SOUTHEASTERN LOUISIANA UNIVERSITY
School of Nursing
ANNUAL COURSE REPORT FORM
Course: NLAB 473
I.
COURSE IDENTIFICATION DATA
Level:
Course Title/Number:
Course Coordinator:
Course Faculty:
II.
III.
Evaluation Period: Spring 2013
Integrative
Nursing Care of Childbearing Families and Newborns/
NLAB473
D. Hathorn
D. Hathorn, E. Hoffman, J. Austin, A. Caddo, J. Harper, S.
Matheny
DATA COLLECTION
A.
Dates (Semesters), Spring 2013
B.
Methodology: Online, Bb survey offered immediately after ATI testing in the
computer lab.
C.
Evaluation Instrument MUST be attached to this report.
EVALUATION RESULTS
A.
Findings (Summary Data): Term I N=43, Term II N=31
Question
Response Rate: 75.5%
STRONGLY AGREE
AGREE
DISAGRE
STRONGLY
DISAGREE
1. Course content and design were effective in
meeting course objectives.
78.24%
18.98%
0%
0%
2. Teaching/learning practices were effective in
meeting course objectives.
84.5%
15.49%
0%
0%
3. The course provided opportunities for
professional communication.
94.58%
13.17%
0%
0%
4. The course provided opportunities for
collaboration with peers/faculty.
86.83%
12%
0%
0%
5. The course encouraged the use of information
management.
80.30%
22.92%
0%
0%
80.57%
18.27%
2.33%
0%
78.96%
19.73%
2.33
0%
6. The course promoted critical thinking.
7. Clinical experiences allowed the following
objective to be met: Collaborate with clients,
Fall 2011
families, and other health care members to
provide nursing care and to improve health care
delivery methods for childbearing families and
newborn infants.
8. Clinical experiences allowed the following
objective to be met: Apply the nursing
process to promote, maintain and restore
the health of childbearing families and
newborns in a variety of community health
care settings.
9. Clinical experiences allowed the following
objective to be met: Act as a nurse
advocate for childbearing families and
newborn infants by analyzing and integrating
biological, psychosocial, cultural economic,
legal, and ethical factors in planning,
implementing, and evaluating nursing care
activities.
10. Clinical experiences allowed the
following objective to be met: Serve as a
role model for other care givers by adhering
to professional nursing practice standards.
11. Clinical experiences allowed the
following objective to be met: Apply
research based nursing interventions which
reflect the health needs of childbearing
families and newborn infants within the
community.
12. Clinical experiences provided
opportunities to implement theory-based
nursing interventions.
13. Clinical experiences provided
opportunities to care for clients of diverse
ethnic/cultural backgrounds.
14. Clinical experiences provided
opportunities to enhance group process
skills.
15. The Clinical Simulation experience to
Hypothermia in the Newborn provided me
the opportunity to practice and prepare for
my nursing care responsibilities in a safe
and non-threatening environment.
16. The Clinical Simulation experience on
Respiratory Distress in the Newborn
provided me the opportunity to practice and
prepare for my nursing care responsibilities
in a safe and non-threatening environment.
Fall 2011
78.96%
38.86%
0%
0%
79.34%
18,27%
0%
0%
77.99%
22.21%
0%
0%
77.80%
21.0%
0%
0%
79.87%
17,82%
0%
0%
75.21%
23.63%
72.24%
26.59%
72.24%
26.59%
0%
0%
66.88&
26.41%
2.78%
2.78%
66.17%
27.12%
2.33%
2.78%
17. The Clinical Simulation experience on
Pitocin Hyperstimulation provided me the
opportunity to practice and prepare for my
nursing care responsibilities in a safe and
non-threatening environment.
18. The Clinical Simulation experience in
Magnesium Sulfate Toxicity provided me the
opportunity to practice and prepare for my
nursing care responsibilities in a safe and
non-threatening environment.
19. The Baton Rouge General Hospital,
Bluebonnet Center was useful in meeting
the course objectives. This facility was not
used; however, students responded.
