LA HARBOR COLLEGE
Student Learning Outcomes (SLOs) Assessment Report
Course Assessment
Division: Health Sciences Discipline/Program: Nursing
Course Number and Name: Nursing 323 Nursing Process and Practice in the Care of Adult Client I
Program Contact Person: ___Doris Webster/Kathy Vo
_____________________ Phone: __310-233-4385_____________________
Reviewed by: Joachin Arias, Ph.D. (SLO Coordinator)
Date: Fall, 2014
Attach additional pages as necessary.(The Learning outcomes for Nursing 323 are Directly and Indirectly measured from formative and
summative assessment of the course theory and clinical components, simulation laboratory and WEEKLY CLINICAL
EVALUATION(WCET)
Institutional
learning
outcomes
Program
learning
outcomes
Course Intended Outcomes
Means of Assessment
and Criteria for Success
Summary of Data
Collected
Use of Results
1
2
1.
1. Utilize the nursing process and
the Roy Adaptation Model in caring
for Adult-medical surgical patients
with selected diseases of the
cardiovascular, hematologic,
endocrine, immunology and
oncological problems. (Scope of
Practice, QSEN’s), ACEN,
Nursing concepts: Assessment,
judgment, caring interventions
Decision-making).
Mean: WCET (Rubrics)clinical
performance/observation,
clinical preparation,
pathophysiology,
Nursing history and
physical assessment
forms, written nursing
care plan, anecdotal notes
of clinical instructor.
Criteria: 90% of students
utilized the nursing
process to provide
holistic nursing care to
adult patients and family
as evidenced by
receiving a “Satisfactory”
rating on the clinical
evaluation tool in 5/7
weeks.
Results: N=55 10,students
failed and 2 student
dropped. Emphasis on
preventing adverse events,
enhancing patient safety
and patient centered care.
Clinical and lecture placed
emphasis on QSEN.s
QSENs concepts placed in
revised evaluation
tool.QSENs concepts
integrated into course
objectives. Emphasis on
integrating cultural
competence.http:www.aacn
On weekly evaluation no
clinical failures but
students did receive weekly
failures. The criteria are
that must receive three
failures in the 8th week
course or a weekly failure
that put the client in
physical or emotional
jeopardy. Of the 10course
failures, none were clinical
failures. Two students
were not legible to return
because of failure in the
nursing course two times.
Examinations in the second
semester focus on the NCL
format and critical thinking
questions. Although
students received the
passing scores on the
TEAS examination, many
of the students had difficult
Program evaluation
is an ongoing part
of our Curricula
evaluation. QSENS
are integral part of
our reforming our
curriculum. The
WCET was revised
and will be
implemented in the
fall.
We have made
recommendation to
the students in
nursing 323 to try
and increase pass
rate for the course.
The students who
repeat N323 do very
well in the program
after remediation.
We will continue to
monitor the
student’s
performance on the
WCET for safe,
patient centered
nursing care.
2
with vocabulary and
application questions.
85% of students passed a
total of 4 NCP on the first
try (including
physiological and
psychosocial problems and
a teaching plan, but many
of the students experienced
problems with the outcome
criteria.
5
2.
2. Display professional behaviors
for nursing practice in caring for
Adult –Medical Surgical Patients
with selected diseases of the CV,
Hematology/Immunology/Endocrine
and Oncological Problems.
Mean: WCET (Rubrics)
clinical
performance/observation,
anecdotal notes of
clinical instructor.
Results: On written
clinical evaluations tool,
more than 85% of
nursing students met this
Program Outcome.
Simulation, as well as
Results will be
used to aid in
achieving program
outcomes.
Continue to
maintain and
3
Criteria: 90% of
students will practice
professional behavior as
evidenced by achieving a
“Satisfactory” rating on
the clinical evaluation
tool while in the clinical
settings in 5/7 weeks.
2
4.
3. Interpret rationales for clinical
decisions in caring for adult
Medical-Surgical patients with
selected diseases of the CV,
Hematology, Endocrine,
Immunology and Oncological
Problems.
