NLNAC SELF-STUDY REPORT 2011 College of DuPage Associate Degree Nursing Program Table of Contents Section Page # Section I: Executive Summary General Information History of the College of DuPage History of Nursing Unit Summary of Standards and Criteria Analysis and Summary of Strength and Areas Needing Development 5 6 7 9 12 Section II: Standards 1-5 Standard 1: Mission and Administrative Capacity Criterion 1.1 Criterion 1.2 Criterion 1.3 Criterion 1.4 Criterion 1.5 Criterion 1.6 Criterion 1.7 Criterion 1.8 Criterion 1.9 Criterion 1.10 13 13 16 19 21 24 24 25 27 29 29 Standard 2: Faculty and Staff Criterion 2.1 Criterion 2.2 Criterion 2.3 Criterion 2.4 Criterion 2.5 Criterion 2.6 Criterion 2.7 Criterion 2.8 Criterion 2.9 Criterion 2.10 31 31 33 33 34 35 36 37 37 39 39 Standard 3: Students Criterion 3.1 Criterion 3.2 Criterion 3.3 Criterion 3.4 Criterion 3.5 Criterion 3.6 Criterion 3.7 Criterion 3.8 41 41 45 48 48 49 49 50 50 NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois 1 Standard 4: Curriculum Criterion 4.1 Criterion 4.2 Criterion 4.3 Criterion 4.4 Criterion 4.5 Criterion 4.6 Criterion 4.7 Criterion 4.8 53 56 59 61 75 76 78 80 81 Standard 5: Resources Criterion 5.1 Criterion 5.2 Criterion 5.3 Criterion 5.4 85 85 87 88 92 Section III: Standard 6 Outcomes Criterion 6.1 Criterion 6.2 Criterion 6.3 Criterion 6.4 Criterion 6.5 Systematic Evaluation Plan 95 96 110 111 111 114 Section IV: Appendices 1.2A 1.2B 1.2C 1.2D 1.3A 1.3B 1.5A 1.5B 1.9A 1.9B 2 College of DuPage Administration Organization Chart Academic Affairs Staffing Nursing Department Organizational Chart Nursing Department Committee membership Flyer for Clinical Faculty Academy New Faculty Hire Checklists Director of Nursing Job Description Director of Nursing Résumé Grade Review Form Student Concern Form 2.3A 2.5A 2.6A 2.7A 2.7B Laboratory Assistant Job Description Professional Activities (of Full-time Nursing Faculty) Administrative Assistant Job Description New Faculty Hires Checklist Faculty Mentor Checklist 3.1A 3.2A 3.2B ADN Program Admission Policy Academic Advising Policy Academic Alert Policy and Communication Form (SBAR) 4.3A 4.3B 4.3C 4.5A 4.5B 4.5C 4.5D 4.5E (Select) Clinical Performance Evaluation tools Active Course Files Syllabus Template Laboratory Skills Checklist A.D.N. Laboratory Policies Clinical Contract Suspension from Clinical Policy Appeal Process for Unsatisfactory/Unsafe Clinical NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois Performance 4.8.A 4.8B 4.8C Clinical sites used for the Nursing Program Template for Clinical Affiliation Agreements Clinical Site Evaluation Survey 5.2.A Health Sciences Building/Nursing Learning Space 6.1 6.2 Evaluation calendar Systematic Evaluation plan NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois 3 4 NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois Section I: Introduction Executive Summary General Information 1. Program Type: Associate Degree Nursing 2. Purpose of Visit: Initial accreditation 3. Date of Visit: February 9-11, 2011 4. Name and Address of Parent Institution: College of DuPage 425 Fawell Blvd Glen Ellyn, Illinois 60137 5. Name of Regional/Instructional Accrediting Body and Accreditation Status: North Central Association of Colleges and Schools Date of most recent regional accreditation: 2008 6. Name, Credentials and Title of Chief Executive Officers of Parent Institution Dr. Robert Breuder, President Dr. Joe Collins, Vice President, Academic and Student Affairs Tom Cameron, Dean, Health and Sciences Division 7. Name, Credential and Title of Nursing Administrator Vickie Gukenberger, PhD, RN Director, Nursing Programs Telephone: 630-92-8425 gukenbergerv@cod.edu 8. Title, address and telephone number of State Board of Nursing Illinois Department of Financial and Professional Regulation James R Thompson Center 100 W Randolph Street Suite 9-300 Chicago, IL 60601 312-814-4500 Nursing Coordinator: Michelle Bromberg Program is in good standing 9. NLNAC Accreditation Status: Candidacy status granted in July 2010 10. NLNAC Accreditation Standards and Criteria Used: NLNAC 2008 STANDARDS AND CRITERIA: ASSOCIATE DEGREE PROGRAMS IN NURSING NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois 5 INTRODUCTION History of the College of DuPage Since its founding as a public, non-profit, non-residential community college in 1967, College of DuPage (COD) has become the second largest post-secondary educational institution in Illinois. As a comprehensive community college, COD has served as provider, partner, and advocate to over one million taxpaying residents and businesses of Community College District 502. Technologically sophisticated, innovative and forward thinking, the College offers a wide range of educational and cultural programming to credit and non-credit students of all ages. COD maintains alliances with K-12 schools, baccalaureate transfer institutions, businesses, industry, non-profit and community-based organizations, and municipalities. A key focus of these alliances is advocacy for educational, workforce, and economic development opportunities for currently under-represented and under-served groups within District 502. Located 35 miles west of the Chicago Loop, Community College District 502 covers 357 square miles, encompasses DuPage and portions of Cook and Will counties, includes 48 communities, 30,000 businesses, and comprises one of the largest suburban metropolitan areas in Illinois. It includes 24 public and 11 private high schools, and 16 other post-secondary educational institutions. College of DuPage is part of the 48-college Illinois Community College System. COD operates with a locally elected, sevenperson Board of Trustees, whose members serve staggered six-year terms, and a student trustee. The Board includes seven members from Community College District 502 elected by the district at large and one student trustee elected by students. In 1995, the Board adopted COD’s mission to be at the forefront of higher education, serving the needs of the community. The College will be the first place residents turn to for the highest quality education and cultural opportunities. The College will serve as a model of distinction for community college education. The mission is predicated upon the College’s Core Values: Integrity, Honesty, Respect, and Responsibility. In October 2009, the Strategic Long Range Plan Advisory Committee (SLRPAC) was formed under the Vice President of Planning & Institutional Effectiveness. The SLRPAC is responsible for evaluating and refining the current mission, vision and values (MVV), and to develop by June 2010, a comprehensive strategic long-range plan (SLRP) for the College. Over the past 14 years, the College has devoted considerable time and energy to evaluation of its strengths and opportunities for improvement. As an early participant (2000) in the Academic Quality Improvement Program (AQIP) through the Higher Learning Commission of the North Central Association of Colleges and Schools, COD is actively committed to institutional self-assessment, targeted planning, and implementation of strategies leading to measurable results. The initial decision to participate in AQIP was in response to consultant site visit observations that the College would benefit from a streamlined planning process. AQIP provided the structure for the College to develop a comprehensive, systems approach to improve institutional effectiveness. Participation in AQIP requires the College to systematically and comprehensively plan, implement, monitor, and assess its processes and performance. AQIP emphasizes helping students learn, which is consistent with COD’s belief in the power of teaching and learning. Each year the College of DuPage offers educational and cultural programming to approximately 83,000 credit and non-credit students of all ages, as well as to 100,000 patrons of the visual and performing arts. 6 NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois The College has over 90 academic programs, with courses offered at approximately 100 different sites. Seven degrees are granted – Associate in Arts, Associate in Science, Associate in Engineering Science, Associate in Fine Arts-Art, Associate in Fine Arts-Music, Associate in Applied Science, and Associate in General Studies – as well as many certificate options in approximately 50 areas of concentration. In addition, the College of DuPage provides a wide range of non-credit programming. COD’s educational services are designed and implemented to meet the basic education, developmental education, English as a Second Language, transfer preparation, workforce development, cultural awareness, general education, and lifelong learning needs of its communities’ residents. The College has a strong commitment to community education and development. COD also offers a wide variety of Continuing Education programs, an Adult Fast Track program, online courses, and special seminars and workshops for community members with a specific interest in mind. The figure below summarizes the educational opportunities and scope of offering within the College. EDUCATIONAL OPPORTUNITIES SCOPE OF OFFERING First two years of baccalaureate education to prepare students for transfer to upper division degree programs Associate in Arts (AA), Associate in Science (AS), Associate in Engineering Science (AES), Associate in Fine Arts (AFA) Art Option, Associate in Fine Arts (AFA) Music Option Career education to train or retrain students for entry into vocational fields or to upgrade skills Associate in Applied Science (AAS), Associate in General Studies (AGS), 46 Certificate Programs, Cooperative Agreement Instructional Programs General studies to provide students with basic education and recreational needs Developmental Education: Writing, Reading, Mathematics; Continuing Education: Non-Credit Classes, Lifestyle Enhancement, Personal Enrichment, Institute of World Languages, Scholars Academy, Youth Education, Older Adult Institute; Business and Professional Institute: Center for Corporate Training, Center for Workforce Development, Suburban Law Enforcement Academy; ESL Program: Adult, Academic ESL, English Language Institute, Family Literacy; Adult Basic Education/Adult Secondary Education: Basic Skills, Pre-GED, GED Preparation, Citizenship Program. Services to fulfill educational, cultural, economic and recreational needs Student Affairs Division: Admissions and Information, Registration, Records, Financial Aid, Career Services Center, Student Activities, Counseling Transfer & Advising; International Education; Forensics (Speech Team); Performing Arts; Athletics Support services, including individual advising and counseling, to motivate and nurture the success of all members of the learning community in achieving personal goals Counselors, Faculty Advisors, General Advisors working in the Classroom, Advising and Transfer Center, Center for ESL Studies, ESL Advising Office, Center for Adult Literacy and GED Preparation, Honors Program History of the College of DuPage Nursing Program The College of DuPage Associate Degree Nursing Program opened in the fall of 1969 in response to an Arthur Little study conducted in 1965, which demonstrated the community’s need for an associate degree nursing program. In the fall of 1969, the first class of 45 students was admitted and 28 students graduated in June, 1971. Having celebrated forty years in 2009, approximately 3,000 individuals have been prepared to meet the healthcare needs of the community in a variety of settings: hospitals, clinics, home health agencies, hospice, and long-term care. NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois 7 The associate degree nursing program received initial approval from the Illinois Department of Registration and Education in 1971. The Illinois Department of Financial and Professional Regulation (IDFPR) approved a major curriculum revision in September 2006. The last site visit conducted by the Illinois Department of Professional Regulation was in June, 2009 and took place in the new nursing program location of the Health Science Center. Copies of the letters will be available to the visitors. The associate degree nursing program, operating continuously on the main campus (Glen Ellyn) since inception, admits students each fall. The program requires two academic years or four semesters, with a total of 80 hours: 42 credit hours of nursing courses and 38 hours of general education and science courses. In 2010, the ADN program changed the admission rubric to include completion of both anatomy and physiology courses and the CNA course prior to admission, based on the data obtained from the previous year’s pool of applicants. Traditionally the ADN program admits a class in the fall of each year. There are 117 available positions for the fall of 2011 class. In 2009, 108 students were admitted, to allow space for transition students in the second year of the program. A second transition course was delayed due to inadequate clinical facilities and clinical teaching faculty in the fall. The transition course is slated for summer, 2010. The ADN program was granted initial accreditation by the National League for Nursing (NLN) in spring 1981. The program was reaccredited in fall 1990 by NLN and fall 1998 by the National League for Nursing Accrediting Commission (NLNAC) for five years. In 2002, with the upcoming conversion to semesters, the ADN faculty decided there was insufficient time and resources to complete a self-study and convert the curriculum from a quarter to a semester system simultaneously. The program coordinator did contact NLNAC to request an extension but was informed that a maximum extension of six months could be granted. NLNAC accreditation was delayed until the curriculum conversion was completed. The curriculum was converted to semesters in early 2005, implemented in fall 2005 and revised in 2006. At that time, the faculty turned its attention to the accreditation process. The ADN program sought and was denied accreditation in 2008. Since 2008, the faculty has met regularly to address program needs as well as those deficiencies identified in the self-study report by the NLNAC Board of Governors. In particular, changes in laboratory staffing and development of a systematic evaluation plan have been addressed. Responding to the nursing shortage and the increased number of qualified applicants, COD and the ADN program developed an agreement allowing hospital based MSNs to teach in the ADN program. This collaborative effort resulted in the graduation of 23 additional students in spring 2006 and graduation of an additional 38 students in fall 2008. No additional cohorts are currently planned. However, in the summer of 2009, the ADN program developed and gained approval for a transition course to facilitate licensed practical nursing graduates through the associate degree nursing program. Twenty students comprised the first cohort of LPNs, all of whom successfully completed the transition course. College of DuPage currently enjoys affiliations with several area colleges and universities. Currently, Benedictine University has offered their BSN completion program on COD’s campus. The eighth cohort will begin in January, 2011. COD cohorts to date are as follows: Jan 2007- Dec 2007 Jan 2008- Dec 2008, June 2008- May 2009 Jan 2009- Dec 2009, June 2009- May 2010 Jan 2010- will finish in Dec 2010; June 2010- will finish in May 2011 8 NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois The cohort retention rate is approximately 95%. The Benedictine University MSN Program (completely on-line), received full initial accreditation from CCNE in October, 2010. Benedictine hopes to explore an RN/MSN bridge soon, thus students must hold BSN to be eligible for admission into the MSN program. Northern Illinois University also partnered with College of DuPage in 2008 to offer a BSN completion program. The first cohort was admitted in the fall of 2009 and will graduate in the spring of 2011. Elmhurst College has indicated an interest in developing a partnership with College of DuPage and this possibility will be explored in early 2011. The ADN faculty has served as faculty preceptors for master’s students enrolled in a nurse educator program for two area MSN programs. Upon their graduation, two of these individuals have taught part time in the ADN program. In 2010, faculty development funds were made available to support part-time faculty in their teaching roles via attendance at a clinical academy, which was sponsored locally. In 2004 the first alumni dinner and continuing education activity took place as a combined fundraiser for nursing scholarships, sponsored by the COD foundation. A typical award is 500.00 and as many as 30 scholarships have been awarded in one year, depending upon the proceeds of the alumni dinner. Traditionally, the speakers for the event are alumni of College of DuPage. There have been five reunions with, on average, more than100 attendees. In 2010, the event was suspended due to several factors, the recent move to the new facility, the economic climate, and low response rate of potential attendees. The alumni committee is currently looking at a different schedule for the alumni event. For the first time, a picnic was held in the spring of 2010, sponsored by faculty, to which all students were invited. There was no charge to the students and the event was well received. It is likely this activity will be continued. SUMMARY OF STANDARDS AND CRITERIA STANDARD 1 Mission and Administrative Capacity: The nursing education unit’s mission reflects the governing organization’s core values and is congruent with its strategic goals and objectives. The governing organization and program have administrative capacity resulting in effective delivery of the nursing program and achievement of identified outcomes. The mission/philosophy and outcomes of the ADN program are congruent with those of the governing organization. The governing organization and ADN program ensure representation of students, faculty, and administration in ongoing governance activities. Communities of interest have input into program process and decision making. Partnerships exist that promote excellence in nursing education, enhance the profession, and benefit the community. The ADN program is administered by a nurse who holds a graduate degree in with a major in nursing.The Nurse Administrator has authority and responsibilities for the development and administration of the program and has adequate time and resources to fulfill the role responsibilities. With faculty input, the nurse administrator has the authority to prepare and administer the program budget and advocates for equality within the unit and among other units of the governing organization. Policies of the ADN program are comprehensive, provide for welfare of faculty and staff, and are consistent with those of the governing organization; differences are justified by goals and outcomes of the nursing education unit. Records reflect that program complaints and grievances receive due process and include evidence of resolution. NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois 9 Distance learning, as defined by the ADN program, is congruent with the mission of the organization and the mission/philosophy of the nursing education unit. STANDARD 2 Faculty and Staff: Qualified faculty and staff provide leadership and support necessary to attain the goals and outcomes of the nursing education unit. All full and part-time faculty, by declaration as faculty and teaching assignments hold a minimum of a masters degree in nursing. The Associate Degree Nursing (ADN) program at College of DuPage (COD) currently has ten full-time faculty members. With the current ten full-time faculty members, this is a fulltime faculty to student ratio of 1:23.4, Classroom instruction is primarily done by full-time faculty. Faculty members are engaged in activities that maintain their professional and clinical expertise. New full-time faculty members are oriented by the Director of Nursing as well as program faculty and assigned mentors. The last four full-time faculty members hired previously served as part-time faculty members; this eased their transitions into the COD full-time faculty role. Part-time faculty members attend an orientation session presented by the Director of Nursing. Responsibilities of the part-time faculty are reviewed at this time. Full-time faculty work to incorporate part-time faculty into each course. Part time faculty members are evaluated by the DON. In addition, the DON seeks feedback from the full-time faculty who work with the part-time faculty member. STANDARD 3 Students: Student policies, development, and services support the goals and outcomes of the nursing education unit. Student policies of the nursing education unit are congruent with those of the governing organization, publicly accessible, non-discriminatory, and consistently applied. The differences are justified by the nature of the profession the students will be entering into, and in compliance with the clinical agencies’ policies. The rationale for the more stringent admission requirements and grades for course successful course completion and matriculation for nursing as compared to the institution overall, are based on the knowledge and skill needed to succeed within the classroom portion of the curriculum, pass the nursing licensure exam, and to meet the health and safety needs of the consumers of health care. Student services are commensurate with the needs of students pursuing or completing the associate program, including those receiving instruction using alternative methods of delivery, as demonstrated in the results of the Student Satisfaction Survey. Student educational and financial records are in compliance with the policies of the governing organization and state and federal guidelines. The college maintains meticulous records and safeguards them against any breech of state and federal guidelines. Compliance with the Higher Education Reauthorization Act Title IV eligibility and certification requirements is maintained. Students are made aware of their ethical responsibilities as they relate to financial aid issues through multiple venues. Financial aid internal audits are conducted annually. Integrity and consistency exist for all information intended to inform the public, through statements available on the ADN website, the ADN admission packet, the college catalog, and the ADN student handbook. The Associate Degree Nursing Program is approved by the Illinois State Board of Nursing, and is in compliance with the Illinois Department of Financial and Professional Regulation. The program also has NLNAC Candidacy Status at this time. 10 NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois STANDARD 4 Curriculum: The curriculum prepares students to achieve the outcomes of the nursing education unit, including safe practice in contemporary health care environments. The curriculum prepares students to achieve the outcomes of the A.D.N. program as evidenced in the program evaluation data. There is recognition of profession standards and Illinois Community College Board requirements in the curriculum development and offering. There is an awareness of contemporary nursing education and practice environments. Faculty regularly reviews the curriculum, particularly at the course level. Strides have been made to show leveling of student performance and threading of major concepts as noted in the curriculum map. A new clinical evaluation tool also demonstrates the progression of student performance to attain graduate outcomes. While it promotes attainment of outcomes, the 80 credit program is in need of review based on credit and length. Some of the additional credits were imposed by other academic departments adding prerequisites to program required coursework. Practice environments, while growing in difficulty to secure, are appropriate for student learning. With some new technology, student accessing it is difficult, i.e. electronic health records; automated medication dispensing units. The acquisition of this technology in the campus lab in intended, in part, to provide students with these experiences. STANDARD 5 Resources: Fiscal, physical, and learning resources promote the achievement of the goals and outcomes of the nursing education unit. The fiscal resources are adequate to support the faculty development, instruction and the ADN goals/objectives. Our fiscal resources are commensurate with the resources of the organization. A merging of three programs into a department was created to increase efficiency and share resources. The ADN program has maintained an exemplary retention rate. However, this placed a resource demand on the ADN operational budget, with no additional monies provided for the merger. Two full-time ADN positions were not replaced. A Director of Nursing was hired to oversee all three nursing programs. The hiring of an Administrative Assistant has improved the function of operations of the Nursing Department. The hiring of Masters prepared lab faculty has allowed the ADN Nursing Program to be in compliance with the Illinois Department of Professional Regulation. Classroom and laboratory instruction has been impacted by centralized scheduling, resulting in other departments within the college that utilize nursing classrooms. A designated “point person” has been established to facilitate efficient communication between the Library and the ADN program. A procedure for weeding out old editions and obtaining newer editions in the library has been established. When the library is closed, the Academic Computer Center has software programs that can be utilized by students during the posted hours. The Learning Resource Committee (a nursing department subcommittee) has been established to develop a technology plan to improve student learning. The ADN program has recently reviewed several electronic medical records and simulation programs, The Committee will forward recommendations to full faculty to determine which program would be an appropriate purchase for our students. Fiscal, physical, technological and learning resources are sufficient to meet the needs of the faculty and students and ensure that students achieve learning outcomes. NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois 11 STANDARD 6 Outcomes: Evaluation of student learning demonstrates that graduates have achieved identified competencies consistent with the institutional mission and professional standards and that the outcomes of the nursing education unit have been achieved. Evaluation of student learning demonstrates that graduates have achieved identified competencies with the institutional mission and professional standards and the outcomes of the A.D.N. program have been achieved, in some cases with action or follow-up A systematic plan has been developed and operationalized, in large part through the committees of the Nursing Department. The results of the data analysis required in this plan will inform decisions for program improvement and student learning outcomes. The A.D.N program achieved the program outcomes as defined in 6.5. Information about the program outcomes and learners/graduates assessment is shared with the Nursing Department Advisory committee and other internal and external communities of interest. SUMMARY OF STRENGTHS AND AREAS NEEDING IMPROVEMENT Strengths College overall support of the program. Recent hiring of a full-time administrative assistant for the nursing department. Department committee structure and guidelines that are functionally based. Qualified faculty, all masters prepared. Improved constituency, particularly student, communication and feedback processes. Contracted health services for student and faculty compliance with health requirements. Established curriculum, with mapping that demonstrates progression. Strong relationship with student learning resources providers in the college. New campus building for health sciences, including nursing. Improved efficiency in resource utilization and acquisition. Outstanding nursing lab staff. Achievement of program outcomes. Areas needing improvement Engagement of part-time faculty in Department participation and policy compliance Adopt contemporary nursing practice and education models, i.e. QSEN, IOM Future of Nursing, NLN Core Competencies based on educational program. Increase adoption of simulation across the curriculum. Expanding ideas for clinical instruction, particularly with increase attention on geriatrics and community care. Faculty assignment process to promote continuity and accountability. Advance process for data maintenance and mining to be more electronic and shared. Comprehensive adoption of the academic advising model, and the appropriate recording needed. 12 NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois Section II: Standard 1 Standard 1 MISSION AND ADMINISTRATIVE The nursing education unit’s mission reflects the governing organization’s core values and is congruent with its strategic goals and objectives. The governing organization and program have administrative capacity resulting in effective delivery of the nursing program and achievement of identified outcomes. 1.1 The mission/philosophy and outcomes of the nursing education unit are congruent with those of the governing organization. The mission, philosophy, and outcomes of the Associate Degree Nursing Program (ADN) are congruent with those of the College of DuPage (COD). Through its mission statement and philosophy, COD strives for the highest standards in academic excellence and community service that best serve the residents of District 502. The mission of COD is congruent with the mission of the ADN program. Concepts listed in each of these missions address the importance of serving the needs of the community, providing the highest quality education (by ensuring excellence in nursing and teaching), and by providing cultural opportunities to meet the community’s diverse learning needs. The Congruency of the Mission Statement of COD and the ADN Program is noted inTABLE 1.1A. TABLE 1.1A: CONGRUENCY OF THE MISSION STATEMENT OF COLLEGE OF DUPAGE AND THE ASSOCIATE DEGREE NURSING PROGRAM MISSION STATEMENT OF COLLEGE OF DUPAGE ASSOCIATE DEGREE IN NURSING PROGRAM MISSION The mission of COD is to be at the forefront of higher education, serving the needs of the community. The college will be the first place residents turn to for the highest quality educational and cultural opportunities. The college will serve as a model of distinction for community college education. In keeping with the mission of College of DuPage (College of DuPage Catalog 2009-2011, p. 12), the COD ADN program serves the needs of the community. The COD ADN program supports excellence in learning and teaching, fosters an instructional climate that welcomes innovation, is open to change, and targets continual improvement and accountability. The COD ADN program ensures diverse learning needs with a comprehensive, dynamic curriculum and varied educational delivery systems. The COD ADN program promotes critical thinking and academic honesty while preparing students to qualify for and succeed in further educational endeavors and to prosper in the work environment. The ADN program supports personal and academic success of students. The ADN program broadens learning opportunities for the community by creating alliances in the college district. Source: COD Mission and Priorities Source: ADN Handbook, p.4 (EXHIBIT 1.1A) The College of DuPage and the ADN Program believe in the power of teaching, learning, and education. As a result of the education obtained from the COD ADN Program, graduates become life-long learners and positively contribute to the profession of nursing. The ADN Program fosters the mission of the college through success in learning. The COD philosophy is congruent with the philosophy of the ADN program, as demonstrated in TABLE 1.1B. NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois 13 TABLE 1.1B: CONGRUENCY BETWEEN THE COD PHILOSOPHY AND THE ADN PHILOSOPHY COLLEGE OF DUPAGE PHILOSOPHY College of DuPage believes in the power of teaching and learning. ASSOCIATE DEGREE NURSING PROGRAM PHILOSOPHY The ADN faculty fosters the mission of the college primarily thru educating our students to provide nursing care. We believe: We endorse the right of each person to access opportunities to learn and affirm the innate value of the pursuit of knowledge and its application to life. Our primary commitment is to facilitate and support student success in learning. Source: College Catalog, p. 11 (EXHIBIT 1.1B) Nursing care is based on assessment of the total person with consideration for diversity; nursing care looks at the total patient and transcends specific tasks; to understand, respect, and accept any differences and similarities of patients. Care is delivered by applying knowledge to practice by incorporating critical thinking, clinical reasoning, effective communication and therapeutic interventions. We integrate research-based therapeutic interventions to provide optimal healthcare delivery, utilizing evidence-based practice with the faculty’s clinical expertise. The registered nurse provides a unique, comprehensive assessment of the health status of the patient (individual, family, or group), acknowledging that diversity is a factor in the delivery of care. The nurse then develops and implements a specific plan of care. This is done with therapeutic interventions and caring. The nurse assists patients in the promotion of health, coping with health problems, in adapting and recovering from the effects of disease or injury, and supporting the right to a dignified death. Students are encouraged to utilize information systems to gather data and evaluate their nursing interventions. The registered nurse is accountable for abiding by all applicable federal, state, and territorial statutes related to nursing practice. Our program is based on the Illinois Nursing Practice Act. Standards of the American Nurses Association are utilized in the development of the curriculum. The goal of our program is to educate our students to become learners who then will assume the role of leaders and add to the profession of nursing. Source: ADN Handbook, p. 4 The COD General Education Outcomes and the ADN program outcomes are congruent. The COD General Education Outcomes and the ADN program outcomes are displayed in TABLE 1.1C. Note that the ADN graduate outcomes are repeated between the COD General Education Outcomes. This is because the faculty believes that the ADN graduate outcomes influence and are related to more than one COD General Education Outcome. TABLE 1.1C. CONGRUENCY OF COLLEGE OF DUPAGE LEARNING OUTCOMES AND ASSOCIATE DEGREES NURSING GRADUATE OUTCOMES 14 NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois ADN GRADUATE OUTCOMES COD GENERAL EDUCATION OUTCOMES Critical thinking a. Identify and challenge assumptions, including one’s own b. Develop alternative solutions c. Evaluate practical and ethical implications d. Present solutions to problems or issues e. Provide a researched, logically structured argument (ALIGNMENT WITH COD GENERAL EDUCATION OUTCOMES) Utilize critical thinking skills in the application of the nursing process to provide safe, quality care. Demonstrate knowledge of professionaldevelopment and incorporate evidence-based practice in the nursing profession. Information Literacy a. Explain the need for information b. Develop alternative solutions c. Locate information effectively and efficiently d. Evaluate information and is sources critically e. Use information effectively, ethically, and legally to accomplish a specific purpose Demonstrate and utilizeinformation systems in the health care system. Knowledge Integration a. Evaluate contemporary social issues in scientific, historical, ethical, or aesthetic terms b. Make connections between subject areas c. Critically evaluate opinions d. Use interdisciplinary thinking in everyday life Utilize critical thinking skills in the application of the nursing process to provide safe, quality care. Utilize data to ensure quality improvement and support of evidence-based practice. Utilize data to ensure quality improvement and support of evidence-based practice. Demonstrate knowledge of basic delegation and leadership management skills. Effective Communication a. Use the appropriate written convention to critically evaluate and discuss ideas b. Listen actively to a speaker’s message and argument c. Identify the context and background or your audience d. Formulate coherent, well-supported arguments e. Use language and rhetoric appropriate to the setting, purpose, and