2013 0 University of Puerto Rico Mayaguez Department of Nursing SELF-STUDY REPORT Prepared for the continuing accreditation by the Accrediting Commission for Nursing Education ACEN 1 University of Puerto Rico Mayaguez College of Arts and Sciences Department of Nursing 2013 Main Entrance UPRM 2 TABLE OF CONTENT SECTION ONE Page EXECUTIVE SUMMARY .................................................................................................. 9 Introduction ................................................................................................................11 Summary of Standards and Criteria.............................................................................16 SECTION TWO Standard 1 Mission and Administrative Capacity................................................................22 Criterion 1.1....................................................................................................................23 Criterion 1.2................................................................................................................... 26 Criterion 1.3................................................................................................................... 32 Criterion 1.4................................................................................................................... 33 Criterion 1.5................................................................................................................... 34 Criterion 1.6................................................................................................................... 36 Criterion 1.7................................................................................................................... 36 Criterion 1.8. ..................................................................................................................38 Criterion 1.9…………………………………………………………………………....39 Standard 2 Faculty and Staff ..................................................................................................42 Criterion 2.1 ................................................................................................................... 43 Criterion 2.1.1..................................................................................................................44 Criterion 2.1.2..................................................................................................................44 Criterion 2.2.....................................................................................................................45 Criterion 2.3.....................................................................................................................46 Criterion 2.4.....................................................................................................................47 3 Page Criterion 2.5................................................................................................................... 50 Criterion 2.6................................................................................................................... 54 Criterion 2.7................................................................................................................... 56 Criterion 2.8................................................................................................................... 57 Criterion 2.9 ................................................................................................................... 61 Standard 3 Students .................................................................................................................62 Criterion 3.1................................................................................................................... .63 Criterion 3.2.................................................................................................................... 67 Criterion 3.3.................................................................................................................... 79 Criterion 3.4.................................................................................................................... 79 Criterion 3.4.1................................................................................................................. 81 Criterion 3.4.2................................................................................................................ .82 Criterion 3.5................................................................................................................... .83 Criterion 3.6................................................................................................................... .84 Criterion 3.7................................................................................................................... .85 Standard 4 Curriculum........................................................................................................... .87 Criterion 4.1................................................................................................................... .88 Criterion 4.2. .................................................................................................................. 94 Criterion 4.3.................................................................................................................... 97 Criterion 4.4.....................................................................................................................111 Criterion 4.5.....................................................................................................................115 Criterion 4.6. ...................................................................................................................117 Criterion 4.7.....................................................................................................................126 4 Page Criterion 4.8.....................................................................................................................129 Standard 5 Resources .............................................................................................................. 134 Criterion 5.1 ...................................................................................................................135 Criterion 5.2.....................................................................................................................137 Criterion 5.3. ................................................................................................................. .140 SECTION THREE Standard 6 Outcomes ...............................................................................................................150 Criterion 6.1.....................................................................................................................151 Criterion 6.2.....................................................................................................................152 Criterion 6.3.....................................................................................................................155 Criterion 6.4.....................................................................................................................156 Criterion 6.5.....................................................................................................................161 Criterion 6.5.1..................................................................................................................161 Criterion 6.5.2..................................................................................................................163 Criterion 6.5.3..................................................................................................................165 Criterion 6.5.4. ................................................................................................................170 SECTION FOUR APPENDICES……………………………………………………………….