Mean: WCET (Rubrics)
handoff report, SBAR,
electronic and written
documentation.
Criteria: 90% of
students will demonstrate
effective verbal,
nonverbal and written
communication skills by
utilizing appropriate
channels of therapeutic
communication, provide
accurate and pertinent
communication when
reporting and
documenting the nursing
process as evidenced by
receiving a “Satisfactory
“ on the clinical
clinical observation is
used to evaluate this
outcome. Observing
students in handoff
communication and selfevaluation monitors this
competency. E.g. at post
conference assess how
student interacted with
interdisciplinary staff.
When students did not
communicate appropriately
with interprofessional
team, instructor
emphasized patient safety
in jeopardy because of
inadequate communication
skills. Competency # 5. 55
students
Results; On written
weekly clinical weekly
and cumulative
evaluations tools, more
than 90% of students
were given a rating of
satisfactory on
Competency #2. 55
students. If students
observed to have poor
communications skills
with clients, the student
was corrected
immediately. E.g. If
students gave explanation
of action of medication, or
patient teaching, corrected.
Team would like to see
more case studies and High
monitor
performance of
students in nursing
process courses of
adult client.
Results of
competency will
continue to be
monitored for
maintaining course
outcomes. WCET
will be used to
document the
achievement of the
competency.
Students will
continue be
assessed directly
for therapeutic
communication
skills with clients.
Need more
Simulation and
case studies to
4
evaluation tool in 5/7
weeks.
2
2.3,4
4.Provide safe, patient-centered care
in caring for adult Medical-surgical
with selected diseases of the CV,
Hematology, Immunology,
Endocrine and Oncological
Problems.(QSENs)Nursing concepts
and Nursing judgment
Mean: WCET (Rubrics)
instructors’ anecdotal
notes, observations,
clinical preparation,
including
pathophysiology, NCP,
including
implementation.
Criteria: 90% of nursing
students will demonstrate
clinical decision making
by implementing the
nursing process to ensure
accurate and safe nursing
care to move the patient
and family to positive
outcomes by
incorporating cultural
and spiritual components
in the plan of nursing
care, recognize the
patient or designee as the
source of control and full
partner in managing
health care. 80% of
nursing students received
a “satisfactory rating” in
5/7 weeks.
Fidelity simulation
exercises to evaluate
student’s clinical decision
making skills since
evaluation tool can be
subjective.
Results: All students
achieved an overall rating
of satisfactory on
competency 2 in 5/7
weeks. Documentation
found on weekly clinical
and cumulative
evaluation tool. 53
students.
90% of students
consistently actively
engaged in client
interactions that were
based on mutual respect
and collaboration to
achieve the goal of caring
and providing patient
centered care. Use of
simulation is an integral
part of learning since it
helps the student to
realize and mimic
complex patient
scenarios.
develop clinical
decision-making
skills in caring for
the medicalsurgical patient.
Results of
competency will
continue to be
monitored for
achieving course
outcomes. WCET
will be used to
document the
achievement of the
competency.
Perhaps next fall
2014 will look at
test questions that
depict safe and
accurate nursing
care.
The Kaplan
examination will
be used at the end
of the semester to
validate student’s
knowledge base of
accurate and safe
nursing care. Will
continue to use
High Fidelity
simulation as an
integral part of
learning since
students do not
always
demonstrate
5
1,4
3.
2
1,4
5. Practice as a member of the
nursing team utilizing effective
communication strategies in caring
for adult Medical-Surgical patients
with selected Diseases: CV,
Hematology, Immunology,
Endocrine, and Oncological
Problems.(QSEN’s) (ACEN)
Nursing Concepts
Mean: WCET
(Rubrics) anecdotal
notes, Criteria: 90% of
nursing students will
demonstrate therapeutic
caring intervention and
an opportunity to learn
about team work and
collaboration to assist
patient in meeting biopsycho-social needs by
incorporating cultural
and spiritual influences
and promote the patient’s
integrity within the legal,
ethical and regulatory
framework of nursing as
evidenced by receiving a
“Satisfactory “rating on
thee weekly clinical
evaluation tool in 5/7
weeks.