audience Mathematical Reasoning a. Calculate values using arithmetic operations and perform algebraic tasks b. Discover the validity and invalidity of mathematic arguments c. Employ strategies to model and find the solution to a problem d. Identify the limitations of mathematical models e. Use appropriate terminology to clearly communication solutions to problems Scientific Reasoning a. Use generally accepted scientific means such as lab or field methods to collect data or conduct controlled experiments b. Use generally accepted scientific procedures and tools to analyze data c. Make inferences by synthesizing analytical results with fundamental concepts and theoretical perspectives or integrate existing knowledge based on scientific evidence d. Use appropriate terminology to clearly communicate Demonstrate effective communication utilizing technology, written documentation, and verbal expression. Utilize critical thinking skills in the application of the nursing process to provide safe, quality care. Utilize data to ensure quality improvement and support of evidence-based practice. Demonstrate and utilize information systems in the health care system. Utilize data to ensure quality improvement and support of evidence-based practice. Demonstrate and utilize information systems in the health care system. NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois 15 solutions to problems ADN GRADUATE OUTCOMES COD GENERAL EDUCATION OUTCOMES Cultural Comprehension a. Demonstrate an understanding of events, values, and ideas rooted in human experience b. Critically analyze issues from a cultural, historical, artistic or philosophical context c. Make informed aesthetic judgments of works of art. Social Awareness a. Apply historical, ethical and scientific reasoning to social concerns b. Recognize social responsibilities, ethics and individual rights of others in a global society c. Identify causes and variations of social diversity (ALIGNMENT WITH COD GENERAL EDUCATION OUTCOMES) Demonstrate professional nursing care that incorporates sensitivity to culturally diverse clients across the lifespan. Incorporate empathetic, compassionate, caring interactions and behaviors. Demonstrate knowledge of basic delegation and leadership management skills. Demonstrate effective communication utilizing technology, written documentation, and verbal expression. Demonstrate professional nursing care that incorporates sensitivity to culturally diverseclients across the lifespan. Demonstrate knowledge of professionaldevelopment and incorporate evidence-based practice in the nursing profession. The mission, philosophy, and outcomes of COD are congruent with the mission, philosophy, and outcomes of the ADN. 1.2 The governing organization and nursing education unit ensure representation of students, faculty, and administration in ongoing governance activities. The College of DuPage and Associate Degree Nursing Program ensure representation of students, faculty, and administration in ongoing governance activities. The Director of Nursing (DON), faculty, and students have the opportunity to participate in program, department, and college committees. Participation in various committees may be defined by position held, appointment, and/or as a volunteer. To better clarify, an overview of the various COD Organizational Structures can be found in Appendices 1.2 A, B and C. The College of DuPage Board of Trustees establishes policy for the College of DuPage. The 2010 (July 22) College of DuPage Board Policy Manual is accessible online and in the Learning Resource Center. Seven members are elected at large from voters in Community College District 502 (EXHIBIT 1.1C). A student representative selected at large is a non-voting member of the board. The president of the college reports to the board. The College President heads the COD Cabinet whose membership are the Vice-Presidents as noted in the Administrative Organizational Chart (APPENDIX 1.2A). The College Deans report directly Vice Presidents. The Nursing Department (subdivision) is part of the Health Sciences division. The Director of Nursing reports to the Dean of Health Sciences (APPENDIX 1.2 A and B). The COD Faculty Agreement 2007-2011 specifies that the entire full-time faculty will participate in committee work (EXHIBIT 1.1D; p. 20, section D 6.4). Currently, a majority of full-time faculty members are on college-wide and division committees. One faculty member was recently hired and will serve on college committees when non-tenure status is complete. Faculty members serve on committees as 16 NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois highlighted in TABLE 1.2A. TABLE 1.2A FACULTY MEMBER AND MEMBERSHIP ON COLLEGE WIDE AND DIVISION COMMITTEES FACULTY NAME Linda Barkoozis COLLEGE COMMITTEES Bob Berry Faculty Senate Faculty Academic Leave (semester/sabbatical) Member of the committee Contact faculty for HS division. Student Grievance Ad hoc Committee Faculty Search committee 2009 Rosa Colella-Melki Non-tenured faculty member Larinda Dixon Committee on Committees Lynn Engelmann Dilyss Gallyot Janice Miller Kim Oosterhouse: Carol Stewart: Maureen Waller YEARS ON COMMITTEE 2004-2007 2005-present Ongoing 2009 Alternative Credit Committee Faculty Search Committee Administrative Search Committee Communication Committee Native American Committee College Wide Scholarship Committee Faculty Search Committee Faculty Senate PACE-Committee on Formal Influence Study Commission and the Organizational Structure Study Commission Striving for Excellence ad hoc Committee Instructional Committee Career Pathways Committee Scholarship Committee Long-Term Care Advisory Board Social committee Faculty Technology Advisory Committee Distance Learning Advisory Committee Assessment Subcommittee 3D Committee (college-wide development) Shared Governance, Community and Outreach Community-Chair Earned Compensation Pandemic Flu Subcommittee Alternative Credit Committee Wellness Advisory Committee 2004-2006 2009-present 2010-present 2009 2009 2008-present 2004-present 2004-present 2009 2010-present 2010-present 2010-present 2010-present 2008-present 2009-present 2005-present 2008-present 2008-present 2008-present 2008-2009 2008-2009 2009-2010 2010-present 2010-present 2010-present 2006-present 2009-present 2004-2007 Additionally, the DON serves on several College committees, including Program Evaluation, Centers of Excellence and the Student Learning Committee, a sub-committee of the Shared Governance Council. The College recently adopted a Shared Governance model. The College believes shared governance is essential to the health and growth of an academic institution and embraces it as an important and effective way to ensure that decisions that impact the college community reflect the perspectives, expertise, and best interests of its collective stakeholders, including students, faculty, trustees, administrators, staff, and citizens. Shared governance at the College of DuPage is a communication and collaboration process designed to ensure that institutionally important topics are broadly approached by engaging the appropriate people NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois 17 with the necessary skill sets and knowledge. It provides opportunities to plan strategically, employs checks and balances, and ensures feedback and rationale in response to committee recommendations or College decisions. (EXHIBIT 1.2A will provide information on the Shared Governance Council and the relationship with the existing College committee structure.) The Nursing Department recently underwent “reorganization” of its committee structure and membership. The Nursing Department Guidelines of Operation and Structure were approved in May 2010, and put into motion with the start of the 2010-2011academic year (APPENDIX 1.2D). The organization of the Nursing Department committees is represented in the graphic that follows. Information about the previous ADN Committee Structure and its membership from 2008-2010 will be EXHIBIT 1.2B) Along with the intent of creating a “department of nursing” as opposed to three separate programs, the committee structure was designed to address the Nursing Department’s main functions required to provide quality teaching and learning. Note that these committees also align with NLNAC Standards. Committees now include representation from Full and Part-time faculty across all three programs, as well as the Nursing Department Laboratory Assistants and Students from LPN and ADN Programs. Additionally, representation from other areas of the college is critical to select Nursing Department committee memberships. For example, a representative from Admissions and Advising areas serve on the Student Program Participation Committee. Recruitment for the various committees took place in several ways. These included mailing letters, making announcements in classes, various meetings and Department and Nursing Program Student Portal pages, distribution of the Department Newsletter and sending emails. The current committee membership list can be found in APPENDIX 1.2E. As needed, ad hoc committees are convened for special needs such as revising the department organizational structure, developing technology resources and working on accreditation. For example, a new technology subcommittee was created to look at incorporating simulation in the Nursing Laboratory. The subcommittee includes four ADN faculty, one LPN program faculty, one part-time faculty, and the 2 18 NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois part-time lab assistants. Students at the college can participate in student organizations, such as the Student Nurses Association. Students are involved in a Student Nurses Association (SNA) that sponsors the annual pinning ceremony each year. The SNA provides activities for alumni. The SNA also sponsors many volunteer activities throughout the year to help needy residents of DuPage County. Students at the college can participate in student organizations, such as the Student Nurses Association. COD has aLeadership Council that promotes student involvement in clubs and committees. Students can join a student organization at any time. Officers for the organization are elected each year. Bylaws for the student organizations describe the role of student members. Each student organization has its own bylaws. The Bylaws are housed in the student activities office. A student representative is on the college board and is invited to college board meetings. 1.3 Communities of interest have input into program process and decision making. Communities of interest have input into the Associate Degree Nursing Program and decision making. As is required of all career programs, College of DuPage Nursing Department sponsors an advisory meeting every term. The participants include: clinical agency partners, student alumni, program advisors, and educational partnerships. Clinical agencies partners include potential employers and probable clinical learning sites. They provide feedback on clinical experiences, satisfaction with graduates, and insights into new procedures and personnel practices. Student alumni share insights and recommendations for future operations; undertakings based on their experience while in the program and what is currently relevant in their practice. Educational partnerships share updates and provide feedback related to student participation and opportunities for continuing their education. Additionally, program faculty and staff provide updates on curriculum, student learning outcomes and program evaluation. TABLE 1.3A highlights stakeholder groups, the input received, and how the input was used to benefit College of DuPage students in the Associate Degree Nursing Program. TABLE 1.3A: COMMUNITIES OF INTEREST STAKEHOLDER Prospective students INPUT Applications YEAR 2007 2008 2009 2010 # OF QUALIFIED APPLICANTS 244 309 310 155 Applications exceeded available spaces. The drop in 2010 could be anecdotally related to several things such as (1) application of variable tuition; (2) restrictive job opportunities; and (3) lack of IMPACT (RESULTS) OF INPUT In 2007, in response to the then nursing shortage and at the request of employers, COD with its hospital partners offered a (one time) program expansion opportunity. Using qualified staff from partner hospitals to teach, this offering of the program resulted in 40 more students completing the program in December of 2008. In 2009, introduced a newly created Licensed Practical Nurse to ADN transition course (NURSI 1210). Additional seats were opened in the second year of the nursing program to accommodate the influx of cohort students. The current practice of admitting a large cohort of students one time per year (August) may NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois 19 NLNAC accreditation. STAKEHOLDER Program Graduates INPUT YEAR GRADUATED 2010 2009 2008 2007 NCLEX PASS RATE 94% 91% 89% 90% need to be looked at to promote ongoing access to the program by students, and to IMPACT (RESULTS) OF INPUT clinical sites by the program. Admitting smaller numbers twice year (January and August) may promote student access and “level” out resource needs and use. A commitment to strengthen relationships via articulation with BSN programs will assist graduates to further their education. Different admission standards and curriculum changes were implemented during this 3 year period to promote success in the program. Nursing faculty started a remediation process for students who scored low on the Exit EVOLVE/HESI/REACH to help students be successful on the NCLEX exam. Investigation is underway to adopt an integrated external testing service. Attention must be given to the HESI and NCLEX test results and implications for the curriculum, courses in it and assessment strategies used for those areas that have a curricular issues; i.e. issues that encompass more than individual students. College of DuPage Nursing Program Advisory Committee Members Biannual Advisory Board meetings include: Practice partners, at least one alumni, all the full-time faculty and the Director of Nursing. Consideration needs to be given to employment characteristics for new graduates (i.e. place and shifts) and the clinical learning experiences should be adapted accordingly. The meetings provide feedback from clinical partners. Employers provide feedback on graduates’ success in nursing during our Advisory Committee Meeting. The College of DuPage has developed relationships with many local agencies that help graduates when seeking employment. Clinical site/Employers Faculty 20 Provide employment to students as CNA (or PCT) while in nursing program. Faculty continues to develop and provide latest education techniques. NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois Many of our former students have been employed by institutions represented by members on the Advisory Committee. Our students benefit from the clinical experience, income, and tuition reimbursement from Clinical site affiliates. College of DuPage Teaching and Learning Center provides faculty with programs to improve promote faculty development and enhance education for students. Faculty continues to further their education through continuing education, advanced degrees, certifications, publications, and software development. Ongoing hiring of new (and often inexperienced) part-time faculty. Opportunities are made available to faculty, particularly clinical faculty, to participate in the Metropolitan Chicago Healthcare Council’s (MCHC) Clinical Faculty Academy. (APPENDIX 1.3A) Adoption of a new Nursing Department Faculty Orientation Handbook in July 2010, and a new faculty orientation and mentoring program developed by the Nursing Department Faculty Development and Welfare committee in Fall 2010. (APPENDIX 1.3B) Alumni Nursing Reunion Faculty opportunities Transfer Colleges/Universities College of DuPage has 2 partnerships for bachelors’ completion and is actively pursuing more partnerships. Beginning in December 2010, the nursing faculty host a monthly LUNCH and LEARN. The intent is to have faculty share information and facilitate discussion about something of interest related to nursing education. The December 2010 session was hosted by two faculty who are CNE. They discussed preparing for the CNE exam. Provides alumni opportunities to reconnect and network with faculty and other alumni. College of DuPage has two full-time faculty as well as part-time faculty who are graduates of the COD ADN program. Currently there are two formal agreements with Northern Illinois University (NIU) and Benedictine University that provide educational pathways for COD ADN graduates to smoothly transition to a BSN. NIU offers their BSN degree completion program as a 3+1 articulation model with COD. The bachelors degree partnerships encourage many of our students to go on to earn a bachelor degree post graduation. Program Approval Illinois Department of Financial and Professional Regulation ICCB (Illinois Community College Board) IDPH (Illinois Department of Public Health) Benedictine University recently opened an online MSN program (emphasis is Nurse Educator) that some of our graduates are actively pursuing. Ensures ADN students are earning quality education in accordance with IDFPR standards. Approves program for demonstration of curricular integrity and proficiency Ensures practice maintains public safety. Communities of interest have input into and impact on the Associate Degree Nursing Program, and are involved in decision making. Their help will promote effective program delivery to best serve the students of the ADN program. NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois 21 1.4 Partnerships exist that promote excellence in nursing education, enhance the profession, and benefit the community. Partnerships exist that promote excellence in nursing education, enhance the profession, and benefit the community. TABLE 1.4 presents examples of partnerships that address these three purposes. TABLE 1.4 PARTNERSHIPS OF THE GOVERNING ORGANIZATION AND NURSING UNIT AGREEMENT An opportunity is provided for ADN Program Graduates to complete a Bachelor Degree. This is provided by an articulation agreement with universities. The Associate Degree Nursing Program has two articulation agreements with universities. The two articulation agreements are: Benedictine University (BU). And Northern Illinois University (NIU). Benedictine University SEMESTER ADMITTED Spring 2007 Spring 2008 Summer 2008 Spring 2009 Summer 2009 Spring 2010 Summer 2010 BU 21 1 5 2 9 12 18 NIU First class admitted Fall 2009; to graduate May 2011 GOAL To enhance the profession BU offers a cohort for COD ADN program graduates to complete a bachelor degree. BU provides students with the skills necessary to adapt to an environment where change is inevitable. The program is designed for students who are working professionals. The curriculum is organized to build on and enhance those skills that students already possess. The program is specifically designed for the working R.N. with an accelerated format that allows a student to complete all nursing and common core courses (37 credits) in one calendar year. BU provides a private education at tuition competitive with state schools. The BU Program builds on previous knowledge and experience, including accepting up to 65 hours of community college transfer credit. Most nursing classes are offered one evening per week and in a weekend format. RN students can also earn concurrent credit toward a Master of Nursing (MSN) degree if they wish to pursue an advanced degree at BU. The BU Bachelors in Nursing program is accredited by the Commission on Collegiate Nursing Education (CCNE). NIU Universit yUniversi ty NIU holds classes at COD campus. The NIU nursing program is designed to meet the needs of the registered nurse who wishes to complete a Bachelor of Science degree with a major in nursing. The amount of time required for a registered nurse to fulfill the requirements of the baccalaureate degree completion program varies depending upon the amount of transfer credit. Most of the nursing courses are available online. COD graduates are part of a cohort of 25 students that were admitted into the bachelor completion program in fall 2009. To benefit the community The ADN program has developed a LPN to ADN transition program. LPN students complete the course entitled Nursing 1210ADN Transition Course. They are then able to enter the 2nd year of the ADN program in the Nursing 2109 course. Students and Faculty provide services to the community. Examples of these include: 22 ADN students collected bottles, diapers and rattles for challenged children at an agency called Almost Home Kids. Health Sciences Open House ADN Advising Session ADN Advising NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois GOAL AGREEMENT Dare to Dream – Program for Jr. High Students ADN students have also helped at the Hinsdale Wellness House which provides services for hospice patient and families. Students organized a team for the annual walk for health to help raise money for this organization. ADN students have helped to recruit volunteers to help in a Muscular Dystrophy Camp Providing help to campers with special needs. Nursing students volunteered at the Peoples Resource Center assisting with a food drive for underserved residents of DuPage County. The Student Nurses Association collected toys for Toys For Tots. ADN students provide assistance to programs in DuPage county such as Meals on Wheels and PADS shelters. ADN students volunteered at the DuPage County clinics where H1N1 flu vaccines were given. ADN students participated in Domestic Violence Awareness day at the College of DuPage. ADN students volunteer at local free health clinics. Faculty Lease program:Responding to the nursing shortage and the increased number of qualified applicants, COD and the ADN program developed an agreement allowing hospital based MSNs to teach in the ADN program. Hospital based faculty (leased) members are qualified RNs (a minimum of a MSN and two years clinical experience) employed in area hospitals that volunteer to teach theory, clinical and laboratory skills for the ADN program. This arrangement provides for reimbursement to the hospital for the RN’s time not the individual RN. Hospital based faculty are exempt from the maximum teaching load due to direct reimbursement to the hospital. Prior to 2005, part-time faculty teaching assignments were limited to clinical experiences. To meet the needs of the students, part-time faculty members now teach all components of the ADN program, theory, clinical and laboratory skills. During academic year 2007-2008, 28 part-time faculty members were employed to meet the teaching needs in fall semester and 24 in spring semester. Of the 28 part-time faculty members teaching fall semester, 13 were classified as part-time faculty and 15 were hospital based including one faculty member classified as part time and hospital based. Of the 24 part time/hospital based faculty members teaching in spring semester, 14 were part time and 10 were hospital based including one faculty member classified as part time and hospital. This collaborative effort resulted in the graduation of 23 additional students in spring 2006 and the anticipated graduation of an additional 38students in fall 2008. No additional cohorts are currently planned. (a copy of the Lease Agreement is noted in EXHIBIT 1.4A) Offering a Practical Nurse Program: Beginning in 2004, community members approached the college administration stating a need for more Practical Nurses and asked the college to develop a Practical Nursing Program. College of DuPage hired a consultant, Alice Siehoff, RN, MSN, who conducted a needs assessment resulting in a feasibility study. The feasibility study indicated a Practical Nursing Program at College of DuPage was supported by community needs. The College sought and received full support from its governing body, the Illinois Community College Board. The Practical Nursing program admitted its first class of 40 students in Spring, 2008. The program has 2 full time faculty and from 6 to 8 part time faculty. From its inception, the program has had limited enrollment with approximately 120 applicants for 40 seats per year. This program began as a $1.4 million grant-funded program intended to educate the underserved and underrepresented population in nursing. The college has made a commitment to sustain the Practical Nursing program beyond the grant, which ended December, 2009. To promote excellence in nursing education The Nursing Program has formal agreements with many agency sites providing students with clinical experience. Students are involved in Nursing Department Committees and ADN Alumni are on the Program Advisory Committee. NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois 23 GOAL AGREEMENT Faculty maintains professional certification and membership in professional organizations; two faculty members are currently working on doctoral degrees. The Nursing Department maintains membership in the Illinois Coalition for Nursing Resources, a membership that exposes the participants to leading initiatives in Illinois and National nursing as it relates to practice, education and regulation. The DON is the current President of this organization. The Illinois Council of Deans and Directors of Associate Degree Nursing Programs: The purpose of the Council is to assure the integrity and viability of Associate degree programs; to improve communications between programs; and to share innovative content and methodology between programs. The DON is the current President of this organization. The DON currently serves on the MCHC Health Care Advisory Board. She also serves as a lecturer for MCHC Clinical Faculty Academy. COD has a very accessible and active Teaching and Learning Center that promotes development in the use of instructional technology through face-to-face and on-line learning activities. Additionally, the COD library has a comprehensive professional literature selection, much of which is available electronically. Standard 1.5. The nursing education unit is administered by a nurse who holds a graduate degree with a major in nursing. The position of Director of Nursing (DON) is new to the College of DuPage. Beginning Fall 2009, the position of Program Coordinator, held by a nursing faculty member, was eliminated and the position of DON was created. The DON is the Administrator of the Nursing Programs (APPENDIX 1.5A). The programs include the: ADN, PN, and CNA programs. The DON is a full-time 12 month position. The Nurse Administrator for the Associate Degree Nursing Program isDr. Vickie Gukenberger. As nursing program administrator, Dr Gukenberger meets the minimum requirements of the Illinois Department of Financial and Professional Regulation ( IDFPR). The State of Illinois Nurse Practice Act 2010 & Rules for the Administration of the Nursing and Advanced Practice Nursing Act 2010 requires the nurse administrator of a nursing education program to have a minimum of the following: two years experience in clinical nursing practice, two years of experience as an instructor in a nursing education program, and a master’s degree or higher with a major in nursing. Dr. Gukenberger meets the academic requirements of a graduate degree in nursing and at least two years of teaching experience, and holds a doctorate in adult education and educational administration. She received her Bachelor degree in nursing in 1977 from the University of Wisconsin-Eau Claire. She graduated from Marquette University, with a MSN degree in 1981. She completed her PhD from the University of Wisconsin in 2000. Dr. Gukenberger has been a nurse for over 30 years. She has spent the last 20 of those years in educational administration. A few of the titles she had held are nursing director, health and public safety dean, and a higher education consultant. She has spent 18 years in educational administration at the community college level in Associate Degree Nursing Program and certificate programs. She is an expert in needs analysis, program development, and outcomes assessment. Dr. Gukenberger is a licensed Registered Nurse in the state of Illinois. Dr. Gukenberger is a member of many professional organizations and has also been involved in many professional activities (APPENDIX 1.5B). She is currently the president of the Illinois Coalition for Nurses and chairs the Illinois Council of Deans/Directors of Associate Degree Nursing programs. 24 NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois 1.6 The Nurse Administrator has authority and responsibilities for the development and administration of the program and has adequate time and resources to fulfill the role responsibilities. The DON has authority and responsibilities for the development and administration of the program and has adequate time and resources to fulfill the role responsibilities. The recent hiring of full-time administrative assistant and the appointment of a faculty to assist with the coordination role for the nursing assistant program have greatly enhanced the DON’s initiatives. The management of the ADN program is the responsibility of the DON. The DON oversees development, implementation and evaluation of the program. The DON is responsible for planning/scheduling learning experiences, securing needed resources, working with the faculty, and scheduling general advising and orientation sessions. The DON works closely with other college departments including Admissions, Registration, Counseling and Advising, and Records. Establishing and maintaining relationships with institutions used for clinical experiences is also the responsibility of the DON. Budget preparation is the responsibility of the DON. Faculty have input into budget development by identifying program equipment and staffing needs. This is accomplished in part and as defined in purposes through the recommendations from select Nursing Department committee. The Dean discusses the budgetary needs with Division academic administration, priorities are set and resources acquired as monies are available. The DON monitors program expenditures for supplies and materials. The Director participates in the hiring process for both part-time and full-time faculty members. Part-time faculty members are interviewed and hired by the Director. The process of hiring full time faculty members begins with the appointment of a Search Committee by the DON. Screening committee members include the associate dean, DON, at least one additional nursing faculty member, and a representative from another discipline. The screening committee selects applicants to be interviewed, conducts the interviews and makes recommendations to the dean of the Health and Sciences Division. The dean interviews the recommended applicants and recommends an applicant to the Vice President of Academic Affairs. Final hiring decisions for full-time faculty members are approved by the Board of Trustees. The DON is responsible for preparing and submitting reports required by the NLNAC and the Illinois Department of Financial and Professional Regulation (IDFPR). In addition, the DON is responsible for providing requested information to college administrators and other college departments as needed. Organizationally and operationally, the DON meets weekly with Dean and other academic leadership of Health and Sciences Division. The primary focus of the meetings is for information exchange and problem solving. Additionally, the DON, as a part of Academic Administration, meets monthly with all of the COD Academic Leadership lead by the Vice President of Academic and Student Affairs. The DON communicates with other departments including Admissions, Registration, Library, and Technology resources to ensure smooth functioning within the department of nursing. The DON is also an ex-officio member of all committees of the Nursing Department, and chairs the COD Nursing Department Council. The full-time 12-month position provides adequate time to fulfill the role of DON and the responsibilities. As of Spring 2010 the Nursing DON has a full-time secretary for clerical work. The DON has authority and responsibilities for the development and administration of the program and has adequate time and resources to fulfill the role responsibilities. 1.7 With faculty input, the nurse administrator has the authority to prepare and administer the program budget and advocates for equality within the unit and among other units of the governing organization. NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois 25 With faculty input, the DON has the authority to prepare and administer the program budget and advocates for equality within the unit and among other units of the governing organization. The budget is prepared by the DON of Nursing and is then approved, by the Dean of Health Sciences, the Vice President of Academic Affairs and is then presented and approved by the Board of Trustee. College of DuPage considers a balanced budget as essential. Over fiscal years 2008, 2009 and 2010 the ADN program unit costs have remained fairly consistent. The ADN program unit cost is approximately 1.75 times greater than division and college-wide unit costs, which has also remained consistent over the specified fiscal years. For the 2009 fiscal year, variable tuition was implemented for nursing courses. This resulted in increases per credit hour ($208.15/credit hour). In the fall 2010, the ADN 10th day count has increased 9% in enrollment, while maintaining an exemplary retention rate. On another note, two ADN faculty have retired, and these FTE’s have not been replaced, nor are expected to be. The previous program coordinator returned to a full-time faculty role. An Administrative Assistant and two Laboratory Assistants were eliminated in 2008. The DON has advocated for and regained these three positions in 2010. The Administrative Assistant and two lab assistants now serve the three components of the nursing program: the CNA, LPN, and ADN programs. In addition, MSN faculty has been hired to complete skill returns in the skills lab. A full-time nursing department faculty member assists with the coordination of the Certified Nursing Assistant Program. Faculty members are reviewing the fees associated with all of the ADN courses and have developed a plan for more efficient use of equipment required for the nursing labs. The College of DuPage Foundation has been active in seeking donations for lab and facilities equipment. Faculty has also been active in seeking donations of used equipment no longer needed by acute care facilities. Revenues come from three sources: student tuition and fees, state reimbursement, and local taxes. The budget for the fiscal year includes funds for salaries, benefits, laboratory and instructional supplies, professional and program development activities, and instructional support services. Refer to TABLE 1.7A for the Nursing Program budget and 1.7 B for Program Cost and Revenue. Three years of full budget information will be available on site as EXHIBIT 1.7A. TABLE 1.7A (SELECT) BUDGET FOR NURSING UNIT SELECT BUDGET LINE ITEMS AND TOTAL BUDGET Salary and Benefits Instructional Supplies TOTAL 2008-2009 $1,755,742.45 $ 15,218.18 $1,770,960.63 2009-2010* $1,575,964.42 $ 25,888.26 $1,601,852.68 2010-2011* $1,820,061 $ 22,918 $1,842,977 *In January 2010, the Practical Nurse (PN) program costs were allocated to the ADN program budget as the PN program grant ended. Beginning in January 2011, the PN program will have its own program budget. As such, costs assessed to ADN budget in the latter half of 2009-2010 and the first half of 2010-2011 were really costs for both the PN and ADN programs. Additionally, the Administrative costs of the program have been assessed to the A.D.N. budget. With the budget changes, the Administrative unit, and the salaries associated with it, will have a separate budget. 26 NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois TABLE 1.7B COLLEGE OF DUPAGE COST AND REVENUE FOR ADN PROGRAM COST/REVENUE A.D.N. program cost per credit Dental Hygiene program cost per credit District Average Cost per credit A.D.N. Program Revenue per credit Dental Hygiene program revenue per credit District Average Revenue per credit FY 2008 FY 2009 FY 2010 $280.10 $303.69 $358.90 $596.40 $697.40 $737.27 $122.70 $141.95 $116.72 $200.19 $101.09 $318.71 $200.19 $101.09 $318.71 $135.87 $141.04 $155.24 The Director of Nursing encourages feedback from faculty and staff to be considered in the next budget. The nursing department will be purchasing laptops, simulation mannequins, an Electronic Medical Records program, and other equipment for our simulation lab. In 2010 the ADN program purchased IV pumps, crash carts, AED (Automated External Defibrillator), new beds, and a PYXIS. (See approved purchasing budget in EXHIBITs.) With faculty input, the Director has the authority to prepare and administer the program budget and advocates for equality within the unit and among other units of the governing organization. 