………………..220 Appendix Standard 1...................................................................................................... 221 Appendix Standard 2 .....................................................................................................224 5 LIST OF TABLES Page Standard 1 Table 1.1.1: Mission of the UPR, UPRM, College of Arts and Sciences and NEU………………………………………………………………………24 Table 1.1.2: UPR, UPRM, College of Arts and Sciences and NEU Student’s Learning Outcome…………………………………………………………….25 Table 1.2.1: Faculty and student’s participation at institutional, College of Arts and Sciences and NEU level……………………………………………..28 Table 1.8.1: Allocation of personnel policies for the nursing faculty and staff of the UPR………………………………………………………………………..38 Standard 2 Table 2.4.2: Example of faculty/student ratio in the classroom and clinical practice 2011-2012……………………………………………………………48 Standard 3 Table 3.1.1: Examples of documentation of written student policies………………………64 Table 3.2.1: Services to students and personnel by areas of responsibility………………...68 Standard 4 Table 4.1.1: Representation of the NEU adherence to Professional Nursing Educational Standards……………………………………………………………………….90 6 Cont. Tables Table 4.1.2: Page Standards of the Nursing Practice in Puerto Rico, Student Learning Outcomes and Competencies of the NEU…………………………….90 Table 4.1.3: Professional Standards and Guidelines Integrated in the Curriculum………………………………………………………………………93 Table 4.2.1: Comprehensive review of the BSN program…………………………………….96 Table 4.3.1: Courses outcomes for the compliance of SLO……………………………….....98 Table 4.3.2: SLO delivery of instruction and evaluation methods per level…………………110 Table 4.4.1: Cultural, Ethnic, and Social diversity concepts in Nursing Courses………………………………………………………………………….113 Table 4.7.1: Program of Study Bachelor of Science in Nursing……………………………..127 Table 4.8: Affiliated Agencies……………………………………………………………..130 Standard 5 Table 5.1: Illustrates NEU’s General Budget for year 2009, 2010, 2011…………………135 Table 5.2: Comparison of mean salary and rank of the Department of Nursing and the Department of Physical Education, Academic Year 2012-2013………………………………………………………………..136 Table 5.2.1: Example of equipment in the Skills Laboratory……………………………….139 Table 5.3.1: General Library subscription database………………………………………...144 Table 5.3.2: General Library opening hours………………………………………………...145 Standard 6 Table 6.0: Master Plan: Outcomes Evaluation (MPOE)………………………………….173 7 Cont. Tables Table 6.4.1: Page Graduating student’s opinion on competencies achievement; 2009-2010, 2010-2011, 2011-2012………………………………………….158 Table 6.4.2: Alumni Satisfaction with attainment of competencies: 2004-2008, 2011-2012……………………………………………………………………160 Table 6.5.1: Comparison of licensure exam pass rate of the NEU and the Puerto Rico level…………………………………………………………….162 Table 6.5.2a: Graduation rate from NEU, 2009-2012 cohorts……………………………..164 Table 6.5.2b: Retention and attrition rates of students at the BSN program during 2009-2011…………………………………………………………….165 Table 6.5.3a: Graduates satisfaction with the BSN Program……………………………....166 Table 6.5.3b: Alumni satisfaction with the BSN Program of the UPRM…………………..167 Table 6.5.3c: Employer’s satisfaction with the graduate, 2004-2008, 2011-2012………....170 Table 6.5.4: Employment history and job rates from graduates UPRM………………… ..171 8 SECTION ONE BACHELOR of Science IN NURSING: SELF STUDY REPORT 2013 EXECUTIVE SUMMARY 9 EXECUTIVE SUMMARY Program Type: Bachelor of Science in Nursing Degree Purpose of visit: Continuing Accreditation of the BSN Program Date of visit: October 15-17, 2013 • Name and address of the governing organization: University of Puerto Rico Mayagüez PO Box 9000 Mayagüez, PR 00681-9000 • Name and title of the chief executive officer of governing organization: Dr. Andrés Calderón Colón, PhD Acting Chancellor • Regional/institutional accreditors and status: Middle States Commission on Higher Education Association Status: June 23, 2011- Re-affirmed Accreditation Council of Higher Education of Puerto Rico Accreditation Status: Full Accreditation: 2005 • Name and address of the educational unit in nursing: University of Puerto Rico Mayagüez Department of Nursing Dr. Josefina Torres Torres Building PO Box 9000 Mayagüez, PR 00681- 9000 • Name of nurse administrator: Zaida L. Torres, RN, MSN Director of the Department of Nursing Phone: 787-265-3842 Email: zaidalina.torres@upr.edu • State Board of Nursing: Puerto Rico State Board of Nurse Examiners Approval Status: Not applicable • Accreditation Commission for Education in Nursing Standards and Criteria Baccalaureate Degree in Nursing Programs – 2008 10 • Total number of Bachelor of Science in Nursing Degree faculty members for Spring Semester 2013, including Chair and Associate Chair: a) Tenured: 14 Full-time, 0 Part-time b) Non-tenured: 1 Full-time, 0 Part-time c) Contract: 8 Full-time, 0 Part-time • Total student enrollment in the Nursing Education Unit as of Spring Semester 2013 Full-Time 345 Part-Time 5 11 INTRODUCTION The University of Puerto Rico Mayagüez is located in the Western part of the Island. Mayagüez is the third biggest city of Puerto Rico with a population of approximately 100,000. The city of Mayagüez is marked with a mix of neo-classical, Victorian and Baroque architectural elements, which makes it attractive to the community and to visitors. A dynamic and diverse student environment characterizes the areas surrounding the University of Puerto Rico Mayagüez Campus. The campus itself is filled with vegetative areas and lush botanical gardens that welcome the campus community and make this a home to faculty from around the world. History The University of Puerto Rico (UPR) was created by an act of the Legislative Assembly of Puerto Rico on March 12, 1903. It emerged as an outgrowth of the Normal School, which had been established three years earlier for the purpose of training teachers for the Puerto Rican school system. In 1908, the benefits of the second Morill-Nelson Act were declared applicable to the Island, thus fostering the rapid growth of the University. Evidence of that growth was the establishment of the College of Liberal Arts at Rio Piedras in 1910 and of the College of Agriculture at Mayagüez in 1911. It was in the College of Agriculture that the Mayagüez Campus of the University of Puerto Rico had its origin. A year later, the school received the name, which it bore for fifty years: The College of Agriculture and Mechanical Arts. The strengthening and diversification of the academic programs at Mayagüez were recognized years later when in 1942 as a result of the University Reform, the campus was organized with considerable degree of autonomy into the Colleges of Agriculture, Engineering