i PROGRAM INFORMATION FORM Commission on Collegiate Nursing Education One Dupont Circle, NW, Suite 530 Washington, DC 20036-1120 Official Name of Institution: California Baptist University – School of Nursing Type of Institution: Private Institution’s Carnegie Classification: Other Chief Executive Officer of Institution: Ron Ellis, PhD President, California Baptist University Official Name of Nursing Unit: School of Nursing Chief Nurse Administrator: Constance Milton, RN; PhD Dean of the School of Nursing Address: 8432 Magnolia Avenue, Riverside, California 92504 Telephone Numbers: 1.800.782.3382 951.789.5771 951.343.4700 Fax Number: 951.343.4703 School of Nursing FAX E-mail address: rellis@calbaptist.edu cmilton@calbaptist.edu Web site address of institution/program: http://www.calbaptist.edu/ http://www.calbaptist.edu/nursing/ Toll free campus number Campus main number School of Nursing Signature: Dr Ron Ellis______________________________ President _______________________ Date Dr Constance Milton _______________________ Dean of the School of Nursing _______________________ Date ii ACCREDITATION AND APPROVAL Institutional Accreditation: INSTITUTIONAL ACCREDITOR (identify agency name) LAST REVIEW (year) 1999; focus visit 2003; Beaumont site visit 2006 NEXT SCHEDULED REVIEW (year) NEXT SCHEDULED REVIEW (year) American Association of Nurse Anesthetists LAST REVIEW (year) NA American College of Nurse Midwives NA NA Commission on Collegiate Nursing Education NA NA National Association for Nurse Practitioners in Reproductive Health National League for Nursing Accrediting Commission NA NA WASC 2008 Specialized Accreditation: SPECIALIZED ACCREDITOR NA NA NA State Board of Nursing Approval: Name of applicable state board of nursing: California Board of Registered Nursing NURSING PROGRAM APPROVED Baccalaureate program LAST REVIEW (year) 2005 Master’s program NA NEXT SCHEDULED REVIEW (year) 2011 (annual reports to board) 2008 Add any relevant comments regarding accreditation and approval: This is a new nursing program. The first graduates of the generic baccalaureate program will achieve their graduation requirements in 2009. iii NURSING PROGRAM INFORMATION Degree Programs Offered, Student Data: Identify all baccalaureate and master’s degree tracks offered by the nursing unit. For each track, list current enrollment data, as well graduation data for the previous academic year. For the baccalaureate program, include only nursing students (not pre-nursing students). NUMBER OF STUDENTS ENROLLED NUMBER OF GRADUATES 117 NA RN-BSN - started 09-3-2007 34 0 Other (specify) NA NA Totals: 151 0 Master’s Program (Identify tracks offered) (online only) NA NA Totals: 151 0 NURSING PROGRAM (identify all tracks) Baccalaureate Program Identify any post-master’s certificates offered by the nursing unit: NA Identify any doctoral degree programs offered by the nursing unit: NA Identify any joint degree programs in nursing offered with any other unit at your institution (e.g., MSN/MPH with the School of Public Health): NA NCLEX-RN Pass Rates for the Last Three Academic Years: Academic Year NA Number of Students Taking NCLEX-RN for First Time NA Academic Year Certification Exam NA NA Number of Students taking Exam for the First Time NA NCLEX-RN Pass Rate for First Time Test Takers NA Certification Pass Rate for First Time Test Takers NA iv Nursing Program Faculty: Identify the number (headcount) of faculty currently devoted to the nursing unit: # FULL-TIME # PART-TIME TOTAL # FACULTY 8 9 17 Note: Budget provides for 2 additional full time (including a clinical coordinator position) and 2 adjunct positions in Winter (January) 2008. Identify the faculty full-time-equivalent (FTE) currently devoted to the baccalaureate degree program: FULL-TIME FTE 8 PART-TIME FTE 9 TOTAL FACULTY FTE 17 Identify the faculty full-time-equivalent (FTE) currently devoted to the master’s degree program: FULL-TIME FTE NA PART-TIME FTE NA TOTAL FACULTY FTE NA Additional Campuses/Sites: Identify any additional campuses/sites where the nursing degree program is offered, the distance from the main campus, and the average number of nursing students currently enrolled at each location. CAMPUS/SITE (City, State) Beaumont, CA Hesperia, High Desert, CA Victor Valley, CA DISTANCE FROM MAIN CAMPUS (in miles) 34.13 Miles 51.42 54.44 Miles # STUDENTS ENROLLED 5 7 5 Distance Education: Does your nursing unit currently offer curricula (or any part thereof) via distance education (i.e., alternative modalities, including distance-mediated modalities, other than traditional classroom style)? NO v Table of Contents Page List of Tables and Appendices………………………………………… vii List of Exhibits…………………………………………………………. viii Introduction…………………………………………………………….. ix Overview of California Baptist University & the School of Nursing….. 1 Standard 1 Program Quality: Mission and Governance 1A………………………………………………………………. 4 Table 1……………………………………………………… 7 Table 2……………………………………………………… 8 1B………………………………………………………………. 9 1C………………………………………………………………. 9 1D………………………………………………………………. 10 1E………………………………………………………………. 11 1F………………………………………………………………. 11 Strengths, Areas for Improvements, and Plan of Action………. 12 Standard 2 Program Quality: Institutional Commitment and Resources 2A………………………………………………………………. 13 2B………………………………………………………………. 16 2C………………………………………………………………. 19 2D………………………………………………………………. 29 2E………………………………………………………………. 30 2F………………………………………………………………. 31 Strengths, Areas for Improvements, and Plan of Action………. 32 vi Standard 3 Program Quality: Curriculum and Teaching Learning Practices 3A………………………………………………………………. 33 3B………………………………………………………………. 38 3C………………………………………………………………. 40 3D………………………………………………………………. 43 3E………………………………………………………………. 44 3F………………………………………………………………. 46 Strengths, Areas for Improvements, and Plan of Action………. 49 Standard 4 Program Effectiveness: Student Performance and Faculty Accomplishments 4A………………………………………………………………. 50 4B………………………………………………………………. 55 4C………………………………………………………………. 59 4D………………………………………………………………. 61 4E………………………………………………………………. 62 Strengths, Areas for Improvements, and Plan of Action………. 63 vii List of Tables Table 1 Table 2 University and Program Student Outcome Alignment Congruence between Program Student Outcome Statements, Conceptual Themes and Essentials of Baccalaureate Nursing AACN Components and Standards of Competent Performance List of Appendices Appendix A Appendix B Appendix C Appendix D Appendix E Appendix F Appendix G Appendix H Appendix I Appendix J Appendix K Appendix L California Baptist University Catalog 2007-2008 Outcome Assessment Plan School of Nursing Five Year Strategic Plan Faculty Job Description (abstracted from School of Nursing Faculty Handbook) Organizational Charts Application Guidelines and Application for Admission Faculty Curriculum Vitae Budget School of Nursing Philosophy Curricular Plans Clinical Agency Affiliations Clinical Evaluation Tool viii List of Exhibits Standard I Exhibit 1 Exhibit 2 Exhibit 3 Exhibit 4 Exhibit 5 Exhibit 6 Exhibit 7 Student Demographics California Baptist University Comprehensive University Plan (CUP) School of Nursing Faculty Minutes Focus Groups and Nursing Advisory Committee Minutes School of Nursing Faculty Handbook California Baptist University Faculty Handbook Promotional Materials Standard II Exhibit 8 Exhibit 9 Exhibit 10 Exhibit 11 Exhibit 12 Exhibit 13 California Board of Registered Nursing Self Study Women of Vision International Service Projects Faculty Self Evaluations Library Holdings Admissions Process Timeline Standard III Exhibit 14 Exhibit 15 Exhibit 16 Exhibit 17 Exhibit 18 Exhibit 19 Exhibit 20 Exhibit 21 Spirituality in Nursing Series, Faith in Nursing Brochure School of Nursing Student Handbook Course Syllabi Baccalaureate Graduation Competencies List Student Work Course and Clinical Agency Evaluations ATI Materials Janet Goeske Award Standard IV Exhibit 22 Exhibit 23 Exhibit 24 Exhibit 25 Exhibit 26 Course Examinations Nursing Skills Checklist LiveText Human Becoming Documents for Student Work Informal and Serendipitous data of constituency Introduction ix California Baptist University is a Christian liberal arts institution founded by Southern Baptists to serve the world. The University is composed of the Dr. Bonnie G. Metcalf School of Education, the School of Behavioral Sciences, the Shelby and Ferne Collinsworth School of Music, the School of Christian Ministries, the Dr. Robert K. Jabs School of Business, the College of Arts and Sciences, the School of Nursing, and the School of Engineering. With a student body of over 3800, CBU offers three baccalaureate degrees in 28 majors and seven graduate programs. California Baptist University is accredited by the Western Association of Schools and Colleges (WASC). The University’s teacher preparation programs are approved by the State of California Commission on Teacher Credentialing. The Robert Jabs School of Business is nationally accredited by the Association of Collegiate Business Schools and Programs. The School of Music is accredited by the National Association of Schools of Music. The University also holds memberships in the Association of Independent California Colleges and Universities, the Association of Southern Baptist Colleges and Schools, and the Council for Christian Colleges and Universities, and the Service Members Opportunity Colleges. All women graduates are eligible for membership in the American Association of University Women. On September 18, 1950, the Los Angeles Baptist Association opened the doors of California Baptist College in El Monte. The college began operations with 42 students in Fall 1950; 120 were enrolled during the 1950-51 academic year. In 1955, after four years of continued growth, the college relocated to larger facilities in Riverside. As a University committed to the Great Commission, CBU seeks to provide students with “spiritual formation, personal development, vocational preparation, and a sound, academic, liberating education (which will lead them to) investigate, practice, and refine their aesthetic, moral, social, and spiritual values in order to prepare themselves to make substantial contributions to the cause of Christ as skilled professionals, thinking citizens, and educated persons.” The philosophy of the School of Nursing, which emphasizes the meaning and valuing of health and quality of life is aligned with the institutional desire that all programs “foster an environment supporting the intellectual, physical, social and spiritual development of each student” (Appendix A). 1 Overview of California Baptist University and the School of Nursing Programs California Baptist University On September 18, 1950, the Los Angeles Baptist Association opened the doors of California Baptist College in El Monte. The college began operations with 42 students in Fall 1950; 120 were enrolled during the 1950-51 academic year. In 1955, after four years of continued growth, the college relocated to larger facilities in Riverside. Today, the Spanish-style buildings include classrooms, campus housing, a library, offices, maintenance and athletic facilities, are located on the 103 plus acre campus. Growth in all areas paved the way for the institution to become a university on September 25, 1998. California Baptist University continues the BSN tradition of liberal arts education in a Christian environment. California Baptist University is a Christian liberal arts institution founded by Southern Baptists to serve the world. The University is composed of the Dr. Bonnie G. Metcalf School of Education, the School of Behavioral Sciences, the Shelby and Ferne Collinsworth School of Music, the School of Christian Ministries, the Dr. Robert K. Jabs School of Business, the College of Arts and Sciences, the School of Nursing, and the School of Engineering. With a student body of over 3800, CBU offers three baccalaureate degrees in 28 majors and seven graduate programs. California Baptist University is accredited by the Western Association of Schools and Colleges (WASC). The University’s teacher preparation programs are approved by the State of California Commission on Teacher Credentialing. The Robert Jabs School of Business is nationally accredited by the Association of Collegiate Business Schools and Programs. The School of Music is accredited by the National Association of Schools of Music. The University also holds memberships in the Association of Independent California Colleges and Universities, the Association of Southern Baptist Colleges and Schools, and the Council for Christian Colleges and Universities, and the Service Members Opportunity Colleges. All 2 women graduates are eligible for membership in the American Association of University Women. As a University committed to the Great Commission, CBU seeks to provide students with “spiritual formation, personal development, vocational preparation, and a sound, academic, liberating education (which will lead them to) investigate, practice, and refine their aesthetic, moral, social, and spiritual values in order to prepare themselves to make substantial contributions to the cause of Christ as skilled professionals, thinking citizens, and educated persons.” The philosophy of the School of Nursing, which emphasizes the meaning and valuing of health and quality of life is aligned with the institutional desire that all programs “foster an environment supporting the intellectual, physical, social and spiritual development of each student” (Appendix A). California Baptist University (http://www.calbaptist.edu/) is a private academic institution with its main campus being located in Riverside, California. Through the “College of Professional Studies,” a degree completion branch of the university, satellite campuses are located in Beaumont, Hesperia, San Bernardino and Chino Hills. These facilitate the offcampus program of the university, and for nursing are primarily limited to course offerings within the RN- BSN completion program. School of Nursing Program In December of 2005, the California Board of Registered Nursing granted initial approval for California Baptist University (CBU) of the Bachelor of Science in Nursing Program. The first class of 40 students was admitted to the program in September 2006. Student demographics can be found in Exhibit 1. California Baptist University’s nursing curriculum is informed by the theory of human becoming, developed by Dr Rosemarie Rizzo Parse (1981, 1998). The curriculum is based upon three conceptual framework elements: meaning, rhythmicity, and transcendence. These elements are translated into nursing practice arenas of person, community, environment, and health. The conceptual framework concepts underpin all nursing program and course 3 objectives, the clinical evaluation tool, and written assignments. The program has a strong commitment to clinical practice by requiring over 1,000 hours of clinical practice, as well as a strong theoretical component within the didactic content. The California Baptist University School of Nursing (CBU-SON) has a generic BSN program and an RN-BSN Completion Program. Students in the generic BSN program tend to take most of their general education requirements at CBU; however, some may transfer in with credits from community colleges and other universities. The California Board of Nursing gave approval to admit up to 60 students per year in the generic BSN program: 40 students once each fall, followed by a spring semester admit of 20 students beginning in January of 2007. The program starts are in the fall (September) and spring (January) Semesters. The RN-BSN program commenced in September 2006 in response to constituency needs and market demands. The CBU-SON student population includes three distinct programs. They include a BSN program with 117 (4 year) nursing students. There are two BSN program admissions each year with 40 new students enrolled in the fall semester and 20 new students entering the program in the spring semester. The RN-BSN completion program which currently has 34 students enrolled in five separate cohorts. A new entry level MSN program is scheduled to commence in May 2008. 