1.8 Policies of the nursing education unit are comprehensive, provide for welfare of faculty and staff, and are consistent with those of the governing organization; differences are justified by goals and outcomes of the nursing education unit. Policies of the Associate Degree Nursing Program are comprehensive, provide for the welfare of faculty and staff, and are consistent with those of the governing organization; differences are justified by goals and outcomes of the program. Faculty has a contractual agreement between the board of trustees of the College of DuPage and College of DuPage Faculty Association IEA/NEA (EXHIBIT 1.1D). The Faculty (and staff) are covered by the contractual agreement as listed below: 1. Nursing Program full-time faculty members are governed by the policies in the contractual agreement between the board of trustees of the College of DuPage and the College of DuPage faculty Association. Faculty members are also members of the Illinois Education Association (IEA) and the National Education Association (NEA) (EXHIBIT 1.8.A). Adjunct (Part-time) faculty are governed by the policies in the contractual agreement for parttime faculty agreement between the Board of Trustees and the College of DuPage Adjunct Association IEA/NEA (EXHIBIT 1.8B). 3. Classified personnel are governed by the agreement between the College of DuPage and the Classified Personnel Association (EXHIBIT 1.8C). Classified personnel in the Nursing Department include the Administrative Assistant and the Lab Assistants. 2. Nursing faculty receives a copy of the contract upon employment and contract renewal. The Faculty association negotiates a contract to ensure consistency in employment conditions. TABLE 1.8A list the page numbers where select policies are addressed in the contract. NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois 27 TABLE 1.8A CONTRACT AGREEMENT BETWEEN THE BOARD OF TRUSTEES OF THE COLLEGE OF DUPAGE AND COLLEGE OF DUPAGE FACULTY ASSOCIATION IEA/NEA 2007-2011 POLICY DOCUMENT Non Discrimination Academic Rank Grievance Procedure Promotion Salary Tenure Rights and Responsibilities Workload PAGE IN FACULTY CONTRACT 12 7 51 71 58 49 14 22 Unique to Health Career and Nursing Program faculty is the requirement to complete a drug test and meet the health requirements for clinical agencies that the ADN program utilizes for clinical experiences (EXHIBIT 1.8D). These requirements include CPR, Proof of immunization/Titers, physical exam, and Tuberculosis screening. Faculty and students must meet these requirements in order to teach or participate in clinical experiences at these agencies as stipulated in affiliation agreements. The Illinois Community College Board (ICCB) specifies that in the Associate Degree Nursing programs, one credit hour is equivalent to fifty (50) minutes of classroom study or three to one (150) minutes of clinical experience. The employee contract dictates the teaching loads for full-time faculty members. A 50 minute period is identified as one contact hour. Full-time faculty load is typically 30-32 contact hours of instruction per academic year, usually divided as 15 or 16 hours per semester. The Health Sciences Division full-time faculty generally teach 32 hours per academic year to meet workload requirements. This is influenced by the fact that there are labs and clinical instruction for most nursing and health program courses. If a faculty member teaches “straight” lecture, the full-time workload is 30 hours per academic year. Nursing faculty that teach clinical receive one load hour for each clinical hour worked. Faculty assigned more hours than 16 contact hour/semester or 32/academic year are given overload pay for each additional hour worked. Three years of faculty workload reports will be available as EXHIBIT 1.8E. TABLE 1.8B lists all nursing courses and the distribution of contact (workload) hours for each course in the ADN program. Lecture sections of courses that have lab and/or clinical typically have 27-36 students in a classroom section, and are complimented with three or four lab or clinical sections of up to 9 students. Many clinical agencies limit students to groups of 8 versus 9 or 10, which has resulted in employing extra part-time faculty. (Illinois Nurse Practice Act and Rules allows a ratio of 10 students per faculty in the clinical setting.) TABLE 1.8B. PROGRAM REQUIRED NURSING COURSE HOURS AND CREDIT HOURS REFLECTING FACULTY TEACHING RESPONSIBILITIES. 28 NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois CONTACT HOURS BY INSTRUCTIONAL TYPE COURSE Nursing 1100 Nursing 1104 Nursing 1105 Nursing 1206 Nursing 1207 Nursing 1208 Nursing 2109 Nursing 2110 Nursing 2201 Nursing 2202 Total LECTURE 3.0 1.0 4.0 1.0 2.5 2.5 2.5 2.0 5.0 1.0 24.5 CLINICAL 0 0 6.0 4.5 6.0 6.0 7.5 0 15.0 0 45 LAB 0 0 2 1 1 1 0 0 0 0 5 CREDIT HOURS/ SEMESTER 3 1 7 3 5 5 5 2 10 1 42 TOTAL COURSE CONTACT HOURS PER WEEK (50 MINUTES EACH) 3.0 1.0 12.0 6.5 9.5 9.5 10 2 20 1 74.5 Policies of the Associate Degree Nursing Program are comprehensive, provide for welfare of faculty and staff, and are consistent with those of the governing organization; differences are justified by the goals and outcomes of the program. The contractual agreement stipulates workload for each discipline. Many of the faculty members have consistently worked an overload assignment to ensure consistency throughout the program. 1.9 Records reflect that program complaints and grievances receive due process and include evidence of resolution. The ADN program ensures that students receive due process and a timely resolution to grievances. The College of DuPage has seven appeals procedures. The procedures begin on page 44 in the College Catalog 2009-2011 (EXHIBIT 1.9A). The College of DuPage policy on plagiarism is also in the College Catalog. Any grievances initiated by students who have been removed due to an infringement on Health Sciences Code of Conduct are also handled as a grade appeal. A grade appeal form is the most frequent appeal that the academic side of the College has to address. The Grade Review Form can be found in APPENDIX 1.9A. Additionally, the Health Science Division has the student complete a Student Concern Form should they have a concern about a course, learning experience or faculty member (APPENDIX 1.9B). This form is completed prior to a meeting with the Division administrator. It provides the Administrator with a description of the concern to aid in his/her review of the incident prior to meeting the student. The concern is typically viewed as something “less serious” than an appeal. Because the College Catalog is silent regarding issues specific to clinical grade failure, the ADN program has a specific policy regarding appeal of clinical failures. How the ADN program addresses grievances based on a student’s appeal of a clinical failure is outlined on page 23 of the ADN Program Student Handbook (EXHIBIT 1.9B). The Clinical Appeal Policy was developed to allow students due process. Students receive a copy of the clinical failure grievance policy in the AND Program Student Handbook. All student grievances are resolved in a timely manner and documentation is stored in the Director of Nursing’s office in a file separate from students’ academic files. The ADN program ensures that students receive due process and a timely resolution of their appeal. NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois 29 1.10 Distance learning, as defined by the nursing education unit, is congruent with the mission of the organization and the mission/philosophy of the nursing education unit. Students of the ADN program can use distance learning to fulfill many general education requirements. The College of DuPage Associate Degree Nursing Program has one online course. The course name is NURSI 2110 Nursing Issues. The Nursing Issues course, and potentially others, work from the same active course files as the traditional courses. The nursing program also has approval to offer a hybrid course, 1208 Neuropsychiatric Nursing. Many of the ADN courses include Blackboard to enhance content taught in courses. Blackboard is also used to post grades and study materials for students. The ADN program has had discussion about offering other courses online and web enhanced courses. With the advent of technology and alternative ways to make resources available, students in distance learning courses have the same resources available to them as the traditional student. In conclusion, the following summary of strengths and challenges are identified: Strengths Faculty and students are active on department committees. The faculty is involved in college committees. There is an alignment with the department and the college committee structure. Part-time faculty, LPN faculty, CNA faculty and students have been added to departmental committee; this has created the opportunity for each of them to bring a unique perspective to the new committee structure. Faculty is aware of vision and purpose of the institution and the nursing program. Faculty is able to use this vision to shape nursing students as they work to achieve their educational goals. Opportunities Part-time faculty and students participation in department committees. 30 NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois Section II: Standard 2 Standard 2: FACULTY AND STAFF Qualified faculty and staff provide leadership and support necessary to attain the goals and outcomes of the nursing education unit. 2.1 Full-time faculty are credentialed with a minimum of a Masters degree with a major in nursing and maintain expertise in their areas of responsibility. Governed by the Illinois Department of Financial and Professional Regulation, the nursing faculty in pre-licensure programs that prepare graduates for the national registered nurse licensing exam (NCLEX-RN) must 1. Have a minimum of a masters degree with a major in nursing, 2. Be licensed as a Professional Registered Nurse (RN) in Illinois, and 3. Have a minimum of two years of clinical practice experience as a registered nurse. The Associate Degree Nursing (ADN) program at College of DuPage (COD) currently has ten fulltime faculty members. The Director of Nursing is not considered a faculty position. All full time faculty members hold a Master of Science (MSN) degree with a major in nursing. Three have also earned a Doctoral Degree in Education (Ed.D). Two faculty members are currently enrolled in Doctoral programs; one a candidate in Adult and Higher Education, and one in Nursing. One faculty member recently completed a Masters in Business Administration. TABLE 2.1.A provides a profile of the full-time faculty currently teaching in the ADN program. Noted are individual year of hire, faculty rank degree granting institution and area of clinical expertise. TABLE 2.1.A: FULL-TIME FACULTY PROFILE, FALL, 2010 FACULTY NAME FULL TIME Linda Barkoozis Robert Berry YEAR OF HIRE RANK 1992 Professor 2001 Professor Rosa Colella- 2008 Instructor Melki PT 2009 FT Larinda Dixon 2001 Professor Mary Lynn Engelmann 1990 Professor EDUCATION/INSTITUTION GRANTING DEGREE AREA OF CLINICAL EXPERTISE BSN/Northern Illinois University MSN/Northwestern University BSN/Chicago State University MSN/Aurora University Ed.D/Northern Illinois University ADN/College of DuPage BS-Psychology/Loyola University MSN/St. Xavier University BSN/Hampton University MSN/St. Xavier University Ed.D./Northern Illinois University BSN/Marycrest College MSN/Case Western Reserve University Ed.D./Northern Illinois University Med-Surg Community Health Med-Surg Med-Surg Med-Surg Med-Surg Dilyss Gallyot 2003 Associate Professor BSN/Northern Illinois University MSN/Northern Illinois University MBA/Northern Illinois University Med-Surg Janice Miller Associate Professor ADN College of DuPage BSN/St.Xavier University MSN/St. Xavier University Maternal-Child 2002 NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois 31 FACULTY NAME FULL TIME Kimberly Oosterhouse YEAR OF HIRE RANK 2002 Associate Professor Carol Stewart 1999 Associate Professor Professor Maureen Waller 2000 2.1.1 EDUCATION/INSTITUTION GRANTING DEGREE Doctoral Candidate/Northern Illinois University BSN/Trinity Christian College MSN/Rush University Doctoral Student/University of Illinois at Chicago BSN/Loyola University Chicago MSN/University of Illinois at Chicago BSN/St. Xavier University MSN/Loyola University of Chicago AREA OF CLINICAL EXPERTISE Med-Surg Psychiatric/Mental Health Maternal-Child The majority of part-time faculty are credentialed with a minimum of a master's degree with a major in nursing. The remaining part-time faculty members hold All part-time faculty, by declaration as faculty and teaching assignments, hold a minimum of a masters degree in nursing(MSN). TABLE 2.1.B reflects this. Because part-time faculty primarily teach in the clinical setting, the number of these faculty members used varies based on the number of clinical sections required each semester. Additionally, nursing laboratory instruction and evaluation is done by full and part-time MSN prepared faculty. TABLE 2.1.B: PART-TIME FACULTY PROFILE FALL, 2010 FACULTY NAME Joanne Bardzinski Janis Bartel YEAR OF HIRE 2005 2009 Cheryl Cook 2008 Sue DeFabiss 2009 Corinne Eiznhamer Valerie Fox 2008 Kathy Fry 2010 2010 Jennifer Gambon 2008 Carol Gockman 2010 Sue Huzevka 2010 Laura Holland 2009 Barbara Jirik 1990 32 EDUCATION/INSTITUTION GRANTING DEGREE BSN/University of Illinois MSN/University of Illinois BSN-Northern Illinois University MSN-Loyola University of Chicago BSN/Lewis University MSN/Lewis University BSN/Youville College (Buffalo, New York) MSN/St. Xavier University BSN/Lewis University MSN/Lewis University ADN/Joliet Junior College BSN/University of Phoenix MSN/University of Phoenix BSN/Lewis University MSN/Lewis University MBA-Lewis University BSN/Loyola University of Chicago MSN/Loyola University of Chicago BSN/University of Illinois MSN/University of Illinois BSN/University of Illinois MSN/Loyola University of Chicago BSN/Marquette University MSN/Lewis University BSN/University of Illinois at Chicago MSN/Northern Illinois University NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois AREA OF CLINICAL EXPERTISE Med-Surg Med-Surg Med-Surg Psychiatric/Mental Health Med-Surg Med-Surg Med-Surg Pediatrics Family Nursing (FNP) Med-Surg Psychiatric/Mental Health Med-Surg Med-Surg FACULTY NAME Beth Jelesky YEAR OF HIRE 2008 Denise Krusenoski 2009 Nancy Michels 2007 Ericka Ortiz 2009 Sue Pickell 2010 Sharon Reeves 2006 Kendra Ross 1990 Patricia KemerleyStricklin Luci Sabala 2010 Sue Schaub 2009 Judy Vierke 2010 Laurel Zdeblick 1993 EDUCATION/INSTITUTION GRANTING DEGREE AREA OF CLINICAL EXPERTISE BSN/DePaul University MSN/Indiana University BSN/Valparaiso University MSN/Lewis University Psychiatric//Mental Health BSN/University of Minnesota MSN/University of Minnesota BSN/Elmhurst College MSN/Loyola University of Chicago ADN/Prairie State College BA/North Central College (Psychology) MSN/Lewis University BSN/San Francisco State University MSN/California State University BSN/University of Michigan MSN/Northern Illinois University ADN/Richard J. Daley Community College MSN/Loyola University Maternal-Child ADN/Harper College BSN/DePaul University MSN/DePaul University BSN/Baylor University MSN/Northern Illinois University BSN/Illinois Wesleyan University MSN/Rush University BSN/Marquette University MSN/University of Illinois at Chicago Med-Surg Med-Surg Pediatrics Family Nursing (FNP) Psychiatric/Mental Health Med-Surg Med-Surg Med-Surg Med-Surg Maternal-Child Med-Surg Mental Health 2.1.2 Rationale is provided for utilization of faculty who do not meet the minimum credential Not applicable as all faculty have the minimum credential required. 2.2 Faculty (full- and part-time) credentials meet governing organization and state requirements. The utilization of full time and part time faculty is consistent with the mission and philosophy of the College and the purposes of the ADN program. Per the College of DuPage's hiring guidelines (2010), the requirements for associate degree nursing faculty (full-time and part time) are: Academic Qualifications: masters degree with a major in nursing Experience: 2-3 years clinical experience in nursing; teaching experience preferred Additional Qualifications: Currently licensed as a registered nurse in Illinois TABLES 2.1.A, 2.1.B and 2.3.A demonstrate this. Faculty file proving academic credential and licensure will be found inEXHIBIT 2.1A. Additionally, proof of licensure can be searched at the IDFPR website. 2.3 Credentials of practice laboratory personnel are commensurate with their level of responsibilities. NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois 33 All laboratory faculty members who are involved in teaching or evaluating students have a Masters Degree in Nursing. There are currently four part-time faculty members involved with skill return demonstrations. TABLE 2.3.A provides an overview of academic and professional qualifications of part-time faculty teaching in the nursing laboratory setting. TABLE 2.3.A: PART-TIME NURSING LABORATORY FACULTY, FALL, 2010 FACULTY NAME PART TIME DATE OF HIRE Corinne Eiznhamer Carol Gockman 2008 Sharon Reeves 2006 Judy Vierke 2010 2010 EDUCATION/INSTITUTION GRANTING DEGREE BSN/Lewis University MSN/Lewis University BSN/University of Illinois MSN/University of Illinois BSN/San Francisco State University (1968) MSN/California State University (1976) BSN/Illinois Wesleyan University MSN/Rush University AREA OF CLINICAL EXPERTISE Med-Surg Med-Surg Med-Surg Med-Surg In addition, there are two part-time non-faculty staff members with a Bachelor’s Degree in Nursing who serve as the Nursing Laboratory Assistants. The laboratory assistants maintain the integrity of the nursing laboratory learning space as well as staff the open practice lab. For the latter, they provide guidance to students under protocol established by faculty (utilizing skill return demonstration tools). These laboratory assistants are not involved in the teaching and evaluation of students. The job description for this position can be found in APPENDIX 2.3.A. TABLE 2.3.B: PART-TIME NURSING LABORATORY ASSISTANTS PART-TIME STAFF MEMBER NAME Donna Perchatsch Latisha Richardson 2.4 DATE OF HIRE 9/2009 3/2010 EDUCATION/INSTITUTION GRANTING DEGREE ADN/College of DuPage BSN/Benedictine University ADN/Joliet Junior College BSN/Northern Michigan University AREA OF CLINICAL EXPERTISE Med-Surg Med-Surg Operating Room The number and utilization of faculty (full- and part-time) ensure that program outcomes are achieved. Generally speaking, the number of faculty is adequate to ensure that program outcomes are achieved. Opportunities, however, need to be explored to assure the optimal utilization of this valuable resource. The COD ADN program admits 117 students per year in the fall semester, thus the maximum number of first and second year students that are in the ADN program at any given time is 234. With the current ten full-time faculty members, this is a full-time faculty to student ratio of 1:23.4 As mentioned in Standard 1.8, by contract, full-time faculty contact hour workload requirement is 16 hours per semester (32 hours/year). Adjunct faculty can assume up to 80% of a full-time faculty load per year, i.e. 80% x 32 = 25.6 contact hours. 34 NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois The program strives to maintain a 9:1 student faculty ratio in the clinical and nursing laboratory experiences. However, the program is experiencing clinical sites who do not want more than eight students per faculty member. Classroom learning typically has 27 to 36 students. Classroom instruction is primarily done by full-time faculty. The classroom learning experience is currently taught in a team approach with each faculty teaching in designated content areas. In this approach, the classroom for a given course could involve as many as six faculty members. Research on the educational effectiveness of this pedagogy and student feedback may challenge continued use of this design. TABLE 2.4.A notes the percentage of instruction done by full-time and part-time faculty based on the Fall 2008, 2009, and 2010 schedule of faculty assignments. TABLE 2.4.A: FULL-TIME AND PART-TIME INSTRUCTIONAL DISTRIBUTION (based on Instructional Contact Hours) FALL 2008 FALL 2009 %FT %PT %FT %PT Nursing ADN Program (NURSI) 56% 44% 51% 49% Nursing LPN Program (NURSP) 40% 60% 55% 45% Certified Nursing Asst Program (HLTHS 1105) 0% 100% 0% 100% 42% 58% *Health Science Division (HS)* 41% 59% *Total Institution Credit Only Source: E7015102.091; HR Fall 2009 Stipend Report; ODS Faculty Assignments PROGRAM FALL 2010 %FT %PT 47% 53% 42% 58% 0% 100% Based on the information for the nursing related programs, the ADN program exceeds other programs regarding percentage of instruction done by full-time faculty. However, it is important to note that this does take into account that instruction done by full-time faculty as overload. Additionally the ADN program exceeds Division and total institution in percentage of instruction done by full-time faculty. The majority of instruction (up to 93%) in the faculty teaching assignment is done in the lab and/or clinical setting with at most nine students. 2.5 Faculty (full and part-time) performance reflects scholarship and evidence-based teaching and clinical practice. Scholarship is embodied in integration, application, teaching, and discovery (Boyer, 2004). Integration entails connecting and collaborating with other disciplines for the purpose of expanding knowledge. Application entails responsibly using knowledge to answer consequential problems for the improvement of individuals, institutions, and society. Service activity that stem directly from the professional's field of expertise is an example of the scholarship of application. Teaching entails the education and enticement of future scholars. It is a dynamic endeavor which involves stimulating active learning, creating critical, creative thinkers, and inspiring a continued quest for knowledge. To this end, the scholarship of teaching also assumes continued learning on the part of the teacher. Discovery entails research and the commitment to seek knowledge to contribute to the intellectual climate of the institution and to society (Boyer, 2004). NLNAC summarizes scholarship in its 2008 definition: Activities that facilitate the enhancement of expertise and achievement of program goals. This may include but is not limited to: application of knowledge, teaching, service, practice, and research. Faculty (full- and part-time) performance reflects scholarship and evidence based teaching and clinical practices. Full time faculty members are engaged in activities that maintain their educational, professional and clinical expertise in the areas of teaching by attending professional NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois 35 and health related community activities, workshops, seminars, and conferences. (APPENDIX 2.5.A. Professional Activities) Nursing faculty members actively participate in a variety of professional organizations and serve as officers and/or committee members. Some faculty members contribute to nursing education and research by presenting at conferences. Many faculty members have contributed to research and nursing education through the publications of books, case studies, journal articles, and book chapters. One faculty member serves as an Ambassador for NLN, is on the NLN Nursing Education Advisory Council (NEAC), and is Associate Editor of Teaching and Learning inNursing. Another faculty member serves as the designated nurse planner for the Illinois Nurses Association in the Continuing Education Department at the College of DuPage. Several faculty members have participated in Instructional Design projects within the institution. In addition, College of DuPage (COD) is cognizant of the need to increase opportunities for faculty to continue their research interest and goals. Under contractual agreement, each full time faculty member must earn three semester credit hours of college credit or continuing education every three years. Challenges exist with the past practice of how teaching assignments have been made. Sections of a course may have as many as ten faculty assigned to it, in large part based on how the faculty of record is identified and that lectures, particularly in Med-Surg courses have as many as five faculty teaching within the same course section. This is seen as “disjointed” by students and begs pedagogical soundness. Part time faculty members are engaged in activities that maintain their professional and clinical expertise. Expertise is maintained through participation in professional development activities and maintaining membership in professional organizations. Several faculty members are currently engaged in clinical practice in local hospitals and healthcare agencies (TABLE 2.1.B: Part-Time Faculty Profile). Evidence of educational and clinical expertise is found in individual curriculum vitae (EXHIBIT 2.1.A). The collective talents of the faculty reflect scholarship through teaching, application, and the integration and discovery of knowledge as defined by the governing organization and within the nursing education unit. 2.6 The number, utilization, and credentials of non-nurse faculty and staff are sufficient to achieve the program goals and outcomes. With the Fall of 2009, the various nursing program related offerings at COD were merged into one Department of Nursing. There are three programs in the COD Nursing Department: ADN, Practical Nursing (PN) and Certified Nursing Assistant (CNA). Prior to that these were separate programs with Program Coordinators and Team Leaders. As many as 384 students may be in these three programs at any given time/semester. 36 NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois These programs are served by a current total of 2.7 12 full-time faculty (ten are dedicated to the ADN Program) One program administrator (Director of Nursing) One Practical Nursing Faculty Member has release time (3 hours) for coordination of the Certified Nurse Assistant (CNA) Program Approximately 40 part-time faculty members Two part-time Nursing Laboratory Assistants One Administrative Assistant (job description for this position can be found in APPENDIX 2.6.A) Faculty (full- and part-time) are oriented and mentored in their areas of responsibilities. Prior to Fall 2010, college orientation for full-time faculty was coordinated through the Teaching Learning Center (TLC). Orientation for full-time faculty and staff will now be coordinated through the Human Resources Department; plans for that program are now under development. The ADN Program did not have any new full-time faculty members begin employment during the current academic year. New full-time faculty members are oriented by the Director of Nursing as well as program faculty and assigned mentors. During the Fall of 2010, the Nursing Department Faculty Development and Welfare committee developed a New Faculty Orientation Checklist and a Faculty Mentor Checklist (Appendices 1.3 A and B). The last four full-time faculty members hired previously served as part-time faculty members; this eased their transitions into the COD full-time faculty role (EXHIBITS 2.7A and B). The Nursing Department Faculty Orientation Handbook, the ADN Program Student Handbook, an overview of the curriculum, and student evaluation procedures are included in this orientation. The responsibilities of all department faculty and staff positions are reviewed at this time are reviewed at this time. Part-time faculty members attend an orientation session presented by the Director of Nursing. Responsibilities of the part-time faculty are reviewed at this time. Evaluation and advising of students is included in this orientation. Full-time faculty work to incorporate part-time faculty into each course. The Nursing Department Faculty Nursing Orientation Handbook as well as the College of DuPage Faculty Guidebooks (EXHIBIT 2.7C) is available on-line making it readily accessible for reference and use. All faculty are encouraged to access the Teaching and Learning Center resources, particularly its educational workshops on use of Blackboard and myACCESS. The Library provides faculty resources electronically on such topics as copyright information, workshops and courses for faculty, on-line faculty resources and special services for faculty. All faculty new to a clinical agency are provided a stipend to orient to that facility. Additionally, new faculty involved in clinical instruction is offered the opportunity to participate in the MCHC Clinical Faculty Academy. While always a work in progress, faculty are generally oriented and mentored in their areas of responsibility. Efforts are underway to achieve improved inter-rater reliability in the area of student assessment particularly as it relates to lab and clinical performance. NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois 37 2.8 Systematic assessment of faculty (full- and part-time) performance demonstrates competencies that are consistent with program goals and outcomes. Full time faculty evaluation is addressed in the Contractual Agreement between the Board of Trustees of College of DuPage and College of DuPage Faculty Association Both tenured and non-tenured faculty members are evaluated as outlined in the Contractual Agreement (EXHIBIT 2.8A, pp. 37-42). Tenured faculty members are evaluated every three years by the Director of Nursing (DON) to maintain the quality of the College's educational process and are both developmental and evaluative. The evaluation cycle consists of the planning conference the first year, the formal evaluation the second year and the update conference the third year. During the first year (planning conference), the faculty member and DON reach agreement on the content (teaching, advising, curriculum development, institutional committee work, and other activities) and methods of evaluations (self-evaluation and student questionnaire). This is known as the Record of Agreement. The second year of the cycle (formal evaluation), the faculty member and the evaluator review the faculty member's Record of Agreement. During the formal evaluation conference, the faculty member has the right to agree with the evaluation, to add written comments or to discuss the evaluation with the evaluator to resolve any difference of opinion. The faculty member's signature of the formal evaluation acknowledges that he or she has read the evaluation but does not necessarily indicate agreement with the evaluation. The third year of the cycle (update conference), the faculty member and evaluator meet to update the formal evaluation. At each stage of the evaluation cycle, the faculty member and the evaluator sign the document which is forwarded to the Dean; the signed documents are then sent to Human Resources to be placed in the faculty member's personnel file. Non-tenured faculty member are evaluated at least twice a year during the three year probationary period by the DON. The evaluation process is used by the evaluator to maintain or improve the faculty member's level of teaching and for the purpose of rehiring and the granting of tenure and is both developmental and evaluative. Planning and evaluation conferences are scheduled during the first three years per the Contractual Agreement utilizing the same general format used for tenured faculty. Upon completion of the third year, tenure may be granted or the probationary period may be extended for a fourth year. If tenure is granted tenure, the faculty member begins the three year evaluation cycle with an update conference scheduled the next year. If the probationary status is extended to a fourth year, the planning and evaluation sequence is continued. The evaluation of part time faculty is addressed in the Contractual Agreement between the Board of Trustees of College of DuPage and College of DuPage Adjuncts Association IEA/NEA and the Information Guide for Part Time Faculty (EXHIBITs 2.8 B and C). Part time faculty members are evaluated by the DON. In addition, the DON seeks feedback from the fulltime faculty who work with the part-time faculty member. This information is used to determine the continued employment of a part-time faculty member. All new COD faculty are evaluated each term during their first year of employment. Faculty members who have taught a minimum of one year at COD are evaluated at least once during the 38 NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois academic year or as determined by the DON, using the student questionnaire (APPENDIX 2.8A and B). Questions related to the classroom, clinical and skills laboratory experiences are included in each course evaluation (Appendices 2.8 C). The DON conducts periodic clinical site visits to observe ADN faculty, and meets with the students and the members of the nursing staff. 2.9 Non-nurse faculty and staff performance is regularly reviewed in accordance with the policies of the governing organization. Classified Laboratory Staff Assistants are regularly reviewed by the Director of Nursing. The Director of Nursing is regularly reviewed by the Dean of Health and Behavioral Sciences. TABLE 2.9.A: EVALUATION OF NURSING DEPARTMENT STAFF AND NON-NURSING FACULTY POSITION Director of Nursing WHO EVALUATES Dean of Health and Behavioral Sciences FREQUENCY Annual KEY POINTS Administrative Assistant, Nursing Nursing Laboratory Staff Assistants Health Sciences Annual Division Office Manager with input from Director of Nursing Director of Nursing Annual Coverage of basic responsibilities Productivity Administrator evaluation form (p.19) Quality of work Initiative Leadership Professional Development Individual criteria Quality of work Performance Improvement Form available as EXHIBIT 2.9A Problem solving Attendance Student/customer service focus Form available as EXHIBIT 2.9B Personal/professional accountability Effective communication Teamwork and collaboration The Administrative Assistant assigned to nursing is actually a Division employee and evaluated by the Office Manager of the Division with input from those the Administrative Assistant provides services for. See APPENDIX 2.6A for this position’s job description. 2.10 Faculty (full- and part-time) engages in ongoing development and receives support in distance education modalities including instructional methods and evaluation. Faculty engaged in distance education modalities (including instructional methods and evaluation) receive technical support from the College. All nursing courses have a course management system (BlackBoard) available for student communication, assignments, and grading purposes. Ongoing training and support for faculty is available through the TLC. Participation in these learning activities is noted in the APPENDIX 2.5.A. NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois 39 In addition, faculty members can receive technical support from instructional services for the development of online courses. Currently, one course can be offered in an online format (NUR 2110) and one course can be in a hybrid format (NUR 1208).The faculty member teaching in this course is evaluated in the same manner as the rest of the nursing faculty (in accordance with the Faculty Contract). Strengths: The College of Du Page Nursing program has a well-qualified, well-credentialed faculty. Three hold doctoral degrees in Adult and Higher Education. One is a doctoral candidate, and one is enrolled in a doctoral program at the course level. A number of faculty members are also well-credentialed in their own specialties. There are also faculty members who are involved in active clinical practice outside of the College. Weaknesses: Two recent full- time faculty positions were recently lost to retirement, and are not being replaced, which increases the faculty work load as identified in criterion 2.4. The elimination of the Team Leader position at the course level has made course coordination and management challenging suggesting that practices regarding Faculty assignment and naming the Faculty of record need to be modified. 