and a Science division under a direction of a Vice- 12 Chancellor. The expansion of the University of Puerto Rico system as a coeducational, bilingual and nonsectarian institution continued through the 1950s when many programs flourished in the University. The Nuclear Center and the College of Arts and Sciences were established at Mayagüez. At Rio Piedras, the Colleges of Humanities, Natural Sciences, Social Sciences and, Business Administration were developed. The Schools of Medicine, Odontology and Tropical Medicine were established in San Juan. Since the enactment University Law No. 1 of 1966, the UPR was administered by the Council on Higher Education (CHE), which served as a Governing Board to the UPR and as the accreditation agency for postsecondary educational institutions. From 1993 until 2013 the University was governed by a Board of Trustees. Law No. 13 of 2013 amended the aforementioned Law, creating a Governing Board, which now administers the UPR system. The College of Agriculture and Mechanical Arts became the University of Puerto Rico – Mayagüez Campus. As a comprehensive campus of the UPR system, the University of Puerto Rico at Mayagüez (UPRM) has four colleges and one division: Agricultural Sciences, Arts and Sciences, Business Administration, Engineering and the Division of Continuing Education and Professional Studies. The Land Grant concept of instruction, research and service to the community is present in all four colleges. Its additional designation as a Sea Grant (1989) and a Space Grant (1992) institution have augmented the UPRM Land Grant mission. The Nursing Education Unit (NEU) As of 1964, the University of Puerto Rico at Mayagüez established its first academic program in nursing. The Mayagüez University Board granted the approval for a program in nursing consisting of an option leading to an Associate Degree in Nursing (AND, two year program) and another option leading to a Bachelor of Science in Nursing degree (BSN) 13 (Certification 64-65-20). This program became the first one to be instituted within the Public University System of Puerto Rico. In its first year, the program was aligned as a division under the Department of Biology of the College of Arts and Sciences. By 1965, in compliance with Certification 65-66-104 of the University Board, the NEU was established under the direction of Dr. Josefina Torres Torres. The Council of Higher Education and the National League for Nursing accredited the ADN program in 1967. Eventually since 1998 by an administrative decision, the ADN program is no longer offered. In 1968, the faculty of the NEU agreed to review the original program proposal in order to establish a generic BSN program separated from the ADN program. The outcome of this effort was the establishment of the generic baccalaureate program in 1970. The program was then approved by the UPRM Academic Senate (Certification 70-9) and given a provisional accreditation by the Council of Higher Education in 1969-70 (Certification 68 and 68 A). In 1975-76, the program was awarded full accreditation by the Council of Higher Education (Certification 8) and reaccredited in 1982. In that same year, the National League for Nursing (NLN) accredited the BSN program for the first time and it has been maintained since then. The Bachelor of Science in Nursing Program is organized in four academic years, 144 credits. The distributions of credits are according to their categories: 50 credits are faculty requirements; 82 credits are departmental requirements (57 credits in the major area and 25 credits in non-major area) and, 12 credits are for free elective courses. The purpose of the Baccalaureate Program is to prepare a generalist nurse to carry out the professional role within a variety of health care settings. In addition the UPRM has three articulated program, one with UPR-Aguadilla created in 1996, the second with UPR-Utuado created in 2007 and the third with 14 UPR-Ponce in 2008. These articulated programs were created in order to facilitate the admittance of Aguadilla, Utuado, and Ponce transfer students interested in nursing. To accomplish the goals of the BSN Program, the Faculty and Administration of the NEU have been committed to review, revise and refine the program constantly, updating and developing new endeavors to fill the needs of the community and society. One of the ways that the NEU contributes to Professional Nursing and to health related professions is by offering continued education units (CEU) through the Continuing Education Section, since 1983. In addition, the nursing faculty submitted to the governing institution a proposal for what will be our Master of Science in Nursing Degree Program, which at this time is before the Administrative Board of the UPRM. The UPRM - NEU has also sponsored the establishment of various organizations. It was at our Department where a Chapter of the Nursing Students Association at the University level was first established. The Epsilon Lambda Chapter of the Sigma Theta Tau International was the first chapter inducted outside the continental United States and the only constituent chapter established so far in Puerto Rico. The UPRM NEU hosts the Coalition of Nurses for Communities in Disaster, organization founded by one of our faculty members in 2003 and sponsored by the State Agency for the Management of Emergencies and Disasters in Puerto Rico, Epsilon Lambda Chapter of the Sigma Theta Tau International and the NEU. The main purpose of this organization is to provide training and activities of disaster preparedness to professionals and community leaders. The NEU also hosts other projects created by faculty members. Examples of these are; Hope for Life (Esperanza a la Vida) initiated in 2007 to provide prenatal care to pregnant women from the UPRM campus population, by the students of the Maternal and Child Nursing I Course (ENFE 4001). The Mental Health Symposium, organized 15 since 2009 aims to promote mental health in the community. Since 2012 the Elderly Symposium is offered at the NEU, promoting health in the elderly population, targeting both professionals and general public. NEU’s mission is supported and carried out by 21 Faculty, and 7 staff members. Modeling leadership, service and professional standards promote a body of students, graduates and alumni that are a reflection of what the NEU envisions to contribute to the society. The NEU Faculty will continue to thrive in examples of instruction, service and research. 