4 Standard I STANDARD I. Program Quality: Mission and Governance The mission, goals, and expected outcomes of the program are congruent with those of the parent institution, reflect professional nursing standards and guidelines, and consider the needs and expectations of the community of interest-all in the pursuit of the continuing advancement and improvement of the program. Policies of the parent institution and nursing program clearly support the program’s mission, goals, and expected outcomes. The faculty and students of the program are involved in the governance of the program and in the ongoing efforts to improve program quality. Key Element I-A: The mission, goals, and expected outcomes of the program are written, congruent with those of the parent institution, and consistent with professional nursing standards and guidelines for the preparation of nursing professionals. The mission, goals, and expected outcomes of the California Baptist University School of Nursing Program are congruent with those of the parent organization, California Baptist University and are consistent with the professional nursing standards and guidelines for preparing nursing professionals. The CBU-SON Program utilizes the following standards to underpin the program’s mission. American Association of Colleges of Nursing. (1998). Essentials of baccalaureate education for professional nursing practice. Washington, DC: American Association of Colleges of Nursing (AACN). American Association of Colleges of Nursing. (1999). Essential clinical resources for nursing’s academic mission. Washington, DC: American Association of Colleges of Nursing (AACN). American Nurses Association. (2001). Code of ethics for nurses with interpretative statements. Washington, DC: American Nurses Association (ANA). American Nurses Association. (2004). Nursing scope and standards of practice. Washington, DC: American Nurses Association (ANA). California Department of Consumer Affairs Board of Registered Nursing Nurse Practice Act and Board of Registered Nursing Rules and Regulations 5 Mission The Institutional Mission of California Baptist University appears in the California Baptist University Catalog (2007-2008, Appendix A) and on the university’s web site (www.calbaptist.edu) which states: “The primary purpose of this corporation is to conduct regular four-year college courses in education, music, sciences and the liberal arts, and to grant certificates, diplomas and any and all degrees evidencing completion of any course of training, together with any and all honorary degrees and to provide training for Baptist youth and others desiring to be affiliated with Baptist theology and theological instruction and such other instruction as may be needful and advantageous in preparing and qualifying ministers and others for Christian work.” The mission of the Bachelor of Science in Nursing program (BSN) (www.calbaptist.edu/nursing/) is to support the University’s mission for the purpose of preparing competent, responsible, entry-level healthcare practitioners who are committed to the service of others. Goals The School of Nursing upholds the goals of the institution which are: 1. To reflect, in life and thought, historic Southern Baptist principles, such as: a. The Lordship of Jesus Christ. b. The competency of the individual soul before God. c. The Scriptures as the authoritative guide for doctrine and practice. d. The separation of Church and State. e. The autonomy of the local church. 2. To help students observe and interact with a community that effectively models Christian characteristics and values. 3. To offer a selection of programs that will attract a wide range of qualified students. 4. To encourage a free exchange of ideas by providing a wide variety of spiritual, intellectual, cultural, and social learning experiences both within and outside the classroom. 5. To encourage high standards of scholarship. 6. To provide support for students experiencing academic and personal difficulties. 7. To encourage each member of the university community to be involved in a lifelong, personal Christian pilgrimage. 6 8. To enable its educators to engage in continuing professional development. 9. To develop mature individuals of genuine Christian character who can contribute to churches and effect changes in society for its betterment. 10. To develop specific leadership for the churches and general work of the Southern Baptist Convention. Expected Program Outcomes The program student outcomes of the School of Nursing are congruent with the parent institution, California Baptist University. (Table 1). Graduates of the baccalaureate nursing program shall: 1. demonstrate competent, responsible practice guided by a theoretical perspective of nursing and a strong commitment of service to others; 2. utilize scholarly inquiry and research findings from Christian studies, the behavioral, biological, physical, and medical sciences integrated with knowledge from nursing science in the practice of professional nursing; 3. demonstrate the nursing skills necessary to function at an entry level of professional nursing practice in a wide variety of healthcare settings; 4. comprehend the dynamic, evolving changes in healthcare systems; and 5. articulate and demonstrate qualities consistent with a potential for leadership and admission to graduate nursing education. 7 Table 1: University and Program Student Outcome Alignment University Student Outcomes Program Student Outcomes 1. Demonstrate spiritual literacy, including Biblical Christian faith and practice, Baptist perspectives, and the Christian’s role in fulfilling the Great Commission. 5. Articulate & demonstrate qualities consistent with a potential for leadership & admission to graduate nursing education. 2. Respect diverse religious, cultural, philosophical, and aesthetic experiences and perspectives. 2. Use scholarly inquiry from Christian, behavioral, biological, physical, & medical sciences integrated with nursing science. 3. Use critical thinking skills to demonstrate literacy; listening, speaking, reading, writing, viewing, and visual representing. 1. Demonstrate competent, responsible practice guided by a theoretical perspective of nursing and science. 2. Use scholarly inquiry from Christian, behavioral, biological, physical, & medical sciences integrated with nursing science. 3. Demonstrates nursing skills necessary for high competence at the entry level in a variety of health care settings. 4. Demonstrate competence in 3. Demonstrates nursing skills necessary for high mathematical, scientific, and competence at the entry level in a variety of health technological skills. care settings. 5. Transfer academic studies to a 4. Comprehend the dynamic and evolving changes profession and the workplace. in the healthcare system. 6. Implement a personal and social ethic 1. Demonstrate competent, responsible practice that results in informed participation in guided by a theoretical perspective of nursing and multiple levels of community. science. 4. Comprehend the dynamic and evolving changes in the healthcare system. 5. Articulate & demonstrate qualities consistent with a potential for leadership & admission to graduate nursing education. Outcomes and Professional Nursing Standards The School of Nursing program outcomes align with the AACN Essentials of (1998) Baccalaureate Nursing AACN Components and Standards of Competent Performance (Table 2). 8 Table 2: Congruence between Program Student Outcomes and Essentials of Baccalaureate Nursing AACN Components and Standards of Competent Performance Program Student Outcomes (PSOs) 1. Practice Nursing Theory Communication/ Competence Conceptual Themes Essentials of (1998) Baccalaureate Nursing AACN Components Standards of Competent Performance (SCPs) Critical Thinking TeachingLearning Professional values Core competencies: critical thinking, communication Core knowledge: ethics Role development: provider of care, member of a profession 1. Formulates nursing diagnosis 2. Formulates care plan 3. Performs skills 4. Delegates tasks 5. Evaluates effectiveness of care plan 6. Acts as client advocate 2. Formulates care plan 3. Performs skills 5. Evaluates effectiveness of care plan Collaboration 2. Scholarly Inquiry/ Research Utilization Integrated Knowledge Researching Critical Thinking Communication/ Collaboration TeachingLearning 3. Nursing Skills Critical-thinking Communication/ collaboration Teachinglearning Researching 4. Rhythms of Ongoing Change in Healthcare Systems Changepersistence Leading following Communication/ collaboration Teachinglearning 5. Qualities of Leadership Changepersistence Leading-following Communication/ collaboration Liberal education Professional values Core competencies: critical thinking, communication Core knowledge: health promotion, risk reduction, disease prevention, illness and disease management, ethics, human diversity, information and healthcare technologies. Role development: provider of care, member of a profession Core competencies: critical thinking, communication, assessment, technical skills, illness and disease management, Role development: provider of care, member of a profession Liberal education Professional values Core competencies: communication Core knowledge: health promotion, risk reduction and disease prevention, information and healthcare technologies, human diversity, global healthcare, healthcare systems and policy. Role development: designer/manager/coordinator Liberal education Professional values Core competencies, critical thinking, communication Core knowledge: ethics, human diversity, healthcare systems and policy, Role development: provider of care, designer/manager/coordinator of care; member of a profession 1. Formulates nursing diagnosis 3. Performs skills 6. Acts as client advocate 4. Delegates tasks 6. Acts as client advocate 9 Key Element I-B: The missions, goals, and expected outcomes of the program are reviewed periodically and revised, as appropriate, to reflect professional standards and guidelines. The California Baptist University School of Nursing BSN Program accepted the first class of baccalaureate and RN-BSN completion students in September 2006. The mission, goals, and expected outcomes of the program are reviewed periodically and revised, as appropriate, to reflect professional standards and guidelines. The baccalaureate program was developed and approved by the California Board of Registered Nursing in December of 2005. The first cohort groups are going through the program for the first time. A program outcome assessment plan has begun (Appendix B). Beginning curriculum changes and recommendations have begun with Nursing Student Handbook Changes and minor course revisions (Exhibit 3). The nursing philosophy, conceptual framework, program, course outcomes, and learning activities were approved by the California Board of Registered Nursing and have been reviewed by the entire nursing faculty to ensure incorporation of both state requirements and the AACN essentials document (Table 2). Key Element I-C: The mission, goals, and expected outcomes of the program are reviewed periodically and revised, as appropriate, to reflect the needs and expectations of the community of interest. The Community of Interest The local external community of interest is comprised of nursing and health care leaders and consumers of health care from the Riverside and Inland Empire region. The community of interest for the California Baptist University School of Nursing has been defined as constituencies found within the University, healthcare agencies of Riverside County and the Inland Empire, and those donors and benefactors who support California Baptist University. Within the University are nursing faculty members, University staff members who support the School of Nursing, faculty members who teach support courses, 10 University administrators and members of the Board of Trustees. Other community organizations and clinical agencies involved in educating nursing students and employing alumni, persons who receive nursing services from students and alumni, the California Board of Registered Nursing and the Commission on Collegiate Nursing education, as well as the generous donors and supporters of the School of Nursing including the Women of Vision board who raise funds for the School of Nursing. All of these identified constituencies have an interest in the effectiveness and the ongoing evolution and development of the School of Nursing in fulfilling its mission, reaching its goals, and achieving indicators for the desired expected outcomes. Focus group meetings and advisory committee meetings (Exhibit 4) have provided valuable input for the baccalaureate and masters nursing programs. The program evaluation plan summary chart reflects the mechanisms for data collection (Appendix C). For example, the entry level master’s program has recently emerged from the input of the Supervising Nurse Education Consultant from the Board of Registered Nursing and advisory board meetings. Nursing faculty and adjunct faculty meetings have provided guidance and valuable feedback for program development and ongoing implementation needs (Exhibit 3). Key Element I-D: Roles of the faculty and students in the governance of the program are clearly defined and enable meaningful participation. The roles of the nursing faculty are clearly defined in the Faculty job description (Appendix D) in the School of Nursing Faculty Handbook (Exhibit 5). The nursing Faculty handbook contains the defined roles for the faculty member(s) and the student's role in program governance. The California Baptist University Employee Handbook, Faculty section (Exhibit 6) discusses the role of faculty members in the governance of the University. Organizational charts (Appendix E) delineate the structure and reporting relationships for the University and for the School of Nursing. The Dean of the School of Nursing reports to the Provost, Dr. Jonathan Parker. The Provost reports to the President, Dr. Ron Ellis. The President reports to the Board of Trustees. 11 Nursing faculty members have the opportunity to participate with other University faculty members in the governance of the University through Faculty Senate representation and standing committees of the Faculty. Key Element I-E: Documents and publications are accurate. Any reference in promotional materials to the program’s offerings, outcomes, accreditation/approval status, academic calendar, admission policies, grading policies, degree completion requirements, tuition, and fees are accurate. Current promotional materials concerning the nursing program’s offerings, outcomes, accreditation/approval status, academic calendar, grading policies, degree completion requirements, tuition, and fees are accurate (Appendix A and Exhibit 7). Key Element I-F: Policies of the parent institution and the nursing program are congruent with and support the mission, goals, and expected outcomes of the program; these policies are fair, equitable, and published and are reviewed as necessary to reflect ongoing improvement. These policies include, but are not limited to those relative to student recruitment, admission, and retention. Policies of the SON and the university are congruent and support the mission, goals, and expected outcomes of the programs. The policies are fair, equitable, published and reviewed to reflect ongoing improvement. The student application guidelines and process are clearly delineated (Appendix F). CBU and the SON advertise individual programs using television, radio, newspaper, internet websites and freeway signage. A strong marketing tool for nursing is word of mouth and the physical presence of Faculty and students in health care facilities. 12 Standard I. Program Quality: Mission and Governance Analysis for Continuous Quality Improvement A. Identified Strengths 1. The philosophy, mission, statement of purpose (goals), and program objectives (expected outcomes) of the nursing program are clearly stated and are congruent with the mission of California Baptist University. 2. The nursing curriculum is informed by the theory of human becoming preparing competent nurses committed to engendering health and quality of life for the whole person. 3. Future graduates will be well prepared to serve underserved populations locally, nationally, and internationally. 4. CBU Faculty and administration consistently seek advice from its community of interest. 5. CBU and SON printed online publications and policies are accurate and current, and reviewed on a yearly basis. 6. The School of Nursing has a detailed program evaluation plan that is being implemented for program improvements. B. Strategies for Continuous Improvement 1. There is a need to update the nursing website to more accurately reflect the strengths of the School of Nursing and its Faculty. 2. Implement strategies to involve students more consistently on SON committees. 3. Engage the Nursing Advisory Committee in continual monitoring of the SON program. 13 STANDARD II – Program Quality: Institutional Commitment and Resources The parent institution demonstrates ongoing commitment and support. The institution makes available resources to enable the program to achieve its mission, goals, and expected outcomes. The faculty, as a resource of the program, enables the achievement of the mission, goals, and expected outcomes of the program. Key Element II-A: The parent institution and program provide and support an environment that encourages faculty teaching, scholarship, service, and practice in keeping with the mission, goals, and expected outcomes of the program. Institutional measures to support Faculty development, research, and scholarly activities include (1) sabbatical leaves and release time; (2) internal tuition reimbursement for doctoral education; and (3) professional travel funds; California Baptist University's mission is primarily as a teaching institution. Nursing faculty members who are enrolled in doctoral programs receive 75 % of tuition reimbursement covered by the University. University and School of Nursing budgets allocate funds which facilitate Faculty participation in Faculty development activities including professional conferences, continuing education, and workshops. Nursing faculty members are encouraged by the Dean to take advantage of these resources including a generous University Faculty development travel fund application process to cover costs for presentation at professional meetings as well as attendance at key meetings of the nursing discipline. In the past year, every full time faculty member has participated and received support for some form of professional development (Appendix G). The University provides a computer to each faculty member for use in instructional and research activities. Faculty members have access to expanded library and internet resources to enhance their professional and class preparation activities. The University has provided an administrative position to encourage research and Faculty development as well as grant writing assistance. Currently, the School of Nursing has received over $350, 000 dollars in grants from the Fletcher-Jones foundation and the Stamps Foundation. Kaiser Permanente has contributed financially for all beds in the nursing Skills Lab as well as Skills Lab equipment. The Fletcher-Jones Foundation grant also included the purchase of personal digital assistants (PDA's) for Faculty and student use. Simulation equipment is used in the nursing Skills Lab and the Lambeth Center is currently under construction that will provide a basic nursing Skills Lab with ten beds, an advanced nursing 14 Skills Lab with ten beds, a 40 seat computer lab/classroom and a simulation center that will include a control room and filming capabilities that will encourage teaching-learning processes with critical thinking, skill competency development, and incorporating evidencebased practice into the nursing curriculum. With this new center, the School of Nursing will facilitate Faculty development, preceptor, and adjunct Faculty development, as well as local community healthcare agency continuing education opportunities. All full time Faculty receive a general orientation to the University and participate in a year long new Faculty orientation program through the Provost's office. The School of Nursing also utilizes a check list to ensure orientation for critical role responsibilities in the School of Nursing. In addition to the use of simulation and technology, each full time and adjunct faculty member have an opportunity for orientation to the clinical facilities and the school is required to have the Faculty participate in a systematic orientation program by the California Board of Nursing (Exhibit 8). The University provides support for quality improvements in Faculty teaching with a fall retreat for full time Faculty. This annual event brings all Faculty from across the disciplines together for study, panel discussions, and guest speakers selected for the purposes of strengthening and fortifying the educational University student outcomes (USO's). In addition, the University financially supports the use of Blackboard, an online learning management system, by faculty members and students. The University provides one on one instruction to full time nursing faculty members and adjunct faculty members using this technology classroom enhancement. Full time faculty members not engaged in administrative duties at California Baptist University are required by contract to teach up to 24 units per contract year. Theory courses have a 1:1 ratio for classroom units: Faculty load. Currently, Faculty members receive 2/3rds clinical time as load credit for clinical teaching. According to the University Faculty Handbook, faculty members are expected to hold office hours in addition to their teaching responsibilities (Exhibit 6). School of Nursing full time faculty members are also expected to participate in University committees. 