40 NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois Section II: Standard 3 Standard 3: STUDENTS Student policies, development, and services support the goals and outcomes of the nursing education unit. 3.1 Student policies of the nursing education unit are congruent with those of the governing organization, publicly accessible, non-discriminatory, and consistently applied: differences are justified by the goals and outcomes of the nursing education unit. Policies for students in the ADN program are consistent with all other students for the parent institution in relation to counseling services, advisement assistance, academic placement services, and financial aid assistance. The general student policies are contained in the College of DuPage Catalog 2009-2011, available on-line and in print in the Admissions Office, SRC 2046. The student policies of the ADN program are found in the College of DuPage Associate Degree Nursing Handbook (EXHIBITs 3.1 A and B). All students have access to computers for on-line use in the College of DuPage Library. Students sign a confirmation of receipt form for the ADN Handbook at the program orientation. Copies of the forms are kept in the students’ files in the department office. The ADN program adheres to the College’s Non-Discrimination Policy which states “the college will not discriminate in its programs and activities on the basis of race, color, religion, creed, national origin, sex, age, ancestry, marital status, sexual orientation, arrest record, military status or unfavorable military discharge, citizenship status, physical or mental handicap or disability” ( Board Policy 5010; EXHIBIT 3.1C). However, if a student’s criminal background check does produce a finding, the student is advised that their success in the program may be impeded due to the restrictions and requirements of the outside clinical agencies. Health (career) program students have additional participation policies they must adhere to primarily as a result of clinical affiliation requirements, and for placement in the clinical learning setting. College of DuPage Health Science Programs have policies related to the following. Policy for Professional Conduct at Clinical Sites (EXHIBIT 3.1D) in addition to the “Student Code of Conduct” in the College Catalog (EXHIBIT 3.1A; pp. 41-42). Essential Functions related to the following activities - moving, lifting and transferring patients without restriction, due to the nature of the clinical experience (EXHIBIT 3.1E). Health Requirements and clinical participation requirements, including proof of immunization/vaccination status, CPR, drug testing, and a criminal background check of individuals providing patient care within their facilities. Some facilities also require proof of health insurance (EXHIBIT 3.1F). * *NOTE:Health Requirements are maintained offsite by Edward Corporate Health in Naperville, IL. The students can complete their health requirements through Edward Corporate Health, their private physician, or the DuPage County Health Department. The student is responsible for providing Edward Corporate Health with proof of requirements and Edward Corporate Health completes a health requirements form, indicating that individuals have met the criteria to be allowed in a clinical course. The health requirements forms are located in the students’ files.) As a health career program, nursing program students must comply with these policies. Accommodationsare made for students with special needs when documentationhas been provided by the student and submitted to Special Student Services. NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois 41 Admission Admission to the College of DuPage is open to anyone who is a high school graduate or is at least 18 years old and can benefit from college level instruction. No tests are required for admission, however, national placement tests, such as the ACT, are helpful for college advisors to assist with the student’s educational planning. Tests in mathematics, reading and writing are required for course placement purposes. Admission can be granted to others by the Coordinator of Admissions Services (Board Policy 5101; EXHIBIT 3.1C). College of DuPage follows the guidelines of the Illinois Community College Board for residency requirements. Students who live within the district (District 502) for at least 30 days immediately prior to the beginning of the term will be classified as residents of the College of DuPage district. Students are classified as out-of-district if they have resided within the State of Illinois for at least 30 days immediately prior to the beginning of the term, but outside the College of DuPage district. Students are classified as out-of-state if they have not lived within the State of Illinois for at least 30 days prior to the beginning of the term. Students whose permanent residences are outside the United States and who wish to attend College of DuPage on a valid student visa or other visa waiver program are classified as international residents (as long as the visa or other visa waiver program permits those individuals to attend school while in the United States). The Admissions and Information office makes the final determination of residency status. Student residency classifications are in accordance with provisions of the Illinois Community College Act and guidelines established by the Illinois Community College Board (EXHIBIT 3.1A, p. 25). The ADN program admission policy (APPENDIX 3.1A, p.6) states, “in-district residents will be considered prior to out-ofdistrict residents.” Incoming students for the fall of 2010 were required to meet the following admission criteria: 1. Submission of a signed application to the ADN program, along with application fee. 2. Submission of transcripts from all previous schools (high school, college, GED, ECE). 3. Submission of completed green “Request Form” to the Records office for transcripts to be evaluated. International transcriptsfrom high school or collegeare evaluated by the Educational Credential Evaluators, Inc. Forms may be obtained online at: www.ece.org. 4. A grade point average of 2.75 on a 4.0 scale. 5. Science requirements: At least one year of high school Chemistry, college level Chemistry 1105 or 1211 (formerly Chem 105 or 111) or equivalent with a grade of “C” or better; beginning fall 2011, College Chemistry 1105 or 1211 or equivalent will only be accepted. College level Anatomy and Physiology 1551 or 1571 (formerly 111 or 121) or equivalent, with a grade of “C” or better, completed within five years of application. 6. National League for Nursing Pre-Admission Examination, RN (PAX-RN). 7. Mandatory advising session 8. Admission to the College As the admission cycle for the fall 2011 draws to a close on February 1, 2011, the admission policy is currently under review for necessary revisions. Completed applications are reviewed by the Admission Specialist/Staff and results, including rank score, is shared with the program faculty and the Nursing Department Program Participation Committee. Qualified candidates are selected for admission to the program. 42 NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois In the event that there are more qualified applicants than spaces available an alternate list is established. Applicants are placed on the alternate list in order of rank of total earned merit points based on admission criteria. If an applicant declines admission, the space is offered to the next applicant on the alternate list. Preference is given to those applicants classified as in-district residents by the Health Sciences Admissions Office. Applicants are informed of their provisional acceptance status by letter. They are given two weeks to return their acceptance of that position. Positions not accepted in writing are then filled from the alternate list. Upon their acceptance of admission to the ADN program, students are required to attend an orientation session of the ADN program in which they are given program information, health requirements, CPR requirements, drug screening, criminal background checks and additional screenings with which they must comply to enter (EXHIBIT 3.1G). Additionally, students must have proof of successful completion of Anatomy and Physiology 1552 or 1572, NURSI 1100 and placement on Illinois Healthcare Worker Registry (C.N.A.) for full acceptance to the nursing program. Proof is typically required by August 1 prior to the start of the Fall semester. (NOTE: The Nursing Department Program Participation committee is currently evaluating the Admission policy as it relates to the notion of “provisional acceptance and the academic requirements for admission to the program.) Grading and Progression There is no stipulated grading policy at College of DuPage. Individual policies for grading are determined by the instructor and/or the program. Although, a grade of “D” is considered “a minimum standard of achievement” by the College, a cumulative grade point average of “C” or 2.0 on a 4.0 scale in all nursing and program required courses is required for graduation from the nursing program. Students must achieve a grade of “C” or better in each nursing course and achieve satisfactory clinical performance to remain and progress within the nursing program. The grading scale for the ADN program is found in the ADN Program Handbook (EXHIBIT 3.1B; p.17) and each course syllabus. The grading scale is: A = 90.0%-100% B = 84.0%-89.9% C = 78.0%-83.9% D = 70.0%-77.9% F = Below 70.0% The rationale for the more stringent admission requirements for nursing, as compared to the overall institution, isbased on the knowledge and skill needed to succeed within the classroom portion of the curriculum and to meet the health and safety needs of the consumers of health care. For a complete description of letter grades (A through X) see the Catalog (EXHIBIT 3.1A, pp. 56-57). The following documentation is found in the ADN Program Handbook (EXHIBIT 3.1B, pp. 17-19), and reports that for satisfactory completion of a nursing course, a student must: 1. Meet all course requirements as stated in the course syllabus. 2. Complete clinical objectives and criteria, and receive a satisfactory evaluation in the clinical component of the course. NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois 43 In order for a student to begin the next course in the sequence of nursing courses, the student is required to: 1. Be considered in good standing by the College. 2. Complete all prerequisites for the course satisfactorily. 3. Possess current CPR certification. 4. Complete other health screening requirements as appropriate. 5. Have earned a grade of at least “C” in all clinical nursing courses. 6. Have earned a grade of at least “C” in all program required courses. The ADN program allows a student one readmission if a course was failed or the student withdrew failing, and two admissions if the student withdrew passing. Prior nursing courses can be no more than two years old. Any student who has previously been evaluated as being unsafe may not continue in the clinical/laboratory/classroom. Students who have been evaluated as unsafe will not be readmitted to the program. Due to the sequential nature of the curriculum and the limited availability of seats, a student who withdraws or earns less than a “C” grade in a course cannotretake or reenter the course/program and continue on at any chosen point at their discretion. The student must declare their intention to return to the program in writing, and may be allowed readmission on a space available basis, and in accordance with the Nursing Readmission Policy (p. 29). Because the program is currently offered once per year, readmission will be at least one year after exiting the program. In the fall of 2007, all students who had previously dropped from the program, regardless of reason, were allowed to reenter the program, due to the quarter to semester conversion. The students, who had completed the first year of the program under the quarter system, or through the conversion process, took required bridge coursework, which allowed them to begin in the second year under the current curriculum. This cohort of 15 returning students was enrolled in a success program consisting of content that was no longer covered in the 2nd year of the program and included special advising and success strategies, which enabled them to enter into the 2nd year of the ADN curriculum. These students graduated in May, 2008. In addition a cohort of these returning students from the quarter system allowed readmission into the first year of the ADN curriculum. These students graduated in May, 2009. In January of 2007, a cohort of 40 students was enrolled into the nurse-faculty loan expanded program. These students graduated in December, 2008. In October, 2009, a cohort of 20 PN students enrolled in the ADN transition course. Eighteen of these students were admitted to the ADN Program in the 2 nd 8 weeks of fall, 2009. Thirteen of these 18 student completed year 2 of the ADN program and graduated in May, 2010. Of the five who did not, one withdrew from NURSI 2109 and four received a “D” preventing them from progressing into the final semester of the program. The remaining two students (of the original 20) were admitted to the ADN Program in the fall, 2010 semester. Students readmitted to the ADN program must adhere to the policies of the program in force at the time of their readmission. Preference is given to those who reside within the district. Graduation Requirements Seven degrees are awarded by College of DuPage: Associate in Arts, Associate in Science, Associate in Engineering Science, Associate in Applied Science, Associate in General Studies, Associate in Fine Arts in Art, and Associate in Fine Arts in Music. Each degree carries special requirements and limitations for graduation and is directed toward meeting the educational needs of students who plans to pursue a particular course of study or have a special goal. A graduate of College of DuPage’s Associate Degree Nursing Program is eligible for the Associate in Applied Science degree. This degree represents the completion of a program designed to focus on 44 NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois specialized occupational or technical curriculum. For further graduation information see the Catalog(EXHIBIT 3.1A, pp. 29-31, 61). All degree requirements must be completed for students to graduate and apply to take the NCLEX-RN. Nursing faculty establish the admission, readmission and academic progression criteria. Committees are established to affect the process, present changes and lead discussion on any potential changes. After discussion and input, the faculty votes as described above. All activity is documented in the faculty minutes, which are distributed to full faculty, and changes are made and documented (i.e.: Admission Packet, Handbook, Nursing Program Student Portal), and distributed to students for the following academic year. Policies requiring updating or change are reviewed by the Nursing Department Program Participation. Recommendations for change are brought to the Council of COD Nursing Department for discussion and action. New policies may be warranted due to parenting institutional or partnering institutional changes. After presentation, discussion, and feedback, policies are initiated, amended, or abolished by a motion made, seconded and carried by a majority vote of the faculty, in accordance with Article III of the Associate Degree Nursing Faculty Bylaws. Changes in policy are documented in the ADN Student Handbook, announced on the ADN student portal, and, if applicable, in the course syllabi. 3.2 Student services are commensurate with the needs of students pursuing or completing the associate program, including those receiving instruction using alternative methods of delivery. College of DuPage hosts a vast array of comprehensive student support services. Information is available on-line and in print form in the college Catalog. Information relative to counseling, advising, academic assistance, financial aid and career placement services are described in the following paragraphs. Counseling and Advising Services utilizes a student-centered approach when providing vital information to promote student success. Serving an integral role at College of DuPage, advising specialists provide and link student and community members to essential academic information and support services to meet their diverse needs. Students can access an advisor directly with a walk-in appointment, by E-mail or by telephone. The Health Sciences division has a part-time health science career advisor (Jim Ryan). In addition the Health Sciences division has an Admissions Specialist (Deb Jeffay), who participates in advising once students have applied to a health sciences program. By accessing the “STARS” (Student Advising Resource Services) under the advising and counseling heading on the College of DuPage homepage, students can navigate their way to success. The mission of the Multicultural Student Center is to be a primary advocate for ethnic underrepresented students. The faculty is committed to increasing access, matriculation, retention, and persistence of those served. It is accomplished through monitoring student progress, providing intervention, advisement, cultural reinforcement, and the enhancement of campus climate. In addition to mentoring, student academic and personal advisement is provided through appointment and walk-in services. International Student Advising Services offer logistical assistance for new students, immigration advising and cross-cultural/personal advising. They can assist with immigration applications and notifications as well as F-1 employment applications. The Career Services Center is a center for job and career-related information and options. Through a variety of resources and services, this center provides students, alumni and community residents a NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois 45 connection with area employers and opportunities for paid and non-paid work experience. These include cooperative education, internships, full- and part-time employment and community service-learning opportunities. The Career Services Center is located in the Student Resource Center, Room 1490, (College Catalog, p. 37). The Career Services Center offers students co-operative learning and service learning experiences and provides potential employers with access and availability to specially trained students/graduates. Special Student Services assists students who have documented physical and/or learning disabilities. These students are mainstreamed in college classes. Special Student Services assists with arranging for sign language interpreters, readers, special tutoring, recorded textbooks, note taking and adaptive technology, i.e., hearing impaired. There are currently 19 part-time interpreters on staff, who may assist with (for example) test reading and sign-language. Nursing students with special needs have been given extended time for test completion, have had special arrangements for test-taking, and can have other arrangements made specific to their needs if documentation is provided by the student to the Special Student Services Center. The counselor for special needs services is master’s prepared. Financial Aid Services: COD students were awarded over 50 million dollars in Financial Aid from various sources for the 2009-2010 academic year, which included 19,396 students. The Financial Aid Office administers and coordinates funds from federal, state, college and private sources. Grants, loans, scholarships and work-study programs are some sources of student aid. Most financial aid programs are based on demonstration of financial need. The College and the Financial Aid Office strive to reduce barriers to college education. Qualifications for most federal and state financial aid are listed in the Catalog (EXHIBIT 3.1A; pp. 41-43). The Nursing Alumni Committee established a scholarship program for students currently enrolled in the ADN Program. In addition, some students receive tuition assistance from their employers. Academic Support Services The Writing Center is staffed by English faculty with master’s degree preparation. Services are available Monday through Friday year round. English faculty work with students on an individualized basis. Nursing students utilize this service when writing research papers. The Math Assistance Center (MAC) offers assistance to students enrolled in mathematics courses. Math faculty will answer questions and clarify concepts for nursing students. The Library, located in the Student Resource Center, maintains flexible hours seven days/week throughout the academic year. All librarians are masters prepared. The Dean of Library Services has an earned doctorate. The library provides an extensive collection of print/electronic book, reference, research and audiovisual materials and equipment for student and faculty utilization. Reference librarians provide assistance with research and acquisition of information. Nursing students utilize these services to complete required research papers, prepare for classroom presentations and supplement required textbook readings. Books and reference materials targeted for healthcare and nursing are specifically acquired and maintained based on nursing faculty collaboration with the nursing unit’s assigned librarian. The Library’s College and Career Information Center (CCIC) enables nursing students/graduates to access college transfer information, obtain information on job hunting techniques and review standardized test study guides. Professional nursing journals and software are also available for student utilization in the nursing laboratory. A packet of library information will be available to the visitors. The Health Sciences librarian, Debra J. Kakuk Smith, works collaboratively with the nursing faculty on research assignments, providing students with every opportunity for success on their written work. Areas focused on include information literacy, APA format, research strategies and techniques and developmentally appropriate literature and websites for patient education. In- 46 NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois services and workshops are provided by the library staff and are advertised through fliers and to all staff by E-mail. The Library’s Personal Computing Center provides IBM and Macintosh computer workstations with a wide variety of software and Internet access via the World Wide Web, enabling students to complete required assignments. The Academic Computing Center (ACC) is staffed with employees educated in computer technology who are able to resolve computing problems. For various nursing courses, computer assignments have been placed in the ACC for easy accessibility and flexible hour utilization. Program advising (faculty provided): ADN program advising sessions for prospective students are conducted monthly, if not more frequently, and are held at various times of the day (morning, afternoon, evening) in order to meet the needs of the student population. Faculty host these advising sessions. When students have declared a major, they seek the assistance of a faculty advisor in their chosen discipline (EXHIBIT 3.2A). Faculty advisors are available during posted office hours and are available to assist students with any of the following: Fulfilling general education requirements Concerns or questions about prerequisites for a specific major Transfer programs in their major/ area of interest Special agreements with transfer schools for specific degree programs Unofficial progress check toward graduation Prerequisites for limited admission programs Competency exams when an existing exam is not in place Advice and information on transfer schools that would meet academic goals Addressing issues of concern for students deemed at academic risk (EXHIBIT 3.2B) In addition to the abundance of services provided globally by the institution, the ADN faculty developed and piloted many student success driven multimedia tools and programs. Examples of these include: software on medication computation, physiology, charting, assessment, and critical thinking; focus groups on improving communication skills for ESL students; stress and anxiety management presentations; a self-reflection tool of learning strengths and weaknesses, and self-improvement/success strategies. The ADN faculty has also collaborated with counseling services to provide the students with stress management workshops, introducing the students to ways to cope with stress, success strategy workshops, and providing the students with an overview of services that the college offers them to increase success in the nursing program. In addition, an ADN faculty member has collaborated with a liberal arts faculty member to develop and present READ 0481: Study Skills for Nursing Students, which continues to be offered. Faculty and clinical site staff provide clinical orientation on the first day of a clinical rotation. Clinical sites are also invited to share information that they want faculty and students to alert themselves to prior to the clinical experience. If the information is available electronically, it is posted on the clinical affiliations web page link on the Nursing Department web page. In spring of 2009, a general ADN student satisfaction survey was developed to ascertain if the services provided to students were meeting their needs. TABLE 3.2A lists the percentage of students who agreed or strongly agreed that the listed service met their needs. NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois 47 The Blackboard system has also been a tool by which student assistance through websites, tutorials, quizzes, and games can be disseminated. TABLE 3.2A: SATISFACTION WITH STUDENT SERVICES STUDENT SATISFACTION Admissions Services Advising, Counseling Financial Aid Services Special Student Services Records Services Health Services Math Assistance Center Reading Assistance Center Writing Center Services Library Services College Computer Labs 2008-2009 95.6% (115) 87.1% (83) 59.7% (72) 93.1% (29) 88.0% (117) 96.9% (129) 89.7% (29) 91.7% (24) 83.8% (37) 94.3% (140) 92.1% (114) 2009-2010 86.5% (97) 69% (90) 70.7% (68) 95.1% (32) 84.1% (98) 86.4% (96) 92.8% (28) 95% (30) 82.8% (41) 95% (101) 94% (88) 2010-2011 73.7% (19) 57.1% (14) 66.6% (15) 100% (3) 95% (20) 69.2% (13) 100% (5) 100% (3) 80% (5) 95.4% (22) 100% (11) 3.3 Student educational and financial records are in compliance with the policies of the governing organization and state and federal guidelines. The Standards for Safe-guarding Customer Information (FTC) 16 CFR part 314 establishes standards relating to administrative, technical, and physical data and information safeguards for non-public personnel information. The Standards are the codification of the Gramm-Leach-Bliley Act (GLBA) and became effective May 23, 2003. The college has chosen to define protected data and information to include student personal and financial information required to be protected under The Standards and the Family Educational Rights and Privacy Act (FERPA). The Records Office is charged with the maintenance and security of academic records. Educational records are maintained in accordance with FERPA guidelines and Board Procedure 5717. Dean of Admissions Services and Registrar, Jane Smith, is Master’s prepared and has 20 plus years experience. Currently, records are maintained on-line and backed up off-site. Documents imaged and maintained online include: grade and attendance records and student petition for graduation. Prior to 2001, these documents were on microfiche. Records prior to computerized maintenance (1983) and the microfiche records are maintained in the Records Office in a fireproof vault. All official grade and attendance records submitted by instructors of record are archived as hard copy and/or microfiche and placed in a fireproof vault accessible only to authorized Records Office personnel. Computerized academic data is backed up daily through Information Technology. The capability to update on-line academic records is severely restricted to specific personnel in the Records Office. Official grade and attendance records, as well as student academic transcripts, are permanent. Qualifications for employees in the Records Office are dependent upon responsibilities of their respective positions.All employees who evaluate course credit are college-educated. Debbie Cronborg, Degree Audit Specialist, is assigned to work with nursing program applicants/students. The Finance Office is charged with the maintenance and security of College financial records. Financial records are maintained in accordance with state and government legislature. Vice President of Administrative Affairs, Tom Glaser, and the Director of Financial Affairs & Controller, Chris Wodka, oversee the maintenance of all financial records. The records are maintained offsite. Financial aid imaged records are also kept offsite through an independent vendor for seven years. 3.4 Compliance with the Higher Education Reauthorization Act Title IV eligibility and certification requirements are maintained. 48 NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois The Financial Aid Office conducts an independent audit annually, which is kept by the Director of Financial Aid Services, Mark Holysz. (A copy of the most recent Default Rate Notification Letter is available to reviewers; EXHIBIT 3.4A). Students are informed of their ethical responsibilities regarding financial assistance through multiple venues, including the Catalog (EXHIBIT 3.1A; pp. 33-35), the Financial Aid Office, and the Financial Aid website. 3.5 Integrity and consistency exist for all information intended to inform the public, including the program’s accreditation status, and NLNAC contact information. The Director of Nursing, Dr. Vickie Gukenberger, maintains correct documentation of accreditation status. The College of DuPage is accredited by The Higher Leaning Commission- North Central Association. The Associate Degree Nursing Program is approved by the Illinois State Board of Nursing, and is in compliance with the Illinois Department of Financial and Professional Regulation. The ADN program has NLNAC Candidacy Status at this time. The program’s accreditation status is available to the public through the college catalog, the ADN website, the ADN admission packet, and the ADN student handbook. 3.6 Changes in policies, procedures, and program information are clearly and consistently communicated to students in a timely manner. In the course of nursing faculty meetings, policies which may require updating or change are discussed. New policies may be warranted due to parenting institutional or partnering institutional changes. After presentation, discussion, and feedback, policies are initiated, amended, or abolished by a motion made, seconded and carried by a majority vote of the faculty, in accordance with Article III of the Associate Degree Nursing Faculty Bylaws. Changes in policy are documented in the Handbook, and, if applicable, in the course syllabi. Nursing faculty establish the admission, readmission and academic progression criteria. Committees are established to affect the process, present changes and lead discussion on any potential changes. After discussion and input, the faculty votes as described above. All activity is documented in the faculty minutes, which are distributed to full faculty, and changes are made and documented (Admission Packet, Handbook, ADN Student Portal) and distributed to students for the following academic year. TABLE 3.6A: STUDENT SATISFACTION WITH COMMUNICATION STUDENT SATISFACTION Communication of Policy Changes Communication of Program Changes Registration Information Communication 2008-2009 49.2% (118) 42.2% (116) 44.4% (126) 2009-2010 58.1% (105) 72.3% (105) 40.92% (105) 2010-2011 47.6% (21) 78.3% (23) 22.7% (23) In the 2008-2009 academic year, decentralization of the ADN Office increased student frustration with program communication, especially during the summer months. Results of the general student satisfaction survey exemplify this. In an effort to increase communication, the ADN website was more thoroughly developed, orientation sessions for new students were held, faculty development was encouraged for the use of Blackboard for E-mail and posting announcements, and a comprehensive full-time faculty advising program was developed. In a continued effort to increase student satisfaction with communication, a student newsletter and an ADN student portal page were developed. In addition student forums were held with nursing faculty and administration. The fall 2010 Student Satisfaction Survey revealed that 100% of student responders agreed that My dupage.edu E-mail facilitates communication; 87% Blackboard; 82.3% student portal; 53% student newsletter; and 62% faculty advising. NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois 49 Likewise, in 2009-2010 the college initiated a new registration system. The survey reflects the students’ frustration with the transition and system errors that were encountered during the transition through the 2010-2011 academic year and are continuing to be addressed. 3.7 Orientation to technology is provided and technological support is available to students, including those receiving instruction using alternative methods of delivery. The Department of Information Technology hosts a broad array of services to students. The students have access to the IT helpdesk, orientation to MyCOD student access, streaming media, and orientation to Blackboard (). In addition, the ADN faculty orients students to technology through course orientation, classroom activities, laboratory skills and activities, and off-site clinical instruction. Students were surveyed to ascertain if the technology assistance provided was meeting their needs. The following TABLE lists the percentage of students who agreed or strongly agreed that the technology available met their needs. TABLE 3.7A: STUDENT SATISFACTION WITH TECHNOLOGY AND SUPPORT STUDENT SATISFACTION Student IT Help Desk Services Blackboard/Online Enhancements College Online Classes Tutorial Technology in the Lab Technology in Clinical 2008-2009 91.2% (73) 81.0% (116) 91.7% (36) 69.6% (112) 91.9% (135) 2009-2010 49.68% (50) 80.95% (94) 70.7% (44) 60% (79) 80.95% (94) 2010-2011 83.3% (12) 100% (18) 100% (8) 72% (18) 84.2% (19) In summer of 2009, the ADN program moved to the new Health Science Center. The laboratory space now houses technology bunkers in every room. There are also plans for use of simulation for laboratory instruction and technological resources. 