16 SUMMARY OF STANDARDS AND CRITERIA STANDARD 1: MISSION AND ADMINISTRATIVE CAPACITY The mission, philosophy and outcomes of the Nursing Education Unit (NEU) are congruent with those of the governing organization. These are clearly stated and accessible through the UPRM internet, Undergraduate Catalogue 2012-2013, the Nursing website and in other accessible sources as well as posted in the NEU bulletin boards. Policies of the NEU are congruent with those of the governing organization. Additional policies are those that are unique to the Nursing profession in Puerto Rico and requirements of affiliated agencies. Faculty, students and administrators participate in the governance of the organization through committees and other institutional bodies. Through the strong, steady and administrative capacity of the Director of the NEU, and the support of the governing organization, the attainment of the vision, mission and Program Outcomes are achieved. STANDARD 2: FACULTY AND STAFF Faculty of the NEU is diverse in experience and academic preparation and participates actively in their maintenance of expertise and professional requirements. The Faculty of the NEU is credentialed with a minimum of a master’s degree with a major in nursing and maintains expertise in their areas of responsibility to fulfill the goals and outcomes of the BSN Program. There is a 30 % of full-time faculty holding an earned doctorate degree. The number and utilization of faculty and the ratio of student/faculty are sufficient to meet the outcomes of each course and to ensure that Student Learning Outcomes and Program Outcomes are achieved. The 17 NEU takes necessary steps to orient and mentor full and part time faculty in their areas of responsibilities. Faculty are engaged in numerous scholarship activities that reflect the define areas selected. Through these activities of research, practice and teaching and the support of nonfaculty members and staff, they are able to carry out the vision, mission, Student Learning Outcomes and Program Outcomes. STANDARD 3: STUDENTS Policies and procedures related to students are published and changes are informed through various documents, brochures, students’ manual and UPRM website. All information is congruent with those of the governing organizations and non-discriminatory as well as consistently applied. Nursing students must comply with additional policies in relation to nursing courses passing rate and health and affiliated agencies requirement. Students have varied access to support services that are administered by qualified individuals. Compliance with the Higher Education Reauthorization Act Title IV eligibility and certification requirements is maintained by the Financial and Registrar Office. The Office of Financial Aid and Finance carefully oversees the administration of funds to students and circulate communications that include the rules, regulations and processes of all financial aid programs. STANDARD 4: CURRICULUM The curriculum of the Bachelor of Science in Nursing of the NEU, functions in harmony with the philosophy of the University of Puerto Rico (UPR), and UPRM. Our curriculum demonstrates its integrity in the application of principles and concepts identified through the mission, philosophy and conceptual framework. The curricular program structure and clinical 18 resources provides students with the learning experiences necessary to fulfill student learning outcomes and program outcomes. Through the curriculum student acquire knowledge, skills and attitudes to be competent, sensitive and engage in safe practice, particularly those required to become a generalist nurse. STANDARD 5: RESOURCES Human, fiscal, physical and learning resources are available and utilized appropriately to accomplish the student learning outcomes and program outcomes. STANDARD 6: OUTCOMES The systematic outcomes' evaluation is a necessary process in the development, maintenance and revision of the program. The Master Plan: Outcomes Evaluation (MPOE) comprises of the criteria being evaluated with defined outcomes and benchmarks. Aggregated data is obtained from quantitative and qualitative sources that are used for decision making process. Through the systematic outcomes evaluation, the NEU has identified that the expected level of achievement of Program Outcomes have been obtained. 19 ANALYSIS AND SUMMARY OF STRENGTHS AND AREAS NEEDING IMPROVEMENT I. Areas of Strengths Strong support from the governing organization to achieve the program outcomes Faculty is diverse, well qualified and experienced Faculty engages in diverse scholarly activities, which includes research, practice and service Resources and services available to students are varied and abundant to promote success of student learning and program outcomes The curriculum has a strong foundation to prepare students to function as a leader, be accountable and a highly qualified nursing professional Performance in licensure examination is above the national level, surpassing the benchmark II. Employers satisfaction with the alumni is 100% Alumni satisfaction is above benchmark Areas needing improvement Encourage active participation of students in Governing organization, College of Arts and Sciences and in NEU committees Improve curricular offering and processes Improve data collection for outcomes evaluation 20 III. Improve alumni communication and participation Plans for strengthening the program Continue the support to faculty towards achieving higher education degrees in Nursing and practice activities Increase adoption of simulation across the curriculum Encourage student and faculty exchange with National and International programs, including practice centers Develop additional evaluation strategies to improve outcomes evaluation Develop and implement an exit assessment tool for evaluation of student learning outcomes and competencies IV. Five Year Plan (2013-2018) Establish the Master of Science in Nursing Program Provide high quality innovative and accessible academic offerings, including distance education alternatives Maintain participation of faculty, administrators and students in Governing bodies and committees of UPRM, College of Arts and Sciences and NEU Maintain allocation of funds for faculty and student in scholarly activities Strengthen the evaluation of student learning outcomes Foster alliances within the discipline, other disciplines, professional organizations, students organizations and alumni at national and international level 21 STANDARDS 1-5 SECTION TWO STANDARDS 1-5 22 STANDARD 1 MISSION AND ADMINISTRATIVE CAPACITY The nursing education unit’s mission reflects the governing organization’s core values and is congruent with its strategic goals and objectives. The governing organization and program have administrative capacity resulting in effective delivery of the nursing program and achievement of identified outcomes. UPRM Portico 23 1.1 The mission / philosophy and outcomes of the nursing education unit are congruent with those of the governing organization. The mission, philosophy and outcomes of the Nursing Education Unit (NEU) are congruent with those of the governing organization. Table 1.1.1 demonstrates the harmony between the mission of the NEU, and those established by the governing organization. From the upper-level organizational perspective to the mission and philosophy of the NEU, the focus includes high-quality teaching to form well rounded citizens, men and women into capable, productive professionals who provide service to Puerto Rico and society. The faculty of NEU directs its efforts and initiatives equally in three fundamentals areas: instruction, research, and service for the community. Table 1.1.2 presents the congruency of the seven institutional outcomes in relation to those of the UPRM, the College of Arts and Sciences and the NEU Student Learning Outcomes (SLO). The table reflects the concepts of critical thinking, communication, research, ongoing learning, appreciation of values and ideals of Puerto Rican society, capacity for independent study and intellectual curiosity. The words in bold in each column demonstrate the congruency of these outcomes. The vision/mission of the NEU is publicly accessible