15 Within the School of Nursing, full time faculty members are expected to participate in ongoing course development and course improvement activities as a team. Given the situation of a growing, beginning School of Nursing, the Faculty freely and voluntarily gives many hours of service for their colleagues and students with these activities. There is an expectation from the Dean that seasoned, experienced Faculty participate in mentoring new Faculty with course development and revisions for improvement geared toward desired course and program outcomes. For example, lead faculty members are identified for each course. It is the course coordinator's responsibility to govern and assist new or adjunct Faculty with their responsibilities and conflict resolution when it surfaces. California Baptist University faculty members also volunteer and assist the University with fund raising and institutional advancement opportunities. The Dean is a board member and active participant for the Women of Vision of California Baptist University (Exhibit 9). This community constituent organization of women leaders raises funds for the sole purpose of support for the School of Nursing. To date, they have raised close to 900, 000 dollars for the School of Nursing. Faculty members volunteer at fund raising events on a regular basis. One nursing faculty member volunteers to support the new student nurses organization. In their second year, the nursing students provided and decorated a Christmas tree for a seasonal contest supported by the city of Riverside. The students won an award at the event in December, 2007 and all proceeds were given to the Pediatric unit of Riverside County Regional Medical Center. One faculty member served as a leader to Rwanda with the International Service Project (ISP) taking a team of 7 nursing and pre-nursing students in June, 2007. Two faculty members will take a team of nursing students to Rwanda with ISP in July 2008. The team will partner with a new school of nursing in Kabgayi Rwanda (Exhibit 10). In addition, service to the community is an expectation for all faculty members of the University (Appendix G and Exhibit 11). 16 Key Element II-B: Fiscal and physical resources are sufficient to enable the program to fulfill its mission, goals, and expected outcomes. These resources are reviewed, revised, and improved as needed. Fiscal Resources California Baptist University is providing significant fiscal resources and is actively engaged in securing physical resources to enable the School of Nursing to fulfill its mission, goals, and expected outcomes. Major sources of University income include tuition and fees; donations, grants, and auxiliary services such as room, board, and the bookstore. The budget process starts in December, seven months prior to implementation. The Dean seeks input from faculty members related to the budget during Faculty meetings. The Dean begins preliminary planning and asks for the program directors and Faculty to submit a list of desired equipment, software, and items for the next budget year. The Dean reviews the requests and submits a budget proposal to the Provost's office. In February, budget hearings begin and the Dean is afforded the opportunity to present the next year's fiscal needs to a University committee. Revisions and feedback are offered before a final budget is approved by the Executive Council of the University. All tuition and fees are approved by the Board of Trustees. It should be noted that the University has significantly increased funding over the first two years of the program (Appendix H). The budget includes salaries and direct operational expenses. It does not include group insurance, pensions, tuition discounts or waivers, facility costs or University administrative overhead which are budgeted elsewhere in the University. The budget also does not include funds that are donated directly to the School of Nursing. As of spring 2008, over $860,000 was donated to the School of Nursing. To date, the use of these funds has been used for capital equipment, building renovation, Skills Lab, and simulation lab equipment. In the fall of 2008, the nursing Skills Lab will be named the Women of Vision Skills lab to honor the women and families who have so generously given of themselves in support of the mission of the School of Nursing. 17 University Shared Resources Classroom space more than doubled with the addition of the Yeager Center in 2003, and the addition of the School of Music building in Fall of 2005, and the projected groundbreaking for a classroom building in the Fall of 2008 will supply ample classroom space for continued growth. Space includes more than a dozen “smart rooms” wired for technology and six computer classes in which every seat is equipped with a monitor and base unit. All classrooms can be equipped with a television/VCR/DVD combination to show films or other information. Three large open-use computer laboratories are available to students on the main campus from 8am to 10pm Monday to Thursday, 8am to 6pm Friday, 9am to 5pm Saturday and 6pm to 10pm Sunday, providing access to over 100 workstations. These general use labs, along with four dedicated computer classrooms and two 25-unit mobile laptop carts receive service from a full-time coordinator in the Information Technology (IT) department. Classroom Equipment such as video recorders, television monitors, LCD projectors, and overhead projectors are available through the Campus Services Department on Monday Friday 7:30 a.m. - 7:30 p.m. and Saturday 8:00 a.m. - 4:00 p.m. Parking in lighted lots surrounding the main classroom buildings is available without charge, and campus security is available 24 hours a day. Student Study Space is readily available. Students and faculty who need to research or study can also enjoy the quiet retreat of several conveniently placed study rooms throughout campus, the expanse of the Annie Gabriel Library, the computer rooms, or the relaxed, informal atmosphere of “Wanda’s” coffee house located on campus. All of those aforementioned places have a wireless internet connection. Other places to relax include a game room, outdoor seating in the quad, and an Olympicsized pool. Food, Bookstore, and Convenience Services are readily available for graduate students. Food service and refreshments are available before classes and during breaks in Wanda’s Café. Telephone service and copy machines are available in several locations. The campus 18 bookstore is open from 8 am to 6 pm Monday- Thursday, 8am to 5 pm on Friday and on other occasions when needed. Graduate student services, financial aid, student counseling and graduate advisers are also available at convenient hours. The Academic Resources Center (ARC) offers tutoring services and sponsors regular evening and weekend workshops on topics designed to equip students with a variety of academic success skills and support student scholarship. The Counseling Center serves a twofold purpose: to provide counseling service to the California Baptist University community, and provide supervision and training to practicum students in the School of Behavioral Sciences graduate programs. The Counseling Center assists students in achieving their personal, social, spiritual, academic, and career goals through professional, confidential services including individual and group counseling, workshops, behavioral self-help, referrals, and crisis intervention. Ongoing Physical Improvement includes the recently purchased Adams Shopping Plaza which comprises 11.2 acres, including 131,529 square feet of building space and 658 parking spaces adjacent to campus for future development. The University has developed a detailed capital renewal and deferred maintenance plan. This document serves as the foundation for future physical plant budgetary requests, and is incorporated into the Physical Development section of the Comprehensive University Plan (Exhibit 2). Continual updating of this information leads to increased accuracy in the capital budgeting process for years to come. The University has invested an average of $2,000,000 annually for maintenance and purchase of capital equipment. The budget includes an excess of $300,000 per year in repair and replacement funding. Additional insurance has been acquired which protects the University against all mechanical, electrical and power (MEP) failures that might occur. School of Nursing Resources The administrative offices of the School of Nursing are housed in the Lambeth house, a one story building. The Dean, Associate Dean, program directors, and support staff each have offices in this building. As part of the complex, a detached two story building is currently 19 under renovation and will house two nursing Skills Labs, a simulation center, a 40 person station computer lab, conference/teaching rooms, and Faculty offices. Completion of the facility is planned for July 2008. Further discussion of the current Skills lab can be found in Standard III. Key Element II-C: Academic support services are sufficient to ensure quality and are evaluated on a regular basis to meet program and student needs. SON Staff Services Staff services include a full-time administrative assistant who assumes clerical and organizational support for the Dean of the School of Nursing. A full-time data technician/receptionist supports the work of the School. Two program specialists advise students in the BSN program and the RN-BSN completion program. Library The Annie Gabriel Library (AGL) serves as the central library facility on campus. Its goal is to support the research needs of the undergraduate and graduate programs, to provide adequate services for the off-campus evening college programs, and to insure access to materials for the physically challenged student. The library endorses and supports the Education Plan, a section of the Comprehensive University Plan. It recognizes its responsibility to update and enhance resources (print, non-print, and electronic) through careful and deliberate collection development. As a result, the library provides materials essential to achieving student learning goals as outlined in the program goals for the School of Nursing. Collections and Electronic Access Holdings in the Annie Gabriel Library as of July 1, 2005 equaled 176,870 items. A detailed summary of the library holdings specific to School of Nursing resources can be found in Exhibit 12. The AGL recognizes that students in specialty areas such as nursing need current information to be readily accessible and available. Library resources include an existing collection of 20 published materials, online databases that have full text peer reviewed journals (e.g., CINAHL, Pre-CINAHL, Alt Health Watch, Academic Search Premier, EbscoHost Psychology and Behavioral Sciences Collection, PsycARTICLES, PsycINFO, OCLC ArticleFirst, OCLC ECO (Electronic Collections Online), Health Source, Religion and Philosophy Collection, NewsBank, Newspaper Source, ERIC, WilsonSelectPlus, Lexis Nexis, WorldCat). These materials are available for students to access both on and off campus. Also, library resources such as assistance and inter-library loans are available to students. In addition, the Library will purchase additional resources to support current readings in specialty areas of nursing practice and related allied-health disciplines. Each master syllabus contains a list of recommended materials available in the library to supplement the required course textbooks. Expenditures for the library’s entire book collection have been steadily increasing and the nursing budget is also expected to rise over the next several years. Acquisitions Procedures Historically, the library collection was dependent on privately donated volumes. The library held many volumes but many were archaic and irrelevant. Together with the Collections Development Librarian, the faculty worked diligently in their own areas of subject expertise to evaluate and remove such items and to select the new and relevant holdings to be acquired. Building upon this foundation, the librarians and teaching faculty continue to order materials relevant to their respective subject fields. Students are afforded not only primary text, but also monographs, journals, and online resources devoted to criticism, theory, clinical application, ethical and legal guidelines, and assessment requirements. In addition to faculty expertise, collection augmentation has been influenced by the AGL collections development librarian and by a general comparison of the current library holdings against undergraduate and graduate programs in research universities. The library’s acquisitions budget is allocated per academic department and faculty submit purchase requests through their chairs and deans. The Collections Development Librarian 21 regularly updates the departments with the status of their allocated budgets and distributes catalogs, reviews, listings of new acquisitions and other communications. Cooperative relationships with other libraries The AGL maintains cooperatives relationships that provide behavioral science students and faculty with access to material from more than 85 public, academic, special, and other libraries are available through local library organizations and loan networks. Such relationships include the Inland Empire Academic Libraries Cooperative (IEALC), an agreement between twenty-one San Bernardino, Riverside and eastern Los Angeles County libraries; the Statewide California Electronic Library Consortium (SCELC), a consortium of 81 academic libraries; and San Bernardino Inyo Riverside Counties United Library Services (SIRCULS), a multi-type library cooperative with 37 current members. Students and faculty can request material in person at the library, through the online forms on the website, or even from within the many individual online journal databases. The IEALC (Inland Empire Academic libraries Cooperative) Card is available to students at the Access services Desk in the library. This card provides students with the opportunity to visit a number of local university and college libraries where they may borrow books. Staff and Services The Annie Gabriel Library is maintained by a full-time staff of five faculty librarians who include the director of library services, the reference and electronic resources librarian, the reference and serials librarian, the collection development librarian, and the technical processes and cataloging librarian. All faculty librarians have at least an accredited master’s degree in library and information studies. There are three experienced and well-qualified para-professionals in access services and technical processing. The library also hired an archivist to oversee the University Archives and a special collection archive (California Southern Baptist Convention Archive and Depository). Additionally, there are many excellent student assistants who have been carefully screened and selected by the library staff. The librarians and staff work in cooperation with faculty, not only to assist individual students with their research, but also to conduct research orientations for groups of students. 