3.8 Information related to technology requirements and policies specific to distance education is clear, accurate, consistent, and accessible. The Department of Information Technology has multiple resources for the distance learner. Individual course syllabi will provide the student with specific instruction on how to access the course, course information, and other pertinent requirements, for example discussion board, on-line chat room, or streaming media. In conclusion, the following summary of strengths and challenges are identified: Strengths The College of DuPage provides a vast array of student services. Due to the economic environment of the state of Illinois, some students’ services have been cut, downsized, or outsourced, however student services are still exceptional and cover student needs. Development and use of the Student Satisfaction Survey has been instrumental in providing the faculty with valuable data about students’ perceptions of services, communication, and technology. Based on data analysis, multiple recommendations have been brought forth to full faculty, with changes made to improve communication of policies, program changes, and to keep the students connected with the faculty. Innovations based on the data analysis include the development of an advising program, a student newsletter, E-blast communication, and a nursing student portal page. 50 NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois Related to technology, the Director of Nursing has advocated for an increase in budget spending in order to acquire an electronic medical record system, simulation equipment and facilities, and faculty development funds related to technology. Opportunities A recent change in the college’s registration system and policy has been a frustration for nursing students. While the faculty and the director do their best to keep the students informed, some of the online information presented through the system has been in error. The Director of Nursing notifies the system administrators of difficulties experienced by students in the registration process, and administration has worked diligently to resolve past issues. In addition, the Director of Nursing attempts to publish all information related to clinical site availability in a timely manner; however the late notification by some of the facilities has made this difficult. Information as it becomes available is now placed directly on the ADN Student Portal in an attempt to present information which is immediately available to the students. The future holds many opportunities for growth in simulated learning. The framework for high fidelity simulation is underway, with low fidelity simulation already taking place in the laboratory environment. This year the obstetrical nursing faculty collaborated with the faculty from the Surgical Technology and Respiratory Care programs to simulate an emergent cesarean section in meeting part of their course objectives. A plan is being developed, through review of the literature, to determine the best methods for integration and implementation of simulation into the curriculum. As a result of the Student Satisfaction Survey data analysis, if areas are identified as not adequately meeting the needs of the students, the respective departments are notified. However, at this point follow-up protocols have not been determined. NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois 51 52 NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois Section II: Standard 4 Standard 4:CURRICULUM The curriculum prepares students to achieve the outcomes of the nursing education unit, including safe practice in contemporary health care environments. Overview: Mission: The mission of the Associate Degree Nursing (ADN) Program is to serve the needs of the community. The program supports excellence in learning and teaching, fosters an instructional climate that welcomes innovation, is open to change, and targets continual improvement and accountability. The ADN program ensures diverse learning needs with a comprehensive, dynamic curriculum and varied educational delivery systems. The program promotes critical thinking and academic honesty while it prepares students to qualify for and succeed in further educational endeavors and to prosper in the work environment. The ADN faculty supports personal and academic success of students through the recently established Program Participation Committee. Partnerships and alliances are created between the college and the community including the Health Care Leadership Council which increases educational opportunities for professional development that impacts the number of graduates from the program. The alliances facilitate increasing the community’s nursing workforce. Philosophy: The ADN faculty fosters the mission of the college primarily thru educating our students to provide nursing care. We believe: Nursing care is based on assessment of the total person with consideration for diversity; nursing care that looks at the patient holistically and transcends specific tasks which strive to: understand, respect, and accept any differences and similarities of patients. Care is delivered by applying knowledge to practice by incorporating critical thinking, clinical reasoning, effective communication and therapeutic interventions. Integration of researched based therapeutic interventions to provide optimal healthcare delivery, utilizing evidence-based practice with the faculty’s clinical expertise. The registered nurse provides a unique, comprehensive assessment of the health status of the patient (individual, family, or group), acknowledging that diversity is a factor in the delivery of care. The nurse develops and implements a specific plan of care. This is accomplished with therapeutic interventions and caring. The nurse assists patients in the promotion of health, coping with health problems, in adapting and recovering from the effects of disease or injury, and supporting the right to a dignified death. Students are encouraged to utilize information systems to gather data and evaluate their nursing interventions. The registered nurse is accountable for abiding by all applicable federal, state, and territorial statutes related to nursing practice. Our program is based on the Illinois Nursing Practice Act. Standards of the American Nurses Association are utilized in the development of the curriculum. The goal of the program is to educate students to become novice nurses learners who then will develop into the role of leaders and add to the profession ofnursing. NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois 53 Further exemplifying the program’s philosophy is its Conceptual Framework (FIGURE 4.0.A). This framework presents Nursing as the intersection of the three circles (concepts): Person, Health, and Environment. The definitions are as follows: NURSING: The ADN Program has adopted the NCSBN’s (2006,p. 168) definition of nursing: Nursing is both an art and a science, founded on a professional body of knowledge that integrates concepts from the liberal arts and biological, physical, psychological, and social sciences. It is a learned profession based on an understanding of the human condition across the life span and the relationships of an individual with others and within the environment. Nursing is a dynamic, continually evolving discipline that employs critical thinking to integrate increasingly complex knowledge, skills and technologies, and patient care activities into evidence-based nursing practice. The goal for nursing for patient care in any setting is preventing illness; alleviating suffering; protecting, promoting, and restoring health; and promoting dignity in dying. PERSON: Includes all human participants in the healthcare delivery system; i.e., individual, family, group, or community. The person is a unique holistic being with physical, emotional, intellectual, social, spiritual, and environmental needs. These needs, which are common to all human beings regardless of culture, race, or gender, exist throughout a person’s lifespan, and are influenced by levels of health and interaction with the environment. HEALTH: Health is a dynamic state on a continuum ranging from optimal health or wellness to health problems to death. Optimum health is a state of balance between the physical, emotional, social, spiritual, environmental, and intellectual components of the person. Health reflects the person’s ability to meet basic needs, as well as adapt to internal and external environmental changes to maintain equilibrium. When the person is unable to cope or adapt, needs are unmet and deviations in equilibrium result in health problems or death. Health varies with developmental stages and at times there is a greater risk for disequilibrium in the person’s health. Therefore, knowledge of growth and development is used in planning care. ENVIRONMENT: All factors, internal and external, that interacts with the person to affect health. The components of the environment are physical, psychological, socio-cultural, cognitive, and spiritual. FIGURE 4.0.A: College of DuPage Associate Degree Nursing Program Conceptual Framework It is through these concepts and their intersection that the art and science of nursing is contextualized and the curriculum is developed. In doing so, the learning and assessment activities guide the student to 54 NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois move the graduate outcomes, represented by the “themes” in the outer ring of the conceptual framework: Critical thinking, Communication, Caring, Diversity, Quality Improvement, Leadership, Information Management and Professionalism. These themes serve as the organizing framework for the implementation of the curriculum (EXHIBIT 4.3.A), and guides its evaluation (Standard 6 and sections of SEP). The concepts of Health, Environment, and Person are integrated throughout the curriculum. Concepts are leveled and increase in complexity and outcome competencies. The outcomes are achieved by using the conceptual threads of knowledge, skills, and attitude throughout the program. By the completion of the final nursing course, students are expected to manage clients across the lifespan and develop comprehensive and collaborative care. The purposes of the Associate Degree Nursing Program at College of DuPage are based on the National Organization for Associate Degree Nursing's Position Statement of Associate Degree Nursing (2006), which supports the philosophy of the COD Associate Degree Nursing Program. These purposes include: 1. Providing a dynamic pathway for entry into professional registered nurse (RN) practice. 2. Continually evolving to reflect local community needs and current and emerging healthcare delivery systems. 3. Instilling the tenants of advocacy, professional involvement, life-long learning, and leadership. 4. Involving evidence-based practice which prepares graduates to employ critical thinking, clinical competence, and technical proficiency in their healthcare setting. The Nursing Program Outcomes are: 1. Performance on State Licensure Exam The ADN program will achieve NCLEX-RN (nursing boards) pass rates at the national average or above. 2. Program Completion The ADN program will have at least 78% of current students graduate from the program within three years from admission to the program major. 3. Program Satisfaction Alumni Survey-78% of alumni will express program satisfaction. Current Student-78% of students will express program satisfaction (administered to students in their 1st and 3rd semester of the program) Graduating Students-78% of students will express program satisfaction (administered to students in the last week of the final semester of the nursing program) Employer-78% of employers agrees that COD graduates are prepared to successfully function in the workplace. 4. Program Exit Exam (Reach/EVOLVE/HESI/REACH) NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois 55 78% of students will score an 850 or above on the second attempt on EVOLVE/HESI/REACH exit exam. 4.1 The curriculum incorporates established professional standards, guidelines, and competencies, and has clearly articulated student learning and program outcomes. The College of DuPage Associate Degree Nursing (ADN) Program and its curriculum incorporate the established professional standards, guidelines, and competencies. The program (graduate) outcomes are identified. The ADN Program recognizes numerous professional standards in determination of student learning and program outcomes. First and foremost are those put forth by the State of Illinois. The Illinois Department of Financial and Professional Regulations standards are instrumental in defining the program outcomes and reviewing the curriculum. This includes incorporation of the Nurse Practice Act and the supporting Rules and Regulations. In October 2009, the Nurse Practice Act for Illinois underwent legislative changes. The State of Illinois Nurse Practice Act (2009) provides guidelines for content areas of knowledge including theory and clinical components. These include medical-surgical nursing, pediatric nursing, geriatric nursing, psychiatric nursing, and obstetrical nursing. The new act includes a provision for continuing education to maintain a registered nurses license. This change will impact both faculty and the Director. TABLE 4.1.A identifies other professional health care and nursing standards that influence the program’s curriculum and graduate outcomes. TABLE 4.1.A: ADDITIONAL STANDARDS WHICH ARE INCORPORATED INTO THE ADN PROGRAM •ANA’s Code of Ethics •Joint Commission’s National Patient Safety Goals •Illinois RN Competency list •Center for Disease Control (CDC) guidelines •Recommendations from health associations, such as the County Health Department for screenings and preventative interventions. •Illinois Department of Public Health (IDPH) •Occupational Safety and Health Administration (OSHA) requirements •Health Insurance Portability and Accountability Act (HIPAA) •Department of Health and Human Services (HHS) •Food and Drug Administration (FDA), Drug Enforcement Administration (DEA) •Center for Medicare and Medicaid Services (CMS) requirements 56 NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois Addressed in: Nursing 1100, Nursing 2110 Addressed in: Nursing 1100, Nursing 1105 Addressed in: Nursing 1105, Nursing 2110 Addressed in: All nursing courses Addressed in: All nursing courses Addressed in: All nursing courses with a clinical component. Addressed in: All nursing courses with a clinical component Addressed in: Nursing 2110TTIONAL STANDARDS WHICH ARE INCORPORATED INTO THE ADN The Faculty is currently reviewing the work on Quality and Safety in Education for Nurses (QSEN) and the Robert Wood Johnson/IOM Initiative on the Future of Nursing. With the upcoming curriculum review/revision process, the intent of these initiatives will most likely be adopted. The graduate outcomes for the ADN nursing program are: 1. Critical Thinking: Utilize critical thinking skills in the application of the nursing process to provide safe, quality care. 2. Communication: Demonstrate effective communication utilizing technology, written documentation, and verbal expression. 3. Caring: Incorporate empathetic, compassionate, caring interactions and behaviors. 4. Diversity: Demonstrate professional nursing care that incorporates sensitivity to culturally diverse clients across the lifespan. 5. Quality Improvement: Utilize data to ensure quality improvement and support of evidence based practice. 6. Leadership: Demonstrate knowledge of basic delegation and leadership management skills. 7. Information Management: Demonstrate and utilize information systems in the healthcare system. 8. Professionalism: Demonstrate knowledge of professional development (behaviors) and incorporate evidence based practice in the nursing profession. The congruency between the nursing program philosophy, components of the conceptual framework and graduate outcomes are noted in TABLE 4.1.A. TABLE 4.1.A: CONGRUENCY OF THE ADN PROGRAM PHILOSOPHY AND OUTCOMES COLLEGE OF DUPAGE ASSOCIATE DEGREE NURSING (ADN) GRADUATE OUTCOMES AND CONCEPTS Concepts 1. Person 2. Health 3. Environment Graduate Outcomes A. Critical Thinking: Utilize critical thinking skills in the application of the nursing process to provide safe, quality care. B. Communication: Demonstrate effective communicationutilizing technology, written documentation, and verbal expression. C. Caring: Incorporate empathetic, compassionate, caringinteractions and behaviors. D. Diversity: Demonstrate professional nursing care that incorporates sensitivity to culturally diverse clients across the lifespan. E. Quality Improvement: Utilize data COLLEGE OF DUPAGE’S ADN PROGRAM PHILOSOPHY The ADN faculty fosters the mission of the college primarily thru educating our students to provide nursing care. Nursing Care: Nursing care based on assessment of the total person with consideration for diversity; nursing care that looks at the total patient and transcends specific tasks; to understand, respect, and accept any differences and similarities of patients. Care is delivered by applying knowledge to practice by incorporating critical thinking, clinical reasoning, effective communicationand therapeutic interventions. Utilizing evidence-based practice with the faculty’s clinical expertise we integrate researched based therapeutic interventions to provide optimal healthcare delivery. We believe the registered nurse provides a unique, comprehensive assessment of the health status of the patient (individual, family, or group), acknowledging that diversity is a factor in the delivery of care. The nurse then develops and implements a specific plan of care. This is done with therapeutic interventions and caring. The nurse assists patients in the promotion of NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois 57 COLLEGE OF DUPAGE ASSOCIATE DEGREE NURSING (ADN) GRADUATE OUTCOMES AND CONCEPTS to ensure quality improvementand support of evidence based practice. F. Leadership: Demonstrate knowledge of basic delegation and leadershipmanagement skills. G. Information Management: Demonstrate and utilize information systems in the healthcare system. H. Professionalism: Demonstrate knowledge of professionaldevelopment and incorporate evidence based practice in the nursing profession. COLLEGE OF DUPAGE’S ADN PROGRAM PHILOSOPHY health, coping with health problems, in adapting and recovering from the effects of disease or injury, and supporting the right to a dignified death. Students are encouraged to utilize information systems to gather data and evaluate their nursing interventions. The registered nurse is accountable for abiding by all applicable federal, state, and territorial statutes related to nursing practice. Our program is based on the Illinois Nursing Practice Act. Standards of the American Nurses Association are utilized in the development of the curriculum. The goal of our program is to educate our students to become learners which then will assume the role of leaders and add to the profession ofnursing. Also important is the congruency between the COD General Education Outcomes and the ADN Program Graduate Outcomes. This is noted in TABLE 4.1.B. TABLE 4.1.B: CONGRUENCY OF THE COLLEGE OF DUPAGE GRADUATE GOALS AND THE ADN PROGRAM GRADUATE OUTCOMES COLLEGE OF DUPAGE ASSOCIATE DEGREE NURSING GRADUATE OUTCOMES AND CONCEPTS Concepts 1. Person 2. Health 3. Environment Graduate Outcomes A. Critical Thinking: Utilize critical thinking skills in the application of the nursing process to provide safe, quality care. B. Communication: Demonstrate effective communicationutilizing technology, written documentation, and verbal expression. C. Caring: Incorporate empathetic, compassionate, caringinteractions and behaviors. D. Diversity: Demonstrate professional nursing care that incorporates sensitivity to culturally diverse clients across the lifespan. E. Quality Improvement: Utilize 58 COLLEGE OF DUPAGE GENERAL EDUCATION OUTCOMES Critical Thinking Identifying and challenging assumptions. Develop alternative solutions. Evaluate practical and ethical implications. Provide a researched, logically structured argument. 2. Information Literacy Explain the need for information. Locate information effectively and efficiently. Evaluate information and the sources critically. 3. Knowledge Integration Evaluate contemporary social issues in scientific, historical, ethical, or aesthetic terms. Evaluate critically based opinions based on new information. 4. Effective Communication Use the appropriate written convention to critically evaluate and discuss ideas. Use language and rhetoric appropriate to the setting, purpose, and audience. 5. Mathematical Reasoning Discover the validity of mathematical arguments Employ appropriate strategies to model solutions Interpret mathematical models and identify limitations. Use appropriate terminology to represent and Communicate mathematical information. 6. Scientific Reasoning Use appropriate lab or field methods to measure, collect data, or NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois 1. COLLEGE OF DUPAGE ASSOCIATE DEGREE NURSING GRADUATE OUTCOMES AND CONCEPTS data to ensure quality improvementand support of evidence based practice. F. Leadership: Demonstrate knowledge of basic delegation and leadershipmanagement skills. G. Information Management: Demonstrate and utilize information systems in the healthcare system. H. Professionalism: Demonstrate knowledge of professionaldevelopment and incorporate evidence based practice in the nursing profession. COLLEGE OF DUPAGE GENERAL EDUCATION OUTCOMES conduct controlled experiments. Use appropriate tools and procedures to analyze data. 7. Cultural Comprehension Demonstrates an understanding of events, values, and ideas rooted in human experience. Critically analyze issues from a cultural, historical, Artistic or philosophical context. 8. Social Awareness Identify causes and variations of social diversity Recognize social responsibilities, ethics and individual rights of others in a global society. 4.2 The curriculum is developed by the faculty and regularly reviewed for rigor and currency. The College of DuPage ADN program, including the pre-requisite academic course work is 80 credits. Note that this is different than what appears in the College Catalog, where it states that the program is 69 credits. The required preadmission coursework is now considered a part of the program required courses. At the printing of the College Catalog this was not the case (pp. 113-114). Also, the Psychology Department changed its requirements in 2007, making PSYCH 1100 General Psychology a prerequisite to PSYCH 2237 Developmental Psychology, which increased the ADN program’s total credits from 77 to 80. Courses in the ADN program include: Preadmission courses Anatomy and Physiology 1551 or 1571 College Chemistry (various options) 4 credits 5 9 credits Provisionary Acceptance courses Anatomy and Physiology 1552 or 1572 NURSI 1100 Introduction to Health Care 4 credits 3 7 credits NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois 59 General Education courses PSYCH 1100 General Psychology PSYCH 2237 Development Psychology ENGLI 1101 English Composition I SPEEC 1100 Fundamentals of Speech FOODS 1110 Basic Nutrition MICRO 1420 Microbiology Humanities (Multiple Options) MATH 1102 Mathematics for Health Sciences or higher with 3 credits 3 3 3 3 4 3 3 the exclusion of Math 1340 25 credits Nursing Courses NURSI 1104 Introduction to Physical Assessment NURSI 1105 Medical Surgical I NURSI 1206 Medical Surgical II NURSI 1207 Childbearing Family NURSI 1208 Neuropsychiatric Nursing NURSI 2109 Medical Surgical III NURSI 2110 Contemporary Issues in Nursing NURSI 2201 Medical Surgical IV NURSI 2201 Clinical Decision Making 1 credit(s) 7 3 5 5 5 2 10 1 39 credits Curricular recommendations are researched and evaluated by the Curriculum and Design Committee, with recommendations for action taken to Council of COD Nursing Department. Both structural units meet monthly to expedite the work of the program. Changes to specific courses are discussed at individual instructional team meetings. First year nursing faculty and second year nursing faculty address specific course concerns the general program concerns are discussed at full faculty meetings. Opportunities to review the curriculum occur on a semi-annual basis. Any substantive changes require approval from the Departmental Curriculum Committee (DCC) and the College of DuPage Curriculum Committee (CCC), Illinois Community College Board (ICCB), Illinois Department of Financial and Professional Regulations (IDFPR) and the National League for Nursing Accreditation Commission (NLNAC). Direct and indirect performance indicators influence course and curricular changes as noted in Standard 6. Several of the sources used to evaluate curriculum and make evidence-based decisions for changes to the curriculum, these include: •EVOLVE/HESI/REACH exit exam •NCLEX test results •Surveys of Students, Graduates and Employers •Course Evaluations •Program Evaluations •Advisory Committee Recommendations: DuPage Area Healthcare Leadership Council 60 NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois Please refer to Standard 6 Narrative, Appendices and EXHIBITs for specific tools used, data compiled and decisions made. Examples of changes made to the program curriculum and policy based on data from these sources include: Admission Initiatives: Beginning fall 2009 PAX-RN entrance exams were used instead of the entrance EVOLVE/HESI/REACH. The change was instituted to assist in further delineating a potentially successful student and acquire a better candidate for the nursing program. A new rubric for the evaluating of students for admission to the COD ADN program was implemented in 2009 to augment the results of the PAX-RN. The Program Participation Committee and Evaluation Committee will track student success and attrition using the data acquired from the admission rubric. A formal data repository has been designed for the purposes of tracking high risk students and attrition. Exit Exam: Based on information obtained from Elsevier-Evolve, recommendations for use and interpretation of the REACH (EVOLVE/HESI/REACH) Exit exam relative to NCLEX success changes were instituted. Students in the spring of 2009 were required to address any score falling below 700 on their Exit EVOLVE/HESI/REACH. A formal plan for remediation was developed by the student to address the student’s lack of performance in areas below 700. Further instructional changes were instituted. In the spring, 2010, students took two REACH (EVOLVE/HESI/REACH) Exit exams. The first exam was administered during the first week of NURSI 2202. If a score of 850 was not achieved in a content area, an individualized remediation plan was developed. A second exam was then administered in the final week of the last semester to confirm that remediation was successful. The programs NCLEX pass rates have improved. This is further delineated in Standard VI. Faculty Academic Advising: Additional opportunities for students to meet with full time faculty have been created through a new advising policy. As of October 2009, the student body is divided and equally assigned to full time faculty. The faculty contacts students twice during a semester, and as needed for advisement. Faculty believes this new plan aids communication for those students who may not seek advisement when needed. It also supports the Program Participation Committee with policies on program exit, advisement, and readmission. The division of students to faculty is created in a way that allows a faculty member to advise the same students for the two years of the program. Curricular changes: Based on feedback from students, the nursing advisory committee, and faculty anecdotes, two nursing courses were added to the program. These included: NURSI 1104 Health Assessment and NURSI 2202 Critical Thinking and Decision Making. The Nursing Fundamentals and Medical Surgical texts have also been changed to reflect current evidenced based practice. 4.3 The student learning outcomes are used to organize the curriculum, guide the delivery of instruction, direct learning activities, and evaluate student progress. In the simple to complex structure that shapes the program, the faculty utilizes theory, technology, evidence-based practice and skills practice to facilitate learning for the students. Course clinical, didactic and nursing laboratory objectives are leveled from simple to complex utilizing Bloom’s taxonomy. Curriculum is reviewed to ensure that key content is addressed and prior learning is reinforced that repetition is avoided. The faculty emphasize that nursing knowledge cannot be compartmentalized, and learning is a lifelong process. A syntEvolve/HESI/Reachs of instructional material occurs over time with exposure, repetition and reinforcement. A detailed curriculum map demonstrating this will be found as EXHIBIT 4.3.A. This map shows the relationship between COD’s General Education Outcomes, the progression ADN student learner outcomes, student expected level of performance (i.e. introduced, reinforced or mastery), and tools used to assess objectives. NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois 61 Leveling of concepts and progression are demonstrated in various ways including: “Threading” of concepts throughout the nursing curriculum. These concepts ultimately culminate in graduate outcomes (TABLE 4.3.A). Progression of (course) student learning outcomes (knowledge, skills and abilities) by course moving toward the graduate outcomes (TABLE 4.3B). Monitoring the progression of students’ clinical performance towards meeting graduate outcomes. An example is found in TABLE 4.3.C. All program clinical evaluation tools can be accessed on the program web page. Examples of the clinical evaluation tools can be found in APPENDIX 4.3.A. The tools shared are those specific to a first level course (Nursing 1105), mid-level course (Nursing 1208) and the final clinical course (Nursing 2201). Acquisition of basic skills to advanced skills development as noted in the sequencing and skills checklist for skills learned in the nursing lab. Skills checklists can be found on the program web page. To better understand the course represented by the course number in the following tables, the course descriptions for the required nursing major courses follow: NURSING 1104 Introduction to Physical Assessment 1 credit hour Theory and skills related to history taking, physical assessment and completing a head-to-toe assessment of the adult patient. Significant assessment differences in the pediatric patient is discussed. Prerequisites: Admission to ADN program, Nursing 1100, current CNA in Illinois, Anatomy and Physiology 1552 or 1572, and concurrent enrollment in Nursing 1105 (1 lecture hour) NURSING 1105 Medical-Surgical 1 7 credit hours Principles of nursing practice including major concepts, basic knowledge and nursing skills related to the care of patients are introduced. Pharmacology, pain control, nursing process, care of the surgical patient, and care of patients with alterations in: musculoskeletal system, skin integrity, fluid and electrolytes and shock states (hypovolemic and septic) are main foci. Lecture, discussion, college laboratories and clinical practice are used as learning experiences. Clinical experiences include acute and/or non-acute settings. Prerequisite: Admission to ADN program, Nursing 1100, current CNA in Illinois, Anatomy and Physiology 1552 or 1572, and concurrent enrollment in Nursing 1104. (4 lecture hours, 2 lab hours) NURSING 1206 Medical-Surgical 2 3 credit hours Application of the nursing process in the care of patients with diabetes mellitus, gerontological, oncological, acid-base and male reproductive disorders. Lecture, discussion, laboratory and clinical practice are used as learning experiences. Clinical experiences include acute and/or non-acute settings. Prerequisites: Nursing 1104 and 1105, Psychology 2237 or concurrent enrollment. (1 lecture hour, 1 lab hour, 4.5 clinical hours) 62 NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois NURSING 1207 Childbearing Family 5 credit hours Nursing care of the woman and family during the reproductive years. Focus on the childbearing process and wellness of the family in the childbearing years. Women’s health and wellness is emphasized. Adverse outcomes of pregnancy are presented. Care of the well and hospitalized child and family are discussed. Clinical experiences include acute and ambulatory care settings, as well as community based experiences. Prerequisites: Nursing 1104 and 1105, Psychology 2237 or concurrent enrollment (2.5 lecture hours, 1 lab hour, 6 clinical hours) NURSING 1208 Neuropsychiatric Nursing 5 credit hours Health assessment and enhancement of the mental health of individuals across the life span. Nursing management of the major psychiatric and neuropsychiatric disorders. Primary prevention, early intervention and treatment for alterations in thought, mood and behavior. Note the role of the professional nurse as partner in a multidisciplinary team. Describe medications and medical treatments and the nurse's role. Lecture, discussion, laboratory and clinical practice are used as learning experiences. Clinical experiences include acute and community settings. Prerequisites: Nursing 1104 and 1105;, Psychology 2237 or concurrent enrollment (2.5 lecture hours, 1 lab hour, 6 clinical hours) NURSING 2201 Medical-Surgical 4 10 credit hours Application of the nursing process in the care of patients of all age groups with burns, gastrointestinal, hepatic, pancreatic, biliary, renal, hematological, immunological, neurological, and sensory (eye/ear) disorders. Integration of theory for the management of acute and chronic conditions including concepts of emergency care, basic first aid, sexually transmitted diseases and domestic violence. Concepts of community nursing including home care are introduced. Clinical experiences include acute and/or nonacute settings. Prerequisite: Nursing 2109 (5 lecture hours, 15 clinical hours) NURSING 2202 Clinical Decision Making 1 credit hour Cumulative integration of concepts learned throughout the nursing curriculum. Emphasis on analysis of critical thinking skills and syntEvolve/HESI/Reachs of clinical decision making through evaluation of case studies and clinical simulations. Prerequisite: Nursing 2109 (1 lecture hour) Abbreviated course syllabi known as ACTIVE COURSE FILES (ACF) for these nursing courses can be found in APPENDIX 4.3.B. Full course syllabi include detail about the course calendar as well as pertinent course policies and course management procedures. Additionally course specific assessment activities and rating information may be present. A template for the Course Syllabus can be found in APPENDIX 4.3.C. These course syllabi will be available as an EXHIBIT 4.3B. NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois 63 TABLE 4.3.A: EXAMPLES OF THE “THREADING” OF CONCEPTS AND PROGRAM OUTCOMES THROUGHOUT THE CURRICULLUM (BOLD words represent key program outcome and concepts) CONCEPT/ PROGRAM OUTCOMES Caring Introduction of patient basic needs. Application of Growth and Development Communication (Freud; Gordon; Erikson) Introduction of therapeutic communication v. social communication. Practice patient teaching: meeting basic needs. Focus: primary prevention. NURS: 1206, 1207, 1208 Adapting caring behaviors to special health issues: illness, mother/baby, mental health. Assessment of normal Growth and Development in the newborn. NURS: 2109, 2110 Application of the care concept in care plans, pediatric and critical care clinical experiences. Meeting the needs of compromised clients with cardiac/respiratory disorders. NURS: 2201, 2202 Demonstration of an integrated knowledge of caring interactions throughout the healthcare system and in the community (clinics, home, hospice). Emphasis: chronic disorders: CHF, DM, COPD Process recording: mother/baby unit. Patient teaching focus: diabetes, childbearing education, mental health, pre/post surgical teaching. Participation in team reports, group presentation. Development of comprehensive care plans addressing co-morbidities: diabetes and heart disease. Emphasis on patient/family therapeutic communication. Written journal and oral reports of community experiences. Diversity Sharing of student cultural identity; in-class presentation. PERSON HEALTH ENVIRONMENT NURS: 1100, 1104, 1105 Introduction of the care concept. Self reflection of a caring posture. 