in the Internet http://www.uprm.edu/enfe/ as well as in the Student handbook, Faculty Bylaws, Department Strategic Plan, posted in bulletin boards, faculty meeting room, computer center, and skills laboratory room. 0 TABLE: 1.1.1 Mission of the UPR, UPRM, College of Arts and Sciences and NEU UPR UPRM College of Arts and Sciences Nursing Education Unit The University of Puerto Rico, as a public institution of higher education, has been entrusted by law with the obligation of serving the people of Puerto Rico in adherence to the ideals of an integral democratic society. *The University must strive to transmit and increase knowledge by means of the development of the arts and sciences. This knowledge should be placed at the service of the community through the professors, researchers, students and graduates. *Contribute to the cultivation and enjoyment of the ethics and aesthetics values of the culture. Law #1 of the University of Puerto Rico, January 20, 1966, as amended (see exhibit for Standard 1). Within the philosophical framework established by the University of Puerto Rico Act, Mayaguez Campus direct its efforts toward the development of educated cultured citizens, capable of critical thinking, and professionally qualified in the fields of agricultural, social, and natural sciences, engineering, humanities, and business administration. They should be able to contribute in an efficient manner to the cultural, social, and economic development of the Puerto Rican and international community. *Performing creative work, research and service to meet the society’s needs and to make available the results of these activities. To liberate and broaden the mind in order to produce men and women with vision and perspective as well as specific practical skills and knowledge. The College of Arts and Sciences also encourages the intellectual development of both students and professors. Quality research supports educational programs by introducing students to discovery and provides a source of knowledge and understanding needed for a better society. *Teaching, research and community service are all integral part of the mission of the College of Art & Sciences. Prepare highly qualified professional who contribute to excellence in: health promotion and maintenance, prevention, and management of illness, rehabilitation and care at the end of life in all levels of healthcare delivery for a diverse society and, to participate in healthcare public policy. http://www.uprm.edu/catalog/UndergradCatalog20112012.pdf http://www.uprm.edu/catalog/UndergradCatalog20122013.pdf http://www.uprm.edu/cms/index.php/page/291 www.uprm.edu/enfe 1 Table: 1.1.2 UPR, UPRM, College of Arts & Sciences and NEU Student’s learning outcomes UPR Outcomes UPRM Outcomes Arts & Sciences Outcomes NEU Student Learning Outcomes effective communication capacity for critical thinking a) Communicate effectively. b) Identify and solve problems, think critically, and synthesize knowledge appropriate to their discipline. c) Apply mathematical reasoning skills, scientific inquiry methods, and tools of information technology. d) Apply ethical standards. e) Recognize the Puerto Rican heritage and interpret contemporary issues. f) Appraise the essential values of a democratic society. a) Communicate effectively orally and in writing, both Spanish and English, particularly in their major area. b)Think critically c) Synthesize knowledge appropriate to their discipline and apply it to the identification and solution of problems. d) Apply mathematical reasoning skills, research methods, and information technologies. e) Recognize the ethical implications of different actions and integrate ethical standards or codes into responsible decision making. f) Demonstrate respect for nature and the environment, particularly of Puerto Rico. g) Be knowledgeable about Puerto Rican heritage and culture. h) Appreciate the essential values of a democratic society and the role of the individual in such a society. i) Understand contemporary social, political, and economic issues in a local and global context. j) Demonstrate respect for diversity in all its dimensions. k) Develop an appreciation for the humanities, the arts, and the sciences. l) Be committed to improve the quality of life at both the personal and global context. m) Engage in teamwork n). Engage in lifelong and multi/interdisciplinary learning. Apply knowledge and skills from nursing science and other disciplines while caring for the client system as it pertains to promotion and maintenance of health, prevention, management and rehabilitation of illness, and end of life care. research and creative endeavor ongoing learning appreciation and cultivation of, and commitment to, the values and ideals of Puerto Rican society social responsibility capacity for independent study g) Operate in a global context, relate to a societal context, and demonstrate respect for other cultures. h) Develop an appreciation for the arts and humanities. i) Recognize the need to engage in life-long learning. www.uprm.edu/catalog p. 3 intellectual curiosity Demonstrate leadership, communication and interpersonal relationship knowledge and skills when managing care in a collaborative effort with the client system. Provide and promote safe, quality care that will continually allow the client system to progress toward higher levels of wellness as they adapt to changes. Integrate critical thinking, professional judgment, values and ethical/legal principles within generalist nursing practice. Act as an evolving scholar demonstrating continuous professional development, use of creative thinking, technology and evidence base as a foundation for decision making and problem solving. Incorporate professional nursing roles while providing holistic, competent and culturally sensitive nursing care in multiple settings. 26 1.2 The governing organization and nursing education unit ensure representation of students, faculty, and administrators in ongoing governance activities. The University of Puerto Rico Mayaguez and the NEU ensure representation of students, faculty, and administrators in ongoing governance activities. This representation is facilitated by the Government Board, (former Board of Trustees, Law #1 as amended by the Law #13 of 2013) University Board, Administrative Board, Academic Senate, Student Council, and institutional and departmental committees. The College of Arts and Sciences has five standing committees: Undergraduate Education, Personnel, Curriculum, Library, and Strategic Planning to which each Department sends a representative. The NEU standing committees are: Personnel, Evaluation, Teaching Resources and Faculty Development, Curriculum, and Promotion and Recruitment. Nursing students have the opportunity to be represented on these committees, except for the Personnel Committee, (due to the sensitivity of information that is handled) as established in the Committee By-laws. In addition, the UPR General Regulations provide for faculty and student’s participation in governance activities. For example, Nursing faculty and elected student representatives (which includes self-nominations) are enabled by this regulation to participate in: the consultation process for the appointment of UPR President, UPRM Chancellor, Dean of Arts and Sciences College, and the NEU Director. Likewise, faculty