20. Woman’s Hospital was useful in
meeting course objectives.
21. North Oaks Medical Center was useful in
meeting the course objectives.
Term One 22. Oschner Family Birth Center
was useful in meeting course objectives
Term Two 22. Women’s Clinic (Dr’s Office)
was useful in meeting clinical objectives.
Term One 23. St Tammany Parish Hospital
Birthing Center was useful in meeting course
objectives.
24. Please give examples of how critical
thinking skills were used to develop nursing
interventions (this was item 23 on term two
survey)
25. Please give examples of how
information technology was used (this was
item 24 on term two survey).
26. Please give examples of opportunities
Fall 2011
68.94%
24.34%
2.33%
2.78%
65.0%
28.28%
0%
0%
9.94%
0%
4.65%
0%
59.9%
3.23%
2.33%
0%
13.88%
5.10%
0%
0%
9.3%
2.33%
4.6%
0%
16.13%
0%
0%
0%
18.61%
4.65%
0%
0%
There were 17 responses. Theory and skills lab
helped prepare for decision-making. Theory was
applied to practice. Interventions were based on
patient needs. We thought out interventions in
ethical, hypothetical situations. Performing
assessment and determining why interventions
were appropriate. While performing hand on
situations such as messaging the uterus to
prevent hemorrhage. Providing safe care for
patients. Thinking on my feet. Working with
primary care nurses. Caring for newborns,
patients in labor and delivery, and post partum.
Answering “what if” questions on care plans,
reflections, and case study assignments.
Assessing pain managements. Caring for patient
on MgSO4 therapy for pre-eclampsia.
There were 35 responses. Computer charting,
searching for electronic research articles,
maternal/fetal monitoring, use of discussion
boards on moodle, library data bases, clinical
preparation, using email.
There were 41 responses. Communicating with
provided in clinical to enhance oral and
written communication skills. (Item 25 on
term two survey)
27. Please give examples of theory based
nursing interventions you implemented in
clinical. (Item 26 on term two survey)
28.. Please give examples of pre-requisite
courses that facilitated your learning. (Item
27 on term the two survey).
nurses and physicians, SBAR reporting, use of
language line for Spanish speaking patient,
clinical reflections, reporting to instructor, post
clinical conferences, care plan presentations,
care plans, educating patients, assessing
patients, verbal reassurance for patient in pain
during labor.
There were 47 responses. Fundal message,
post delivery assessment, patient education
activity regarding newborn, post partum, labor
and delivery care. Evidenced based practice,
RhoGam administration, application and
assessment of fetal and contraction monitoring,
fetal heart rate analysis, observations of vaginal
and c/section deliveries, observation of
management of fetal distress, amnioinfusion, and
respiratory distress in the newborn.
Administration of newborn meds ie vitamin K, eye
ointment, and Hep B vaccine. Urinary
catheterizaions, repositioning, sterile vaginal
examinations, monitoring lab values before csections, treatment for deviated fundus after
delivery, obtaining blood samples for newborns
such as pku testing, use of pain relief measures.
There were 39 responses. Psych 204,
foundation skills, all previous clinicals, lectures,
labs. Anatomy and physiology, microbiology,
English and apa, pharmacology, advocacy,
pathophysiology, culture/diversity in nursing,
zoology, research, med/surg, psych., English,
Library science, biology.
B. Summary of Narrative Comments: The narrative comments provided rich data to
support adequate clinical experiences to meet the course objectives.
C. Comparison of current results with results from the last two course evaluations:
Differences between terms in Spring 2013 were similar in number of responses and ratings of
items as compared with the previous course evaluations (Refer to the attached survey results).
The data is more representative of the entire class for the Spring 2013. The course evaluation for
Spring 2013 had consistently higher percentages of students that strongly agreed with the
statements.
IV.
REVIEW OF COURSE DESCRIPTION, OBJECTIVES AND CONTENT OUTLINE:
Congruency exists.
