EXECUTIVE SUMMARY for the BACHELOR OF SCIENCE IN NURSING Submitted to: The Florida Department of Education by MIAMI DADE COLLEGE School of Nursing December 15, 2006 Miami Dade College Proposal for a Bachelor of Science in Nursing Degree (BSN) Executive Summary December 15, 2006 I. PROGRAM GOALS & OUTCOMES The primary goal of the Bachelor of Science in Nursing (BSN) degree proposal at Miami Dade College (MDC) is to provide students and practicing nurses with a high quality, accessible, cost-effective, and seamless academic program designed to meet the critical workforce need for baccalaureate-prepared nurses in the State of Florida. The proposed BSN program, at the MDC Medical Center Campus School of Nursing, is intended to provide increased opportunities for: 1. Professional registered nurses (RNs) who are graduates of associate degree nursing programs to matriculate into a baccalaureate degree program in the same environment where they have experienced academic success. 2. An affordable baccalaureate degree for RNs from under-represented groups and low-income families who cannot afford high tuition costs. 3. Students in need of flexible scheduling of courses including days, evenings, and weekends. 4. Working/practicing nurses who may wish to pursue a baccalaureate degree as the first step toward advanced degrees. 5. Nurses from minority groups to enhance their career options by acquiring additional competencies needed to meet the increasingly complex demands of contemporary professional nursing practice. 6. Preparing more culturally diverse nurses at the baccalaureate level. II. ADVANTAGES OF MDC OFFERING A BSN DEGREE PROGRAM MDC serves a large percentage of minority students as illustrated in Tables 1 and 2 below. Therefore, a BSN program will enable MDC to provide access and increase the number of baccalaureate-prepared nurses from minority groups. Table 1: Associate Degrees Awarded Nationally to Hispanics (2004-2005) College Number of Hispanic Graduates Miami Dade College (FL) 4,073 El Paso Community College (TX) 1,443 South Texas Community College (TX) 1,035 East Los Angeles College (CA) 873 Laredo Community College (TX) 754 Source: IPEDS data in the MDC Fact Book (2006) Table 2: Associate Degrees Awarded Nationally to African-Americans (2004-2005) College Number of AfricanAmerican Graduates Miami Dade College (FL) 1,220 American Intercontinental University (On-line) 884 Broward Community College (FL) 779 CUNY-Borough Manhattan Community College (NY) 777 Central Texas College (TX) 707 Source: IPEDS data in MDC Fact Book (2006) 2 MDC has demonstrated success in penetrating the minority population at its Medical Center Campus, and particularly serving the African-American population as compared with the general population of the county. Please see Table 3: Table 3: Comparison of Miami-Dade County and Medical Center Campus Fall 2005 Credit Student Demographics Ethnicity/Race MCC MCC Miami-Dade Number Percent County Percent Hispanic 989 54.3 60.1 African American (Non-Hispanic) 502 27.6 18.8 White (Non-Hispanic) 267 14.7 19.0 Other 64 3.4 2.1 Total 1822 100.0 100.0 Gender MCC MCC Miami-Dade Number Percent County Percent Female 1100 60.4 51.6 Male 722 39.6 48.4 Total 1822 100.0 100.0 MDC is able to deliver more extensive student services than research-intensive and extensive institutions and has demonstrated success in serving academically underprepared students. Please see Table 4. Table 4: Medical Center Campus Fall 2005 Student Snapshot Characteristic Needed college preparatory coursework in reading, writing, algebra, or some combination of these at entry to MDC First generation college-bound students Students who spend 6 or more hours commuting to and from classes each week Students who speak a language other than English at home (37% Spanish, 9% Creole, 4% other) Students working full time or part-time Students caring for dependents Students classified as low income Percent 45% 53% 51% 50% 75% 68% 45% Source: Miami Dade College Office of Institutional Research Source: MDC Fall Profile (2005) MDC can deliver the BSN degree program more cost effectively because of its lower tuition rates (please see Table 5). Considering that 45% of the students served by MDC are classified as low income and 65% of MDC students are the recipients of some type of financial aid, development of the BSN program at MDC will provide a unique opportunity for students from low-income families and underrepresented groups (who otherwise cannot afford to go to four-year institutions) to earn BSN degrees. 3 Table 5: Comparison of Tuition Costs at South Florida Colleges & Universities 2006-2007 Institution Estimated RN-BSN In-State Tuition Cost ( Cost per credit hour/semester) Florida International University $ 104.33 Florida Atlantic University $ 108.64 Barry University $ 705.00 (RNs receive a 30% discount) (based on 18 credits/semester) Nova Southeastern University $ 420.00 University of Miami $1,280.00 (Based on enrollment of 20 credits for Fall or Spring) Miami Dade College $ 62.36 Source: Corresponding Institution Web Sites MDC will provide additional access for over-subscribed BSN degree programs. In 2005, the Florida Center for Nursing reported that nearly sixty percent (59.92%) of the individuals who applied to nursing baccalaureate degree programs in Southeast Florida were not admitted due to the lack of capacity to accommodate applicants at 4-year institutions. Please see Table 6. Results of recent surveys indicate that 81% of current MDC students and 59% of alumni selected MDC as their preferred institution for pursuing a BSN degree. Therefore, MDC has a captive audience and is poised to serve its alumni who are ready to continue at the same institution where they successfully earned their ASN, using an affordable and efficient, career-ladder approach. Table 6: Number of Qualified Nursing Applicants Compared to Number of Nursing Students Admitted/Denied in the State of Florida for 2004 (Florida Center for Nursing, 2005) Region Northwest North East Central West Central Southwest Southeast Statewide ASN Qualified Applicants Students Admitted 869 170 720 253 1424 663 698 422 748 456 2138 716 6597 2680 4 Students Denied due to Capacity 529 (60.87%) 467 (64.86%) 761 (53.44%) 276 (39.54%) 292 (39.03%) 1422 (66.51%) 3917 (59.37%) BSN Qualified Applicants Students Admitted 361 157 1004 260 368 173 517 360 125 87 1310 525 3685 1359 Students Denied due to Capacity 204 (56.5%) 744 (74.1%) 195 (52.9%) 157 (30.36%) 38 (30.4%) 785 (59.92%) 2326 (63.12%) MDC has been successful with baccalaureate programs. For example, the Bachelor of Applied Science-Public Safety Management program, implemented by MDC in August 2006, has an initial enrollment of 80 students, a 29.4% enrollment increase over the initial projection of 68 students. It is anticipated that due to the nursing shortage and highdemand for nurses, initial enrollment projections for the BSN program will also be surpassed. Current MDC students as well as alumni have expressed the highest level of interest and preference for the BSN degree program at MDC. In addition, the healthcare industry and other external constituencies have pledged strong support as illustrated by the following: o o o o Nearly eighty-one percent (81%) of MDC enrolled nursing students surveyed in 2006 indicated they would enroll in a RN-BSN degree program if offered at MDC. Fifty-nine percent (59%) alumni respondents surveyed in 2006 ranked MDC as their first choice of schools to pursue and earn the RN-BSN degree. The MDC School of Nursing Advisory Committee, which consists of hospital leaders, MDC alumni, and MDC faculty and administrators, approved the development of the proposed RN-BSN degree program on April 13, 2006. MDC has received strong support and encouragement from local healthcare agencies regarding the implementation of the proposed RN-BSN degree. MDC serves a unique and diverse student body. MDC’s experience and expertise in the education of nursing students from low income and under-represented groups makes it the ideal institution to offer the BSN degree in order to prepare them for advanced career opportunities, including middle management and supervisory positions. llI. THE NEED AND POTENTIAL BENEFITS OF THE MDC BSN DEGREE PROGRAM The proposed Bachelor of Science in Nursing degree at MDC is designed to address the following: 1. The need for BSN-prepared nurses. The American Organization of Nurse Executives (AONE) supports the BSN as the entry level into practice, based on research conducted and published by Dr. Linda Aiken (an endowed leadership professor at the University of Pennsylvania). As a result, Marilyn Bowcutt, president of AONE, has challenged Nurse Executives to encourage associate degree graduates to complete BSN degrees and has challenged leaders to encourage more colleges to increase capacity for nursing baccalaureate degree programs. The need for BSNprepared nurses is further supported by the following: AONE has stated that a baccalaureate degree is necessary to prepare future nurses for increasingly complex and challenging patient care. This statement is supported by multiple studies that demonstrate that patient mortality and risk of death was decreased by a higher proportion of BSN nurses in the workforce. The National Advisory Council on Nurse Education and Practice and the US Secretary for Health and Human Services indicated that by 2010, 66% of the nursing workforce would need to be prepared at the BSN level. Currently, only 26% of Florida’s nursing workforce is BSN-prepared. Several major employers, including the United States Public Health Service and the United States Armed Services, require the BSN or higher degree for all levels of nurses. The Veterans Administration requires the BSN for promotion. 5 The RN-BSN is the first step for upward mobility within the nursing profession and can help to decrease the nursing faculty shortage, considering the following: a. Approximately 50% of nurses will leave the workforce to retire in the next 10 years. b. The average age of nursing faculty in Florida is 56 years of age (51 nationally). It is estimated that 50% of nursing faculty will retire by 2010, compounding the problem of not only recruiting people to nursing, but having enough teachers. 2. Enhancement of patient outcomes. Dr. Linda Aiken’s research has identified linkages between higher levels of nursing education and positive patient outcomes. Her research indicates that surgical patients have a “substantial survival advantage” if treated in hospitals with a higher proportion of baccalaureate prepared nurses. By increasing the proportion of nurses holding BSN degrees by 10%, there was a decrease in the risk of patient death and failure to rescue by 5%. 3. Diversity and inclusiveness in the nursing profession. There is great concern at the Federal, State, and local levels about the shortage of RNs from underrepresented minority groups. Although 81% of Miami-Dade County’s population consists of racial and ethnic minorities, only 18% of RNs come from minority groups. It is anticipated that the proposed RN-BSN program will provide health care agencies with a diverse pool of nurses prepared to meet the needs of the ethnically and racially diverse South Florida communities. 4. Easing of the Nursing Shortage in South Florida. In the state of Florida, BSN prepared nurses (according to the Nurse Practice Act) can teach at the ASN level as adjunct faculty. Increasing the supply of BSN nurses will increase the number of additional nursing faculty at the ASN level, thereby reducing the faculty shortage. BSN-prepared nurses who begin in adjunct faculty positions may become interested in pursuing a career in nursing education and may go on to earn Master’s and Doctorate degrees at other institutions. IV. QUALITY ASSURANCE: Quality assurance for the BSN degree program would be achieved through the following: SACS Accreditation Standards. Miami Dade College is fully accredited by the Southern Association of Colleges and Schools (SACS) as a Level 2 institution and is authorized to offer baccalaureate and associate degrees. Therefore, the proposed program will be operated under SACS standards. NLNAC Accreditation. The ASN degree program at MDC is full accredited by the National League for Nursing Accrediting Commission (NLNAC). MDC will seek NLNAC accreditation for the BSN degree program. State Board Standards. The program will seek Florida State Board of Nursing approval. Institutional Review. The program will be included in Miami Dade College’s Five-Year Program Review process. 6