22 The two reference librarians teach several research methods classes: a basic research methods class to all freshmen, and customized advanced research methods to individual upperdivision classes. The instruction is always customized per instructor and course and has featured demonstrations in the use of specific print and electronic resources, as well as bestpractice research strategies. In addition to group and class-level instruction, the reference librarians offer individual research appointments to all students and reference assistance via email or phone. Hours of Operation were expanded in 2004-2005. Regular Schedule Summer and Holiday Schedule Mon-Thu 7:45am – 12:00am Mon-Thu 8:00am – 9:00pm Fri 7:45am – 5:00pm Fri 8:00am – 5:00pm Sat 10:00am – 6:00pm Sat 9:00am – 5:00pm Sun 4:00pm – 12:00am Sun Closed Online Access The Annie Gabriel Library’s website functions as the electronic version of the library, to the extent that it offers access to the online catalog, numerous scholarly research databases, handouts and tutorials, and selected, high-quality internet sites. Students can search the library’s entire collection of books (including e-books), audiovisual material, and periodical titles. The website offers many of the same services to students online that they can receive within the library, including explanations of copyright essentials, reference guides to the various citation styles, and contact information to all library staff. Additionally, all the online databases of journals and scholarly material are organized on the website. Information Technology (IT) California Baptist University will need to build upon the capabilities provided by the University’s LancerNet computer network. An effective intranet community should empower both program participants and instructors to calculate, communicate, collaborate and contribute more effectively and efficiently. All students should be encouraged to aggressively use computer technology. 23 California Baptist University is seeking to expand its commitment to campus wide networking, with a view to making information available to people who need it when they need it and where they need it. The outworking of this philosophy involves the installation of networked computers in each office, and computer classroom, computer labs, as well as other classroom deployments. The underlying network, called LancerNet, continuously expands to meet the educational challenges of the University. California Baptist University has had its platform in campus networking since 1997. Many of the essential network, hardware and software components are in place, but due to the rapid expansion of the university and the exponential growth of the technical requirements, the University’s resources in this area have become severely stretched. In 2007 a detailed review of the IT infrastructure was undertaken by two outside agencies and the report has formed the basis for the development of taskforce to analyze and make recommendations on how to develop and redeploy an IT system that is commensurate with the demands of the institution. It is the goal of the University to put in place the technology infrastructure that will address current educational challenges, and also allow expansion in the years to come. It is recognized that this will take time; finance and institutional will to bring this to pass, but the administration have indicated that the IT platform is to receive urgent attention in upcoming months. The University has provided over 400 computers for Instructional and General Use on campus. Each of the nearly 1,350 residence rooms includes at least one open port available for connection of student-owned computers. There are presently over 1,000 student-owned computers on campus, bringing the total on-campus computer count to approximately 1,750. In addition, approximately 600 desktop and laptop computers have been deployed to all full-time faculty and staff as well as a number of part-time employees. All full-time faculty members are provided with University owned workstations. All full-time faculty members are provided access to a workstation upon their start date. Older workstations are systematically replaced with laptops to facilitate the use of technology in classrooms not equipped with a technology podium. 24 LancerNet exists and is a vital component of the academic and social milieu at California Baptist University. Despite the challenges that do exist in the current level of technology support and system reliability, it is apparent that this has not diminished on-campus demand as computers are very prevalent on campus. The renewed planning focus for technology at CBU must seek to achieve three principal advantages: Ubiquitous access (computers everywhere as well as access from off-campus) Maximum capability (currently 40+ software packages available) Cost-effectiveness (due to standards and life cycle management) LancerNet Usage Over 90%+ of the faculty and student body use the network daily. The network is handling 75,000 + electronic-mail messages daily (approximately 47,500 of these messages are to or from the Internet). Students and faculty have access to over 40 software packages on LancerNet, ranging from general software like Microsoft Word to specific applications such as SPSS. Students, faculty, and staff use the InsideCBU information sections of LancerNet heavily throughout the day for routine operations like registering for classes, checking grades, and other campus information. Online directories (including photos) and other resources provide instant access to important information. Use of the network at CBU has become as essential as using the telephone or post office. As CBU works towards the development of campus-wide technology integration, several exploratory projects have been undertaken: During the Fall semester of 2007, with the financial assistance of the Fletcher Jones Foundation, a small team of nursing faculty and staff began evaluating the benefits of having every California Baptist Nursing student use a PDA. This pilot project expanded to include 124 selected students beginning in January of 2008. During the 2006-07 academic year’s faculty and students explored the use of laptop computers for RN-BSN study. This was subsequently implemented in spring 2007. 25 Wireless Access As part of the University's strategic plan, wireless network access is available in certain designated areas of the campus. Access is currently provided in common areas of the Yeager Center, with full coverage in the Anne Gabriel Library. Extension of the wireless network is planned for other academic buildings and lab facilities, with access already in place in the Smith and Simmons Hall co-ed lounges. Outdoor wireless coverage should be a part of the network provision. CBU’s wireless connections currently support 802.11g (54Mbps) and 802.11b (11Mbps). Internet Access Speeds California Baptist University students and faculty have direct access to Internet/Web resources via a 30 megabits/second connection. It is envisioned that the University will continue to expand its Internet bandwidth as demands and usage increase. The University uses specific technology that prioritizes internet traffic so students can access needed resources such as Email, Blackboard, and Inside CBU. Faculty and students are, at present, unable to rely upon ubiquitous and high-quality access. As the network opportunities grow and become more reliable then the number of faculty members who seek to have integrated Internet resources in their required coursework will also grow. Students often incorporate Internet materials in research papers and in classroom presentations. California Baptist University needs to seek out participant opportunities with colleagues at other research institutions. Graphics Emphasis The University has sought to provide some special-purpose hardware and software for graphics production. Laser printers are available in key offices and laboratories and several flatbed scanners are available for student use. Students and faculty also have access to color printers and scanners. Some graphics programs (such as Adobe PhotoShopCS and Adobe Premiere) are provided to designated faculty/staff on the network. 26 Course Instruction Faculty members are using LancerNet to prepare course materials, communicate with students, and deliver instruction in the classroom. 75% of the classrooms have one or more network connections, over 50% of the classrooms have a projector installed. A number of courses are offered in a "blended" format, where there is regular in-person instruction and then online instruction using Blackboard. LancerNet has changed the educational atmosphere at California Baptist University, but rapid and focused IT development is essential in order to keep pace with the growing needs of the University. Technology Support The Information Technology Services Department is staffed by a compliment of 12 full-time staff including a full-time webmaster who oversees the development and support of CBU’s web presence, supports the delivery of web-enhanced courses, and meets regularly with IT staff to coordinate routine work and special projects and regularly assists faculty to effectively incorporate online resources such as the latest version of the Blackboard learning management system in classes. The University is supported by an Information Technology Help Desk which is staffed from 8 am to 7 pm Monday through Thursday and 8 am to 5 pm Friday. Students and faculty may leave voice-mail questions and messages after hours. The Help Desk fields all questions on e-mail, learning management systems, portal, and PC use. The University has also extended technology training sessions to assist staff and faculty. Technological Proficiency The InsideCBU portal page provides faculty and students with access to Help Tips for LMS and e-mail access and use, tutorials for these systems as well as online registration, degree guides, access to grades, student accounts, etc., and the contact number for the IT Help Desk. Students and faculty are expected to be proficient to the use of computer software and programs including Microsoft Word, online resources & internet searches, email communication, and Blackboard. 27 Technology Training Students may receive training on essential software and programs at Orientation, through the Academic Resource Center (ARC), and through hands on training from SON faculty and Information Technology (IT) staff utilizing software, Blackboard, and other resources. Service Interruptions In the event of a technological system failure or scheduled service interruptions, the campus community is kept informed through the InsideCBU portal and via the campus-wide voice mail system. IT updates the situation and advises user of progress made toward resolving the issue. In the event of a system failure, instructors are encouraged to provide meaningful instruction through alternative means. For example, if there is an electrical failure during daylight hours, the professors may move their classroom instruction outdoors, to another building on campus, or to another safe and appropriate location. The professors are responsible to the students to provide instruction through any means. Student Support Services Timely and appropriate interactions between students and faculty and staff are to take place through a series of established mechanisms including telephone and mail, regular Information Sessions, Orientation Sessions, and ongoing counseling and advising at both the institutional and program level. Admissions Counseling and Advising The Admissions Office, the Enrollment Advising Office, the Financial Aid Department, the Registrar’s Office, and the designated Program Specialist assist the prospective student in completing the admissions process which is outlined in the Admissions Process Timeline (Exhibit 13). All offices have evening hours during the week to accommodate graduate students. Orientation is held at the beginning of the program of study to provide the student with further assistance and information about such matters as registration, financial aid, or student services and to connect them with fellow students. 28 Ongoing Counseling and Advising Students are apprised via e-mail, post card, and CBU web-site announcements well in advance of registration dates for the upcoming semester and may make appointments with the Enrollment Advisor, Program Specialist or School of Nursing at any time during the registration period. The School of Nursing and the Enrollment Advisor work cooperatively to assure that the student’s goals and needs are met. The Program Specialists guide students to program components that best meet their goals for professional and academic growth. Counseling on matters of professional interest or concern as well as career placement options are frequently dealt with in these sessions, and faculty are available during regular office hours and by appointment to meet students’ needs. Once the student completes pre-nursing courses and is accepted into the BSN program, the Program Specialist then keeps the student on track for successful completion of program requirements for graduation and assists with problems relating to student service matters. The centralized Enrollment Advisory roll with nursing students is currently under review in order to address growth issues within the School of Nursing. Students who are not maintaining appropriate program standards are notified by letter of unsatisfactory progress at the end of each semester. The Course Faculty and Program Director receive a copy of this letter and works with the student to resolve the issue. Students must submit a letter of appeal explaining the situation and petitioning to be reinstated in the program before they are allowed to register for classes in the upcoming semester. Successful Completion The Registrar is responsible for completing a graduation check upon student request, and automatically completes the graduation check when the student is within two semesters of graduation. This check informs the student of the date for which they are eligible to apply for graduation and lists outstanding requirements to be met by that date. Based upon this information, the student may choose to apply for graduation or wait until a later date. Upon completion of the course requirements, the Registrar generates a final approval for diploma form for signature by the Dean, Chair or Program Director in the particular school or department. 29 Key Element II-D: The chief nurse administrator is academically and experientially qualified and is vested with the authority to accomplish the mission, goals, and expected outcomes. The chief nurse administrator provides effective leadership to the nursing unit in achieving its mission, goals, and expected outcomes. Constance Milton, RN; PhD is the founding Dean of the School of Nursing CBU. She holds a masters degree and a PhD in nursing from Loyola University Chicago. While in her doctoral program, Dr. Milton was afforded the opportunity to work with nursing theorist, Dr. Rosemarie Rizzo Parse. Dr. Parse chaired her dissertation committee. With this mentorship, Dr. Milton is known internationally as a Parse Scholar and has been an invited speaker across the globe. Dr. Milton has over 23 years of service as a faculty member, coordinator of RNBSN programs and masters’ degree in nursing programs. She has served as a Dean since 2004 and is experientially and academically qualified to assume authority and provide leadership to the School of Nursing. She came to the University in 2005 to begin work with the creation of the School of Nursing. Along with the Associate Provost, Dr. DawnEllen Jacobs, Dr. Milton wrote the self study and curriculum for the baccalaureate program. The program received initial approval without recommendation by the California Board of Registered Nursing in December of 2005. She has served as a mentor dean for AACN in the past three years. Dr. Milton is an internationally known author and scholar. She has been the contributing editor and referee panel board member of Nursing Science Quarterly since 1999. She is currently under contract from Jones and Bartlett publishers to produce a nursing textbook on Core Values in Nursing. The Dean of the School of Nursing at California Baptist University is vested with the responsibility and authority to accomplish the mission, goals, and expected outcomes of the program. Dr. Milton's decision-making authority is comparable to that of other Deans within the University. The Dean of the School of Nursing is responsible for program planning and implementation, solicitation, allocation and administration of resources; and Faculty recruitment and development. The description of the Dean position is located in the SON Faculty Handbook (Exhibit 5). Her curriculum vita demonstrates preparation and experience related to these responsibilities (Appendix G). 