and students are granted the mechanism to elect their proxies to represent them at the UPR, UPRM, College of Arts and Sciences; and NEU meetings and governing activities as it applies. Students are represented in governance at all levels, from the Government Board to the NEU level. The student’s representation in university affairs is guaranteed by the General By-laws of the Students of the University of Puerto Rico http://www.uprm.edu/decestu/procedimientos.html). The General By-laws of the Students has the 27 purpose of establishing the student’s rights and responsibilities as members of the academic community, and provides the necessary structures for efficient participation. The College of Arts and Sciences By-laws establishes the selection of two students’ representatives to participate with voice and vote in departmental committees and standing committees except for Personnel Committee. The selection process of the students’ representative is the responsibility of the College of Arts and Sciences Dean and the President of the Student council of the College of Arts and Sciences. To ensure the representation of students in departmental committees, the faculty of the NEU has established an annual assembly. Among the purposes of this assembly is to encourage the participation in ongoing governance activities at institutional and NEU level. Faculty and student representation during the last three years is presented in the Table 1.2.1: Faculty and Student's participation at institutional, College of Arts and Sciences and Departmental Level. 28 Table 1.2.1: Faculty and Students Participation at Institutional, College of Arts &Sciences and NEU Level Committee /working group Name of the faculty and/or student Terms GOVERNING ORGANIZATION COMMITTEE Protection of Human Subjects in Research (IRB) Dr. Miriam Nieto Vázquez Dr. Celia R. Colón Rivera 2006-2012 2012 to present Dialogue Dr. Hayden Ríos Iturrino Dr. Marisol Santiago Sepúlveda Prof. Anna Maldonado 2008-2010 2010-2011 2011 to present Law 51-Integral Education Services for disabled Prof. Gloribell Ortiz 2005 to present Institutional Recruitment (Atrévete) Prof. Lourdes Ramírez Prof. Gloribell Ortiz 2007 to present 2007 to present Dr. Miriam Nieto Vázquez Dr. Marisol Santiago Sepúlveda Prof. Zaida Lina Torres (Dean Representative) Prof. Lourdes Ramírez Acevedo Prof. Elba Vargas Rosas 2008-2010 2008-2010 2004-2010, 2012 to present 2012 to present 2012 to present Dr. Margaret Toro Pérez Dr. Miriam Nieto 2003-2004, 2009-to present 2012 to present Library Committee Prof. Ana C. López Avilés 2012 to present Strategic Planning Prof. Zaida Lina Torres 2005 to present Undergraduate Education Dr. Madeline Delgado Prof. Elba Vargas Rosas 1998 to present 2011 to present 2008-2011 Student Council Andrea Pagán Lisa Alicea Julio Maldonado 2009-2010 2009-2010 2010-2011 COLLEGE OF ARTS AND SCIENCES COMMITTEE Personnel Committee Curriculum Committee Arts & Science Student Representative 29 NURSING DEPARTMENT COMMITTEE Personnel Committee Prof. Lourdes M. Santiago Santiago Prof. Zaida Lina Torres Soto Dr. Marisol Santiago Sepúlveda Prof. Sandra Zapata Dr. Miriam Nieto Prof. Lourdes Ramírez Acevedo Prof. Elba M. Vargas Rosas 2000-2012(Chair) 2000 to present 2005 to present, 2012 (Chair) 2009-2012 2008-2012 2012 to present 2012 to present Prof. Ana C. López Avilés Dr. Celia R. Colon Rivera Prof. María del C. Cortina Prof. Gloribell Ortiz Prof. Wanda Irizarry Mrs. Yvonne Laracuente, RN, Skill Lab Prof. Gladys López, Library Representative Wendy Rivera Rosas, Student Sunmarie Díaz, Student Julio Maldonado, Student Gabriel Cedeño, Student Crystal Singleton, Student Prof. Sandra Zapata 1998-to present 2005-to present (Chair) 2012-to present 2005-2010 2007-2010 2010 –to present 2000-2013 Curriculum Committee Dr. Margaret Toro Pérez Prof. María del Cortina Prof. Clara Valderrama Prof. Gloribell Ortiz Dr. Miriam Nieto Prof. Lourdes Ramírez Prof. María Santiago Galarza Prof. Arizbeth Ortiz Cordero Prof.Héctor González Prof. María Santiago Galarza Sylvia Rodríguez, Student Jaref Rodríguez, Student Guinevere Just Jones, Student 2008-to present 2009-2012 2008 to present 2006 to present 2005 to present 2002 to present 2012 to present 2011 to present 2009-2011 2012 to present 2010-2011 2010-2011 2011-2012 PROMOTION AND RECRUITMENT COMMITTEE Prof. Lourdes E. Ramírez Acevedo Prof. Elba M. Vargas Rosas Prof. Clara Valderrama Prof. Solangie Pagán Prof. Anna Maldonado Bianca Ramos, Student Cesar Rodríguez, Student Neychimar Soto Ramírez, Student 1997 to present 2008 to present 2010 to present 2012 to present 2010-2011 2010-2011 2011-2012 2011-2012 Teaching Resources and Faculty Development 2010-2011 2010-2011 2011-2012 2012-to present 2012-to present 2009-2010 2012 to present 30 Evaluation Committee Dr. Rose M. Méndez Avilés Prof. Migdalia Ríos Prof. Héctor González Padró Prof. Anna Maldonado Prof. Solangie Pagán Franchelis Olavarria, Student Yadira Echevarria, Student Rosse Marrero, Student 1998-2007; 2010 to present 2003-2012 2003 to present 2000 to present 1997-2010, 2012 to present 2010 to present 2007, 2011 to present (Chair) 2009 to present 2010-2013 2008-2011 2007-2009 2010-2011 2011-2012 2011-2012 Development of Master Degree Program in Nursing Sciences Proposal Dr. Margaret Toro Pérez Prof. Lourdes Santiago Dr. Celia R. Colón Rivera Dr. Abigail Matos Pagán Prof. Zaida Lina Torres Soto 2001-2012 2001-2012 2001-2006 2001-2012 2001-2012 NCATE Teachers Preparation Program Dr. Margaret Toro 2005 -2009 Emergency and Disaster (Plan Desalojo) Dr. Abigail Matos Dr. Miriam Nieto Prof. Lourdes Ramírez Sr. Michael Colón Rivera Prof. Elba M. Vargas Prof. Zaida Lina Torres Soto 2000-2010 2002-2003 2000 to present 2000 to present 2000 to present 2000 to present National League for Nursing (ACEN) Self-Study Report Dr. Abigail Matos Pagán 2005 to present (Chair) 2005 to present 2005 to present 2005 to present Prof. Lourdes M. Santiago Santiago Dr. Abigail Matos Pagán Prof. Ana C. López Avilés Prof. Sandra Zapata Casiano Prof. Wanda Irizarry Justiniano Dr. Madeline Delgado Caraballo AD HOC COMMITTEES Prof. Lourdes Santiago Santiago Dr. Rose Marie Méndez Prof. Zaida Lina Torres, ex-oficcio Revision of the Skill Laboratory Manual Dr. Celia R. Colon Rivera Prof. Elba M. Vargas Rosas Prof. Zaida Lina Torres Soto Mrs. Yvonne Laracuente, Skill Lab RN 2011-2012 2011-2012 2011-2012 2011-2012 31 AD HOC COMMITTEES Faculty By-Laws Dr. Celia R. Colón Rivera Prof. Sandra Zapata Prof. Zaida Lina Torres 2010-2011 2010-2011 2010-2011 Students By-Laws Prof. Elba M. Vargas Rosas Dr. Celia R. Colón Rivera 2010 to present 2011 to present Strategic Planning Prof. Elba M. Vargas Rosas Prof. Lourdes M. Santiago Santiago Prof. Zaida Lina Torres Soto 1998 to present 1998 to present 1998 to present Project M Prof. Elba M. Vargas Rosas Dr. Margaret Toro Pérez Prof. Lourdes Ramírez Acevedo Prof. Gloribell Ortiz Ríos Prof. María del C. Cortina Dr. Abigail Matos Pagán Prof. Ana C. López avilés Dr. Madeline Delgado Caraballo Dr. Miriam Nieto Vázquez Prof. Wanda Irizarry Justiniano Prof. Clara Valderrama Fuquén Dr. Marisol Santiago Sepúlveda 2008-2009 2008-2009 2008-2009 2008-2009 2008-2009 2008-2009 2008-2009 2008-2009 2008-2009 2008-2009 2008-2009 2008-2009 Board Examination Committee Prof. Lourdes Santiago Dr. Abigail Matos Prof. Sandra Zapata Dr. Marisol Santiago Prof. Lourdes