64 NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois Cultural aspects of childbearing: experience in midwifery clinic serving medically indigent clients. Patient teaching: cardiac, chronic disease management (COPD, CHF) Participation in cardiac health teaching in urban areas of ESL populations. Participation in COPD support group in urban areas of poverty/ELS populations. Participation in shift reports, team meetings. Patient teaching: safety, domestic violence, high-tech chronic illness management (central lines), infection control. Clinical experiences include diverse settings: free clinics, urban sites (Chicago), Meals on Wheels, PADS, home health. PERSON HEALTH ENVIRONMENT CONCEPT/ PROGRAM OUTCOMES Quality Improvement NURS: 1100, 1104, 1105 Understanding the concept: “evidence based practice.” NURS: 1206, 1207, 1208 Introduction of patient record review, patient outcomes, and data evaluation. NURS: 2109, 2110 Term paper: application of three research-based professional journals and their implications to specific patient disease processes/outcomes. NURS: 2201, 2202 Participation in “mock” JCAHO site visit. Professionalism Professional attitude, behavior, and appearance expected. Develop professional teaching presentation on a mother/baby topic. Develop professional resume. Presentation of a healthcare legal issue/topic. Critical thinking Introduction of the Nursing Process: Assessment, Plan, Intervention, Evaluation. Creating careplans using the nursing process. Managing patients on medication “drips”: assessment/titration. Basic principles of mechanical ventilation support: “what would you do if….” Participate in multidisciplinary team decision-making process. Acute care: “rounds.” Community: weekly hospice team meetings. Presentation of a researchbased term paper. Evaluation and modification of client plan of care based on client/family values, abilities. Dealing with noncompliance. Information Management Utilization of Blackboard in all courses. Introduction of nursing documentation. Utilization of computerized documentation in clinical settings. Interpretation of patient data: vital signs, lab values, telemetry monitoring. Web-based case management in community (home health) settings. Data collection: community health statistics and interpretation. Leadership Introduction of the concept: “nursing role as patient advocate.” Introduction of the delegation process. Development of a daily plan of care that includes: goal-setting, prioritizing, and delegation. Management of complex patients with physician order protocols. Work with advanced practice nurses, clinical nurse specialists, nurse managers. Participation in Emergency Department triaging; in-class role-playing of disaster drills. Discussion: role of nurse as part of multidisciplinary team member. Introduction of Nurse Practice Act. Coordination of care for mother/baby couplets. Participate as a member of a multidisciplinary team member. Discussion of nursing interventions as they relate to Nurse Practice Act, “scope of practice”, “best practice.” NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois 65 TABLE 4.3.B: STUDENT LEARNING OUTCOMES BY COURSES SHOWING PROGRESSION TOWARD PROGRAM OUTCOMES (K = Knowledge; S = Skill; A = Abilities) NURS: 1100, 1104, 1105 Describe developments of nursing profession (K) Identify stressors that impact patient health (S) Identify objective and subjective data (A) NURS: 1206, 1207, 1208 Apply critical thinking (K) Utilize systematic, sequential thinking process (S) Examine subjective/objective data (A) Define therapeutic communication (K) Demonstrate communication skills (S) Identify personal values that may impact interpersonal communication (A) NURS: 2109, 2110 NURS: 2201, 2202 PROGRAM OUTCOMES Utilize critical thinkingskills in the application of the nursing process to provide safe, quality care Questions assumptions (K) Seek variable viewpoints (S) Clarify beliefs and value judgments (A) Display analytical attitude (K) Reframe problems (S) Value healthy skepticism in data analysis (A) Describe different communication styles (K) Apply strategies to augment therapeutic communication (S) Value the observation of healthcare situations “through the patient’s eyes” (A) Recognize differences in communication styles used in therapeutic interaction (K) Demonstrate effective written, verbal, nonverbal communication (S) Reflect on therapeutic communication in nursing interventions (A) Demonstrate effective communication utilizing technology, written documentation, and verbal expression Describe strategies to communicate caring (K) Explore strategies to create caring relationships (S) Recognize the value of the nurse/patient relationship (A) Integrate understanding of the care concept in nursing (K) Demonstrate awareness of communicating a genuine caring attitude (S) Appreciate the significance of a caring attitude (A) Examine communication barriers and strategies to improve communication of a caring attitude (K) EXHIBIT professional caring behaviors: competence, confidence, compassion, conscience, and commitment (S) Recognize personal beliefs and values that may impact caring interactions (A) Integrate therapeutic communication (K) Engage patients/families in unique plans of care (S) Value continuous improvement of individual communication style and conflict resolution skills (A) Assimilate the nursing concept of care in the healthcare delivery system (K) Demonstrate an integrated understanding of a caring attitude (S) Recognize patient/family expectations influence outcomes of nursing care (A) Describe the impact of culture and diversity on health (K) Share personal perceptions of diversity (S) Recognize personal attitudes about working with diverse populations (A) Describe limits and boundaries of caring relationships in relation to diversity (K) Demonstrate a respectful attitude and nonjudgmental attitude of care (S) Accept and respect cultural differences (A) Examine common barriers to active involvement with patients in relation to diversity (K) Provide patient-centered care with sensitivity and respect of human diversity(S) Seek culturally diverse learning opportunities (A) Demonstrate professional nursing care that incorporates sensitivity to culturallydiverse clients across the lifespan Define quality in relation Describe the quality Explain the importance Describe culturally sensitive strategies that empower patients (K) Adapt care to be congruent with patient’s unique cultural needs (S) Incorporate therapeutic, culturally sensitive communication throughout the healthcare delivery system (A) Recognize the 66 NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois Incorporate empathetic, compassionate, caring interactions and behaviors. Utilize data to NURS: 1100, 1104, 1105 to healthcare delivery (K) Gather data (S) Appreciate the significance of data collection (A) NURS: 1206, 1207, 1208 improvement process (K) Seek quality improvement projects in the healthcare setting (S) Value measurement and its role in quality patient care (A) NURS: 2109, 2110 NURS: 2201, 2202 of measurement and variation in assessing quality care (K) Use quality improvement measures to understand performance (S) Appreciate the use of quality measurement tools and data collection (A) Explore how authority gradients influence teamwork and patient outcomes (K) Assume role of team member or leader (S) Acknowledge self potential to contribute to an effective healthcare team (A) impact of effective nursing care on patient/family outcomes (K) Identify gaps between local and best practice (S) Appreciate how unwanted variation affects care (A) Provide a visionary thinking process on issues that impact patient care (K) Function completely within the scope of practice of the professional nurse (S) Contribute to resolution of conflict and disagreement (A) Discriminate resources for research for credibility and scientific validity (K) Integrate new information and resources to develop comprehensive, contemporary plans of care (S) Value professional lifelong learning to develop and maintain information technology skills (A) Describe evidencebased practice to include the components of research evidence, clinical expertise, and patient/family values (K) Base individualized plans of care on patient values, clinical expertise, and evidence (S) Value the concept of evidence-based practice as integral to detecting best professional practice (A) Define the scope of practice of multidisciplinary healthcare team members (K) Identify settings in which healthcare is delivered (S) Appreciate the roles and dynamics of a multidisciplinary team (A) Identify principles of data collection (K) Identify essential information for safe patient care (S) Recognize the need for communicating information (A) Explain the healthcare institutional chain of command in respect to the nurse (K) Initiate plan for selfdevelopment as a team member (S) Respect the different attributes that members bring to the team (A) Describe the role of the nurse in information management (K) Utilize valid resources for data collection (S) Value the need for accurate communication of data (A) Identify essential information available through a common database (K) Evaluate data for validity and support of clinical decision-making and error prevention (S) Value technology that supports information management and error prevention (A) Identify the Standards of Care in the nursing profession (K) Describe the role of the nurse as a healthcare professional (S) Assess personally commitment to the nursing profession (A) Examine nursing roles that contribute to coordination and integration of care (K) Apply the nursing process and methods of health promotion and maintenance (S) Seek professional learning opportunities (A) Describe strategies to assist in empowering patients and families in the healthcare process (K) Demonstrate a comprehensive understanding of the concepts of health, illness, and wellness (S) Value active professional participation when implementing and evaluating care (A) PROGRAM OUTCOMES ensure quality improvementan d support of evidence based practice Demonstrate knowledge of basic delegation and leadershipmana gement skills Demonstrate and utilize information systems in the healthcare system Demonstrate knowledge of professionaldev elopment and incorporate evidence-based practice in the nursing process NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois 67 TABLE 4.3.C: RELATIONSHIP BETWEEN NURSING 2201 STUDENT LEARNING OUTCOMES, CLINICAL FOCUS AREAS, AND SAMPLE BEHAVIORS ON THE CLINICAL EVALUATION TOOL STUDENT LEARNING OUTCOMES (COURSE OBJECTIVES) Display analytical attitude, using critical thinking skills. Reframe problems. CLINICAL FOCUS AREA Medical/surgical hospital unit SAMPLE CLINICAL BEHAVIORS (CLINICAL EVALUATION TOOL) A satisfactory clinical evaluation in Nursing 2201 includes the following clinical behaviors: Value healthy skepticism Critical Thinking Integrate therapeutic communication. Hospital Emergency Department Engage patients/families in unique plans of care. Value continuous improvement of individual communication style and conflict resolution skills. Hospital Intensive Care ▪ Prioritizes problems that characterize the keystone nursing diagnoses. Rehabilitation Centers Communication Demonstrate an integrated understanding of a caring attitude. Recognize patient/family expectations influence outcomes or nursing care. Incorporate therapeutic, culturally sensitive communication throughout the healthcare delivery system. ▪ Interprets problems and uses problem-solving methods that consider both risks and benefits. ▪ Uses appropriate verbal/non-verbal communication techniques. Adult Day Care Centers ▪ Accurately interprets verbal/nonverbal cues of patient/family. Healthcare Clinics Caring Home Care Adapt care to be congruent with patient’s unique cultural needs. Hospice Incorporate therapeutic, culturally sensitive communication in a variety of healthcare settings. ▪Engages family in plan of care. ▪ Values continuous improvement of conflict resolution skills. ▪ Assimilates the nursing concept of care. Grammar schools Recognize the impact of effective nursing care on patient/family outcomes. ▪ Provides the pt/family with resources to cope and adapt to stressful events and changes in health status. Parish Nurse Programs Appreciate how unwanted variation affects care. ▪ Updates plans of care to correlate with changes in patient situations. Provide a visionary thinking process on issues that impact patient care. Diversity Function completely within the scope of practice of ▪ Utilizes culturally sensitive 68 NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois STUDENT LEARNING OUTCOMES (COURSE OBJECTIVES) the professional nurse. Contribute to resolution of conflict and disagreement. CLINICAL FOCUS AREA SAMPLE CLINICAL BEHAVIORS (CLINICAL EVALUATION TOOL) strategies. ▪ Provides nonjudgmental nursing care when confronted with values and practices that conflict with medical regimen or nurse’s values. Discriminate resources for research for credibility and scientific validity. Information Management Integrate new information and resources to develop comprehensive, contemporary plans of care. Value professional lifelong learning to develop and maintain information technology skills. ▪ Evaluates the integrity and comparability of data and identifies gaps in data sources. Professionalism Describe evidence-based practice to include the components of research evidence, clinical expertise, and patient/family values. Value the concept of evidence-based practice as integral to detecting best professional practice. ▪ Demonstrates ability to practice transcultural nursing care in an ethically and legally defensible manner, consistent with nursing code of ethics and within the scope of legal practice. According to IDFPR, the nursing program will provide theoretical and clinical instruction in all areas of nursing practice in the promotion, prevention, restoration and maintenance of health in individuals and groups across the lifespan and in a variety of clinical settings. With clinical experiences the program generally shows simple to complex and growth and development, providing exposure to select patient populations and medical diagnoses. TABLE 4.3.C presents an example of the course student learning objectives, clinical focus area, and sample clinical behaviors for Nursing 2201, the final clinical course. An example of the Curriculum Plan should a student pursue it on a full-time basis is noted in TABLE 4.3.D. NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois 69 TABLE 4.3.D: FULL TIME NURSING COURSE PLAN (ch = semester credit hour) FALL #1 NURS 1104 1 ch SPRING #1 NURS 1206 3 ch 8 weeks 8 weeks SUMMER •Food Ser 3 ch 1110 FALL #2 *NURS 5 ch 1208 SPRING #2 NURS 2201 10 ch 16 weeks 8 weeks NURS 1105 7 ch 16 weeks *NURS 1207 5 ch •Micro1420 4 ch NURS 2109 5 ch NURS 2202 1 ch 2 ch Speech 1100/1120 3 ch 12 ch Total 14 ch 8 weeks Eng 1101 3 cr. Hrs #Psych 2237 3 ch ♦Humanities 3 ch 3 ch Total 14 ch Math (1100 level and above) Total 8 weeks Ω NURS 2110 16 weeks 14 ch Total 7 ch Total * Nursing 1207 and 1208 may be taken in Spring semester of the first year or the Fall of the second year of nursing program. Ω Nursing 2110 may be taken in either the Fall or Spring semester of the second year of the nursing program. # Psychology 2237 must be completed prior to/or be concurrently enrolled in Spring semester of the first year of the nursing program. • Food Service 1110 and Microbiology 1420 must be completed prior to the Fall semester of the second year of the nursing program. ♦ Humanities = Art, English (except 1101, 1102, 1105, & 1110), Foreign Language, Literature, History (except 1130, 1140, 2210, & 2215), Humanities, /Music, Philosophy, Religious Studies, Speech 1110, 2210, and Theater TABLE 4.3.E is an example of pursuing the nursing program on a ‘part-time” basis. If the student has completed (some of) the general education courses, but still needs the nursing program required courses, they may follow this plan. Note that in either case, the student must have successfully completed the following criteria to be eligible for the admission to the course Nursing 1105. Be on the certified nursing assistant registry NURSING 1100 Introduction to Health Care Anatomy and Physiology 1551 and 1552 or 1571 and 1572. College level Chemistry course TABLE 4.3.E: PART TIME NURSING COURSE PLAN (ch = semester credit hour). FALL #1 NURS 1 ch 1104 SPRING #1 NURS 3 ch 1206 8 weeks 8 weeks Nursing 1105 7 ch *NURS 1207 5 ch SUMMER ♥Food Ser 3 ch 1110 ♥Micro1420 4 ch FALL #2 *NURS 5 ch 1208 SPRING #2 NURS 10 ch 2201 8 weeks 16 weeks NURS 2109 8 weeks 16 weeks 70 8 weeks NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois 5 ch NURS 2202 1 ch FALL #1 SPRING #1 #Psych 3 ch 2237 SUMMER FALL #2 ♣NURS 2 ch 2110 SPRING #2 16 weeks Total 8 ch Total 11 ch Total 7 ch Total 12 ch Total 11 ch * Nursing 1207 and 1208 may be taken in Spring semester of the first year or the Fall of the second year of nursing program. ♣ Nursing 2110 may be taken in either the Fall or Spring semester of the second year of the nursing program. # Psychology 2237 must be completed prior to/or be concurrently enrolled in Spring semester of the first year of the nursing program. ♥ Food Service 1110 and Microbiology 1420 must be completed prior to the Fall semester of the second year of the nursing program. The sequential natures of the progression of these courses is evidenced by the course pre-requisites, both nursing and general education courses as noted in TABLE 4.3.F. Note that credit hours have different contact hour allocations based on instructional type. For lecture/classroom based instruction it is one contact hour (50 minutes) for each credit; for lab it is 2:1; and for clinical is it 3:1. TABLE 4.3.F: CURRICULUM OVERVIEW: FALL 2010 - SPRING 2012 COURSE # Nursing 1100 COURSE NAME/ CONTENT Introduction to Health Care Activity & Exercise Culture and Ethnicity Elimination Family and Community Health and Illness Continuity of Care Health Care Delivery Systems Health of the Individual Historical Development of Nursing Health Prevention Hygiene Infection Control Nutrition Spirituality Values Ethics & Advocacy Communication Vital Signs and Circulation CR HRS USUAL # OF WEEKS OF OFFERING 3 8 FORMAT (CONTACT HRS. BASED ON 16 WEEK SEMESTER) Lecture/ Discussion 48 hours PREREQUISITE Admission to Program on consent of instruction. CLINICAL SITES N/A STUDENT EXPERIENCES N/A NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois 71 COURSE # Nursing 1104 COURSE NAME/ CONTENT Introduction to Physical Assessment Nursing 1105 1 8 FORMAT (CONTACT HRS. BASED ON 16 WEEK SEMESTER) PREREQUISITE Lecture 16 hours Admission to ADN Program N/A Patient Care Concurrent Enrollment in Nursing 1105 7 16 Lecture 64 hours Admission to ADN Program Good Samaritan Lab 32 hours Nursing 1100 Elmhurst Clinical 96 hours Current CNA in Illinois LaGrange A&P 1552 or 1572 Central DuPage Mercy Concurrent Interdisciplinary Experiences: 1. Operating Room 2. Day Surgery 3. Recovery Room Edward Enrollment in Nursing 1104 Glen Oaks Bolingbrook 3 8 Acid/base Diabetes Gerontology Oncology Return Demonstration Skills Wet to dry dressing 72 N/A A&P 1552 or 1572 Return Demonstration Skills Nursing 1206 STUDENT EXPERIENCES Current CNA in Illinois Fluid & Electrolytes Musculoskeletal Nursing Process Pharmacology Peri-operative Shock Wound care Physical Assessment Oral meds Intramuscular medications Subcutaneous medications Intravenous therapy Intravenous Piggyback Sterile gloving Foley catheter insertion and removal Medical-Surgical II CLINICAL SITES Nursing 1100 Health History General Survey Skin, Hair, & Nails Head and Neck Thoracic and Lungs Cardiovascular System Peripheral Vascular System Abdomen Musculoskeletal Nervous System Male and Female Reproductive Medical-Surgical I CR HRS USUAL # OF WEEKS OF OFFERING NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois Lecture 16 hours Nursing 1104 & 1105 Good Samaritan Lab 16 hours Psych 2237 or Concurrent enrollment Elmhurst Clinical 72 hours LaGrange Central DuPage Mercy Patient Care Interdisciplinary Experiences 1. G.I. Lab 2. Respiratory Therapy 3. Shadow Enterostomal Therapist COURSE # COURSE NAME/ CONTENT CR HRS USUAL # OF WEEKS OF OFFERING FORMAT (CONTACT HRS. BASED ON 16 WEEK SEMESTER) PREREQUISITE Nasogastric insertion and medication administration Naso and oropharyngeal suctioning Nursing 1207 Childbearing Family CLINICAL SITES STUDENT EXPERIENCES Edward 5 8 Antenatal Care High Risk Neonatal Care High Risk Perinatal Care Intrapartal Care Neonatal Care Post Partal Care Well-Child Care Women’s Health Lecture Nursing 1104 & 1105 72 hours Lab Psych 2237 or Concurrent Enrollment Edward Elmhurst Well Child Assessments/Pat ient Care Loyola Antenatal Care Central DuPage Well Women Gynecology Care 16 hours Clinics: 1. Observation in Level II/III NICU Clinical Glen Ellyn 96 hours Midwest Mid-wifery Nursing 1208 Neuropsychiatric Nursing 5 8 ADD/ADHD Addiction Brain Tumor/CVA Crisis Intervention Death & Dying Dementia/gerontolo gy Personality Development Psychopharmacolo gy Lecture 72 hours Nursing 1104 & 1105 Central DuPage Lab 16 hours Psych 2237 or Concurrent Enrollment Linden Oaks Clinical 96 hours Provena Mercy Good Samaritan Hinsdale Northwest Community Nursing 2109 Medical-surgical III Cardiac 5 8 Lecture 72 hours Clinical Nursing 1206 &1207 or 1208 Good Samaritan 2. Labor and Delivery Care 3. Maternal/ Newborn Care 4. Child-rearing Classes Patient Care Assessment Skills Shadowing an RN Interdisciplinary Experiences: 1. Electroconvulsive Therapy 2. Participate in Group Sessions Patient Care Pediatric NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois 73 COURSE # COURSE NAME/ CONTENT CR HRS USUAL # OF WEEKS OF OFFERING Respiratory Endocrine FORMAT (CONTACT HRS. BASED ON 16 WEEK SEMESTER) 120 hours PREREQUISITE Microbiology 1420 Food Service Administration 1110 CLINICAL SITES Elmhurst Rotation Edward Interdisciplinary Experiences: Sherman Central DuPage La Grange Nursing 2110 Contemporary Issues in Nursing 2 8/12/16 Lecture / Discussion 32 hours Nursing 1206 10 16 Lecture 80 hours Nursing 2109 STUDENT EXPERIENCES 1. ICU/CCU/ MICU 2. Cardiac Cath Lab Marionjoy 3. Cardio diagnostics Loyola (Pediatrics) N/A 4. Dialysis N/A Career Opportunities Delegation Education & Practice Legal & Ethical Leadership Nursing 2201 Medical-Surgical IV Burns Community Domestic Violence GI ER/First Aid Hematology Immunology Hepatobiliary Neurology Renal Sensory STD’s Male Reproductive Clinical 240 hours Good Samaritan Elmhurst Edward Central DuPage LaGrange Community Hospice NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois Interdisciplinary Experiences 1. Social Worker 2. Discharge Planner 3. Case Manager Home Health 4. PT/OT Free Clinics 5. Respiratory Therapy PADS 6. Cardiac Rehab Parish Nurse 74 Patient Care 7. Specialty Units: ED, COURSE # COURSE NAME/ CONTENT CR HRS USUAL # OF WEEKS OF OFFERING FORMAT (CONTACT HRS. BASED ON 16 WEEK SEMESTER) PREREQUISITE CLINICAL SITES STUDENT EXPERIENCES centers ICU, CCU, Burns Unit Rehabilitati on Centers Grammar Schools Adult Day Care Clinical Decision Making Nursing 2202 1 8/16 Lecture/ Discussion 16 hours Nursing 2109 N/A Elsevier/EVOLVE Exam Case Study Analysis Critical thinking Integration of Concepts from Nursing Theory Examples of course schedules and calendars will be available on site at EXHIBIT 4.3.C. 4.4 The curriculum includes cultural, ethnic, socially diverse concepts and may also include experiences from regional, national or global perspectives. Cultural, ethnic, and social diversity is integrated throughout the entire curriculum. The ADN program clinical affiliates (urban and suburban hospitals) provide ample experiences to care for diverse populations. The ADN program strives to increase awareness and understanding of diverse cultures through the opportunities presented during clinical experiences. For example, the ADN program’s community clinical rotation (final semester of the program) provides an exceptional number of opportunities to acquire and integrate knowledge of diverse populations. This is accomplished through nursing service and subsequent processing of that service through discussion and journal notation. Specific examples of clinical experiences in the ADN program community nursing rotation: After- school health teaching of African refugees in Glen Ellyn, IL Working at the Du Page Community clinic in Wheaton, IL :multiple cultures and ethnic groups; low income and homeless Working with the homeless population in Wheaton, IL: providing lunch and teaching basic health material at the PADS facility Serving over 200 underserved or homeless individuals in day clinics each spring in Lisle, IL NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois 75 Serving at Hessed House in Aurora, IL: multicultural and low income resident support Serving in adult day care centers: functional assessments and ADL support, music therapy, psychosocial therapy Serving at LaGrange Community Nursing Center: 90% Hispanic population, underserved or without health care Serving at Special Olympics Serving a diverse population at American Access Care Teaching experiences: presentations to populations across the lifespan (grammar schools, adult care centers, clinics) Experiencing Washington DC: students tour nursing memorials, Arlington Cemetery ceremonial wreath laying, touring Walter Reed Medical Center, participating in military troop support Other examples of unique experiences that fostered exposure to culturally diverse situation include: An ADN faculty completed a mission trip to Africa and shared the experience with students and peers through presentations and integration into class work. A student completed a mission trip to South American during her spring break and shared the experience through various presentations to the college community. A local physician presents his numerous mission trips to Africa, the Philippines, and South America to the students each spring. One of the community nurses accompanies him and also presents to the students. In addition, College of DuPage has a very active International Studies Program. Through this program, one of the ADN faculty completed a two-year Asian Development Studies Program offered through the University of Hawaii. Many colleges collaborated and participated to learn to infuse Asian culture into undergraduate curriculum. As a result, this faculty member created cultural events for the entire college community. Another ADN faculty worked with the International Studies program and invited a director of nursing from Finland to observe teaching methodologies in the classroom and clinical setting. Subsequently the ADN program had an article written in a Finish journal. These events showcase the rich components of diverse cultural and ethnic populations of our world. 4.5 Evaluation methodologies are varied, reflect professional and practice competencies, and measure achievement of student learning and program outcomes. Evaluation methodologies include those needed to evaluate the theory component of courses as well as the laboratory and clinical portion of the courses. The students entering Nursing 1100 receive the Student Nurse Handbook which contains the ADN program policies. The grading guideline is documented in the handbook. Students also receive the grading guidelines during orientation to each nursing course. The grading policy is listed in each syllabus. The student earns a grade in the nursing courses primarily based on performance in the classroom. Laboratory and clinical grades are combined with theory grades to determine the students overall grade. TABLE 4.5.A provides examples of assessment strategies used in various nursing courses. These are further discussed in EXHIBIT 4.3.A. Examples of Assessment and Evaluations tools noted in this TABLE 4.5.A will also be seen in EXHIBIT 4.5.A 76 NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois TABLE 4.5.A: ASSESSMENT TECHNIQUES TO OBTAIN GRADUATE OUTCOMES **Prior to Admission: PAX-RN Exam NURS: 1100, 1104, 1105 NURS: 1206, 1207, 1208 Patient Assessment Sheets Patient Assessment Sheets Careplans Careplans; concept maps Clinical evaluation tool Clinical evaluation tool Case Studies Laboratory Skill pre/post tests Case Studies Process Recordings Skill return demonstrations Laboratory Skill pre/post tests Dosage Calculation tests Skill return demonstrations Academic term paper Patient/family teaching plans Classroom presentations Classroom theory exams Classroom final exam Concept maps Group presentations Dosage Calculation tests Classroom theory exams NURS: 2109, 2110 Patient Assessment Sheets Clinical Observation Sheets Clinical evaluation tool Case Studies Skill return demonstration Dosage Calculation tests Academic research paper Classroom theory exams NURS: 2201, 2202 Patient Assessment Sheets Clinical journal notes Clinical Observation Sheets Clinical evaluation tool Dosage Calculation tests Academic research paper Formal research presentation Case Studies Classroom theory exams **Exit EVOLVE/HESI/REACH Exam Theory is primarily evaluated through multiple choice exam questions. Each nursing course incorporates a written component to support the students’ research ability. The written assignments are part of a larger college wide initiative related to information literacy, although assessment of other college graduate goals could be addressed such as critical thinking and diversity. Faculty has developed rubrics for all graded assignments. First semester students are assigned an age appropriate developmental paper or teaching plan which allows them to apply didactic material to a hypothetical patient. The paper also has a cultural component which allows student to develop a culturally specific plan of care. During the second semester, the students are assigned a teaching plan/scenario to assist them in application of didactic material using a case study approach. During the third and fourth semesters, students are given evidence-based research assignments and projects. The writing assignments require application of published nursing research. The assignments also incorporate pathophysiology, discharge planning and patient/family education. Student written work is frequently presented in class and/or as poster presentations for the entire college community. Tests have an increasing percentage of the grade as the students’ progress in Nursing 1100. This allows the student to adapt to the NCLEX-style of questions and application/analysis. In the second year of the ADN program the theory grade is primarily based on multiple choice exams. By department policy there is no rounding of grades. Faculty introduces NCLEX style questions in Nursing 1100 which are primarily knowledge based. As students progress thru the program, test items are of increasing complexity and the style of questions is shifted to application, analysis, and synthesis. Many written assignments have identified rubrics (EXHIBIT 4.5A). Laboratory skills with defined return demonstrations have faculty approved skills checklists (APPENDIX 4.5.A). The policy for A.D.N. skills lab policies and return demonstrations can be found in APPENDIX 4.5B. Clinical evaluation tools are incorporated into each syllabus. The students are evaluated in clinical at midterm and at the end of clinical rotation. Students are rated as satisfactory, unsatisfactory, or needs improvement. The student may have a “needs improvement (NI)” at the midterm evaluation but must be NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois 77 “satisfactory (S)” at the final evaluation in order to progress in the program. Evaluation is based on observation, physiological and psychosocial patient assessment, patient data sheets, nursing care plans, and performance of nursing skills. Clinical conferences are held after each clinical day. If a student is unsatisfactory, remediation is started with a Clinical Contract (APPENDIX 4.5.C). Depending on the incident, a suspension from clinical may be warranted (APPENDIX 4.5D) Students may initiate an appeal process for clinical dismissal (APPENDIX 4.5E). The student may be removed from the clinical setting pending the outcome of the appeal process. With the recent adoption of the Academic Alert policy/procedure and use of the SBAR (APPENDIX 3.2B), current “forms” dealing with students behavior concerns (i.e. clinical contracts (APPENDIX 4.5 C-E), skills remediation forms (pp. 25-26) and the program exit form (EXHIBIT 4.5C) are being reviewed for sole adoption of the SBAR form to address any/all issues of student (academic) performance concern. 4.6 The curriculum and instructional process reflect educational theory, interdisciplinary collaboration, research and best practice standards while allowing for innovation, flexibility and technological advances. ADN faculty believes in instructor-guided and student self-directed learning; and they consider the primary roles of the faculty to be those of: teacher, facilitator, evaluator, advisor, mentor, and resource person. Faculty are responsible for assisting individual students to become knowledgeable, demonstrate competencies, and meet the program outcomes needed for entry into novice nursing practice. Learning is enhanced when the learner’s knowledge level is identified to plan appropriate teaching, when educational experiences are organized in a logical sequence that promotes continuity, and when the individual student’s unique needs and strengths are considered. Faculty value a learning environment which: Is supportive of learning Fosters healthy interdependence Is respectful of and concerned about students Empowers students in their present and life-long learning Faculty value a caring environment for students which promotes flexible, accessible educational experiences for a diverse student body. Adult learning principles are used in all interactions with students providing self-directed, purposeful learning respectful of knowledge and experience students bring to the educational environment. Adult learning theory empowers learners with mentoring and guidance allowing both autonomy and responsibility in learning experiences. The nursing faculty acknowledges the core competencies of The Scope of Practice for Academic Nurse Educators (NLN, 2008) and aspires to incorporate the eight competencies in their daily teaching activities. The faculty also recognizes the importance of evidence-based nursing education and strives to incorporate best practice into their teaching. In keeping with the mission of College of DuPage, the mission of the ADN program serves the needs of the community. The ADN program supports excellence in learning and teaching, fosters an instructional climate that welcomes innovation, is open to change, and targets continual improvement and accountability. The ADN program ensures diverse leaning needs with a comprehensive, dynamic curriculum and varied education delivery systems. The ADN program promotes critical thinking and academic honesty while preparing students to qualify for and succeed in further educational endeavors and to prosper in the work environment. 78 NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois The instructional process is a triad of didactic, nursing laboratory and a clinical practicum. Lecture is the primary approach to theory instruction. The laboratory setting allows student to practice their psychomotor skills prior to performing of these skills in the clinical setting. Students are tested on their lab skills, upon successful testing of the skill; the students may then perform the skill in the clinical setting with a nursing instructor’s guidance. The ADN faculty seeks to adopt strategies to support multisensory learning, cooperative learning, and classroom assessment techniques. Faculty members participate and are encouraged to attend developmental and teaching seminars to increase teaching effectiveness. While nursing has its own body of knowledge, the general education component that students participate in prior to entering the nursing program introduces the learner to various disciplines that provide a foundation of knowledge. These subjects foster critical thinking skills, encourage examinationof questions and value and develop the foundations for lifelong learning. This component enhances the student’s selfawareness and appreciation of people, cultures, and the environment. General education courses assist the student to focus on communication skills and thought processes which are essential for growth as members of a profession. Interdisciplinary collaboration is valued and used for classroom experiences. TABLE 4.6A Classroom Interdisciplinary Collaboration provides an overview of these experiences for each course in the curriculum. In addition, two nursing faculty have collaborated with a faculty member from the division of English as a Second Language to explore ways to enhance the learning experiences of their students by holding conversation circles. In addition, one nursing faculty collaborated with anthropology faculty to create a community module expanding knowledge of the nursingstudents of healthcare values in Asian populations. One ADN faculty is collaborating with faculty from liberal arts to develop a study skills seminar for nursing students. TABLE 4.6A CLASSROOM INTERDISCIPLINARY COLLABORATION NURSING COURSE CLASSROOM INTERDISCIPLINARY COLLABORATION Nursing 1105 Medical-Surgical I Faculty from math department, guest lecture on drug calculations. Counseling staff as guest speakers’ services offered. Library faculty guest lecture on APA format, research techniques, and writing an academic paper. Staff from academic writing center addresses writing an academic paper. Nursing 1206 Medical-Surgical II Diabetic Educator Wound Care Nurse/ Enterostomal Nurse Nursing 1207 Childbearing Family Lactation Consultant Guest speakers from early childhood development. Representatives from Prenatal loss Support group. Certified Nurse Midwife Nursing 1208 Neuro-Psychology Nursing 2109 Medical-Surgical III Guest Speakers: National Alliance for the Mentally Ill Nursing 2201 Medical-Surgical IV Ostomy Panel: “Living with an Ostomy” Guest Speaker: “Living with Paraplegia” Guest Speaker: “Wound Care” International Panel Student Lobby Day Illinois Nurses Association- Springfield Guest Speaker: “Burn Care” Guest Speaker: “Complimentary Medicine” Guest Speaker: “Hospice” (Social workers, Chaplin) Guest Presenters: Washington DC field experiences Guest speakers: discussion of Heart Failure Respiratory Therapy NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois 79 ADN faculty provides students with the course syllabus during orientation to each course. The syllabus delineates each assignment and how the assignments are evaluated. Students also receive a clinical evaluation tool which is reviewed during orientation to the clinical site. Students are encouraged to track their progress by recording their grades for each assignment and to counsel with faculty to review student progress. In addition, faculty contact students and provide them with progress reports. Clinical faculty holds mid-term and final clinical evaluations for each student There are a variety of technological adjuncts that instructors use to support student learning. Examples of this include PowerPoint© lectures, computer assisted videos, podcast, and Blackboard©, which can be used for discussion and sharing of information out of the formal classroom. The students also purchase DVD's on nursing skills that augment their fundamentals nursing text. The library holds the most recent series in physical assessment tapes that are available for student review. Additionally, computer software: critical thinking tutorials, such as PhysWhiz II, and TLC Medical Center are readily available to the student. Also, the faculty teaching Clinical Decision Making (Nursing 2202) has reviewed Elsevier’s virtual hospital material. A representative from Elsevier presented a tutorial on this material for faculty. Continued exploration of the virtual hospital is in progress. 