30 Evaluation data document that the program administrator is effective in providing leadership for the School of Nursing. Analyzed data from the Faculty Supervisor Assessment of the Dean collected in spring of 2008 viewed the Dean as being effective in carrying out her leadership responsibilities with a mean of 4.4 of 5 in the areas of job knowledge, judgment and decision-making skills, planning and organizational skills, consensus building skills, ability to communicate, ability to motivate, ability to delegate, ability to mentor, spirituality, integrity, compassion, vision, institutional fit, and overall leadership. The level of Dr. Milton's effectiveness has facilitated the achievement of the mission, goals, and expected outcomes of the School of Nursing. Key Element II-E: Faculty members are academically and experientially qualified and sufficient in number to accomplish the mission, goals, and expected outcomes of the program. Currently there are eight full-time faculty members including the Dean, Associate Dean and 2 program directors. Each semester there are 8-10 adjunct faculty members responsible for teaching clinical to 118 traditional nursing students. Curriculum vitae demonstrate the academic and professional experience of all faculty members (Appendix G and Exhibit 11). With the current number of faculty members, we are able to maintain a maximum classroom ratio of 1:40 and a maximum clinical ratio of 1:10. This clinical ratio meets the standard set by the California Board of Registered Nursing and by the clinical agencies providing clinical practice experiences for our students and allows students to meet course and program objectives. According to the California Baptist University Faculty Handbook, Faculty section (Exhibit 6), full time Faculty not holding administrative positions are required to teach 24 units per year or 12 units per semester. The Dean teaches one (3) credit course a semester. The Associate Dean and the Program Directors teach 12 units per year. Faculty members have the option to teach overload. Faculty members also serve on School of Nursing and University committees. Faculty assignments are made by the Dean of the School of Nursing in close consultation with individual faculty members based on content needs in the curriculum, Faculty education, and Faculty practice experience. All clinical instructors are approved by the Nurse Education Consultant of the California Board of Registered Nursing. 31 Faculty members design course requirements to promote students' achievement of program outcomes. Course evaluation outcomes, project, activities and ATI scores reflect that students are meeting indicators of success for program outcomes. The Faculty have come together from across the country and globe for the purpose of educating nurses at California Baptist University. Service, scholarship, and academic qualifications of the Faculty and administrative leadership are indicators for a successful program that is able to accomplish the mission, goals, and expected outcomes of the program. Key Element II-F: The faculty roles in teaching, scholarship, service, and practice are identified clearly and are congruent with the mission, goals, and expected outcomes of the program. The Faculty roles in teaching, scholarship, service, and practice are in writing and are clearly identified in position descriptions found in the California Baptist University School of Nursing Faculty Handbook (Exhibit 5) and in the Faculty Job Description (Appendix D). All position descriptions are congruent with the mission, goals, and expected outcomes of California Baptist University and the School of Nursing. Faculty roles include primary activities of teaching along with the primary responsibility of developing policies and procedures, planning, organizing, implementing, and evaluating all aspects of the nursing program. The nurse educator serves as a mentor and role model by demonstrating characteristics consistent with Christian love and the skills of inquiry, discovery, and expert practice. Faculty members serve as expert teachers, facilitators, and resource persons as students’ journey with professional nursing education. The faculty believes that education is a life-long process in coming to know and being with others in meaningful ways as they seek health and quality of life. 32 Standard II. – Program Quality: Institutional Commitment and Resources Analysis for Continuous Quality Improvement A. Identified Strengths 1. The University demonstrates commitment in budget allocation of physical and human resources and the School of Nursing budgets allocate funding which facilitate Faculty involvement in scholarly development activities. The University provides consultation to encourage Faculty in research and development activities. 2. The University provides a generous reimbursement plan for doctoral study and is supportive of assisting nursing Faculty's pursuit of doctoral studies. 3. The University provides computers for every faculty and staff member, which is upgraded in a systematic fashion. 4. Faculty, staff, and students have access to the library and key University services through "Inside CBU" internet-based web site. 5. The University and the School of Nursing actively encourage faculty members to be involved with community service and offer International Service Projects as an extension of the University mission to go unto world. 6. The University provides fiscal support and is actively engaging and upgrading the physical facilities necessary for the nursing program to fulfill its mission, goals, and expected outcomes. 7. The Dean of the School of Nursing is effective in University, community, and constituent leadership advancement activities that promote the mission, goals and objectives of the School of Nursing. 8. The Dean of the School of Nursing is a regarded international scholar of nursing theory as a guide for research, practice, and education. 9. Faculty members are well prepared and effective in preparing students to fulfill program goals and objectives. 33 Standard III – Program Quality: Curriculum and Teaching-Learning Practices The curriculum is developed in accordance with the mission, goals, and expected outcomes or the programs and reflects professional nursing standards and guidelines and the needs and expectations of the community of interest. There is congruence between teachinglearning experiences and expected outcomes. The environment for teaching, learning and evaluation of student performance fosters achievement of the expected outcomes. Key Element III-A: The curriculum is developed, implemented, and revised to reflect clear statements of expected student learning outcomes that are consistent with professional nursing standards and guidelines and congruent with the program’s mission, goals, and expected outcomes. The CBU-SON is committed to providing educational and professional development opportunities that prepare graduates for entry into professional nursing practice. The curriculum of the new School of Nursing BSN program was developed, implemented, and revised by nursing faculty to be congruent with the philosophy, mission, conceptual framework, and student learning outcomes. The curriculum is informed by the nursing theory of human becoming (1981, 1988) conceptualized by Dr. Rosemarie Rizzo Parse and researched by prominent nursing scientists. The curriculum was developed in accordance with professional nursing standards and guidelines as outlined in the Essentials of Baccalaureate Education for Professional Nursing Practice, the American Nurses Association Scope and Standards of Practice (2004) and Code of Ethics (2001) and the California Board of Registered Nursing requirements. Dr. Rosemarie Rizzo Parse served as an advisor to the Dean for the original philosophy and curriculum design. The philosophy of the School of Nursing, which emphasizes health and quality of life for the whole person, is aligned with the institutional desire that all programs “foster an environment supporting the intellectual, physical, social and spiritual development of each student” (Appendix A). Faculty has aligned the student learning outcomes of each course with the nursing program outcomes and the university student outcomes (See Table 1). All faculty members are responsible for recommending curricular changes, professional development and learning about nursing-theory guided curricular development based on current research, faculty, student, and constituency feedback. The University and School of Nursing sponsor faculty members to attend the Institute of Human Becoming held annually 34 in Pittsburgh to enhance their ability to actively participate in curriculum revision and design from a nursing theoretical perspective. Faculty development programs are offered to CBU nursing faculty and interested community healthcare providers to share information that enhances constituency understanding of the curriculum for the School of Nursing and allows opportunities for recommendations and feedback. “Living with Faith in Nursing” series is scheduled to begin March 13, 2008 to allow for scholarly dialogue between faculty and the constituency (Exhibit 14). The conceptual framework for the School of Nursing at California Baptist University emerges from the philosophy. The major concepts of the philosophy of the School of Nursing are: person, community, environment, and health. The unifying concepts of the baccalaureate conceptual framework are meaning, rhythmicity, transcendence; and the themes are communication–collaboration, teaching-learning, change-persistence, critical thinkingproblem-solving, and leading-following. This philosophy is readily available in writing for students, applicants, and the public. It is outlined in the 2007-2008 California Baptist University Catalog (Appendix A), on the School of Nursing web page (http://www.calbaptist.edu/nursing/default.aspx?navid=3413&id=2298), and in the SON Student Handbook and SON Faculty Handbook (Exhibits 5 & 15). The consistency of the conceptual framework, program outcomes and conceptual themes, and their relationship to the curriculum, will become evident in the explanation that follows and is illustrated in the summary table of Program Goals and Outcomes (Table 1 & 2). The conceptual framework concepts underpin key nursing program and course objectives, the clinical evaluation tool, and written assignments. The philosophy statements, along with an explanation of the themes that predicate the conceptual framework are found in Appendix I. Curricular Purpose and Outcomes The curriculum aims to broaden the theoretical knowledge base while preparing competent, responsible, committed graduates for service to others. The philosophy and conceptual framework support all curricula. Fundamental beliefs about person, community, environment, and health are embedded within the program philosophy and are used to ground 35 the nursing program goals, and expected outcomes (Appendix I & Exhibit 16). Students are challenged to assimilate the roles of the nurse as specified by AACN (providers of care; designers, managers and coordinators of care; and members of a profession) and these roles are integrated into the curricular plan. The flow of the nursing curriculum allows students to learn concepts that establish a foundation of nursing knowledge which prepares them for subsequent courses (Appendix A & J). Beginning courses taught in semesters one and two, such as NUR215 Fundamentals Skills for Nursing Practice, NUR235 Physical Assessment, NUR201 Theoretical Foundations of Nursing, NUR 225 Pathophysiology, NUR 275 Pharmacology & Nutrition, NUR 255 Adult Health I, and NUR 256 Adult Health I Practicum, emphasize nursing theory guided practice, skills and competent professional practice. Concepts introduced in these courses are foundational, integrated and enhanced in each ensuing course. The curriculum of the California Baptist University School of Nursing baccalaureate program emphasizes increasing demonstration of competence in communication/ collaboration and critical thinking, and researching while participating in activities of teaching-learning, change-persistence, and leading-following. These themes permeate the curriculum, which provides the necessary knowledge and skills for students to function and meet minimum standards of competency for entry-level practitioners. There is consistency among the philosophy, objectives, conceptual framework, learning experiences, and structural approaches that are integral to the planning of nursing services. Each faculty member is responsible for implementing the curriculum according to the philosophy, conceptual framework, and objectives of the program. Student, faculty and program evaluations are indicators of effectiveness of the philosophy and achievement of program objectives. Consistency of key elements with the curriculum is reflected in course syllabi which link learning themes, concepts, and objectives relevant to the course (Exhibit 16). The clinical nursing courses generally are organized from simple to complex. Theoretical and clinical courses are linked and must be taken concurrently. This can be most clearly seen in the Adult Health I and II theory and practicum courses. These level 2 courses are 36 organized by body systems in increasing complexity and acuity. Students then consolidate their nursing skills with the theoretical underpinnings by developing theoretical and practicum expertise with various client populations (Older Adult Families, Childbearing Families, Mental Health Clients and Community/Public Health Clients) before caring for the critically ill patient in Adult Health II. The leadership course and practicum requires that students move beyond the mere performance of skills into the roles of manager and coordinator of care. Courses are all designed to evolve and transform student’s understanding of the unique meaning of health and quality of life from the person’s perspective while providing professional nursing services for basic human comfort needs to more complex concepts of professional nursing practice with persons, families, and communities. The clinical component of the program begins with student assignments emphasizing nurse-person relationships with individuals and moving, progressing with family experiences and acutely and/or critical life situations of health. In addition, clinical experiences are designed to provide nursing services for persons with changing health patterns in the nurse-person, nursefamily, and nurse-community relationships. The capstone course includes a preceptor-guided experience that enables students to integrate the roles and skills competencies needed for entry-level professional practice. Overall, the program objectives are fulfilled by the synthesis of learning from all courses in the program. Satisfactory matriculation of students from NUR201 through NUR499 ensures that graduate competencies have been achieved (Exhibit 17). The purpose of the baccalaureate curriculum is to prepare graduate nurses as generalist practitioners for entry into professional practice. The Baccalaureate prepared nurse is expected to be able to assume beginning roles as provider of care to persons, families and the community. California Baptist University BSN graduates are expected to be fully prepared to progress and continue the educational process at the graduate level. 37 The RN- BSN Completion Program (Appendix J) builds upon the foundation of diploma, international, and associate-degree nursing education and expands the skills, knowledge and awareness of the student in areas of nurse-person, nurse-community, nurse-family, multicultural, complex nursing situations of practice with beliefs and values of nursing theory-guided leadership in professional nursing practice. The CBU-SON faculty recognizes and appreciates the varied experiences and backgrounds that the RNs bring to the classroom. Careful planning to ensure that students expand their theoretical knowledge base and acquire new skills were the impetus behind the creation of this program; one that is uniquely tailored to the RN student. Preparation for teaching-learning, leading-following with groups of patients, and development of leadership and management skills with change are included in the curriculum and serve to complement the more traditional components of developing essential skills in disease management and health promotion across the lifespan. The RN-BSN completion program mirrors the key elements of the BSN program in content themes, conceptual framework and structure, but does not require duplication of clinical expertise and competencies foundational to the RN licensure qualification in the state of California. The rapid pace of the program and the recognition given for prior nursing coursework mean that these students must be highly motivated and engaged in the process of learning. The CBU-SON is commencing an entry level Master of Science in Nursing (MSN) program in May of 2008, which is theory-based and builds upon previous baccalaureate education. The BRN approved, accelerated professional, pre-licensure program offers a beginning entry level professional nursing education curriculum. 38 Key Element III-B: The curriculum is developed, implemented, and revised to reflect professional nursing standards and guidelines. These standards and guidelines are clearly evident within the curriculum structure and expected learning outcomes. Course/unit/level outcomes are consistent with the roles for which the program is preparing its graduates. 