6. Incorporate evidence-based
Mean: WCET#6
practices, which support clinical
competency, adheres to
reasoning in caring for adult
institutional policies and
medical-surgical patients with
procedures, and expertise
selected diseases of the CV,
of clinical faculty to
Hematology/Immunology Endocrine provide evidence-based
and Oncological Problems. (QSEN- care . Perform basic
s) Nursing concepts
literature search in
preparing for clinic 80%
of students not aware or
do not consistently
incorporate-evidenced
Results: 56 students in
class. In 5/7 weeks all
students received a rating
of satisfactory on clinical
evaluation too,
Results: Competency #6
Only 50% of students can
cite evidence base
practice for nursing
concepts and practice.
The Kaplan examination
at the end of the semester
will assess more
accurately mastery of the
concept.
accurately
concepts learned
in lecture.
Results of
competency will
continue to be
monitored on
multiple-choice
examination and
the Kaplan
examination that
evaluates students
on QSENS.
High Fidelity
Simulation will
continue to
incorporate
scenarios that
incorporate
teamwork and
collaboration. 0
Will continue to
monitor the
concept of
evidenced base
practice and
clinical reasons/
Students will use
charts and graph
in textbooks to
demonstrate the
choice 0f
interventions that
6
5
4
7. Utilize a variety of sources to
review outcomes of caring for adult
Medical-Surgical patients with
selected diseases of the CV,
Hematology, Immunology,
Endocrine and Oncological
problems.(QSEN’s) and Nursing
concepts
3
2,8
8. Utilize technology to research
patient information and
communicated with interprofessional teams in caring for
adult Medical-Surgical patients with
selected diseases of the CV,
(Hematology/Immunology,
Endocrine and Oncological
Problems.(QSEN’s) nursing
concepts.
based practice in
knowledge and attitude,
and skill performance of
therapeutic nursing
interventions.
Mean: WCET, Hand off
communication tool,
Discharge planning with
multidisciplinary team,
Review of medical
record for discharge
planning. Nursing history
and Assessment form.
Criteria: 80% of nursing
will participate in with
interdisciplinary teams to
promote patient centered
care to adult patients and
families as evidenced by
receiving a “Satisfactory”
rating on the weekly
clinical evaluation tool
5/7 weeks.
Mean:WCET(RUBRICS)
The instructor of the
course serves as the
expert and resource
person for the student.
Six clinic groups in
Nursing 323. 3 groups
were at hospitals that
used EHR and the other 3
groups at a hospital that
had partial EHR. Next 8
are best practice
or evidenced base
practice.
Results: Outcome met.
Limited experience in
discharge and
interdisciplinary
planning, as students are
novice at this level.
Simulation is utilized to
help students gain an
understanding of
interdisciplinary teams and
self-evaluation. The
debriefing sessions was
used to evaluate the self as
well as the overall team.
This allows the students to
gain information about
own strength and receive
feedback from the group as
well as the nurse educator.
Continue to
maintain and
monitor.
Simulation will
continue to utilize
as a method of
teaching and
learning,
Simulation teaches
communication
skills as well as the
importance of
interdisciplinary
teams in the
delivery of safe
client care.
All students receive input
from staff nurse, charge
nurses and instructor to
select clients that will
help achieve the weekly
objectives. Students
encouraged
communicating with
other members of the
interdisciplinary teams.
50% of second level
students communicate
Staff and
instructors assist
students to select
clients and gather
pertinent
information
regarding lab and
diagnostic tests.
Goal is
Implement more
technology in the
classroom such as
7
weeks the hospital
without will convert to
EHR.((70% of students
use personal PDAs, and
high tech devices for
patient monitoring and
care. (90%) of students
who used HER are
efficient
effectively with other
members of the health
care team beside the
nurse.
electronic clickers.
Students are
assigned to DVDs,
but majority of
students(80% will
not use Teaching
methodology
unless shown in
class. Information
technology wills 3
the journaling that
students submit in
their weekly
evaluation. Still
some confusion on
what determines
information
technology
literacy.
8