, Nancy Walters and
Gwenn Scott and provided
resourceful feedback.
Shadow full time faculty for
semester prior to having
own clinical group.
Report of Data
Component
Actions
Results
Development, Maintenance, Revision
New Faculty Orientation and
Mentoring
25
Standard 2: Faculty and Staff
Criterion 2.9: Systematic assessment of faculty (full- and part-time) performance demonstrates competencies that are consistent with program goals and
outcomes.
(old standard 2.8)
Expected Level of Achievement (ELA):

100% of faculty (full-time & part-time) will be evaluated annually

95% of faculty (full-time & part-time) will have a performance rating of Excellent, Very Good, or Good in the evaluative areas of instructional performance
(classroom, lab, and clinical)
Component
Faculty Evaluation
Documentation
Faculty Evaluation Summary
Form, and/or
Responsibility
Department Chair
Frequency Cycle
Annually (May)
Faculty Input Form, and/or
Assessment Method
Review of Faculty Evaluation
Summary Form, and/or
Review of Faculty Input Form,
and/or
Faculty Portfolio
Review of Faculty Portfolio
Performance Rating
ACC Faculty Evaluation
Summary
Department Chair
Faculty Rating Reports
Annually (May)
Review of ACC Faculty
Evaluation Summary
Review of Faculty Rating
Reports
Student Evaluations
Review of Student Evaluations
Report of Data
Component
Actions
Results
Faculty Evaluation
.
Performance Rating
.
Development, Maintenance, Revision
26
Standard 2: Faculty and Staff
Criterion 2.10: Faculty (full- and part-time) engage in ongoing development and receive support for instructional and alternative methods of delivery.
Definitions:

Alternative Methods of Delivery – The way in which a nursing course, track, or program is shared with students including non-traditional means of studentfaculty interaction, length required for the program of study, and/or varying intervals of class and/or clinical schedules. Examples include but are not limited
to: accelerated or condensed formats, ITV, videotape/DVD learning packages, and online delivery.
Expected Level of Achievement (ELA):

The faculty receive support in instructional and alternative methods of delivery
Component
Hybrid Faculty - Faculty
Development
Documentation
Google Sites?
All ADN committee minutes
Responsibility
Educational Resources
Committee
Bi-annually
(May & December)
Assessment Method
Review of All ADN committee
minutes
Review of Bi-annual Faculty
Survey
Faculty Survey
Report of Data
Component
Frequency Cycle
Actions
Results
Development, Maintenance, Revision
Hybrid Faculty - Faculty
Development
27
Standard 3: Students
Student policies and services support the achievement of the student learning outcomes and program outcomes of the nursing education unit.
Criterion 3.1: Policies for nursing students are congruent with those of the governing organization, publically accessible, non-discriminatory, and consistently
applied; differences are justified by the student learning outcomes and program outcomes.
Expected Level of Achievement (ELA):
100% of nursing student policies will be:
-
Congruent with those of the college or differences justified
-
Publicly accessible
-
Non-discriminatory
-
Consistently applied
Component
Student Policies
Documentation
Responsibility
ADN Handbook
Admissions Committee
http://www.austincc.edu/health/
rnsg/handbooks.php
Frequency Cycle
Annually (May)
Assessment Method
Comparative Analysis/Policy
review of ACC’s policies with those
of the AND program.
Course Syllabi
http://www.austincc.edu/ITdocs
/lighthouse/students/index.php
College Catalog
http://www.austincc.edu/catalog
ACC Student Handbook
http://www.austincc.edu/catalog
Report of Data
Component
Actions
Results
Development, Maintenance, Revision
Student Policies
28
Standard 3: Students
Criterion 3.2: Public information is accurate, clear, consistent, and accessible, including the program’s accreditation status and the contact information of the
accrediting body.
Expected Level of Achievement (ELA):
100% of the information regarding the program and its accreditation status as well as accrediting body contact information is accurate and publicly
accessible
Component
Program Information
Documentation
Responsibility
ADN Website
Admissions Committee
(http://www.austincc.edu/health
/rnsg/)
Frequency Cycle
Annually (May)
Assessment Method
Review of the ADN Webpage
Review of Admissions Committee
Minutes – in dropbox
Admissions Committee Minutes
Review of ACEN website
ACEN
http://www.acenursing.us/accre
ditedprograms/programsearch.
asp
Report of Data
Component
Actions
Results
Development, Maintenance, Revision
Program Information
29
Standard 3: Students
Criterion 3.3: Changes in policies, procedures, and program information are clearly and consistently communicated to students in a timely manner.
(old standard 3.6)
Expected Level of Achievement:
 The nursing program has a process in place to notify students about changes in policies, procedures, and program information
Component
Policies
Documentation
ADN Student Handbook
Responsibility
Admissions Committee
Frequency Cycle
Annually (May)
Assessment Method
Review of Student and
ADN Faculty Handbook
Faculty Handbooks
Signed amendment forms
Review of student files
Signed student signature
sheets for handbook
Procedures
ADN Student Handbook
Admissions Committee
Annually (May)
Review of Student and
ADN Faculty Handbook
Faculty Handbooks
Signed amendment forms
Review of student files
Signed student signature
sheets for handbook
Program Information
ADN Student Handbook
Admissions Committee
Annually (May)
Review of Student and
ADN Faculty Handbook
Faculty Handbooks
Signed amendment forms
Review of student files
Signed student signature
sheets for handbook
Report of Data
Component
Actions
Results
Development, Maintenance, Revision
Policies
Procedures
Program Information
30
Standard 3: Students
Criterion 3.4: Student services are commensurate with the needs of the nursing students, including those receiving instruction using alternative methods of
delivery.
Definitions:

Alternative Methods of Delivery – The way in which a nursing course, track, or program is shared with students including non-traditional means of studentfaculty interaction, length required for the program of study, and/or varying intervals of class and/or clinical schedules. Examples include but are not limited
to: accelerated or condensed formats, ITV, videotape/DVD learning packages, and online delivery.
Expected Level of Achievement (ELA):

The student services offered by the college are appropriate, available, and accessible to all students, including:
-
Health services – provision of information regarding Optional Student Health Insurance
-
Counseling services
-
Academic advising
-
Career assessment and placement
-
Financial aid staff/services
-
Individual academic tutoring
-
Library services
Component
Support Services
Documentation
Program Evaluations
Responsibility
Admissions Committee
Frequency Cycle
Fall Spring and Summer
semesters
Assessment Method
Reviewed Program Evaluations
Reviewed Course Evaluations
Course Evaluations
Reviewed ADN Student
Handbooks
Student Handbooks
Reviewed ACC ADN resource
page
ADN Student Handbook:
http://www.austincc.edu/health/
rnsg/documents/adn_student_h
andbook_spring_2014.pdf
ACC Student Handbook:
http://www.austincc.edu/handb
ook
http://www.austincc.edu/health/rn
sg/
Reviewed ACC website for
student services
http://www.austincc.edu/supportand-services/services-forstudents
Reviewed ACC student resource
links:
http://www.austincc.edu/supportand-services/services-forstudents
31
Reviewed ACC Student Services
Organizational Charts by campus:
Cypress Creek Student Services
organizational chart
http://www.austincc.edu/orgref/pdf
s/cypdean.pdf
Eastview Student Services
organizational chart
http://www.austincc.edu/orgref/pdf
s/evcdean.pdf
Round Rock Campus Student
Services organizational chart
http://www.austincc.edu/orgref/pdf
s/rrcdean.pdf
Report of Data
Component
Actions
Results
Development, Maintenance, Revision
Health Services
Counseling services
Academic advising
Career assessment &
placement
Financial aid staff/services
Individual academic tutoring
Library Services
Library Services
32
Standard 3: Students
Criterion 3.5: Student educational records are in compliance with the policies of the governing organization and state and federal guidelines.
Expected Level of Achievement (ELA):

Policies re: maintenance of education records is in compliance with college and program policies
Component
Education Records Policy
Documentation
Responsibility
ADN Faculty Handbook
Admissions Committee
ACC Catalog – FERPA
Frequency Cycle
Annually (May)
Assessment Method
Policy audit
Review of ACC Catalog – FERPA
page 4.
ACC Records Management
http://www.austincc.edu/records/index.ht
m
Review of Records Management
website
Texas Administrative Code
Review of BON-TAC Rule 2.15.12
Rule 215.12
http://info.sos.state.tx.us/pls/pub/readtac
$ext.TacPage?sl=R&app=9&p_dir=&p_rl
oc=&p_tloc=&p_ploc=&pg=1&p_tac=&ti
=22&pt=11&ch=215&rl=12
Review of Administrative Rules
related to records
Administrative Rules
3.03.14 - Records Management
Program
http://www.austincc.edu/admrule/3.03.01
4.htm
Storage audit
3.03.014 – Disposition of College
Records
http://www.austincc.edu/admrule/3.03.01
4GuidelineDisposition.htm
3.03.014 – Records Center
http://www.austincc.edu/admrule/3.03.01
4GuidelineRecordsCenter.htm
Report of Data
Component
Actions
Results
Development, Maintenance, Revision
33
Educational Records Policy
34
Standard 3: Students
Criterion 3.6: Compliance with the Higher Education Reauthorization Act Title IV eligibility and certification requirements is maintained, including default rates and
the results of financial or compliance audits.
Definitions:
Title IV of the Higher Education Reauthorization Act established rules and regulations for Student Financial Assistance Programs that went into effect October
1, 1998 (ACC institution code = 012015).
Expected Level of Achievement (ELA):
 Compliance with the Higher Education Reauthorization Active Title IV eligibility and certification requirements is maintained
Component
Compliance HER Title IV
eligibility
Documentation
Responsibility
Financial Aid Office
Admissions Committee
Frequency Cycle
Annually (May)
Assessment Method
Default rate review
http://www.austincc.edu/tuitionand-financial-aid
Student loan default rate
Student Handbook
Financial/Compliance Audits
http://www.austincc.edu/handb
ook/
Report of Data
Component
Actions
Results
Development, Maintenance, Revision
Student loan default rate
35
Standard 3: Students
Criterion 3.6.1: A written, comprehensive student loan repayment program addressing student loan information, counseling, monitoring, and cooperation with
lenders is available.
(old standard 3.4.1)
Definition:

Student Loan Repayment Program / Mapping Your Future:
o
-is a neutral, non-proprietary, and non-commercial resource of information and services for students, families, and schools;
o
-has no requirements for those who use Mapping Your Future to participate in any loan program, or use any guarantor or lender;
o
-is a charitable, 501(c)3 nonprofit organization;
o
-is a non-commercial website which does not accept any advertising;
o
-is supported by a wide range of organizations with no marketing advantage to any one specific company or agency to support
Mapping Your Future
o
-contributes to national student loan default prevention efforts by providing information and services to students and their families,
including:

borrow conservatively,

consider all options for funding higher education, and

iii. understand rights and responsibilities
Expected Level of Achievement (ELA):
 A written, comprehensive student loan repayment program addressing student loan information, counseling, monitoring, and cooperation with lenders is
available
Component
Student Loan Repayment
Program
Documentation
Responsibility
ACC web site
Admissions Committee
http://www.austincc.edu/
Frequency Cycle
Annually (May)
Assessment Method
Review web site and college
catalog
College catalog
http://www.austincc.edu/catalog
Financial Aid Office
http://www.austincc.edu/tuitionand-financial-aid/obtainfinancial-aid
Report of Data
Component
Actions
Results
Development, Maintenance, Revision
36
Student Loan Repayment
Program
Standard 3: Students
Criterion 3.6.2: Students are informed of their ethical responsibilities regarding financial assistance.
Expected Level of Achievement (ELA):

The college’s student loan repayment program provides information regarding ethical responsibility regarding repayment of loans
Component
Ethical Responsibilities re:
Student loans
Documentation
Responsibility
ACC web site
Admissions Committee
http://www.austincc.edu/
Frequency Cycle
Annually (May)
Assessment Method
Review college’s student loan
repayment program on the web
site and college catalog
Review of Exit Counseling
Documents
College catalog
http://www.austincc.edu/catalog
Financial Aid Office
http://www.austincc.edu/tuitionand-financial-aid/obtainfinancial-aid
Report of Data
Component
Actions
Results
Development, Maintenance, Revision
Ethical Responsibilities re:
Student loans
37
Standard 3: Students
Criterion 3.6.3: Financial aid records are maintained in compliance with policies of the governing organization, state, and federal guidelines.
Expected Level of Achievement (ELA):

Policies re: maintenance of financial records is in compliance with college policies
Component
Financial Records Policy
Documentation
Responsibility
ADN Faculty Handbook
Admissions Committee
ACC Records Management
http://www.austincc.edu/record
s/index.htm
Frequency Cycle
Annually (May)
Assessment Method
Policy audit
Review of Records Management
website
Review of BON-TAC Rule 2.15.12
Texas Administrative Code
Rule 215.12
http://info.sos.state.tx.us/pls/pu
b/readtac$ext.TacPage?sl=R&
app=9&p_dir=&p_rloc=&p_tloc
=&p_ploc=&pg=1&p_tac=&ti=2
2&pt=11&ch=215&rl=12
Review of Administrative Rules
related to records
Administrative Rules
3.03.14 - Records Management
Program
http://www.austincc.edu/admrul
e/3.03.014.htm
Storage audit
3.03.014 – Disposition of
College Records
http://www.austincc.edu/admrul
e/3.03.014GuidelineDisposition
.htm
3.03.014 – Records Center
http://www.austincc.edu/admrul
e/3.03.014GuidelineRecordsCe
nter.htm
Report of Data
Component
Actions
Results
Development, Maintenance, Revision
38
Financial Records Policy
39
Standard 3: Students
Criterion 3.7: Records reflect that program complaints and grievances receive due process and include evidence of resolution.
(old standard 1.9)
Definitions:

Complaints and Grievances – a formal allegation against a party or program usually expressed in a written, signed statement. A grievance is a wrong or
hardship suffered which is the grounds for complaint; the formal expression of a grievance is a complaint. The record of student complaints must include all
complaints filed during the time period since the last accreditation review.
Expected Level of Achievement (ELA):