1. The baccalaureate curriculum incorporates knowledge and skills identified in the Essentials of Baccalaureate Education for Professional Nursing Practice (AACN, 1998). The Total Curricular Plan (Appendix J) outlines the hours and units implemented in the program, and these remain consistent with the forms on file with the Board of Registered Nursing and in the School of Nursing. Students complete a total of 124 units for graduation with a Bachelor of Science degree in nursing. The BSN program at California Baptist University is four years in length with students earning a Bachelor of Science in Nursing (BSN) degree. The nursing curriculum has two components: 1) courses in the general education and cohort sequence and 2) courses comprising the nursing major (Appendix J). The RN-BSN completion program at California Baptist University follows the same course sequencing as the BSN program and addresses the same course outcomes. The program builds upon prior nursing foundational courses and experiences that students bring with them. Distinctive program elements include completion of degree outcomes within 5 to 7 semesters, and flexible course hours and off-site course delivery options. Whilst the individual completion times may vary, students typically take one nursing major course at a time, one night per week. The professional values identified by the AACN including caring, altruism, autonomy, human dignity, integrity and social justice are closely aligned with the CBU-SON conceptual framework. The AACN core competencies are integrated into the core competencies of the CBU-SON program, so assessment and technical skills are viewed as being the application of these learned principles. All technical skills listed in the Essentials of Baccalaureate Education for Professional Nursing Practice are required competencies as part of the skills lab courses. The AACN elements of core knowledge: health promotion, risk reduction, and disease prevention; illness and disease management; information and health care 39 technologies; ethics, human diversity; global health; health care systems and policy are integrated throughout the curriculum and, as evidenced by the conceptual framework and course objectives, incorporate all of the AACN’s Essentials of Baccalaureate Education for Professional Nursing Practice (1998). The AACN core competencies, core knowledge and role development and the School of Nursing end of program objectives are aligned. CBU-SON curricula prepares graduates for the roles of providers of care, designers, managers and coordinators of care and members of the profession through thoughtful planning of learning experiences and assessment of application to practice and professional behaviors. The roles are modeled by faculty, examined and applied by students, and will ultimately be confirmed by employers of graduates. Nursing students actively engage in providing care for patients in a variety of nursing settings throughout the nursing program. Students integrate understanding of conceptual paradoxes learned in human becoming foundations theoretical perspective, nursing research, common health promotion activities, cultural diversity, and health care technology when planning and delivering nursing services to patients, families and communities (Exhibit 16 & 17). Physical assessment skills are a critical focus throughout the program. The role of designers/ managers/coordinators of care in leading-following situations is practiced throughout the program. Students function as the student manager in assigned practice courses. Students also delegate responsibly and supervise appropriately selected aspects of patient care to ancillary personnel, nurses and to other students in clinical practice courses throughout the program. These experiences facilitate personal transforming while transitioning into the professional role. The CBU Student Nurses organization also serves to introduce students into professional role activities. Students participate in local, state, and national events. Membership in the preprofessional organization of the National Student Nurses Association (NSNA) is encouraged and some students become active members. NSNA members may collaborate with other nursing students on local, district and state levels. 40 Key Element III-C: The curriculum is logically structured to meet expected program outcomes. 1. The baccalaureate curriculum builds upon a foundation of the arts, sciences, and humanities. In keeping with the University’s liberal arts core, the curriculum requires that all students acquire a basic program of general studies. This includes courses in Christian studies, communication, global studies, humanities, physical education, the natural sciences, mathematics, the arts, and the social sciences. In addition to these, the courses within the major comprise the program of study (Appendix A). The nursing major is underpinned with a strong liberal education that is congruent with the Essentials of Baccalaureate Education for Professional Nursing Practice (AACN, 1998) recommendations for professional nursing education. The nursing program includes two sequential levels; the pre-professional level (general education/prerequisite) courses and the professional level (nursing) courses. Students enter the nursing program after having completed approximately 35 semester hours of general education and prerequisite coursework with a grade point average of 2.75 or better. The pre-professional level provides the liberal arts and scientific foundation required for the study of nursing. Courses in language arts, computer science, humanities, and public speaking establish a foundation in effective written and verbal communication skills critical to nursing practice. Sociology, psychology, cultural anthropology, and human growth and development courses serve to provide learners with other disciplinary knowledge concerning normal and abnormal human behaviors, which are essential concepts when caring for self and others. The sciences of nutrition, chemistry, microbiology and anatomy and physiology are critical to understanding the foundations of health, illness and disease processes. Courses in mathematics and algebra are necessary foundations for competent administration of medications, fluids and enteral feedings. An intermediate algebra or statistics course is essential to understand and succeed in utilization of nursing research. The nursing program builds on these arts, sciences, and humanities to integrate foundational components of these courses into the nursing curriculum (Appendix J). Professional level courses are sequentially progressive and establish concepts that are built upon in concepts learned in earlier courses. 41 The faculty of California Baptist University recognizes trends in liberal arts education that focus upon the use of information technologies, cultural diversity including the need for bilingual education, global awareness, and analytical reasoning. Courses in the nursing major are designed to enhance these areas. Nursing students must use computer technology and critical thinking to meet course requirements in all nursing courses. Computerized testing is offered at the course and program level including standardized ATI testing for program progression. Assignments in the skills lab and clinical experiences provide opportunities for use of advanced health care technologies. Web-based computer programs and computer assisted instruction in the computer laboratory offer students the advantage of supplementing coursework with technology. Course assignments, such as research papers, cases studies, reflective journaling, and oral presentations, are designed to promote critical thinking and rational-intuitive reasoning (see Exhibit 16 & 18). Live Text is a forum selected for the electronic archiving of selected course and program outcomes and is hosted online by an outside vendor. This resource provides a vehicle for student portfolio development, documentation of program learning outcomes, and may stimulate further consideration of hosting other applications with online agency support. The nursing theory of human becoming espouses that nursing is a human science and the philosophy of the CBU-SON reflects this theoretical perspective. The concepts of the theory as cited in the philosophy and conceptual framework is interwoven throughout the curriculum. This framework is introduced in NUR 201 Theoretical Foundations in Nursing, which students take in their first semester of nursing course work, and then culminates in NUR 470 Christian Leadership in Nursing and NUR 499 capstone course. The philosophy of the School of Nursing states that the phenomenon of concern for nursing is the humanuniverse-health process. Nursing practice focuses on being with the person, family, and communities while persons are choosing possibilities in their ever-changing health process. 42 The foundational nursing skills necessary to perform the priority nursing interventions are taught in the campus nursing Skills laboratory during supervised practicum learning experiences. As students progress through the program they are expected to demonstrate increasing competence in the use of nursing intervention skills, demonstrate effective collaboration/communication and critical thinking skills while serving in the roles of provider, designer/manager/coordinator of care in leading-following situations. Students are expected to develop the ability to perform nursing skills at a safe level during the process of their nursing education. Clinical evaluations document students’ ability to utilize to provide safe nursing care. Course syllabi document that concepts of physical, behavioral, and social aspects of human development from birth through all age levels are integrated throughout the entire nursing curriculum (Exhibit 16). Students are introduced to physiological and developmental behavioral science content in the pre-nursing sequence requirements in BIO 153/163 and PSY 120. Level 2 courses NUR 255/256 and Level 4 courses NUR 440/441P focus on adults. Level 2 courses NUR 260/261P emphasizes concept development and the role of nursing with the older adult and family. Nursing services and the development of infants, toddlers, preschool children, school-age children, and adolescents, adults, and the role of the family are covered in Level 3 courses NUR 325/326P and NUR 335/336P. Developmental theories are further explored as they relate to health care delivery systems, families, and communities in Level 4 courses NUR 420/421P and NUR 430. Course syllabi demonstrate that the knowledge skills required in developing collegial relationships with health-care providers from other disciplines are integrated throughout the entire nursing curriculum (Exhibit 16). “Communication/collaboration activities are essential to the professional practice of nursing which further enhance the ongoing development of nursing science” (Appendix I). Level 1 pre-nursing courses provide students with the foundational skills to communicate effectively in oral and written media. Level 2 courses provide candidates with the theoretical foundations for developing communication skills with clients, families, peers, nursing staff, and nursing faculty. Level 3 further develops these skills and expands their application to families with children and culturally diverse groups. 43 Finally, Level 4 coursework expands student collaboration to include community and public health and examines the place of a Christian worldview with professional nursing practice. Course syllabi document the communication/collaboration skills including with assignments of verbal, written, and group communication that are integrated throughout the entire nursing curriculum (Exhibit 16). All students must take, or demonstrate proficiency, in at least two English writing courses and one oral communications class during the pre-nursing program. In addition, professional development with communication skills is integrated and emphasized in all nursing courses. Course syllabi demonstrate that natural sciences including human anatomy, physiology, and microbiology are integrated throughout the nursing curriculum. Human anatomy and physiology, microbiology and chemistry courses are prerequisite to entry into the nursing program. All nursing courses focus on collaborative roles and activities which assess physiological functions and draw heavily from the sciences (Exhibit 16). Course syllabi document that related behavioral and social sciences with emphasis on societal and cultural patterns, human development, and chosen patterns of relating actions relevant to health- illnesses are integrated throughout the nursing curriculum (Exhibit 16). Prerequisite and co-requisite behavioral and social science support courses emphasize societal and cultural patterns, and human development (Appendix J). These courses provide a foundation for the nursing courses which integrate content related to behavior relevant to health-illness. Key Element III-D: Curriculum and teaching-learning practices are evaluated at regularly scheduled intervals to foster ongoing improvement. Each course in the nursing program is evaluated at the end of the semester through the university and the School of Nursing. This course evaluation system reflects and assessment of effectiveness of faculty teaching, availability and effectiveness of university-support services, and course design. Clinical agency evaluations are done each semester by students and faculty. Faculty members are evaluated annually based on teaching, scholarly activities, 44 and service. Course evaluations and student program evaluations document that the content was relevant to the course objectives. Alumni and employer evaluations will be indicators to the extent to which the graduates are proficient in the application of the required skills and knowledge. Information from these evaluations will be reviewed by the School of Nursing Assessment Committee and Curriculum Committee who are responsible for identifying and implementing necessary changes to assure program effectiveness. (Exhibit 19). Nursing faculty address curricular issues each semester during nursing faculty and/or curriculum committee meetings and as the need arises. Each course is evaluated by the lead instructor and the team at the conclusion of the semester. Faculty consider course content order and organization, testing, reading and writing assignments, and textbooks to ensure that the goals of the course are met and the students are in line to accomplish the program outcomes. Curriculum revisions originate at the School level. Deans and Faculty, in collaboration with the SON curriculum committee, submit curriculum proposals to the Provost office. These proposals are brought before the CBU Undergraduate Curriculum Committee where decisions are made for approval/no approval, then to the President and the Board of Trustees if necessary. All Major and minor curriculum revisions are submitted to the California Board of Registered Nursing according to CBU-SON policy. Key Element III-E: The didactic and clinical teaching-learning practices and learning environment supports the achievement of students learning outcomes. Teaching-Learning Practices Student learning styles are identified with the ATI Self-Assessment Inventory (Exhibit 20). Recognition of student learning styles is employed to promote effective learning outcomes to all types of learners. Didactic instruction is designed to incorporate many different learning activities, such as seminars, online learning, group presentations, workshops, and studentcentered learning, in order to meet varied styles. Some of these activities are outlined in the teaching strategies section of the course syllabi (Exhibit 16). 45 The nursing program provides high quality didactic and experiential learning opportunities in the skills lab and clinical areas including high-fidelity simulation. Faculty utilizes a multidimensional approach to promote student learning. All learning domains are addressed throughout the program. Students actively participate in classroom learning activities by engaging in case study work, critical thinking activities, student presentations, interactive games, and group projects. All didactic courses utilize multimedia to enhance student learning. The nursing skills lab is effectively utilized throughout the students’ nursing program for teaching, assessment and remediation. Students practice skills under the guidance of nursing faculty. Lab class faculty/student ratios are 1:10. Faculty resource in the skills lab supports positive student learning outcomes. Faculty members participate in clinical skills competency formation and summation. The atmosphere in the skills lab welcomes student questions, emphasizes teamwork and supports practice. Students are encouraged to participate in open lab hours that are available each week to promote student learning outcomes. Teaching-learning in the practice settings is richly diverse with opportunities for students to integrate theory into practice. Health care services are provided in a variety of settings, including, but not limited to senior centers, nursing homes, assisted living facilities, acute care hospitals, medical centers, clinics, offices, schools, industry, home health, community and public health agencies. Currently the CBU-SON has multiple cooperative affiliation agreements (Appendix K). Observational and simulation experiences are planned to support and reinforce the goals and objectives of the selected clinical experience. Each clinical instructor arranges clinical experience opportunities to ensure that each student receives a well-rounded and broadlybased exposure to situations of nursing and patient care services, while developing and refining their nursing practice skills. Diversity with differing types of healthcare settings, patients, and delivery systems for nursing offer the opportunity to provide the student with information needed not only to understand the health care system, but to make decisions about the desired practice setting for their own career paths. 