4.7 Program length is congruent with the attainment of identified outcomes and consistent with the policies of the governing organization, state and national standards, and best practices. All courses utilize the American Nurses Association Standards of Practice, and adhere to the practices set forth in the State of Illinois Nurse Practice Act. These resources are available for both students and faculty. Standards and professional nursing practice guidelines, considerations, and conduct are introduced and reinforced throughout the ADN program. In addition, students are encouraged to explore a variety of professional nursing organizations. The ADN program curriculum is in compliance with the Illinois Department of Financial and Professional Regulation’s (IDFPR) nursing curriculum requirements. The ADN program meets the requirements of the Illinois Community College Board (ICCB). The ICCB Program Manual (February 2002) and the ICCB Administrative Rules (June 2002) are located in the office of the Associate Dean, Karen Solt. The College of DuPage ADN program, including the pre-requisite academic course work is 80.This is comprised of 42 credit hours (53%) in Nursing courses and 38 credit hours (47%) in sciences and general education courses. The required the preadmission coursework is now considered a part of the program required courses. The psychology department changed its’ requirements in 2007, making PSYCH 1100 a prerequisite to PSYCH 2237, which increased the ADN program’s total credits from 72 to 75. In fall of 2009 the admissions committee noted that the ADN program accepted High School Chemistry or a college level Chemistry course. High School Chemistry is the equivalent to a college Chemistry 0400 class. The program would not accept a 0400 Chemistry class because the college no longer accepts it as a course equivalent. The faculty chose to change the admission standard to be consistent with the college’s policy. This further increased the ADN program’s total credit hours to 80. Courses in the humanities and sciences provide a strong foundation for the ADN program curriculum. Students take three hours of humanities and twelve hours of sciences. Students are strongly encouraged to take courses which facilitate their study of nursing, such as Math 1102. Graduation requirements of the college and advanced by the nursing program include: 80 Completion of a minimum of 64 credit hours of general education and program requirements; NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois Possessing a minimum 2.0 (“C”) average in the combined grade point average of all COD courses numbered 1000 and above and all courses accepted for transfer from other institutions; and Completing a minimum of 20 hours of applicable degree credit at COD with the final 10 hours of credit at the college. 4.8 Practice learning environments are appropriate for student learning and support the achievement of student learning and program outcomes; current written agreements specify expectations for all parties and ensure the protection of students. The ADN program maintains a close relationship with affiliates both within and outside COD’s district. Clinical contracts are designed to allow for optimal learning opportunities. Communication among facilities is enhanced by an semi-annual advisory committee meeting comprised of representatives from education and practice settings. In 2004, the DuPage Area Healthcare Leadership Council (Council), a collaborative forum between COD and the area hospitals was formed. The mission of the Council is to act in an advisory capacity to ensure collaboration in working towards college and community goals in health care education and staffing. The first project undertaken by the Council was to increase the capacity of the ADN Program. The ADN faculty and Director of Nursing (DON) actively seek new clinical sites. The DON monitors clinical sites with feedback from the clinical faculty, developing and maintaining an excellent working relationship with the clinical sites. Each February, the DON submits clinical requests to the hospitals for the next academic year. Working with the clinical site contact person, the DON negotiates clinical placement of students. This may require a change in the day(s) of the week, the unit and/or shift (including 12 hours). Two ADN faculty oversee the community nursing modules and coordinate requests for community rotations. The increase in the number of students admitted to area nursing programs as well as the opening of new programs (LPN and BSN), have increased competition for clinical placement. Currently, the ADN program utilizes fourteen hospitals as well as a variety of community sites for student clinical experiences (APPENDIX 4.8.A). To streamline development and maintenance of clinical affiliation agreements a standardized affiliation agreement was developed for use by all COD health care programs (APPENDIX 4.8.B). The standardized agreement form outlines specific requirements of the clinical site and faculty or professional staff at the individual clinical site. Business Affairs is responsible for initiating and maintaining all clinical affiliation agreements. All current affiliation agreements will be available for review as EXHIBIT 4.8.A. Hospital and community sites provide a wide range of clinical experiences including acute, extended and long-term care, specialty units such as critical care, emergency, maternity, mental health units, home health, hospice, and clinics. The use of registered nurse preceptors for the community rotation has expanded the clinical experiences of the ADN students. Clinical objectives are met through the utilization of a variety of clinical experiences. During the past two academic years, clinical placement of students has become more challenging. LIMITING NUMBER OF STUDENTS/CLINICAL SECTIONS: Several clinical sites began limiting the number of students per clinical unit. Others use only twelve hour shifts impacting the number of clinical groups accommodated on the unit on any given day (i.e. one clinical group/day rather than a day and evening group). COMPETITION: With a growth in the number of programs and/or expansion of current programs, the competition for clinical sites is a reality, even when using evenings and weekends as clinical sites. NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois 81 ADOPTION OF MAJOR INITIATIVES: Many hospitals are involved with major initiatives such as adoption of the electronic health record or the pursuit of Magnet status. When in the midst of these types of initiatives, agencies select to not have students in the clinical setting during the change process/transition. A Clinical Site Evaluation Tool is utilized to improve learning outcomes (APPENDIX 4.8.C). The evaluation tool is completed by students and clinical faculty, and rates the clinical experience at the given site. Several of the clinical sites conduct their own evaluation of student clinical experiences. Feedback from these evaluations is shared with the clinical faculty and the DON. These evaluations are monitored to continually evaluate the clinical sites adequacy in meeting the needs of the course, as specified in the course objectives. The clinical site contact person is also a member of the Associate Degree Nursing Advisory Committee. The Advisory Committee meets twice a year to discuss their experience with nursing students. The committee also discusses future needs and trends for their institutions. Copies of the clinical site evaluation tools and advisory committee minutes are available. 4.8.1Student clinical experiences reflect current best practices and nationally established patient health and safety goals. The Joint Commission on Accreditation of Hospitals has identified its National Patient Safety Goals. They are: Improve the accuracy of patient identification Improve the effectiveness of communication among caregivers Improve safety of using medications Reduce the risk of health care and associated infections Accurately and completely reconcile medications across the continuum of care The organization identifies safety risks inherent in its patient population Improve recognition and response to changes in patient’s conditions The organization meets the expectations of Universal Protocol The ADN program acknowledges these patient safety goals and incorporates them into clinical, laboratory, and didactic teaching. Additionally, at least four clinical sites for the nursing program are at hospitals with Magnet status: Loyola University Medical Center, Edward Hospital, Central DuPage Hospital and Good Samaritan Hospital. In conclusion, the following summary of strengths and challenges are identified: Strengths: The ADN faculty has a diverse wealth of clinical experience which facilitates classroom and clinical learning. The curriculum offers a variety of student experiences that contribute to a diverse and full range of educational opportunities. Challenges/Opportunities: Maintaining consistent application of nursing theory and practice among the full time faculty and adjunct faculty remains a challenge. The rigors of the curriculum make it difficult for students to complete the ADN program in the “traditional” two-year community college schedule. 82 NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois Current practice of assigning faculty to classroom instruction challenges a sense of “accountability” for (select) courses. Clinical site access is posing a challenge. Need to contemporize the curriculum, making its alignment more apparent and consistent the current nursing initiatives such as QSEN competencies, IOM report on the future of nursing, and a concept based curriculum. NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois 83 84 NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois Section II: Standard 5 Standard 5: RESOURCES Fiscal, physical and learning resources promote the achievement of the goals and outcomes of the nursing education unit. Introductory Note: The Associate Degree Nursing (ADN) program is a part of the Health Sciences Division at College of DuPage. This Division is the largest Division on campus providing extensive career education as well as the natural, biological and behavioral science courses. The ADN program is one of approximately 26 health programs offered. Historically, the three nursing related programs (Associate Degree Nursing, Practical Nursing and Certified Nursing Assistant) were under the oversight of the Associate Dean of the Division. Daily operations for these programs are typically accomplished by faculty who were released from some direct teaching responsibilities to run the programs. To increase efficiency, share resources, coordinate curriculum, align and assist in the transfer for students from one program to another, it was decided to hire a full-time administrator (Director of Nursing) who would oversee all three nursing programs. The Director of Nursing was hired in September 2009 for the Nursing Department. In merging the three programs into a department, goals include: 1. 2. 3. 4. Creating a “culture” of nursing as a department Optimizing use of resources, including standardization and sharing Creating transparent and seamless operations (policies, procedures) and structures Fostering curriculum alignment Additionally, due to the high direct instructional cost for the nursing courses, coupled with the reality that over 50% of nursing instruction is done with one faculty for every 8-9 students, variable tuition was instituted in Fall 2009 for the nursing courses. In so doing, the students pay $208.15/credit hour for nursing courses. This has balanced the cost revenue scales. Lastly, in May of 2009, the health programs and sciences moved into a new building, providing for improved and state-of-the-art learning spaces. 5.1 Fiscal resources are sufficient to ensure the achievement of the nursing education unit outcomes and commensurate with the resources of the governing organization. The fiscal resources are adequate to support the faculty development, instruction and the ADN goals/objectives. The fiscal resources are commensurate with the resources of the organization. The supply budget has increased in the last 3 years. In the fall 2010, the ADN 10th day count has increased 9% in enrollment, while maintaining an exemplary retention rate. With the increase in the number of students enrolled in the ADN program, over the last 3 years, the supply budget has been adequate. The Practical Nursing (PN) program’s grant funding ended 12/31/2009. As a result, beginning in January 2010, PN program costs were assessed to the ADN budget. This placed an additional resource demand on the ADN operational budget. As FY 2010 completed, no additional monies were provided with this merger, and two full-time ADN positions were not replaced. FY 2011 started out with a “merged ADN/PN budget (CNA has had its own budget), NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois 85 however with a mover to zero-based budgeting for FY 2012 and the goal for improved cost accounting, the ADN and PN program budgets will be separated beginning in January 2011. The COD foundation has targeted $10,000,000 to support Healthcare Education. Seven thousand dollars of this amount is designated for health instructional support. TABLE 5.1.A identifies the Nursing Unit Budget for three years. TABLE 5.1.A:Nursing Unit Budget CATEGORY Personnel Salaries/ Overload/ Student Aides 2007-2008 998,852 2008-2009 1,232,327 2009-2010 1,242,956 Fringe Benefits Supplies 200,111 28,342 252,581 27,562 266,725 15,733 Professional Development/Dues 1,850 per FT Faculty member 1,850 per FT Faculty member 1,850 per FT Faculty member Other (travel, NLNAC conferences, publications, etc.) 3,835 1,062 2,727 *Reviewed on case by case basis 1,232,990 1,515,382 1,529,991 Total 2010-2011 Administrative Support The Director of Nursing (DON) oversees the nursing program which includes budgetary management of the Associate Degree Nursing, Practical Nursing and Certified Nursing Assistant programs. The DON reports directly to the Division Dean. Meetings take place between the DON and the Division Dean to discuss the nursing budget. The budget is submitted to the Vice President of Academic and Student Affairs and then to the College President and Cabinet. The Board of Trustees approves the budget. The DON, with the approval of the Dean, utilizes the approved budget. The DON can readily access the planned and YTD budget report with expenditures on an as needed basis using Mercury Commerce. Should a special budgetary need arise beyond the scope of the operating budget, it is discussed with the Dean to determine whether monies are available to meet the need. The DON maintains the budgetary information. Administrative Assistant The Nursing Department, hired a full time administrative assistant (Job description in APPENDIX 2.6.A). This individual is the administrative assistant to the DON. Nursing Department Lab Faculty 86 NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois Lab Faculty for the nursing department serve all three programs (job description in APPENDIX 2.3.A). This includes the Associate Degree Nursing Program, the Practical Nursing program, and the Certified Nursing Assistant program. Two part-time positions were approved for 2000 hours of Lab Assistant time per year. During the academic year this averages 45 hours per week, and in the summer months about 25 hours per week. The primary roles of the lab assistant are to (1) staff the open lab; and (2) maintain the integrity of the Nursing Laboratory learning space. The physical learning spaces which they are responsible include 6 laboratories and the various skill return demonstration rooms. Staff Services TheStaff Service Department provides the College with additional clerical support for faculty members. Faculty/Staff may utilize their website: Staff Services for document services. The Staff Services Department has the ability to develop Power Point presentations and assist faculty with creating and editing documents for the classroom. This service has been an asset to the nursing faculty in preparing for classroom activities. The copy center is located in building K105. Teaching Learning Center The Teaching and Learning Center (TLC) is available to nursing faculty 24 hours per day, seven days per week to assist with course preparation and teaching methods. It is conceptualized as self-enhancement and personal enrichment, while instructional development emphasizes attention to instructional materials, methods, techniques which directly influence the faculty's role in the classroom. It enables each employee at COD to achieve excellence and to promote student learning through the scholarship of teaching. Through combined efforts, the college, departments and innovative faculty, the Teaching and Learning Center provides seminars, workshops, conferences and/or course designed to meet the needs faculty members who are committed to improving their ability to teach effectively. The Teaching and Learning Center activities are summarized in NLNAC Standard 2. Information Technology The Information Technology (IT) Department at COD is accessible to nursing faculty for technical support at home and on campus. The HELP DESK has been established with designated hours and a paging system for computer and technology difficulties. 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 faculty, staff, and students. Classrooms When the new Health and Science building was planned, it was designed with certain classrooms and labs being dedicated for select programs. In this past year, a centralized scheduling department has been put into place at COD. In addition to documenting the submitted course schedules, this department also does the room scheduling. While the specialized lab rooms are clearly in the domain of the program, to optimize their use, general classrooms can be assigned for use for any program class. APPENDIX 5.2.A depicts the learning space where the vast majority of campus learning is assigned. NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois 87 The nursing laboratories and faculty offices are located on the second floor. The classrooms typically seat 30-40 students. A tiered lecture hall, located on the first floor of the Health Science Center seats approximately 124. This space is shared with other health programs and reserved by central scheduling. The classrooms can accommodate the use of instructional technology, including permanent fixtures to assist with presentations such as Power Point or videos. Skills Lab There are six nursing labs assigned to the Nursing Department. One of the labs is intended to be an open lab, and every attempt is made to keep it available for students to practice skills Open lab hours are posted near the nursing labs and on the student portal. Each lab They each seat 16-20 students and has 3-4 patient care spaces. There is a large storage room located on the second floor that is used for equipment and shared with the Certified Nursing and the Practical Nurse programs. Additionally, there are at least seven return demonstration rooms available, some are within the labs and some external to it. Labs are equipped with beds, mannequins, and medication carts to facilitate student learning. The skills labs have low fidelity simulation mannequins. As of July 2010, the nursing unit purchased an automated medication administration machine. For FY 2011, and electronic health record system will be adopted. Exploration and demonstration by vendors is underway. The nursing faculty would like to expand the skills lab to accommodate high fidelity simulation instruction. Five faculty attended the International Nursing Association for Clinical Nursing Simulation conference in Las Vegas in 2010. Faculty Offices All full-time faculty have private offices in two faculty office suites on the second floor of the building. This provides both convenience and privacy. Each office has a phone and computer and is networked with a shared printer in an ante-room of the office suite. Space is available in each office and in the suite for small conferences. A large part-time faculty office space is located on the first floor of the Health Science Center. Nursing faculty may use the office for class preparation. The room is equipped withcomputers, phones and copier. In addition, there is a faculty and staff workroom adjacent to the Division office. This can be accessed by both full and part-time faculty. This space includes individual mailboxes, copier, office supplies, fax machine, refrigerator, microwave, TABLE and chairs. The building has wireless computer access to accommodate the entire campus community. Faculty may communicate with students through the intranet-Blackboard, inside COD (student portal), Nursing Program Student portal page, MY ACCESS, and the Nursing News Letter. 5.3 Learning resources and technology are selected by the faculty and are comprehensive, current and accessible to faculty and students, including those engaged in alternative methods of delivery. 88 NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois Library Nursing Faculty provides students with formal orientation to the facility, library resources and staff services prior to each course. Syllabi for individual courses include learning resources that are available in the library and computer labs at the college. Students are encouraged to seek out resources as needed. The nursing faculty communicates with the librarians and technical support updating resources annually. Debra Smith, MA, MLIS, Associate Professor, is the librarian assigned to the Health Sciences subdivision, which includes nursing. College of DuPage’s library is located on campus in the Student Resource Center (SRC) building adjoining the Berg Instructional Center (BIC). An enclosed walkway (bridge) joins the SRC and Health Science building on the second floor. The close proximity facilitates access to library materials and services by nursing faculty and students. The library’s website offers 24/7 access to the Library catalog, research guides, online, article databases (including full-text), and a variety of other resources. The library facilitates audiovisual equipment and material delivery to classrooms for instruction. Audiovisual equipment and materials are also made available to students within the library. The library is accessible for students with disabilities, has an elevator as well as stairs to access the second floor, and contains a variety of assistive devices available for special needs students. The Library is open 7 days a week during the academic year. It is closed on College-designated holidays and operates with reduced hours during academic breaks. Library hours are posted on the college website. Reference librarians (located at the Reference Desk) and Technical Support staff (located in the Computing Support and Print Services Center) are available to assist students in person, via phone, using chat software or email during open hours of operation. Reference contact information is available on the website. The Health Sciences Librarian offers individual and small group consultation/reference meetings to all nursing faculty and students in addition to phone and email support. The library has three hands-on computer labs equipped with student workstations and an instructor station and digital projector. Four additional technology enabled library classrooms are available for demonstration classes. One library classroom is equipped with two-way video conferencing used for asynchronous distance learning and meetings. First year ADN students attend a two-hour library instruction session taught by the Health Sciences Librarian that introduces them to nursing resources. The library also offers free computer workshops for students to become Smart Online Searchers (SOS). Classes are offered during the day, evenings and weekends. Students can view workshop information and register online from the library’s website). The library’s 138,000 sq. ft. facility houses materials on all major subject areas in a variety of formats to meet the informational, cultural, and recreational needs of the college community. Library holdings provide a broad range of current materials relevant to the curriculum. Materials include books, audiotapes, slides, CD-ROMs, DVDs, VHS tapes, anatomical models, and reserve materials (designated by nursing instructors). The medical section of the library collection houses over 14,000 unique items and Nursing students have access to 11 health and science related databases. Full text journal articles are NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois 89 available online. Nursing students have access to over 220 nursing journals and magazines. Nursing students can Interlibrary Loan (ILL) books and journal articles for free. The College and Career Information Center (CCIC), located on the second floor of the library, provide information on educational opportunities, occupational choices, and job-seeking skills (EXHIBIT 5.3.A). Trained CCIC staff members are available to assist users. In addition to the print and electronic resources listed, nursing students and faculty access an online Nursing Research Guide that includes: catalog links, reference materials in the COD collection, Internet sites, and APA citation information. Students also utilize the Consumer Health Resource Guide which includes both professional and consumer level information. The Library offers 110 student workstations. Nursing students also have access to laptops with wireless connectivity, available for checkout and use within the library. All workstations and laptops have Microsoft Office Suite installed. Students can load educational software and use interactive CD-ROMs. Nursing students are assigned email accounts which are linked to Blackboard and can communicate with faculty and fellow nursing students and access the greater college’s information systems and online departments. The library has 20 group study rooms, two group audio video viewing rooms, as well as study seating for over 500 students. Its Computing Support & Printing Services (CSPS) area provides centralized printing for all the public computers plus microfilm reader/printers and color and black and white photocopiers. Two additional public photocopiers are available. Nursing Book Purchasing and Weeding Procedure The Nursing faculty has designated a “point person” to facilitate efficient communication between the Library and the Nursing Program. The Health Sciences Division Librarian serves as the point person for the College of DuPage Library. All nursing faculty are encouraged to provide suggestions for collection development on an ongoing basis and, as budgets allow, the Division Librarian purchases faculty requested materials. The Division Librarian also benchmarks and adds to the collection utilizing the Doody’s Core Titles in the Health Sciences list. A binder of the current Doody’s recommendations marked with COD Library holdings is available in the Division Librarian’s office. The Health Science Librarian is a member of the Nursing program’s Learning Resource committee. It is agreed between the Division Librarian and the nursing faculty that when new editions of items already owned by the Library are purchased, older editions can be automatically withdrawn without Nursing faculty direction. Nursing texts /videos without newer editions that may have historical or lasting value will be reviewed by the Nursing faculty and keep/discard decisions will be made based on their input. The nursing faculty will contact the Health Sciences Librarian to set up times to review books in the collection and the Librarian either performs the review with the nursing faculty or provides the appropriate call number ranges and makes available a cart for materials to be weeded. An annual review of materials older than five years of age occurs at a time convenient to the nursing faculty and the Division Librarian. Nursing faculty and the Division Librarian physically go to the nursing materials in the RT section of the Library of Congress classification system and review the materials on shelf. For nursing items not located in the RT section, the Division Librarian generates lists of items older than 5 years and delivers them to the nursing faculty point person who then has the appropriate faculty member review the items. These exchanges occur either in person or via email. Any nursing text and AV material older than 5 years is reviewed by a faculty member. Once the faculty member initials and dates the item, it will remain on the shelf until they are 90 NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois reviewed the following year. Any item withdrawn from the collection will be pulled from the shelves and placed on the weeding cart provided by the Health Sciences Librarian. The Library staff will remove these items from circulation. If additional resources are needed in specific areas, nursing faculty can request that the Health Sciences Librarian look for up-to-date resources in specific area(s). The possible titles are then shared with nursing faculty and purchases are made based on nursing faculty feedback. Collaboration with Health Science faculty is encouraged and actively solicited; however, the Library faculty member assigned to the Health Sciences division is ultimately responsible for the purchase and deletion of COD Library’s health and medical-1related materials. Academic Computing Center When the library is closed, students have access to the Academic Computer Center on the 3 rd floor of the Student Resource Center, Room 3600. All software programs for nursing are available in the Academic Computing Center. The Academic Computing Center hours are posted on the college website. The Academic Support Center The Academic Support Center is located in the Instructional Center, Room 3040, offers a variety of support services including tutoring, math, writing and reading, and speech communication. Tutoring services include peer, professional, People Educating People PEP), and online tutoring. Some services are free while others are fee based. The Math Assistance Center offers one-toone help from math instructors. The Writing and Reading Center is open to all COD students, faculty, staff and community members, free of charge. Peer tutors and part time faculty from the Liberal Arts Division provide one-to-one assistance for projects in all academic disciplines. The Writing and Reading Center offers services on the main campus as well as the Addison, Naperville and Westmont Centers. The Speech Assistance Area offers services to students, faculty, staff and private and corporate members of the community. Nursing students can be referred to this area for assistance. Nursing Technology The Learning Resource Committee (a nursing subcommittee) was formed in 2010 to develop a technology plan to enhance student learning in the nursing skills laboratory. This plan will incorporate the use of an electronic medical record, computerized simulation case studies and the use of both high and low fidelity simulation (EXHIBIT 5.3.B). The committee’s plan will include (1) recommendations for equipment purchasing; (2) strategies for maintenance; (3) training for faculty; (4) a strategic plan for integration of the experiences into each course of the curriculum; (5) clearly defined learning outcomes, student assessment methods, and evaluation of effectiveness as a teaching modality. Preliminary conversations are underway about creating a simulation “hospital”, home and community setting by remodeling existing lab space or perhaps incorporating it into the new Homeland Security building. In addition, IT has installed nursing computer software, such as Critical Thinking, Phys Wiz, and Interactive Case Studies. Nursing students can access these learning tools in the nursing classrooms, Academic Computer Center and other College of DuPage regional sites. Faculty members can also use these programs for instructional purposes. NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois 91 5.4 For nursing education units engaged in distance education, the additional criterion is applicable: Fiscal, physical, technological and learning resources are sufficient to meet the needs of faculty and students and ensure that students achieve learning outcomes. The nursing education unit has access to the same resources available to the college. Examples of online resources are the library Catalog, IT, Blackboard, My Access and inside COD (faculty and student portals). Faculty may post hours and communicate through e-mailand Blackboard. Fiscal, physical, technological, and learning resources are sufficient to meet the needs of faculty and students to ensure student outcomes: The Academic Computing Center and the Health Sciences Center both have computer rooms that are open for students to use. They have access to computer programs and Internet access to complete work for distance education courses. They have a student technology hotline: 630-942-2999 or an email address that can be used: studenthelp@dupage.edu. Each faculty member has a computer and access to a bay of PC’s in the Part-time faculty office; all with internet access (HSC Part-time faculty office, Learning Resource Center). The college has a technology hotline (HELP ext. 4357) to answer staff questions. The Teaching/Learning Center holds classes on computer programs, Blackboard and MyACCESS for faculty. They also have resource personal located in the TLC. The distance learning courses are taught at the same time and in congruence with campus courses. The students are on campus and have the same access to the Student Resource Center and other resources since they are also taking classes on campus. Strengths: Communication between faculty and students has been enhanced with the implementation of the portal page, newsletter and Blackboard. The library is a resource that supports students and faculty with instruction and research. The hiring of a Director of Nursing and Administrative Assistant has improved efficiency and support to the department. The merging of nursing programs has resulted in sharing resources and developed collegial relationships. The Learning Resource Committee has been established to develop a technology plan to improve student learning. The nursing department has a designated skills lab where students have access and may practice clinical skills. Weaknesses: 92 Students have limited access to the electronic medical records in clinical facilities, resulting in decreased opportunities to review patient data and document nursing care. The department does not have a simulation electronic medical record to support this deficit. With the merging of the PN Program, the operational budget for the ADN program has been impacted. This, however, may be addressed with the planned separate budget for these programs. The physical resources to support the ADN program are limited. There is not adequate space and storage to expand and support simulation learning activities. The ADN NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois program has limited classroom space. Other departments within the College utilize classrooms in the Health Science building. Variable tuition was instituted in the Fall of 2009. The ADN program has increased tuition but monies have been utilized by the College rather than the Nursing Budget. NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois 93 94 NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois Section III: Standard 6 Standard 6: Outcomes Evaluation of student learning demonstrates that graduates have achieved identified competencies consistent with the institutional mission and professional standards and that the outcomes of the nursing education unit have been achieved. 