Ramírez 2004-2010 2004-2012 2009-2012 (Chair) 2004-2012 2004-2009 Nursing Research Development Working Group (EARDA) NIH – EA Program Dr. Abigail Matos Dr. Margaret Toro 2011 to present (Coordinator) 2011 to present 2011 to present (PI) 2011 to present (PI) 2011 to present 2011 to present (Secretary) 2011 to present Dr. Rose M. Méndez 2011 to present UPRM Extramural Associates Development Award (EARDA) NIH -EA Program Prof. Lourdes Santiago Dr. Celia R. Colon Rivera Dr. Miriam J. Nieto Prof. Ana C. López Prof. Sandra Zapata 32 Alumni Committee Prof. María Santiago Galarza Prof. Migdalia Ríos Dr. Madeline Delgado Prof. Solangie Pagán Prof. Wanda Irizarry Prof. Clara Valderrama 2012 to present (Chair) 2012 to present 2012 to present 2012 to present 2012 to present 2012 to present 1.3 Communities of interest have input into program processes and decision-making. The NEU receives input on the program processes and decision-making from governing organization, as well as communities of interest, which include employers, administrative personnel, representatives from affiliated agencies, the Board of Nurse Examiners of Puerto Rico (JEEPR, in Spanish), College of Professional Nursing in Puerto Rico (CPEPR, in Spanish) and community in general. Input is retrieved by the Curriculum and Evaluation Committees, Director, Associate Director and Faculty in general. A yearly meeting is organized with affiliated agencies to explore new trends, standards and policies that need to be considered to maintain the student’s level of performance according to health care changes. The Evaluation Committee through the surveys and ongoing evaluation discusses findings analysis with faculty, students and affiliated agencies. In addition, faculty has multiple opportunities to receive input from communities of interest through informal communication provided by employers, healthcare consumers, and the general community during regular clinical encounters. The affiliated agencies representatives maintain open communication with the NEU through meetings and written communications related to changes in their policy's clinical documents required from faculty and students and to exchange information about experiences with the students and 33 faculty. Furthermore, at the end of the semester, students have the opportunity to share input with the staff of the affiliated agencies in order to maintain and/or improve their clinical practice experience. Administrative personnel provide input through direct communication and meetings with the Director. The NEU also receives anecdotal input from the community in general during the participation of students and faculty in diverse activities such as health fairs, and health teaching activities and other community service. The regulatory organizations such as the Accreditation Commission for Education in Nursing (ACEN), the CPEPR and the JEEPR have direct input into processes and decisionmaking. When regulations change, these are presented, reviewed and discussed among the faculty and other involved stakeholders. Ultimately, they are thoughtfully integrated throughout the curriculum, procedures, or policies as pertinent. 1.4 Partnerships exist that promote excellence in nursing education, enhance the profession, and benefit the community. The NEU establishes partnerships with health care organizations such as general and specialized hospitals, community health centers, adult and elderly housing projects, home-health care agencies, day-care centers (elderly and children), mental health clinics, and schools, among others. The faculty, the Associate Director and the Director of the NEU share responsibility in selecting private or public agencies, services and resources that assist in the teaching and learning experiences of students. To promote excellence in nursing education, enhance the profession, and benefit the community, the NEU consideres the following when selecting an affiliated agency: accreditation and licensure status, accessibility, adequacy of facilities, human and fiscal resources, harmony of 34 mission and philosophy of the agency with that of the NEU and support of learning and program outcomes. Contractual agreements with the affiliated agencies clearly establish responsibilities for both parties and ensure student’s safety (See Exhibit: Standard 1). Legal agreements are evaluated and updated annually or every two years by the Director and the Associate Director. Its renewal is based mainly on student and faculty evaluations and agency’s contribution towards the achievement of learning and program outcomes. As a result of this partnership agreement the NEU offers: continuing education units, collaboration in agency’s health activities, and service to community, that results in benefit to the agency’s and its nursing staff professional development. 1.5 The nursing education unit is administered by a doctorally prepared nurse. The NEU has been administered by Prof. Zaida L. Torres, who has extensive skills, knowledge and leadership to facilitate and support the attainment of the mission, vision and outcomes of the NEU. Prof. Torres is a full professor who has worked at the UPRM for 28 years and was appointed Director of the NEU in June 2000. She obtained the Master in Science of Nursing from the University of Puerto Rico, Medical Sciences Campus (UPR-RCM) in 1984. Currently, she has completed 48 credits toward her doctorate in Education with major in Educative Administration from the Interamerican University of Puerto Rico. Her academic preparation encompasses a clinical nursing track in young adults, adults and elder’s health, and a functional role in administration of nursing services. In 1998, she completed a second nursing specialization in Family and Community Health and a certificate in Health Promotion and Disease Prevention for the Elderly, also from the UPR-RCM. 35 Profesor Torres has a teaching experience of 34 years in addition to 12 years of administrative experience as Director; five years as Coordinator of the UPRM Associate Degree Program; two years as Coordinator of the Job-Training Program Administration (JTPA), one year as Supervisor of Nursing Services for the Española Clinic and three years at the Ambulatory Health Care Services of the Puerto Rico Teacher’s Association in Mayagüez (See Curriculum Vitae, Exhibit Standard 1). As a leader in Nursing she has received many honors and has been recognized by the community and professional organizations for her contributions in the CPEPR, receiving the honor award in administration; Rosa Gonzalez. Currently, she is President of the Educators’ Section of the aforementioned professional organization and in 2010-2011 she served as the First Vice President of the Sigma Theta Tau, International- Epsilon Lambda Chapter. She has given several professional presentations at national and international level and co-authored articles for the official magazine of the CPEPR. Some examples of her performance as an administrator are: a budget proposal for the acquisition of high-fidelity simulators which improved the diversity of teaching and learning resources of the skills laboratory, and an increase in the number of faculty with a doctoral degree or with another area of specialty, strenghtening the program resources. Her experience and administrative capacity has provided the fiscal and