46 It is anticipated that the new nursing skills lab facility will greatly enhance the capability of the SON to meet the clinical and IT skills of students. The building project has already commenced, with a projected completion date in July of 2008. So the potential for expanding existing course provision and the availability of dedicated high fidelity mannequin simulation suites for clinical learning scenarios will be a tremendous asset to the School. Key Element III-F: The curriculum and teaching-learning practices consider the needs and expectations of the identified community of interest. The CBU-SON community of interest includes current and future students and their families, faculty, health care partners, health care employers, and the people, families, and communities served with nursing services. The CBU-SON philosophy and conceptual framework has resonated with our community of interest. Members from the senior community appreciate interaction with the BSN students of the SON. Recognition for excellence in service to seniors has been awarded to the CBU-SON. The award recipients will be honored in April, 2008 at the Janet Goeske Center Gala event in Riverside, CA for innovation of service to seniors (Exhibit 21). Students are considered our primary community of interest. The curriculum and teachinglearning activities are designed to respond to student needs and expectations, to promote successful completion of the nursing program, as well as passing the NCLEX-RN licensure examination. Students need and expect an educational preparation that will provide the foundation for entry into nursing practice. Additionally, students in a small private university need and expect personalized attention to foster successful outcomes. The Enrollment Services division and other student support branches of the university have been crucial to nursing program startup. The unique needs of nursing students have been identified and the university support services are expanding to meet the needs of this dynamic population. Additional personnel and restructuring has occurred to support the School of Nursing growth. The university monitors all institutional feedback, and comment/evaluation forms are collected every semester in didactic and clinical experiences (Exhibit 19). 47 CBU places high expectations upon nursing faculty members and the assumption is that faculty will begin their teaching responsibilities with a strong teaching skills pedagogy base to function in the academic environment. New full time and adjunct faculty are provided with a general orientation as outlined in the CBU faculty handbook (Exhibit 6). Experienced faculty act as mentors for new faculty members hired by the SON. A formal protocol for mentoring is currently being developed. Clinical orientation is arranged by the lead faculty in conjunction with the community of interest healthcare partners. The SON proactively meets clinical agency requirements with yearly meetings by the Dean. Lead faculty meet with adjunct faculty each semester to orient them to the course objectives and clinical agency requirements. Ongoing communication throughout the semester responds to the dynamic needs of the clinical setting. Experienced faculty members are committed to assist new faculty with assimilating into new practice settings. Faculty teaching assignments are consistent with the faculty’s education, experience, and interest, and are planned to allow faculty to fully develop courses that will be taught at least twice annually in the BSN program, and several times beyond that in relation to the RN-BSN and MSN programs. California Baptist University’s School of Nursing educates baccalaureate nurses who will graduate and will join the nursing profession. Most of these nurses will remain in the Riverside and San Bernardino County region and are expected to work in hospitals, extended care facilities and home health agencies. A major area of interest is health care settings that partner with CBU to provide educational and career opportunities. Needs and expectations of this group are obtained through formal and informal meetings and during site visits to clinical practice settings. Feedback and comments will be received about students and graduates from agencies which have representatives on the Advisory Board. An employer satisfaction tool will be created in the future to evaluate the graduates’ performance in the workplace. Nursing administrators and educators in the practice setting are surveyed regarding satisfaction levels with CBU-SON students or faculty. California Baptist University students care for persons, families and communities that are, in and of themselves, a significant community of interest. The CBU-SON is committed to providing excellent nursing services to all persons. Students are well prepared for all clinical 48 practice experiences and have faculty guidance and support appropriate to each learning experience. Verbal feedback from patients, nurses, and administrators express a high level of satisfaction with care received from CBU-SON students. The Dean, program directors, and faculty frequently receive this feedback in person while in clinical practice settings, community meetings, at regional events, and Advisory Committee meetings (Exhibit 4). Additional written feedback is provided when agency representatives complete the clinical evaluation form at the completion of the course and in the renewal of clinical affiliation agreements. The Faculty is encouraged to meet with agency representatives for the purpose of an exit review at the completion of each clinical rotation, both to receive and to provide valuable evaluative feedback. Written documentation of each rotation is also collected and maintained in the School of Nursing. 49 Standard III – Program Quality: Curriculum and Teaching-Learning Practices Analysis for Continuous Quality Improvement A. Identified Strengths 1. Articulation among the philosophy, curricular model, end of program objectives, and course objectives to enable achievement of the desired curricular outcomes. 2. Broad curricular foundation from the arts, sciences and humanities. 3. Emphasis on classroom and clinical competence supported by a wide range of teaching-learning experiences to foster achievement of desired student curricular outcomes. 4. Strong linkages with communities of interest. 5. Affirmation of quality in teaching practices from communities of interest. 6. Logical organization of curriculum. B. Areas for Improvement 1. Strategic long-term planning for continuous improvement in delivery of curricular information. 2. Continue to explore additional innovative approaches to curricular offerings. 3. Continue to increase global awareness of nursing and health care issues. 4. Expand infrastructure to accommodate a growing student body. C. Plans or Continuous Improvement. 1. Gather and analyze data to substantiate need for curricular revisions and new programs. 2. Continued development of clear written articulation among the philosophy, curricular model, end of program objectives, course objectives, and content. 3. Actively engage in dialogue with our partners in the service arena to ensure that the nursing program of studies is responsive to the needs of the profession. 4. Provide ongoing faculty development to foster teaching excellence and the retention of well-qualified and dedicated faculty. 5. Explore additional innovative teaching-learning approaches and alternative learning experiences for the students. 50 STANDARD IV – Program Effectiveness: Student Performance and Faculty Accomplishments The program is effective in fulfilling its mission, goals, and expected outcomes. Actual student learning outcomes are consistent with the mission, goals, and expected outcomes of the program. Alumni satisfaction and the accomplishments of graduates of the program attest to the effectiveness of the program. Actual faculty outcomes are consistent with the mission, goals, and expected outcomes of the program. Data on program effectiveness are used to foster ongoing improvement. Key Element IV-A: Student performance is evaluated by the faculty and reflects achievements of expected outcomes. Evaluation policies and procedures are defined and consistently applied. General Overview of Student Evaluation Faculty evaluation of students begins in the first nursing course and continues with each subsequent course throughout the program. Student performance is evaluated by the faculty through a variety of methods. These formative and summative methods are linked with program and course objectives, which are congruent with professional standards of nursing practice, the CBU-SON conceptual frameworks, and the SON grading system. The Systematic Plan of Evaluation (Appendix B) begins a process ongoing and timely evaluation of program components in relation to the indicators set by CBU, which, in turn, influence student performance and outcomes. Course objectives and the linked evaluation methods are clearly defined for students in the syllabus of every nursing course throughout the entire curriculum. Course syllabi are considered the faculty’s contract with the student, and as such, it is reviewed in the first class of every nursing course in order to ensure transparency and to clarify any inadvertent ambiguity which the students may perceive exists. The grading scale that is consistent throughout each nursing course is printed in the SON Student handbook and in the SON syllabi. The grading scale is more rigorous than found in the university handbook in order to promote safe, competent, responsible practitioners of nursing, attainment of program objectives, and successful completion of the NCLEX-RN exam. Grading policies are defined and consistently applied. Objective exams are administered in all courses and the results are statistically analyzed through PARSCORE to evaluate student 51 outcomes as well as exam reliability. Theoretical didactic courses are taken concurrently with clinical practicum courses. Students in theory courses are evaluated through a variety of evaluative methods including, but not limited to performance on quizzes, and examinations (Exhibit 22). Theory coursework includes written assignments including critical thinking exercises and case studies, care plans, concept mapping, reflective journaling, individual and group teaching projects, NCLEX-RN preparation questions, and aesthetic projects illuminating the student’s understanding of the conceptual framework and program goals and outcomes. Skills lab performance and practicum courses are evaluated based upon faculty-observed student performance throughout the course. Students must demonstrate competence in knowledge and performance of each skill prior to performing the skill in the clinical area. Students are responsible for maintaining their clinical checklists and submitting them at the end of every clinical rotation (Exhibit 23). Skills lab faculty and assistants collaborate with clinical and classroom faculty to ensure that students are current in their skills and to provide remediation and review as indicated. Every semester students are required to pass skills validation exams. Students receive an evaluation in practicum courses at mid-term and completion of the course using an evaluation tool formulated based on the philosophy and conceptual framework of the SON. The recent addition of a Skills Lab Director has greatly enhanced the coordination of this resource and will increasingly ensure continuity and quality in the area of student performance expectations. Extended open and review lab sessions have been made available to students to ensure that students achieve acceptable performance of the skills, and that, through retesting, there is ongoing evidence to validate continued competence. Students are apprised of their progress in an ongoing manner through conferences, formal evaluations and feedback on assignments at midterm and the end of the course (Appendix L). Students complete self-evaluation forms to review their achievement of clinical outcomes, and these form the basis for the clinical evaluation meetings of students with the clinical faculty. 52 Evidence of Reflective Learning Students reflect upon and articulate a philosophy of nursing as a course requirement in NUR201 and then revisit these again in NUR470. The process of reflection and discovering meaning in the human-universe-health process while journeying with the process of human becoming vividly illustrates the importance of the journey as a transformational process. Students practice being with others in the nurse-person relationship in a process recording assignment that is video recorded and reflected upon using human becoming concepts in a written paper. The tool used for archiving the process recording is in Live Text (Exhibit 24). Throughout recent months it became apparent that a reliable and malleable archiving template was required to give structure to the reflection process. The template has recently been finalized so that students are now able to upload critical assignments to the Student Nurse Portfolio template. The template is a generic one that is prepared for the three student cohorts in the SON, namely BSN, RN-BSN, and MSN. These templates have been made available through the Live Text subscription membership that students are required to purchase to facilitate their studies, and students are able to extend this membership after graduation. Using the shared Nursing Portfolio template that pertains to their cohort, the students are then able to customize their portfolio, and ultimately are required to archive their curriculum vitae or resume online for their leadership course requirements. The view is that this will allow faculty to track acquisition of program outcomes, enable students to market themselves to prospective employers, and provide a shop front for assessment mapping. Another dimension offered as an example of reflective learning is the use of reflective journals, clinical preparation tools, human-process recording, and aesthetic exercises in most clinical practicum courses, such as NUR 261 and NUR 356. Students are credited for carrying out a weekly reflection on their clinical experiences. These reflective exercises are used by the clinical instructors in pre and post conference discussions with the students. Students report that they have found these reflective experiences valuable, particularly when dealing with difficult client groups. The reflective exercises are awarded course credit and are archived within Live Text. 53 Reflections with concepts of human becoming are included as a course requirement in the practicum courses. Typically, students write reflections about their nursing practice on a weekly basis. The reflections should chronicle learning and critical incident review. Students should consider how the process of human becoming, and their own growth in professional knowledge and behaviors, have informed their practice (Exhibit 18 & 25). Student Performance Evaluation Formative Evaluation Methods: Students in skills lab and nursing practicum courses receive a formal written and verbal midterm evaluation. Unsatisfactory performance is documented with a performance action plan to address deficiencies and students are provided with opportunities to demonstrate satisfactory performance. Students receive grades on all quizzes and examinations within one week of administration. Students are provided with an academic counseling report if the didactic course grade is below passing (75%). (Students are advised to seek out their course faculty if they are determined at-risk of failing. The SON faculty team and the Dean are made aware of any student at risk for failing.) Assessment of the student’s proficiency in the application of the theory of human becoming and the complementary use of the nursing process is on-going. Assessment of master NCLEX content in core nursing curriculum is accomplished through standardized ATI assessment testing (Exhibit 20). The ATI comprehensive assessment series enables students to effectively measure their own mastery of the nursing discipline specific to pre-licensure content as well as provide nurse educators with the opportunity to evaluate the student’s knowledge in relation to the nursing process, critical thinking and NCLEX-RN competency skills. The underlying intention of the ATI assessment series is to ensure that deficits are identified and addressed, prior to moving on to new content themes. Students are required to pass all ATI examinations at or above the national passing rate of level one for that examination. Students not passing at level one are required to self remediate and retake the examination. Inability to pass at level one may result in course failure and 54 may prohibit progression in the program. Students at level one are encouraged by faculty to participate in remediation activities. Non-proctored testing opportunities are integrated throughout the curriculum. Levels of proficiency are delineated specifically by the type of examination and designated by ATI (Exhibit 20). Faculty collaborated with the CEO of ATI to align the nursing curriculum with the standardized testing schedule (Exhibit 20). Students have continued to perform well on the standardized ATI tests and exceed the national percentiles (Exhibit 20). Summative Evaluation Methods Students take a cumulative ATI examination, the RN Comprehensive Predictor at the end of their coursework to predict success on the NCLEX-RN examination. Students are required to pass all ATI examinations at or above the national passing rate of level one for that examination. Students not passing at the level one are required to engage in ATI remediation activities and retake the examination. In order to complete the nursing program, successful completion of the RN Comprehensive Predictor at Level One or above must be achieved. Students take at least two non-proctored tests as a formative exercise during core courses. The students are required to submit evidence of having passed at least one non-proctored ATI test at the 80% level prior to sitting for the summative ATI test for that course. In the final practicum course, NUR 499 Senior Capstone Course, students work with a Registered Nurse Preceptor to prepare for the realities of practice. The course faculty, with input from the preceptor, formulates the final evaluation. Student selection criteria data and ATI scores will be compared with program outcome data of RN Assessment score and NCLEX-RN results. The faculty intends to review and prioritize the data sets that will yield the best indication of student performance. The CBU-SON grading system uses 75% as the lowest average to earn a grade of C. Students with consistent grades of C in nursing courses are anticipated to have more frequently required remediation on ATI examinations and to have a higher failure rate on 55 NCLEX-RN. Students in theory courses are required to earn an average of 75% on quizzes/tests/examinations before adding grades earned from other more subjective assignments such as written papers, projects and presentations to the overall course grade. Key Element IV-B: Surveys and other data sources are used to collect information about student, alumni, and employer satisfaction and demonstrated achievements of graduates. Student outcome data include, but are not limited to, graduation rates, NCLEX-RN pass rates, certification examination pass rates, and job placement rates as appropriate. Students at the End of the Program The NUR 499 Senior Capstone Course clinical journal is comprised of all end of program objectives. Senior nursing students, including RN-BSN completion students, are required to document written evidence of having met all the objectives by the end of their preceptor clinical experience in the final semester (Exhibit 18). Faculty members grade the journals with a score banding that employs a Likert scale format of 1 through 5, as these pertain to each end of program objective. Student scores equate to observed clinical performance data and are matched against preceptor evaluations using the same tool. Inter-rater reliability between the faculty and preceptor evaluations should be high, or the reasons for any discrepancies carefully explored in order to ensure equity and fairness. One measure of program effectiveness includes students’ scores on national standardized tests, such as the ATI subject-specific testing, as well as the RN Comprehensive Predictor. At present there is no clear pattern of variance, since the RN-BSN completion students do not require an NCLEX outcome, having already passed licensure examinations. Summaries of student-generated data required by CBU indicate that the program is effective in achieving the mission and goals/objectives of the program. A major strength of the SON evaluation plan is the combination of faculty generated subjective instruments along with the national standardized testing measures. 