100% of complaints about the program are addressed, available for review, and include evidence of resolution
Component
Complaints
Documentation
Complaint File
Responsibility
Department Chair
Frequency Cycle
Annually (May)
Assessment Method
File Review
ADN Handbook
Health Science Grievance
Policy
ACC Grievance Policy
Report of Data
Component
Actions
Results
Development, Maintenance, Revision
Complaints
40
Standard 3: Students
Criterion 3.8: Orientation to technology is provided and technological support is available to students.
Expected Level of Achievement (ELA):
 Orientation to technology is provided and technological support is available to students
Component
Tech Support
Documentation
Responsibility
Student Theory Course
Evaluation
Educational Resources
Frequency Cycle
Annually (May)
Assessment Method
Student Theory Course Evaluation
Survey
ACC Website
Review of ACC Website
(http://www.austincc.edu/health
/rnsg/)
Review of ACC Student Handbook
ACC Student Handbook
Report of Data
Component
Actions
Results
Development, Maintenance, Revision
Tech Support
41
Standard 3: Students
Criterion 3.9: Information related to technology requirements and policies specific to distance education is clear, accurate, consistent, and accessible.
(old standard 3.8)
Definitions:

Distance Education – an educational process in which the majority of the instruction occurs when a student and instructor are not in the same place.
Instruction may be synchronous or asynchronous.
Expected Level of Achievement (ELA):
 This standard is not applicable to our program. The ACC ADN program does not offer distance education
Component
Documentation
Not applicable
Responsibility
Assessment Method
Not applicable
Report of Data
Component
Frequency Cycle
Actions
Results
Development, Maintenance, Revision
42
Standard 4: Curriculum
The curriculum supports the achievement of the identified student learning outcomes and program outcomes of the nursing education unit consistent with safe practice in
contemporary health care environments.
Criterion 4.1: The curriculum incorporates established professional standards, guidelines, and competencies, and has clearly articulated student learning outcomes and
program outcomes consistent with contemporary practice.
Expected Level of Achievement:
 100% of the faculty will strongly agree or agree that the theory and clinical nursing courses:
o Have clearly articulated program outcomes and course objectives
o Incorporate professional standards , guidelines, and competencies
Component
Curriculum
Documentation
Curriculum Design
Responsibility
Curriculum Committee
Annually (May)
Assessment Method
Review of Curriculum
Curriculum Committee meeting
minutes
Review of Curriculum
Committee Meeting
Minutes
Program Educational Outcomes
Course Syllabi
Review of Program
Educational Outcomes
Course Syllabi
Report of Data
Component
Frequency Cycle
Actions
Results
Development, Maintenance, Revision
Curriculum
Program Outcomes and
course objectives
Professional standards,
guidelines, competencies
43
Standard 4: Curriculum
Criterion 4.2: The student learning outcomes are used to organize the curriculum, guide the delivery of instruction, direct learning activities, and evaluate student
progress.
Expected Levels of Achievement:
 The educational outcomes are used to:
- organize the curriculum
- guide the delivery of instruction
- direct learning activities
- evaluate student progress
Component
Curriculum development
Documentation
Responsibility
Curriculum Committee
Course syllabi
Program Educational
Outcomes
Course Syllabi
Frequency Cycle
Annually - May
Assessment Method
Comparative Analysis of Course
Syllabi
Clinical Evaluation Tools
Comparative Analysis of Clinical
Evaluation Tools
Curriculum committee minutes
Review of Curriculum Committee
Minutes
ADN website
Review of ADN website
Conceptual Framework
(http://www.austincc.edu/health
/rnsg/ )
Report of Data
Component
Actions
Results
Development, Maintenance, Revision
Curriculum Development
Program Educational
Outcomes
Course objectives
Course Syllabi
Conceptual Framework
44
NEED A FLOW CHART OF HOW ALL OF THESE SUPPORT OUTCOMES
45
Standard 4: Curriculum
Criterion 4.3: The curriculum is developed by the faculty and regularly reviewed to ensure integrity, rigor and currency.
Expected Levels of Achievement:

The curriculum is developed by the faculty and regularly reviewed to ensure integrity, rigor and currency
Component
Curriculum development
Documentation
FOC and curriculum
committee minutes
Responsibility
Curriculum Committee
End of Year Reports
from Committee
Annually - May
Assessment Method
Review of FOC and curriculum
committee minutes
Review End of Year Reports from
Committees
Report of Data
Component
Frequency Cycle
Actions
Results
Development, Maintenance, Revision
Curriculum development
46
Standard 4: Curriculum
Criterion 4.4: The curriculum includes general education courses, included in the degree plan, that enhance professional nursing knowledge and practice.
Expected Levels of Achievement:

100% compliance with SACS general education requirements

The curriculum includes general education courses, included in the degree plan, that enhance professional nursing knowledge and practice
Component
Curriculum (general
education) courses
Documentation
Current degree plans
Responsibility
Curriculum Committee
Frequency Cycle
Annually - May
SACS General Education
Requirements
Review of current degree plans
Review of SACS
Report of Data
Component
Assessment Method
Actions
Results
Development, Maintenance, Revision
Curriculum (general
education) courses
Where are the attachments? We need them!!! Need to have chart with general ed courses and rationale for use
Insert attachments here – need word versions of the degree plans
47
Standard 4: Curriculum
Criterion 4.5: The curriculum includes cultural, ethnic, and socially diverse concepts and may also include experiences from regional, national, or
global perspectives.
Expected Level of Achievement:

The curriculum includes cultural, ethnic, and socially diverse concepts and may also include experiences from regional, national, or global
perspectives
Component
Curriculum
(Cultural/Ethical/Socially
Diverse)
Documentation
Degree plans
Responsibility
Curriculum Committee
Frequency Cycle
Assessment Method
Annually (May)
Review of degree
plans
Course Syllabi
Review of course
syllabi & modules
Course Modules
Course projects
Review of course
projects
Report of Data
Component
Actions
Results
Development, Maintenance, Revision
Curriculum
(Cultural/Ethical/Socially
Diverse)
48
Standard 4: Curriculum
Criterion 4.6: The curriculum and instructional processes reflect educational theory, inter-professional collaboration, research, and current standards of
practice. (EVC)
Expected Level of Achievement:
 The curriculum and instructional processes reflect educational theory, inter-professional collaboration, research, and current standards of practice
 Each Level in ADN Program will participate in simulated learning experience
Component
Documentation
Responsibilities
Frequency Cycle
Assessment Method
Curriculum/Instruction
Curriculum Committee
reflects:
ANNUALLY
Review:
(MAY)
 Course Objectives
Educational Theory
Course Objectives
Inter-professional
Collaboration
Course Modules
Research
Level Meeting Minutes
Standards of Practice
Simulation objectives
Simulation
Bi-annual Faculty Survey
Report of Data
Component

Course Modules

Level Meeting Minutes

Simulation objectives

Bi-annual Faculty Survey
Actions
Results
Development , Maintenance, Revisions
Educational Theory
Inter-professional
Collaboration
Research
Standards of Practice
Simulation
49
Standard 4: Curriculum
Criterion 4.7: Evaluation methodologies are varied, reflect established professional and practice competencies, and measure the achievement of
student learning outcomes.
(old standard 4.5)
Expected Level of Achievement:

Evaluation methodologies are varied, reflect established professional and practice competencies, and measure the achievement of student
learning outcomes
Component
Evaluation
Methodologies
Documentation
Responsibility
Student clinical evaluations
Curriculum Committee
Frequency Cycle
Annually May
Assessment
Method
Review of
Clinical assignments
Grading Rubrics

Student evals

Careplans

Grading rubrics

Exams
Exams
Report of Data
Component
Results
Actions
Development, Maintenance, Revision
Student evaluations
Varied
Methodologies
Professional and
Practice
Competencies
Achievement
50
Standard 4: Curriculum
Criterion 4.8: The length of time and the credit hours required for program completion are congruent with the attainment of identified student learning
outcomes and program outcomes and consistent with the policies of the governing organization, state and national standards, and best practices.
Expected Level of Achievement:

The ADN program will have between 60 and 72 hours in its curriculum which is consistent with the national standards for AD nursing
Component
Documentation
Responsibility
Curriculum Committee
Frequency Cycle
Review of degree plan
Program length
Degree Plan
Credit hours
College requirements for
graduation
Review of college requirements for
graduation
ADN curriculum
Review of THECB requirements for AD
Nursing curricula
Program Outcomes
(Student Learning)
Annually (May)
Assessment Method
Review of ADN curriculum
Report of Data
Component
Actions
Results
Development ,Maintenance, Revision
Program length and
credit hours
Program Outcomes
(Student Learning)
51
Standard 4: Curriculum
Criterion 4.9: Practice learning environments support the achievement of student learning and program outcomes.
Expected Level of Achievement:
 Practice learning environments support the achievement of student learning and program outcomes
Component
Student learning
environments
Documentation
Student Clinical Course
Evaluation
Responsibility
Educational Resources
Frequency Cycle
Annually (May)
Student Evaluations
(each semester)
List of Clinical sites by
level
Assessment
Method
Student clinical
course evaluations
Review of List of
Clinical sites by level
Clinical site review
(each semester)
Report of Data
Component
Results
Actions
Development ,Maintenance, Revision
Student learning environments
1) Student clinical course evaluation
Results of Student Clinical Course Evaluations
demonstrate that practice environment support the
achievement of student learning and program
outcomes.
2) List of clinical sites by level – (make a table
with all of these sites listed by level)
52
Standard 4: Curriculum
Criterion 4.10: Students participate in clinical experiences that are evidence –based and reflect contemporary practice and nationally established
patient health and safety goals.
Expected Level of Achievement:

Students participate in clinical experiences that are evidence –based and reflect contemporary practice and nationally established patient
health and safety goals

Hospital nationally established patient health and safety goals are incorporated into the curriculum
Component
Clinical experiences
Documentation
Clinical syllabi
Evidence- based and
contemporary practice
Clinical objectives and foci
Responsibility
Curriculum Committee
Frequency Cycle
Annually (May)
Assessment Method
Review of clinical syllabi,
objectives, and clinical foci
National patient health
and safety goals
Report of Data
Component
Actions
Results
Development ,Maintenance, Revision
Clinical experiences
Evidence- based and
contemporary practice
National patient health
and safety goals
53
Standard 4: Curriculum
Criterion 4.11: Written agreements for clinical practice agencies are current, specify expectations for all parties, and ensure the protection of students.
Expected Level of Achievement:

100% of clinical affiliation agreements are current and specify expectations and ensure protection of students
Component
Clinical practice
agencies
Documentation
Affiliation agreements
Responsibility
ADNSA
Report of Data
Component
Frequency Cycle
Annually (May)
Assessment Method
Affiliation agreements
Actions
Results
Development ,Maintenance, Revision
Clinical practice
agencies
54
Standard 4: Curriculum
Criterion 4.12: Learning activities, instructional materials, and evaluation methods are appropriate for all delivery formats and consistent with the
student learning outcomes.
(old standard 4.9)
Expected Level of Achievement:

Learning activities, instructional materials, and evaluation methods are appropriate for all delivery formats and consistent with the student
learning outcomes
Component
Learning activities
Instructional materials
Evaluation methods
Documentation
Course syllabi
Course objectives
Responsibility
Accreditation Committee
(this committee to get this
Criterion started)
Course projects
Frequency Cycle
Annually-May
Assessment Method
Review of course

Syllabi

Objectives

Projects

Evaluations
Course evaluations
Report of Data
Component
Actions
Results
Development ,Maintenance, Revision
Learning Activities
Instructional materials
Evaluation methods
55
Standard 5: Resources
Fiscal, physical, and learning resources are sustainable and sufficient to ensure the achievement of the student learning outcomes and program
outcomes of the nursing education unit.
Criterion 5.1: Fiscal resources (personnel, supplies, materials, equipment, and services) are sustainable, sufficient to ensure the achievement of the
student learning outcomes and program outcomes, and commensurate with the resources of the governing organization.
Definition:
 Fiscal Resources: The financial support required for securing the personnel, supplies, materials, equipment, and services necessary to ensure
the achievement of the program outcomes.
Expected Level of Achievement:
 The fiscal resources will:
- Support the number of faculty needed for student enrollment
- Purchase equipment and supplies
- Supplement faculty development
- Be commensurate with resources of the governing organization
Component
Fiscal Resources
Documentation
Program/college
budget
Responsibility
Department Chair
Frequency Cycle
Annually (May)
Assessment Method
Comparative analysis
Review of FOC minutes
FOC minutes
Report of Data
Component
Actions
Results
Development ,Maintenance, Revision
Fiscal Resources
56
Standard 5: Resources
Criterion 5.2: Physical resources (classrooms, laboratories, offices, etc.) are sufficient to ensure the achievement of the nursing education unit outcomes, and
meet the needs of the faculty, staff, and students.
Definition:

Physical Resources: Classrooms, laboratories, offices, and other common spaces that are used by the program.
Expected Level of Achievement:

Physical resources (classrooms, laboratories, offices, etc.) are sufficient to ensure the achievement of the nursing education unit outcomes, and meet
the needs of the faculty, staff, and students

75% of students surveyed strongly agree or agree that the physical resources are appropriate to support the achievement of program outcomes

90% of faculty surveyed strongly agree or agree that the physical resources are appropriate to meet the needs of the faculty and staff
Component
Instructional Space
Non-instructional Space
Documentation
Student Overall Program
Evaluation
Responsibility
Educational Resources
Committee
ADN Faculty Survey
Students-Every Semester
Faculty-Annually
Assessment Method
Review Student Overall
Program Evaluation
Review ADN Faculty
Survey
Report of Data
Component
Frequency Cycle
Actions
Results
Development, Maintenance, and Revisions
Instructional Space
Non-instructional Space
57
Standard 5: Resources
Criterion 5:3: Learning resources and technology are selected with faculty input and are comprehensive, current, and accessible to faculty and students.
(old standard 5.3)
Definition:

Learning Resources: the materials, activities, and technologies that facilitate the development of student knowledge and skills.
-
Examples include, but are not limited to: library resources, nursing skills laboratory, nursing tutor
Expected Level of Achievement:

Learning resources and technology are selected with faculty input and are comprehensive, current, and accessible to faculty and students

75% of the students surveyed strongly agree or agree that the learning resources (library resources, nursing skills laboratory, and nursing tutor) are
comprehensive, current, and accessible
Component
Documentation
Library Resources
Theory Course Evaluations
Nursing Skills Laboratory
Educational Resources
Committee Meeting Minutes
Responsibility
Educational Resources
Committee
Nursing Tutor
Frequency Cycle
Assessment Method
Annually (May)
Theory Course Evaluations
Students (Every Semester)
Review of Educational
Resources Committee Meeting
Minutes
FOC Meeting Minutes
Review of FOC Meeting
Minutes
Report of Data
Component
Actions
Results
Development, Maintenance, Revision
Library Resources
Nursing Skills Laboratory
Nursing Tutor
58
Standard 5: Resources
Criterion 5.4: Fiscal, physical, technological, and learning resources are sufficient to meet the needs of the faculty and students engaged in alternative
methods of delivery.
Definition:

Alternative methods of delivery: The way in which a nursing course, track, or program is shared with students including non-traditional means of
student-faculty interaction, length required for the program of study, and/or varying intervals of class and/or clinical schedules.
Examples include, but are not limited to: accelerated or condensed formats, ITV, videotape/DVD learning packages, and online delivery

Fiscal Resources: The financial support required for securing the personnel, supplies, materials, equipment, and services necessary to ensure the
achievement of the program outcomes.

Physical Resources: Classrooms, laboratories, offices, and other common spaces that are used by the program.

Learning Resources: the materials, activities, and technologies that facilitate the development of student knowledge and skills.
-
Examples include, but are not limited to: library resources, nursing skills laboratory, nursing tutor
Expected Level of Achievement:

The Associate Degree Nursing program at Austin Community College does not utilize alternative methods of delivery
Component
Documentation
Responsibility
Frequency Cycle
Assessment Method
Not Applicable
Actions
Report of Data
Component
Results
Development, Maintenance, Revision
59
Standard 6: Outcomes
Program evaluation demonstrates that students and graduates have achieved the student learning outcomes, program outcomes, and role-specific graduate
competencies of the nursing education unit.
Criterion 6.1: The systematic plan for evaluation of the nursing education unit emphasizes the ongoing assessment and evaluation of each of the following:
-
Student learning outcomes;
-
Program outcomes;
-
Role-specific graduate competencies; and
-
The Accrediting Body Standards
The systematic plan of evaluation contains specific, measurable expected levels of achievement; appropriate assessment methods; and a minimum of three (3)
years of data for each component within the plan.
Expected Level of Achievement:

A written plan for systematic program evaluation is published for faculty use and is used to guide all of the ADN Faculty Committee’s end of year reports

100% of required elements are included in the systematic plan of evaluation
Component
Documentation
Responsibility
Frequency Cycle
Assessment method
Written plan for systematic
program review
Systematic Plan of Evaluation
Accreditation Committee
Each semester
Comparative analysis of
SPE data
Report of Data
Component
Actions
Results
Development, Maintenance, Revision
Written plan for systematic
program review
60
Standard 6: Outcomes
Criterion 6.2: Systematic plan of evaluation findings are aggregated and trended by program option, location, and date of completion and are sufficient to inform
program decision making for the maintenance and improvement of the student learning outcomes and the program outcomes.
Expected Levels of Achievement:

Trended and aggregated evaluation findings are utilized to maintain or improve student learning outcomes and program outcomes
Component
Evaluation Findings
Documentation
Responsibility
Curriculum Committee
SPE
Findings of data in End of Year
Reports
Course Evaluation Response
Forms from Levels
Report of Data
Component
Frequency Cycle
Annually (May)
Assessment Method
Review of SPE
Review of End of Year Committee
Reports
Review of Course Evaluation
Response Forms from Levels
Actions
Results
Development, Maintenance, Revision
Written plan for systematic
program review
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Standard 6: Outcomes
Criterion 6.3: Systematic plan of evaluation findings are shared with communities of interest.
Expected Level of Achievement:

100% of the evaluation findings are available for sharing with communities of interest
Component
Communities of interest
Documentation
Responsibility
Minutes from the advisory
committee meetings
Department Chair
Minutes from the HWACT meetings
Report of Data
Component
Results
Frequency Cycle
Annually (May)
Assessment Method
Review of minutes from the
advisory committee meetings
Review of minutes from the
HWACT meetings
Actions
Development, Maintenance, Revision
Communities of interest
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Standard 6: Outcomes
Criterion 6.4: The program demonstrates evidence of achievement in meeting the program outcomes.
Expected Level of Achievement:

The program demonstrates evidence of achievement in meeting the program outcomes, including:
- Performance on licensure exam
- Program completion
- Graduate Program Satisfaction
- Employer Program Satisfaction
- Job Placement Rates
Component
Outcomes
Documentation
See 6.4.1 – 6.4.5
Responsibility
Accreditation Committee
Frequency Cycle
End of Spring & Fall
Semesters
Report of Data
Component
Outcomes
Actions
Results
See 6.4.1 – 6.4.5
Assessment Method
See 6.4.1 – 6.4.5
Development, Maintenance, Revision
See 6.4.1 – 6.4.5
63
Standard 6: Outcomes
Standard 6: Outcomes
Criterion 6.4.1 Performance on licensure exam: The program’s 3 year mean for the licensure exam pass rate will be at or above the national mean for
the same 3 year period.
Expected Level of Achievement:

Annual NCLEX program pass rate will be > or equal 95%.

The program’s 3 year mean pass rate will be > or equal to the national mean
Component
NCLEX Pass Rates
Documentation
BON NCLEX reports
National Means:
BON Website
www.bon.state.tx.us
Responsibility
Accreditation Committee
Report of Data
Component
Frequency Cycle
End of Spring & Fall
Semesters
Assessment Method
Analysis of NCLEX
pass rates
Actions
Results
Development, Maintenance, Revision
NCLEX Pass Rates
National Means:
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Criterion 6.4.2: Program Completion: Expected levels of achievement for program completion are determined by the faculty and reflect student
demographics and program options.
Expected Level of Achievement:

Expected levels of achievement for program completion are determined by the faculty

Expected levels of achievement for program completion reflect the student demographics

Expected levels of achievement reflect program options

80% of Traditional Track graduates will complete the program within 2.5

80% of Mobility graduates will complete program within 2 years
Component
Expected Levels of
Achievement in SPE
(program completion)
Documentation
ADN FOC minutes
Responsibility
Accreditation Committee
Frequency Cycle
End of Spring & Fall
Semesters
Assessment Method
Review of ADN FOC
minutes
Datatel
Review of Datatel
Actions
Report of Data
Component
Results
Development, Maintenance, Revision
ELA determined by
faculty
Student demographics
Program options
Completion rate
-
RRC
-
Hybrid
-
CEC
-
EVC
-
Mobility
Standard 6: Outcomes
Criterion 6.4.3: Graduate Program Satisfaction: Qualitative and quantitative measures address graduates six to twelve months post-graduation.
65
Expected Level of Achievement:
 90% of graduating students surveyed will strongly agree or agree that they were satisfied with their educational experience in the nursing
program
Component
Graduate Program
Satisfaction
Documentation
Graduate Survey
Responsibility
Accreditation Committee
Frequency Cycle
Annually-May
Assessment Method
Graduate Survey in survey
monkey
Alumni Reunion Luncheon?
Report of Data
Component
Actions
Results
Development ,Maintenance, Revision
Graduate Program
Satisfaction
-
EVC
-
Mobility
-
RRC
-
Hybrid
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-
CEC
Overall Program
Satisfaction
67
Standard 6: Outcomes
Criterion 6.4.4: Employer Program Satisfaction: Qualitative and quantitative measures address employer satisfaction with graduate preparation for
entry level positions six to twelve months post-graduation.
(old standard 6.5.3 & 6.4)
Expected Level of Achievement:
 90% of employers surveyed will strongly agree or agree that they are satisfied with the graduates educational preparation for entry level
Registered Nurse positions
Component
Employer Program
Satisfaction with
Graduates
Documentation
Employer Survey
Responsibility
Accreditation Committee
Report of Data
Component
Frequency Cycle
Annually-May
Assessment Method
Employer Survey in survey
monkey
Actions
Results
Development ,Maintenance, Revision
Employer Program
Satisfaction with
Graduates
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Standard 6: Outcomes
Criterion 6.4.5: Job placement Rates: Expected levels of achievement are determined by the faculty and are addressed through quantified measures
six to twelve months post-graduation.
Definition:

Job Placement Rates: % of graduates who seek employment within 6 months to 12 months of graduation who are employed as a Registered
Nurse
Expected Level of Achievement:

Expected levels of achievement for job placement rates are determined by the faculty

90% of graduates who seek employment within 6 months to 12 months of graduating will be employed as a registered nurse
Component
Post-Graduation
Employment
Documentation
FOC minutes
Responsibility
Accreditation Committee
Frequency Cycle
Each Semester
Graduate
Employment form
Graduate Employment form
Report of Data
Component
Assessment
Method
FOC minutes
Actions
Results
Development ,Maintenance, Revision
Post-Graduation
Employment
-
RRC
-
Hybrid
-
CEC
-
EVC
-
Mobility
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