6.1 The systematic plan for evaluation emphasizes the ongoing assessment and evaluation of the student learning and program outcomes of the nursing education unit and NLNAC standards. Evaluation of the nursing program for College of DuPage is multileveled. The program is evaluated by the College, and by the Nursing Program in total and at the course level. Additionally, program performance information is provided to and received from the Illinois Department of Financial and Professional Regulation. Some of the latter is provided through semi-annual analysis of the Mountain Measurement reports which provide program information on how graduates’ performance on the NCLEX-RN. The College evaluates (career) programs’ performance following the Illinois Community College Board policy. Attention is given to program participation (i.e. admission, retention and completion) culminating in certification exam performance, i.e. NCLEX results and graduate competency attainment. The last Collegeprogram evaluation for the Nursing Program was performed in 2009-2010. Receiving accolades of praise for the report, the Nursing Department was asked to be a part of a presentation in January 2011 on the subject of Program Evaluation. The Nursing Program Systematic Plan addresses the Nursing Program’s evaluation as well as students’/graduates’ outcome assessment (APPENDIX 6.2). Using the NLNAC Standards, Program Outcomes and Student Learning Outcomes, the program measures the degree to which the unit in nursing achieves its mission. The SEP has gained prominence in the Nursing Department and Program operations and decision making, starting with the revision in the Nursing Department Guidelines and Organization. Aspects of the SEP are identified as select committee responsibilities for monitoring, including data collection and analysis, and recommending action. The calendar of program evaluation and student assessment activities are noted in APPENDIX 6.1A. 6.2 Aggregated evaluation findings inform decision making and are used to maintain or improve student learning outcomes. Numerous data sources are used to assist in making decisions about maintaining or improving the nursing program and students’ attainment of learning outcomes. Some of these data sources and their purpose are noted in TABLE 6.2A. Survey tools/instruments and results will be available as EXHIBIT 6.1.A. TABLE 6.2A: DATA SOURCES FOR EVALUATION OF NURSING PROGRAM DATA SOURCE DESCRIPTION/PURPOSE Course Evaluations Students complete a course and clinical site evaluation each semester. Student Satisfaction (initiated in 2008-2009) A survey administered to current students as they near the completion of the first and third semester of the nursing program major. The intent is to learn what the students are feeling and experiencing as they are in the first semesters of the first and second year of the program. NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois 95 DATA SOURCE Graduating student exit survey 1 year Graduate survey Employer Survey DESCRIPTION/PURPOSE A survey given to students in their final weeks of the program to solicit their overall satisfaction and experience with the nursing program. Administered about 15 months after graduation, the survey asks graduates their thoughts about the program preparing them for their role as an RN. A survey of employers of graduates inquiring about their satisfaction with the graduate. EVOLVE/HESI/REACH Exit exam This external test is administered to students as they near program completion. An adaptation in the test administration took place in 2010. The exam is given at the beginning of NURSI 2202, a final semester course. Based on the results, the students are expected to work with faculty in implementing a remediation test plan. The EVOLVE/HESI/REACH exit exam is then given in the final week of the semester. The EVOLVE/HESI/REACH exit exam score counts for 20% of the student’s grade. NCLEX-RN results Quarterly reports from IDFPR identify test takes by name and NCLEX pass or fail results. The most informative quarter for COD it the 3rd quarter (July 1-September 30) as that is the most common time in which graduates take their NCLEX-RN. Mountain Measurements NCLEX results report Semi annual reports from Mountain Measurements provide a detailed test analysis for COD test takers. The report from April through September provides a valuable composite of COD graduates on the NCLEX-RN. Regarding course and clinical site evaluations, specific data will be available as an exhibit at the time of the visit. While the clinical site evaluations use the same tool, course evaluations use different ones. The latter consistently have ratings of agree or strongly agree consistent with positive ratings, there are consistent comments that need to be addressed to enhance the pedagogy foundations of the course and further engage the learners. These include: Consistency in evaluation in lab and clinical settings Decrease class sessions of 4-5 hours; typically means test on lecture days More Course organization and standardization; assign single instructor rather than have 4-6 instructors lecturing in a course Increase communication between classroom instructors and lab/clinical instructors Please note there were numerous positive comments, the summary of each, as well as select actions to take to address course specific issues will be available to read on-site. Specific or select results in each of these data sources are shared in the following in the following pages; note that they also may be reflected in the writing of Standard 6, Outcomes and Assessment. Student Satisfaction (initiated in 2008-2009) Graduating student exit survey 96 NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois 1 year Graduate survey Employer Survey EVOLVE/HESI/REACH Exit exam NCLEX-RN results Mountain Measurements NCLEX results report NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois 97 Student Satisfaction Survey (represents percent of respondents satisfied): Benchmark >78% Criteria not met STUDENT SATISFACTION Response rate Overall experience Academically prepared Communication of policy changes Changes in nursing program Communication of program outcomes 2008-2009 81% (N=155) 82.69% 83.97% 37.18% 32.05% NA 2009-2010 50% (N=105) 89.53% 90.48% 58.1% --72.3% 2010-2011 10% (N=23) 73.92% 90.91% ACTIONS TAKEN 2010: poor response rate; survey placed on portal. Assessments and outcomes committee to reassess administration of survey 47.6% --78.3% 2010: a nursing program student portal was developed to promote consistent and timely information. 2010: Registration information communication Methods of communication COD email 35.9% 40.92% 22.7% 2010: Posted registration information on Portal page for Spring 2011 registration NA 94.28% 100% 2009: E-blast developed and increased use of COD email and more extensive use of Blackboard to enhance communication. BlackBoard NA 80% 87% E-blast messages NA 82.85% 82.3% 2010: 98 Orientation for new students included discussion of outcomes and assessment. A.D.N. program web page now has a PowerPoint on the A.D.N. conceptual framework including a discussion of the program and graduate outcomes as well as the Student Handbook: http://home.cod.edu/academics/programsdegrees/nursing/adn. aspx Student liaison committee members receive results of surveys and outcomes assessment. NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois With the E-blast platform eliminated in 2010, a nursing program student portal was developed to promoted consistent and timely information. Updated nursing department and programs’ web pages with a “standard” look and current information. STUDENT SATISFACTION Newsletter Faculty advising 2008-2009 NA 67.315 2009-2010 71.52% 58.09% 2010-2011 53% ACTIONS TAKEN 2009: Development of Nursing Newsletter in process. 62% 2010: Initiated the semiannual nursing newsletter in January 2010; second edition distributed October 2010. 2009: Implemented faculty advising model 2010: Nursing Skills Lab Size NA 83.66% 82.6% 2009: Moved into new Health Science building 2010: Comments on the Student Satisfaction Survey indicated that the lab practice environment was much improved with the new supervision and oversight of the lab staff 2010: Environment 73.08% 81.73% 91.3% Supplies 59.62% 51.92% 88.26% Practice Hours Modified faculty advising model/practice Developed an academic alert protocol. 66.67% 54% 56.52% Students required to purchase lab packs for practice supplies (New) lab assistants have organized a level of lab supplies consistent with lab usage (New) lab assistants have created instructor “skill boxes” that are maintained in the supply room; the box contains all needed supplies for instructor teaching of the identified skill. 2009: Staffing of the nursing lab reduced, leaving no one to actually staff the lab during OPEN LAB time; also began to “track” students use of lab time, to assist determination of lab use and preferred schedule. 2010: Hired two part-time lab assistants, averaging a total of 45 hours/week of lab coverage during the academic year and 20 hours per week in the summer. Time allowed the development of inventory standards, skills packets, plus staffing the lab. Established a schedule of 25-30 hours per week of supervised open NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois 99 STUDENT SATISFACTION 2008-2009 2009-2010 2010-2011 ACTIONS TAKEN lab time. Consistency with lab instruction NA 50% 65% 2010: Standardized return demonstration skill sheets Confirmed “critical behaviors” for nursing procedure instruction and evaluation to promote consistency in teaching and assessment. Faculty Development and Welfare Committee develops an orientation packet for new faculty with attention to standards and assessment of students. 2011: Student support services Admission services 95.6% 86.5% 73.7% 2009: Advising and counseling 87.1% 69% 57.1% Financial Aid services 59.7% 70.7% 66.6% Special student services 93.1% 95.1% 100% Records services 88.0% 84.1% 95% 100 NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois Standardized return demonstration videotaped for access by faculty and students. Develop a “skills fair” for faculty to promote consistency in and validation of skills assessment Power point developed for consistent admission advising sessions. Current nursing students also present to answer prospective student questions 2010: Admission policy reviewed/revised to be more transparent, particularly related to rank score calculation. 2009: Counseling and advising positions were eliminated. 2010: Because students were not required to comment the specifics regarding the lower than benchmarked are unclear. The survey tool may be re-designed to require a comment for lower than satisfactory ratings to make the data more specific and rich. STUDENT SATISFACTION Health services 2008-2009 96.9% 2009-2010 86.4% 2010-2011 69.2% ACTIONS TAKEN 2009 and 2010: Math Assistance center 89.7% 92.8% 100% Reading Assistance center 91.7% 95% 100% Writing center services 83.8% 82.8% 80% Library services 94.3% 95% 95.4% College computer lab 92.1% 94% 100% 65.57% 65.28% 47.82% 53.79% 49.68% 80.95% 70.7% 60% 83.3% 100% 100% 72% Student IT Help Services Bb/on-line enhancements College online courses tutorial Technology in lab 2009: IT notified of issues. 2010: Technology in clinical setting. 81.05% 80.95% Established Division-wide health requirements policy Health services eliminated from the College Secured contract with outside vendor to review student records; also able to provide services at a competitive cost Purchased (adopted) an automated medication administration system To adopt electronic health record technology 84.2% NOTE: Comments identified as NA for 2008-2009 where items not asked that year but added to the survey in 2009-2010 based on actions taken in response to student feedback in 2008-2009. NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois 101 Graduate Exit Survey: Benchmark score desired is >78% of ratings average, good or excellent. AREA Graduate outcomes: 1. Critical Thinking: Utilize critical thinking skills in the application of the nursing process to provide safe, quality care. 2008* 2009* 2010 ACTIONS TAKEN 100% 98.84% 100% Benchmark met; for 2011 the benchmark will be increased to > 78% ratings of good or excellent. 2. Communication: Demonstrate effective communication utilizing technology, written documentation, and verbal expression. 100% 98.84% 98.14% Benchmark met; for 2011 the benchmark will be increased to > 78% ratings of good or excellent. 3. Caring: Incorporate empathetic, compassionate, caring interactions and behaviors. 100% 98.81% 100% Benchmark met; for 2011 the benchmark will be increased to > 78% ratings of good or excellent. 4. Diversity: Demonstrate professional nursing care that incorporates sensitivity to culturally diverse clients across the lifespan. 100% 98.82% 99.02% Benchmark met; for 2011 the benchmark will be increased to > 78% ratings of good or excellent. 5. Quality Improvement: Utilize data to ensure quality improvement and support of evidence based practice. 100% 98.82% 100% Benchmark met; for 2011 the benchmark will be increased to > 78% ratings of good or excellent. 6. Leadership: Demonstrate knowledge of basic delegation and leadership management skills. 96.77% 94.19% 100% Benchmark met; for 2011 the benchmark will be increased to > 78% ratings of good or excellent. Information Management: Demonstrate and utilize information systems in the healthcare system. 100% 7. 102 NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois 98.82% 98.04% 2010: Upon further evaluation of the data, this area would have been the new proposed benchmark. The delegation and leadership outcome will be discussed with the Curriculum and Program Design Committee. Benchmark met; for 2011 the benchmark will be increased to > 78% ratings of good or excellent. 2010: Upon further evaluation of the data, this area would have been the new proposed benchmark. The information management outcome will be discussed with the Learning and resources Committee; anticipated purchase and implementation of EMR in AREA 8. 2009* 2010 100% 98.84% 99.02% 100% 100% 97.06% 10. Small group discussions 100% 100% 95.1% 11. Case studies 96.77% 94.05% 94.22% 12. Audiovisuals 100% 98.81% 87.2% 13. Computer aided/use 100% 76.54 68.63% 14. Laboratory 100% 96.43% 88.24% 15. Clinical 96.77% 100% 96% 100% 96.51% 97.05% Professionalism: Demonstrate knowledge of professional development (behaviors) and incorporate evidence based practice in the nursing profession. Program Components: 9. Lecture Program as a whole 2008* ACTIONS TAKEN Spring 2011. Benchmark met; for 2011 the benchmark will be increased to > 78% ratings of good or excellent. See #7 above; not clear on what this program component means. Need to clarify or further delineate on future surveys. Benchmark met; for 2011 the benchmark will be increased to > 78% ratings of good or excellent. *This survey was revised in fall of 2009 to better align with the graduate learning outcomes. Prior to that time, specific outcomes which correlated with graduate outcomes were evaluated. The response labels were also changed for more definitive ratings. A copy of the original survey and analyses will be available to the site visitors. NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois 103 One Year Graduate (Alumni) Survey (results are based on ratings at time of the survey which takes place 12-15 months after graduation) AREA Work history and experience Job satisfaction Continuing education plans MAY 2008 GRADS (N= 100 WITH 23 RESPONSES) 95.65% currently working as a nurse 91.30% had a job within 3 months or less of passing NCLEX 100% work in either acute care or extended care (77% acute care) The majority work with medical-surgical patients (55.56%), followed by ER/ICU (33.33%) One institution hired 50% of the graduates 85.71% indicated they had the job they wanted. 95.5% indicated that they were average or above in their satisfaction with their nursing career Nearly ¾ (72.73) intend to advance their education within 5 years DECEMBER 2008 (N= 40 WITH 11 RESPONSES) 100% currently working as a nurse 90.91% had a job within 6 months or less of passing NCLEX 100% work in either acute care or extended care (82% acute care) Half work with medicalsurgical patients (50%); half in ER/ICU (50%) Two institutions hired 88% of the graduates 63.64% indicated they had the job they wanted. 100% indicated that they were average or above in their satisfaction with their nursing career 100% intend to advance their education within 5 years Involvement in professional organizations Mean rating of ability to perform graduate outcomes (based on 5.0 Likert rating scale) Effective communication and collaboration Collect and analyze data Apply knowledge to practice Apply therapeutic and caring interventions Care about patients and significant others Design, implement and evaluate teaching of patients Benchmark rating is 3 (average) or above 104 Slightly more than 36% were involved in professional organizations NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois Only 27.27% were involved in professional organizations MAY 2009 (N= 98 WITH 25 RESPONSES) 88% currently working as a nurse 88% had a job within 6 months or less of passing NCLEX 70% work in acute care, 20% extended care, 10% in home care or other community care 55%work with adult medical-surgical patients Employing institutions are varied, and many are outside of DuPage County 76% indicated they had the job they wanted. 81% indicated that they were average or above in their satisfaction with their nursing career 90% intend to advance their education within the next 5 years. 63% are currently in a BSN completion or RN to MSN program 71% are involved in professional organizations 4.05 3.64 4.14 3.82 3.64 4.10 3.87 3.64 4.00 4.00 3.82 4.30 4.23 4.18 4.38 3.91 3.55 4.14 AREA NCLEX prep MAY 2008 GRADS (N= 100 WITH 23 RESPONSES) Reflect on 3.86 practice 100% of respondents were successful on NCLEX with 1st attempt 70% took an NCLEX review course DECEMBER 2008 (N= 40 WITH 11 RESPONSES) MAY 2009 (N= 98 WITH 25 RESPONSES) 3.91 81.82% of respondents were successful on NCLEX with 1st attempt 75% took an NCLEX review course 4.10 95% of respondents were successful on NCLEX with 1st attempt 57% took an NCLEX review course 67% used books and CD Roms to study NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois 105 Employer Satisfaction Survey 2007* (*ADVISORY BOARD FEEDBACK) AREA Number of graduates hired Prepared to complete organization’s orientation Prepared to function successfully in the workplace Mean rating of employers’ views of the graduates’ attributes (based on 5.0 Likert rating scale) Responsible 2009 (N= 4) 2008 (N= 2) ACTIONS TAKEN Both respondents indicated that they hired 5 or more graduates Respondents indicated that they hired 1 graduate In 2008, a formal survey was developed to obtain employer satisfaction data. 100% of graduates hired completed the organization’s orientation 100% of respondents felt the graduates were very prepared to complete their orientation 100% of respondents felt the graduates were very prepared to complete their orientation Not action taken; continue to monitor 100% of employers represented were satisfied with the graduates performance in the workplace 100% of respondents felt the graduates were prepared successfully function in the workplace 100% of respondents felt the graduates were prepared successfully function in the workplace N/A 4.5 4.5 Based on feedback from the 2009 survey comments and discussion with the Advisory Board, purchase and integration of an electronic medical record into the curriculum is underway. Not action taken; continue to monitor Professional N/A 4.5 4.5 Think critically N/A 4.5 3.75 Problem solve N/A 4.5 3.75 Benchmark rating is 3 (average/somewhat) or above * Prior to 2008, employer satisfaction was measured informally through discussion during the ADN Advisory Board meetings. Trends in hiring, orientation, and novice registered nurse expectations were discussed. Acute care facilities in the College’s county were the primary employers of the ADN graduates. The employers had always had positive remarks about College of DuPage’s ADN graduates’ preparation and performance in the workplace. Due to the decreasing attendance of primary employers at the Advisory Board meetings, and with more graduates working out of district, an online survey was developed. The response rate to the survey was low. In 2010, the survey was hand delivered to employers known to have hired ADN graduates in an attempt to increase response rate, and the response rate remained low. 106 NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois EVOLVE/HESI/REACH Exit Exam DATA/INDICATOR BENCHMARK 07-08 08-09 09-10* # of test takers 91 47 49 103 Highest score 1065 1032 1057 1176 (2nd attempt) 850 (2nd attempt) Mean Score 786 795 787 (Nat’l mean=823) Median Score 786 802 775 854 Percentile rank (all A.D.N. programs) 21.58 37.94 32.96 49.51 Lowest score 410 434 544 525 Planning (810) Nursing Process The (only) areas with >850 were: Client needs Select areas with <850 & 10> questions Specialty Area Cultural/Spiritual Documentation Nursing Process GI/Hepatic Growth and Develop Musculoskeletal Neuro Reduce risk potential Pathophysiology Legal/Ethical Abuse Respiratory The only areas with > 850 were (most areas had less than 10 questions) The (only) areas with >850 (most areas had less than 10 questions) Implementation (807) Nursing process: Evaluati on Critical care Anxiety and comm.. Oncolog y Sensory Trauma and ER Therap Comm Patient care technolo gy Legal and ethical Depres and grief Oncolog y Info and patient info Member of the professio n Info mgmt and patient care technolo gy Psychosocial Integrity (747) Safe Effective Environment (832) Management of Care (824) Basic Care/Comfort (831) Community Health (651) Fundamentals (847) Maternity (746) Pediatrics (842) Professional Issues (801) Psych/Mental Health (806) NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois 107 NLN Educational Competencies NLNAC DATA/INDICATOR BENCHMARK 07-08 08-09 09-10* Critical Thinking 850 806 855 Therap. Comm 850 805 827 Therap. Nsg, Int. 850 811 855 Human Flourishing 850 Nursing Judgment 850 Nursing practice 850 Professional identity 850 827 New indicators to monitor beginning in 2010. 855 855 824 Safety and Quality (843) Patient Centered Care 850 Effective Communication (832) 850 New indicators to monitor beginning in 2010. Teamwork and collaboration Scope of practice (788) Communication (806) QSEN Competencies Systems/Team Function (829) Evidence-based practice 850 Quality improvement 850 *NOTE: 841 850 Culture of Safety and safety monitoring (841) 850 786 Safety Informatics OK In the spring of 2008, the EVOLVE/HESI/REACH exit exam was given to students in Nursing 2202. The test was an informal way to assist the students in preparation for taking the national licensure exam (NCLEXRN). No formal grade was given for taking the exam. In the spring of 2009, changes were instituted to the way the EVOLVE/HESI/REACH exam was used. Students that scored lower than 700 were encouraged to write a formal remediation plan to address areas in which they needed improvement. NCLEX-RN pass rates have improved to meet the National average of 91%. In 2010, students took the EVOLVE/HESI/REACH exit exam twice; one at the beginning of NURSI 2202, Based on the results, a formal remediation plan was developed with each student. The EVOLVE/HESI/REACH exam was then again taken by the end of the final semester of the program. An analysis of the difference in results between the two attempts is underway. A part of the NURSI 2202 grade was based on student compliance with the remediation plan. 108 NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois Mountain Measurements (Benchmark: 50th percentile or above; based on April-September report) AREAS WITH <50TH PERCENTILE 2007 None below 59th percentile Management of Care (S) Safety and Infection Control (S) None below 59th percentile Elimination (N, S, L) Analysis (S,N) Planning (S,N,L) Fluid-Gas transport (S,N) Elimination (S,N) Cardiovascular (N,S,L) Endoc/Metabolic (S,N) GI (S,N) Renal/Urinary (S,N, L) Respiratory (S,N,L) Health Restoration (acute/simple) (S) Health Restoration (acute/complex) (S, N) Natal (S) Adolescence (S) Older Adulthood (S) Life Span (S,L,N) Self-concept (S,N) Role Function (S,N) Interdependence (S,L,N) Client needs Nursing process Human Functioning Health Alterations None below 59th percentile Wellness/Illness continuum Older adulthood(L) Stages of maturity Interdependence (L,S,N) Stress, Adaption and Coping 2008 2009 2010 ACTION Management of care (S,N) Safety and Infection control (S) Psychosocial Integrity (S) Physiological Adaptation (S,L,N) None below 59th percentile Sensoryperceptual functions (S,L,N) Nutrition (S,L,N) Psychosocial/ behavioral (S,L,N) Renal/Urinary (S,L,N) None below 59th percentile Continue to monitor None below 59th percentile None below 59th percentile Continue to monitor Continue to monitor Respiratory (S,L) Continue to monitor Health Restoration (acute/complex) (S, N) None below 59th percentile Continue to monitor Natal (S,N) Childhood (S,L,N) Adolescence (S,N,L) Continue to monitor Self-concept (S,N) Self-Concept (S,N,L) Investigate NCLEX questions related to self concept and how this area is addressed in the curriculum. N = Comparison is all programs in the country S = Comparison is all program in the state L = Comparison is all like programs (i.e. A.D.N) Note: Investigation is underway to adopt an integrated external testing service. Attention must be given to the Evolve/HESI/Reach exam and NCLEX test results (Mountain Measurements) with an eye towards the implications for the curriculum, courses in it and assessment strategies used for those areas that do not meet the benchmark; i.e. those things that are bigger than individual students. NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois 109 6.3 Evaluation findings are shared with communities of influence. Evaluation findings are shared with various Nursing Department committees, however, triangulating findings through collaboration with key stakeholders is critical in the analysis of data, use of the data to make evidence-based decisions, and acting on the decisions made for program improvement. Key stakeholders to engage in data dissemination, analysis and action include: Nursing faculty and staff Student Services Admissions department Academic Affairs and Administration Advisory Committee Additionally, information is shared per annual survey requests from accrediting agencies. The process and frequency for sharing results is influenced by the type and frequency of data collected. Sharing the data is enhanced with the use of electronic communication; however, the use of the data in decision making and implementing actions for improvement needs to be institutionalized within the department and the college. TABLE 6.3A offers an idea of what data to share with which stakeholders. The most consistent and recognized form of data sharing is with the advisory committee. Every year, the Director/Chairperson plus several faculty hosts semiannual advisory committee meeting to which invitations to nurse educators in utilized agencies, graduates of the program active in education and in practice and also current students are invited. In this forum, discussions are held which look at what nurses are seeing as a need, graduates are seeing as strengths and weaknesses of the nursing program and faculty are able to share what has happened within the program. The meetings have provided feedback between the partnerships in learning and the college and nursing program to maintain relevant curriculum. Computer skills and utilizing these skills in the hospitals, professional communication, critical thinking, referring to Code of Ethics for Nurses and documentation A summary of these findings are noted in Advisory Committee meetings, as noted in meeting minutes, have resulted in feedback relevant to the curriculum. Computer skills and utilizing these skills in the hospitals, professional communication, critical thinking, referring to Code of Ethics for Nurses and documentation have been recommended areas to emphasize. TABLE 6.3ASTAKEHOLDERS TO SHARE EVALUATION FINDINGS WITH DATA NURSING FACULTY AND STAFF STUDENT SERVICES ADMISSIONS DEPT ACADEMIC AFFAIRS AND ADMINISTRATI ON ADVISORY COMMITTEE Retention X X X X X Graduation X X X X X NCLEX results X X X X X Job placement X X X X 110 NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois NURSING FACULTY AND STAFF DATA STUDENT SERVICES ACADEMIC AFFAIRS AND ADMINISTRATI ON ADMISSIONS DEPT ADVISORY COMMITTEE Student satisfaction X X Graduate satisfaction X X X Employer Satisfaction X X X EVOLVE/HESI /REACH results X X 6.4 Graduates demonstrate achievement of competencies appropriate to role preparation. Graduates have demonstrated achievement in their roles. These include: 1. 2. 3. 4. 5. 6. 7. NCLEX-RN Results Graduate satisfaction survey results Employer satisfaction results Job placement EVOLVE/HESI/REACH Exit test results Mountain Measurement results Advisory Committee input/feedback This is evidenced through several means. TABLE 6.5A identifies the results of the #1 through #4. EVOLVE/HESI/REACH results and Mountain Measurement results are reviewed by the Curriculum and Design Committee as well as the Faculty as a whole. 6.5 The program demonstrates evidence of achievement in meeting the following required program outcomes: Performance on licensure exam Program completion Graduate satisfaction Employer satisfaction Job placement TABLE 6.5A: SUMMARY OF ACHIEVEMENT DATA ACHIEVEMENT INDICATOR 2007 2008 2009 2010 NCLEX-RN results (pass rate) 91% 88% 91% 94% Program completion (%) 85% 89%*/ 95%^ 83% 90% Graduate Survey results (% satisfied with preparation) 100% 100%* May grads 100% NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois 111 ACHIEVEMENT INDICATOR 2007 2009 2008 2010 100% ^Dec grads 100% Employer satisfaction ACHIEVEMENT INDICATOR Job placement 100% 100% 2008 2009 *100% within 6 months or less from passing NCLEX-RN (N=23) * May grads ^90.9% within 6 months or less from passing NCLEX-RN (N=11) ^ Dec grads 88% within 6 months or less from passing NCLEX-RN (N=21) 2007 91.3% within 3 months or less from passing NCLEX-RN 100% 2010 TABLE 6.5B presents the percentage of students who completed: the first and second year in good standing, the nursing program within 3 years, and the nursing program in more than 3 years. Students leave the ADN Program for a variety of reasons, which are highly individualized. TABLE 6.5B: RETENTION RATES FOR CLINICAL NURSING NURSING YEAR (IN PROGRAM) First Year Second Year Program Completed: Within 3 years Program Completed: In >3 years Percent Retained 112 N= NUMBER STARTED R= RETAINED %= % RETAINED N R % N R % 20052007 20062008 (FALL ADMIT) 20062008 (SPR ADMIT) 20072009 20082010 107 94 88 94 91 97 91 115 110 96 110 100 91 90 40 38 95 42 40 95 40 118 102 86 102 98 96 98 108 93 86 106/20 98/15 92/75 98/15 - 10 - - - 85 89 95 83 90/75 NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois 20092011 117 111 95 121 117 20102012 115 111 In June of 2007, a cohort of 15 returning students from the quarter system was enrolled in a success program consisting of content that was no longer covered in the 2nd year of the program and special advising and success coursework and strategies, which enabled them to enter into the 2nd year of the ADN curriculum. These students would have potentially graduated in May, 2008. In September of 2007, a cohort of returning students from the quarter system was allowed readmission into the 1 st year of the ADN curriculum. These students would have potentially graduated in May, 2009. In January of 2007, a cohort of 40 students was enrolled into the nurse-faculty loan (evening/weekend) program. These students would have potentially graduated in December, 2008. In October, 2009, a cohort of PN students enrolled in the ADN transition course. These students graduated in May, 2010. 6.5.1 The licensure exam rates will be at or above the national average. Data received from IDFPR indicates that the program has met and surpassed the national pass rate for the years noted in TABLE 6.5 C. TABLE 6.5C: NCLEX-RN PASS RATE GRADUATING CLASS PASS RATE (1ST TIME) STATE AVERAGE NATIONAL AVERAGE 2008 88% 90% 87% 2009 91% 91% 88% 2010 94% 88% 86% 6.5.2Expected levels of achievement for program completion are determined by the faculty and reflect program demographics, academic progression, and program history. Program completion is the completion of the program within 3 years. The completion rate benchmark is 78%.This benchmark has been exceeded in the last three year. Program completion rates for the last three years are: 2007-2008: 2008-2009: 2009-2010: 89%Spring/95%Fall 83% 90% Students have an opportunity to repeat two nursing courses. Repeating (readmission) students are admitted on a space available basis. This has delayed some students completing the course of study sooner. The newly adopted academic advising model will strive to confirm reasons for students not completing the program. Graduates of the program identify the following as influencing their success in the program: Family support (Limited) Interference of family stressors (Manageable) Work responsibilities (Sufficient) Financial support While the graduates may have overcome these potential stressors, those who do not complete the program may not have been as fortunate. On the other hand, despite “early NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois 113 and often” conversation with the students about these “threats to success” and possible resources, it is suspect that not all students who could, act on this information. 6.5.3 Program satisfaction measures (qualitative and quantitative) address graduates and their employers. Program satisfaction of graduates is measured using the graduate satisfaction survey. A benchmark of 78% has been established. A summary of these survey results can also be found in TABLE 6.5A. Attempts to get employer feedback have been challenging. Getting the survey to the person at the agency that could validate actual graduate performance is limited at best. Employer feedback is noted in TABLE 6.5A. Attention has been given to feedback received from advisory committees. Additional information is gleaned from who the employers of our graduates are, and the units that they are getting employed in. It suggests options or alternatives to where students may need to have clinical learning experience, i.e. an increase being employed in nursing homes, and home health. 6.5.4 Job placement rates are addressed through qualified measures reflect program demographics and history. In past years before the change in the nurse practice act, graduates would have a firm job offer before graduating. Now they may be given a tentative job offer based on successful completion of the NCLEX exam. The graduate survey indicates that the majority of graduates have employment as an RN within six months or less of getting their license (see TABLE 6.5A). However, it should be noted that the metropolitan Chicago area has one of the lowest vacancy rates ever had. As such graduates may not get jobs as quickly as hoped, at the employment status desired, or with the employer of preference. Strengths Identification of a Systematic Evaluation Plan and the recognition to use data to make improvements or changes; despite Standard 6 being the last Standard, it is truly the one to start with. Attainment of the program evaluation required indicators. Implementation of a department operational structure and guidelines based on program function and in alliance with accrediting bodies’ standards. Outstanding recent College program evaluation activity resulting being one featured in a staff development activity. Opportunities for Improvement Need to more fully adopt the outcomes based and evaluation model of program offering, decision making and evaluation. Need to engage in more direct means of assessment of program and student performance 114 NLNAC Self Study 2011 Associate Degree Nursing Program College of DuPage, Glen Ellyn, Illinois