56 Graduation Data The aggregate evaluation data for each graduating class will be analyzed by the Evaluation Committee and results will be reviewed by the nursing faculty. Current evaluation data has been used to address essential process changes that reflect institutional or school requirements. Data have also been summarized, when these are seen to inform current strategies or influence change, to either maintain or improve overall program effectiveness. The BSN program has no graduates yet. The first graduation for the BSN students is anticipated for May 2009. Since the RN-BSN completion program has moved ahead more quickly, it is anticipated that several students may be ready to graduate in May of 2008; however, many are electing to wait to post their degree outcome with the university until December of 2008 in anticipation of accreditation. The retention rate for the traditional BSN program is 92.8%, which is well above the California Board of Registered Nursing reported rate for the state of 84.5% (2005-2006 Annual Report of California BRN accessed on-line February 29, 2008). 98 students were admitted into the traditional program from Fall 2006 through the end of Fall 2008 and 91 students have been retained. Exit interviews document the reasons these 7 students no longer are enrolled in the nursing program. Reasons include: (2) students decided not to pursue nursing as a career, (2) students moved out of the area, (2) students did not pass fundamentals and decided to change schools/career paths, and (1) student re-located to the school of her employer for tuition reimbursement per policy, students who fail a course may re-apply to the program and have been reinstated on an individual basis . The SON Evaluation Committee is responsible for the collection and analysis of relevant program assessment data from nursing students at all levels, graduating seniors, alumni, and employers. NCLEX-RN Performance The faculty acknowledges the importance of graduates passing the licensure examination and has instituted a variety of strategies to address student outcomes. The online ATI comprehensive assessment and review program enables students to develop a familiarity and 57 heightened comfort level with the online testing environment that requires timed assessments, forward-only question presentation and forced answer submissions. The newly renovated Lambeth Center and WOV skills lab facility and simulation center will improve the reliability and proctoring capability of the online testing environment and make possible the simultaneous testing of larger cohorts of students (n=40). Faculty monitor NCLEX test plans annually and adjust course content to reflect changing/updated standards. In addition, the faculty administers and monitors ATI exams each term as appropriate, as well as dosage calculation and pharmacology examination questions each semester (Exhibit 22). Student learning is co-constitutional as remediation is provided on the basis of need and learner initiative. Faculty regularly includes NCLEX-type questions in class discussion sessions and in clinical course exams. ATI does provide extensive support and direction for those students who do not meet the standard set by the school. The addition of a Skills Laboratory Director enhances faculty appraisal of resources available to students and facilitate understanding of the faculty roles and responsibilities in this area. Faculty members are available to provide additional tutorial support for students as needed. Assignments throughout the curriculum are included from the ATI resources. Alumni Satisfaction and Accomplishments A program satisfaction survey will be conducted in the final semester of the BSN nursing program. In addition, a formal alumni satisfaction survey will be implemented 12 months following the first graduation. The SON is currently reviewing potential alumni and employer feedback tools that will permit tracking of graduate data and establish a profile of graduate success. Data will be obtained as part of a rolling program of evaluation, and the analysis will inform the future success of the program. Employer Satisfaction Employer satisfaction data will be obtained on an on-going basis with input from nurses, nursing administrators, recruiters, and educators in practice settings, and from the California Baptist University School of Nursing Advisory Board. There is strong evidence that constituency members and prospective employers are pleased with the effectiveness of the 58 program to date in preparing nurses who demonstrate concern for others as they use their critical thinking skills with individuals, families and groups in the various arenas of nursing practice. These measures and the data gathered are useful to document program effectiveness. Informal and serendipitous data of constituency and agency satisfaction include such things as letters, electronic mail, and comments from area health care personnel (Exhibit 26). Educational Benchmarking Institute is contracted to work with the School of Nursing for tool creation and reporting for the 2008-2009 fiscal year. Employment Rates The first graduating class from the RN-BSN completion program is scheduled to commence in May 2008. The first graduation class from the BSN program is scheduled to commence in May 2009. Student employment prospects are high given the current nursing shortage and the availability of many nursing positions in the Inland Empire and surrounding regions. The Career Services Department at CBU assists students with job placement. Outside agencies such as the HealthCare Resource Center is eager to have nursing students provide matching services and information about loan repayment programs to nurses. It is anticipated that the BSN students from CBU-SON will be actively recruited. Several students are participating in a tuition loan repayment program from Riverside Community Hospital. Achievement of Mission and Objectives The CBU-SON program effectiveness is evaluated with indicators in a variety of ways. Sources of data include exiting student’s comments at the end of the program, alumni, and employers. Program effectiveness is also evaluated in light of the utilization of three conceptual framework elements of meaning, rhythmicity, and transcendence are understood within the curricular context areas of the human-universe-health process (Exhibit 25). Evaluating nursing practice from a theoretical perspective is an essential component for a BSN nursing program. Faculty is interested in assessing graduates in nursing theory guided practice. 59 Key Element IV-C: Program outcome data are analyzed to provide evidence of program effectiveness and are used to foster ongoing program achievement. The School of Nursing is intimately involved in reviewing and updating all elements of the academic program. As a young and expanding organization, the faculty has made a commitment to an expanding and dynamic organizational structure. Full-time faculty is required to attend the SON meetings and adjunct faculty is encouraged to attend (Exhibit 3). The faculty meetings address all aspects of the program – curriculum, student affairs, faculty development, academic standards and evaluation. As the program and course schedules have begun to grow, the faculty pool has also begun to grow. This has enabled the development of a committee plan structure that will be implemented in the August of 2008. It is envisaged that faculty will be able to timetable separate committee sessions on a monthly basis to advance the work of the committee, with a view to feeding back the discussions of the committee in the full SON meetings at regular intervals. The plan is to have one curriculum and one evaluation meeting per month, along with specific meetings targeting required themes on a semester basis. In starting the BSN program, a small core of faculty, under the leadership of the Dean, coordinated the roll-out of courses, evaluated them, and made recommendations for revision and improvement. Input from adjunct faculty, clinical agency personnel and preceptors have been solicited to ensure that the clinical placements are appropriate and adequate to meet learning needs. A Systematic Plan of Evaluation for program assessment was developed, and underwent revision over the course of this academic year, in order to guide faculty in collecting data and evaluating results in key areas of the program: mission, goals, and outcomes; curriculum; resources; faculty; and students. Nursing faculty are committed to early identification of at-risk students. Students predicted to be at-risk for lack of success in academic or clinical progress are counseled by faculty and referred to the Academic Resource Center. An academic plan for success is implemented with mutual goal-setting. Other campus resources are recommended to students based on their specific situation. These resources include but are not limited to: the Behavioral 60 Counseling Center, financial aid, students’ accounts, enrollment and advising, student services, Office of Spiritual Life, Campus Life, and the student’s healthcare provider. The retention rate in the program is high at 92.8%. Students who need tutoring with writing, reading, or math are referred to the Academic Resource Center and/or the skills lab Director depending on the individual need of the student. Faculty are available to help students who require additional assistance. Students with deficits in cognitive areas &/or psychomotor skills are assisted through tutoring and remediation services. Student feedback is positive and will continue to be monitored. The students provide written and oral feedback on their clinical experiences, instructors, and facilities. Preliminary data shows the overall satisfaction levels for the last three semesters (Exhibit 19). Overall, students report satisfaction with faculty, course, clinical agencies, and the nursing core program. Areas for improvement include management of information technology and enrollment management support. The SON has addressed these issues by engaging in informational sessions and issuing feedback forms to obtain comments and suggestions. The process to review and introduce meaningful change continues to gradually progress over time. Students have expressed recognition that being part of a new program does require them to deal with “startup” issues, and they have largely remained supportive of the university and SON during the initial growth of the various programs. Since the School of Nursing program is recent in its birthing, it is anticipated that progress evaluation and revision will occur once the first classes have graduated. At that point, data will be analyzed and faculty will have an opportunity to review all aspects of the curriculum, students, faculty, and resources. Evaluation of ongoing standardized testing and NCLEX review course requirements will continue in order to ensure that the program outcomes for graduation and success on the NCLEX are met. 61 Key Element IV-D: Faculty outcomes demonstrate achievement of the program’s mission, goals, and expected outcomes, and enhance program quality and effectiveness. The CBU-SON faculty is dedicated to advancing nursing as a discipline and profession. The Dean is committed to establishing a faculty that is committed to the programs mission, clinically expert, academically qualified, and committed to teaching baccalaureate nursing students (Appendix G). Full-time faculty members document their accomplishments annually in written self-evaluations (Exhibit 11) which are reviewed by the Dean, and the Provost. The Dean reviews and offers an evaluation of all aspects of the faculty’s performance. Faculty performance is strongly linked to effective student outcomes. The administration conducts on-site classroom and clinical observations to ensure quality and effectiveness of teaching. Service to the program and department are included in the performance review as well as professional development. Students also have the opportunity to evaluate faculty each semester (Exhibit 19). The overall faculty ratings are collated for each school and the Dean reviews student evaluations of faculty performance and shares results with the faculty. The office of institutional assessment sends surveys to students for faculty evaluation. The university is committed to acquiring student feedback for course and faculty improvement. Electronic surveys have demonstrated a low return rate; therefore, the SON began administering evaluation tools at the end of course in paper-pencil format (Exhibit 19). Students in Fall 2007 were given the opportunity to complete a paper-pencil format evaluation in order to more effectively capture student input into institutional assessment. The SON instituted a qualitative survey instrument, in advance of CBU end of semester tool. Program improvement has been implemented based on the data collected from these surveys. The Academic Senate of the University is exploring alternatives to institutional assessment. Course and faculty evaluations have been generally positive and the data has been utilized to improve course delivery. Faculty resources provided by the SON and University assist the faculty to achieve positive outcomes (Exhibit 11 & Appendix H). 62 Summary of Proposed Changes to Improve Program Effectiveness Enlarging computerized testing capability through the completion of a SON computer lab. Enlarge nursing Skills laboratory to enhance the ability to measure program effectiveness. Continued expansion of use of palm pilot (PDA) and other electronic resources in a range of clinical settings. Offering of a comprehensive mandatory NCLEX-RN review course. Correlate ATI test outcomes to NCLEX pass-rates. Continue to engage with the community of interest and institute changes based on feedback. Collaborate with Academic Senate to implement innovations in institutional assessment. Key Element IV-E: The program has established policies and procedures by which it defines and reviews formal complaints; analyses of aggregate data regarding formal complaints are used to foster ongoing program improvement. The nursing faculty encourages respectful, effective communication between faculty and students. Students are required to follow the chain of command consistent with SON policy (Exhibit 15). The administration of the SON and faculty encourage students to express concerns both formally and informally. Students with issues that are unable to be resolved within the SON are directed to follow the Student Complaint and Grievance Procedures. (Appendix A). Formal complaints related to academic integrity or honor code violations are also referred to university student services (Appendix A). 63 Standard IV– Program Effectiveness: Student Performance and Faculty Accomplishments Analysis for Continuous Quality Improvement A. Identified Strengths 1. High retention rate in BSN program (92.8%). 2. Variety of formative and summative evaluation methods used in program. 3. Significant constituent Community of Interest and employer satisfaction. 4. High achievement levels in ATI national testing 5. Outstanding faculty grounded in nursing practice 6. International focus and service through International Service Programs (ISP) B. Areas for Improvement 1. Development of student alumni data base. 2. Preparation of a rolling program of survey responses from alumni and employers. C. Plans for Continuous Improvement 1. Analyze formative and summative data in relationship to NCLEX-RN scores. 2. Support and facilitate establishment of alumni association. 3. Implement a variety of strategies to foster comprehensive feedback from community of interest. 4. Continue to implement the Systematic Plan of Evaluation. 5. Enhance orientation program for adjunct faculty and preceptors.