“Gateway to the Future: Implementation of a Statewide Concept-Based Nursing Curriculum” Rural Community College Alliance Annual Conference- 2014 Dr. Rose Beebe, MSN RN and B. Kent Wilson, MSN RN CLNC EdDc Topical Outline Item 1 Item 2 Item 3 Item 4 Item 5 Item 6 Historical Perspective CTCS and Partnering Institutions Application Process Curricular Changes / Concept-Based Curriculum Challenges and Opportunities Where to From Here? Looking Ahead….. Overview • Background • Robert Wood Johnson (RWJ) Foundation • Institute Of Medicine Report- IOM (2010) • American Association of Community Colleges (AACC)2011 Convention / Chancellor Skidmore • Elected Officials • West Virginia Community and Technical College System (WVCTCS) West Virginia Consortium for Associate Degree Nursing Forward Thinking… • Medical Model … Transforming Nursing Education • Concept-Based Education Taking a Bold Move • Organizational Meeting • Chancellor Skidmore • Associate Degree Nursing Program Directors / Deans / Chairs / Coordinators • WVCTCS Council Members • West Virginia Board Of Examiners for Registered Professional Nurses (WVBOERN) Executive Director • West Virginia Licensed Practical Nursing Board Executive Director • West Virginia Center for Nursing Executive Director ……. Associate Degree Nursing (ADN) Task Force formed West Virginia Consortium for Associate Degree Nursing Blue Ridge CTC, Bluefield State CTC, BridgeValley CTC, Eastern CTC, Southern West Virginia CTC, WV Northern CTC, WVUP, New River CTC Others Invited Participating Schools Why Change a Good Thing? PREVIOUS ADMISSION PROCESSES AND CURRICULUM • NCLEX Success NCLEX Exam Graduation and Attrition • State’s Adoption Employment • $$$ Graduate and Employer Surveys • 60-credit hours • • • THE FUTURE Changes were coming……. Common Curriculum, a Good thing for Faculty and Students Articulation Agreements • Meet admission criteria • Can transfer without loss of time or credits Advantages List Serves • Grading policies • Scales • Requirements Reduction in Costs Academic Freedom Rationalizing a Reason for a Common Curriculum Transfer students • Meet admission criteria • Can transfer without loss of time or credits Advantages Standardized • Grading policies • Scales • Requirements Faculty Collaboration Grant and Research • Monthly meetings • Numerous Retreats • Development and Re-Development of Curriculum • Implementation Team • Presentations West Virginia Consortium for Associate Degree Nursing Memorandum of Understanding WVCTCS and the Presidents A Common Goal: Mission The mission of the West Virginia Consortium of Associate Degree Nursing Programs is to prepare students for professional nursing practice while promoting a knowledge base for career mobility and further academic study. These programs are committed to providing accessible, highquality nursing education to meet the diverse and changing health-care needs of the community and beyond West Virginia Consortium for Associate Degree Nursing A Common Goal: Philosophy • The WVCTCS Consortium of Associate Degree Nursing Programs is committed to a quality educational environment. • The educational philosophy of the WVCTCS Consortium of Associate Degree Nursing Programs incorporates the seven core values of the National League for Nursing Competencies Framework which includes caring, diversity, ethics, excellence, holism, integrity, and patient centeredness (NLN, 2010). We believe that “all nurses should display integrity, respect diversity in all forms, uphold given legal and ethical responsibilities and strive for excellence while promoting caring, holistic, patient centered care” (NLN, 2010). West Virginia Consortium for Associate Degree Nursing A Common Goal: Philosophy • The Consortium supports education as a life-long process incorporating a spirit of inquiry, supported by evidence based research. The faculty believe that students need to develop nursing judgment in their practice, develop a professional identity as a nurse, and learn to support patients and families in development of their ongoing growth as human beings. Life-long learning consists of acquiring knowledge, demonstrating proficient skills, and developing ethical attitudes and values. West Virginia Consortium for Associate Degree Nursing A Common Goal: Learning Outcomes 1. Collaborate with the patient or designee to plan and provide nursing care that respects the patient’s individual values and needs. 2. Generate safe and effective patient centered care using the nursing process. 3. Incorporate effective communication strategies to reduce risk and injuries in the healthcare environment. 