Course Description:
Provides clinical practice opportunities to synthesize nursing knowledge, use of the nursing process, and to reflect
on learning experiences during the care of childbearing families and neonates. Focuses on therapeutic nursing
interventions to promote, maintain, and restore families’ health during the childbearing period. Provides activities
for students to further develop critical thinking, decision-making, and communication skills. Includes learning
Fall 2011
experiences in a variety of health care settings. Three credit hours.
Corresponding Essential
Course Objectives:
a) Apply the nursing process to promote, maintain, and restore health of childbearing
families and neonates in a variety of health care settings.
b) Utilize critical thinking skills to develop nursing interventions for meeting the
health care needs of childbearing families and neonates of diverse populations.
VII, IX
II
c) Act as a nurse advocate for childbearing families and neonates by analyzing and
integrating biological, psychosocial, cultural, economic, legal and ethical factors in
planning, implementing, and evaluating nursing care activities.
I, V, VIII,
d) Collaborate with clients, families, and other health care members to provide
nursing care and to improve health care delivery for childbearing families and
neonates.
VI
e) Serve as a role model for other caregivers by adhering to professional nursing
practice standards.
f) Apply evidence based nursing interventions to address the health needs of
childbearing families and neonates within the community.
VII
III
REVIEW OF NCLEX RESULTS: Not available.
V.
VI.
STANDARDIZED TESTING RESULTS: Refer to the ATI Reporting form attached.
(Including comparison of current results with results from the last two semesters) ATI
results are excellent, showing 100% of the students passing at Level II or above. The
percentage of students passing at LEVEL THREE was 73.5%, exceeding the Level II
standard.
VII.
QUALITY MATTERS RUBRIC (100% Online Courses ONLY): N/A
VIII.
RECOMMENDATIONS TO LEVEL:
1.
2.
Continue to offer the survey during the ATI testing, immediately following the
test and to keep the survey open for two weeks following the ATI.
Provide the same survey for both terms (Term I and Term II) to ensure the survey
items are numbered identically.
3. Remove items that are obsolete such as clinical sites not utilized.
4. Emphasize use of SBAR reporting on the evaluation tool to track quality and safety in
nursing education competencies.
Fall 2011
ATI Reporting Form
Class: 12/13
Course: NLAB473
Course Coordinator: D. Hathorn
Proficiency
Level
Semester/Year: Spring/2013
Group Performance
% and # of Group at Proficiency level
Individual Score
Required for
Proficiency Level
1st attempt
n=
RN Maternal
Newborn
2010 From B
Level 3
76.7%-100%
Level 2
61.7%-75.0%
Level 1
51.7%-60.0%
< Level 1
<51,7%
Major Content Areas
Safety and Infection Control
Management of Care
Psychosocial Integrity
Health Promotion & Maintenance
Pharmacological and Parenteral therapy
Reduction of Risk Potential
Basic Care & Comfort
Physiological Adaptation
Thinking Skills
Foundational Thinking in Nursing
Clinical Judgment/Critical Thinking in
Nursing
Priority Setting
Retest
n=
98
73.5% (72)
28.5% (26)
0.0% (0)
0.0%(0)
Grp
Score
80.9%
51.0%
98.0%
73.0%
64.1%
74.4%
71.9%
77.8%
Nat’l
Mean
N/A
N/A
N/A
64.7%
58.1%
58.1%
N/A
68.4%
Group Scores
Program
Mean
N/A
N/A
N/A
63.8%
57.1%
57.7%
N/A
68.6%
Group Score
16 Items
44 Items
84.9%
67.8%
Group Score
18 Items
Nursing Process
Assessment
Analysis/Diagnosis
Planning
Implementation/Therapeutic Nursing
Intervention
Evaluation
Fall 2011
Nat’l
%tile
N/A
N/A
N/A
92
82
97
N/A
89
68.1%
Group Score
9
17
5
23
76.5%
62.9%
68.6
76.6%
6
79.4%
Program
%tile
N/A
N/A
N/A
93
83
98
N/A
88
Notes:
Fall 2011