4. Create caring relationships with patients and support systems consistent with the ANA Standards of Nursing Practice and the Code of Ethics. 5. Evaluate the utilization of healthcare system resources to efficiently and effectively manage care. 6. Integrate current best practices to plan and implement safe and effective patient care. West Virginia Consortium for Associate Degree Nursing Other Common Goals • • Collection of Data Ongoing Assessment and Sustainability West Virginia Consortium for Associate Degree Nursing What is it? • • • Conceptual-Based Education ……. and the use of Exemplars Skills West Virginia Consortium for Associate Degree Nursing More importantly, “Active Learning” • Simulation Case Studies Adaptive Quizzing Adaptive Learning • ……………… “Think Like a Nurse,” from DAY ONE! • • • West Virginia Consortium for Associate Degree Nursing Constructing a curriculum… • • • • • Accrediting Commission for Education in Nursing (ACEN, formerly the NLNAC) Accrediting Body WVBOERN National Council Licensing Examination - RN Blueprint National League for Nursing (NLN) Quality and Safety Education Nursing (QSEN) Constructing a curriculum… Core Values • • • • • • • Caring Diversity Ethics Excellence Holism Integrity Patient- centeredness Constructing a curriculum… Integrated Concepts / Common Threads • • • • • • Context and environment Knowledge and Science Personal and Professional Development Quality and Safety Relationship-Centered Care Teamwork Constructing a curriculum… Common Threads • • Pharmacology Life Span and Development Admission Criteria • Prior to 2014 • • • • • 2014 and Beyond • • • • • No worries! Eligibility for Institutional Admission Grade Point Average Minimal Scores on the Admission Exams Variations Eligibility for Institutional Admission 2.50 Grade Point Average (3.0 for HS Students) Minimal Composite Score on the TEAS V / HESI Eligibility for English 101 and College-level Math Flexibility in Scoring of Applicants Now and Then…… an example First Semester Second Semester Third Semester Fourth Semester ENG 101- 3 hours MAT 110 / 1403 hours PSY 2103 hours ENG 1023 hours CIT 106 / BST 240- 3 hours CHM 105- 1 hour BIO 2903 hours NUR 2215 hours BIO 2854 hours BIO 2864 hours BIO 2953 hours NUR 222- 3 hours NUR 101- 2 hours NUR 1253 hours NUR 217- 3 hours NUR 223- 4 hours NUR 1022 hours NUR 114- 3 hours NUR 218- 3 hours NUR 224- 1 hour NUR 1032 hours NUR 115- 3 hours NUR 219- 3 hours 20 credit hours 18 credit hours Curricular Changes Second Semester Third Semester Fourth Semester A&P I- 4 hours A&P II- 4 hours Restricted Science Elective- 3 hours Professional Nursing & Health Systems Concepts- 3 hours Drug & Dosage Calculations I- 1 hour Drug & Dosage Calculations II1 hour ENG 101- 3 hours Synthesis of Nursing Concepts9 hours Health Assess and Diagnostics I2 hours Health Assess and Diagnostics II1 hour Nursing Concepts of Health & Illness II- 9 hours Intro to Nursing Concepts- 8 hours Nursing Concepts of Health & Illness I- 9 hours Intro to Psychology- 3 hours NUR 116- 3 hours 16 credit hours First Semester 16 credit hours 18 credit hours 15 credit hours 15 credit hours 12 credit hours The following 6 months….. The WVCADN • • • • • • WVBOERN Approval ACEN Approval Partnering Institutions (curriculum) Faculty participation “Above the line and blow the line” …..and then again, some things won’t change….. West Virginia Consortium for Associate Degree Nursing Minimal Criteria Set • • Nursing Handbook Protecting Individuality Individual Institutions Challenges • • • • • • Impacts all Divisions at all Colleges / Student Services / Adult Basic Education Pre-Nursing LPN-RN Bridge Faculty Transition Period Scheduling Changing Direction Over the Past Year • • • WVBOERN Approval ACEN Substantive Change Reports Professional Development for Faculty Substantive Change Fall 2014 • • • • • First Semester Implementation- a Change of Pedagogy Technology, Technology, Technology! Active Learning Spring 2015 Integration Continuing Professional Development Under Construction Institutional / Program Opportunities • TEAS V / HESI Test Administration Opened Doors A Look Ahead • • • Assessment and Data Collection Analysis LPN-RN Bridge Opportunities Looking Long-Term Special thanks to….. Jim Skidmore, Chancellor West Virginia Community and Technical College System West Virginia Consortium of Associate Degree Nursing Rose Beebe, EdD MSN RNWVUP rbeebe@wvup.edu B. Kent Wilson, MSN RN CLNC- BVCTC Kent.Wilson@BridgeValley.edu Questions? West Virginia Consortium for Associate Degree Nursing