Program estability during the actual times of ecomony constrictrion and the leadership to the NEU in the attaintment of its mission, vision, SLO and PO. 36 1.6 The nurse administrator has authority and responsibility for the development and administration of the program, and has adequate time and resources to fulfill the role responsibility. The director of the Department of Nursing has the authority and responsibility for the development and administration of the program as conferred to all academic department directors by the UPR Regulations (Chapter IV- Institutional Units, Article 25-Organization, Function, Attributes of the Department). The Director of the NEU is the official representative at the administrative level and responds primarily to the Dean of the College of Arts and Sciences. According to regulations, the Director has a work load of six credits for academic role and six credits for the administrative role, which is appropriate to fulfill both responsibilities. The Director is responsible for the overall administration of the NEU and the implementation of the vision, mission, philosophy and program outcomes, (See Responsibilities and Duties on Exhibit Standard 1). In order to fulfill her role and responsibilities, Prof. Torres is assisted by an Associate Director, an administrative assistant, and three administatives secretaries. 1.7 With faculty input, the nurse administrator has the authority to prepare and administer the program budget and advocates for equality among the units of the governing organization. Fiscal allocation process of the UPR system is stipulated in the Budget Regulations of the University of Puerto Rico (Certification Number 100- 2005-2006 approved by the Board of Trustees). This document provides the guidelines on budgetary procedures. The Director of the Central Budget & Finance Office establishes the priorities and planning of the fiscal year budget. Campus Chancellors prepare an integrated budget proposal based on its priorities and identified programmatic projections. The Dean of College of Arts and Sciences, in turn, request budget proposals from department directors. 37 Each department director submits a budget proposal to the Dean, who prepares an overall budget based upon requests, and forwards it to the Director of the Budget Office and to the Chancellor. Upon the Administrative Board approval, the institutional budget proposal is sent to the President of the University. The President submits the University’s integrated budget proposal to the Governing Board. After the Governing Board revises, adjusts, and approves the budget proposal, the President forwards it to the Budget Office of the University of Puerto Rico. This office retains the budget proposal until the government assigns the funds in accordance with the established formula of 9.6% of the average of the two prior annual tax revenues that are received by the Commonwealth of Puerto Rico Treasury Department and assigned to its General Fund; as well as from special funds created by legislation as of July 1, 1993 (Law Number 1, January 20, 1966, as amended). Once the government authorities approve the funds, the Governing Board allocates the monies to each campus. The Chancellor distributes the budget by dependencies and at the beginning of the academic year, the Dean of College of Arts and Sciences informs departments directors of their assigned budget, considering their needs and a fair distribution between them. The Director of the NEU has participation and authority in budget preparation and administration in accordance with the assigned budget for the fiscal year. The Director prepares the budget proposal based on NEU priorities, specific program needs and considers faculty and administrative personnel recommendations. The Director of the NEU allocates funds for purchasing equipment and supplies needed for daily operational purposes, as well as, for the acquisition of new technological equipment. The major part of the budget is allocated to the area of human resources. In the events of other departmental needs, such as repairing the air conditioning system or building structure, additional funds can be requested to the Dean. 38 1.8 Policies of the nursing education unit are comprehensive, provide for the welfare of faculty and staff, and are consistent with those of the governing organization; differences are justified by the goals and outcomes of the nursing education unit. The General Regulation of the University of Puerto Rico is the source that guides faculty and staff in their academic and administrative endeavors (See exhibit Standard 1). All policies of the NEU are consistent with those of the governing organization. Table 1.8.1 presents the allocation of personnel policies for the nursing faculty and staff. Table 1.8.1: Allocation of Personnel Policies for Nursing Faculty and Staff of the UPR UPR General Regulations (2006) Non discrimination Appointment Academic Rank Salary and Benefits Rights and Responsibilities Promotion Tenure Termination Nursing Faculty Chapter V Article 31,pp 42-42 Chapter VII, Article 42, pp58-60 Chapter VII Article 41, pp.56-58 Chapter VII Article 49, pp. 70-72 Chapter VII Article 63, pp. 91-93 Chapter VII Article 47 pp. 66-70 Chapter VII Article 46, pp.63-66 Chapter V Article 36, pp. 49 Chapter V Article 35, pp 46-48 Staff Chapter V Article 31,pp. 42-43 Chapter V, Article 29 pp 39-40 N/A Chapter VIII Article 74, pp.110 Chapter VIII Article 88, pp.122-123 Chapter VIII Article 83, pp. 111 Chapter VIII Article 82, pp 117 Chapter V Article 36, pp. 49 Chapter V Article 35, pp 46-48 Grievance procedures Workload Chapter VII Article 64, pp. 94-95 Accessibility of nursing education unit policies Chapter VIII Article 86, pp.119-122 The NEU policies are the same as those of the parent institution. Policies of The General Regulation of the University of Puerto Rico are accessible and publicly available in the UPRM website, http://www.uprm.edu/politicas/, and in paper copies at the administrative offices. The 39 By-Laws of the Faculty of the Department of Nursing maintain consistency with the institutional policies and the General Regulation of the UPR (See exhibit Standard 1). Rationale for policies that differ from governing organization Policies of the NEU do not differ from those of the governing organization. However, because certain requirements are unique to the practice of Nursing in PR, faculty members must comply with additional requirements. Nurses in Puerto Rico must comply with Law no. 9, as amended (October 11, 1987), which regulates the Practice of Nursing in the Commonwealth of Puerto Rico; Law no. 82 (1973, amended by Law no. 306 September 15, 2004) requires from nurses compulsory membership to the College of Professional Nursing of Puerto Rico (CPEPR), and Law no. 11 (June 23, 1976), establishes continuing education requirements. In addition to the requirements established by the UPRM for faculty evaluation, NEU requests credentials, such as: evidence of continuing education courses, CPEPR membership, evidence of license registration to practice nursing in Puerto Rico, health certificate, CPR certification, copies of immunizations or titles for Chickenpox, Influenza and Hepatitis B vaccination, among others requested by affiliated agencies. 1.9 Records reflect that program complaints and grievances receive due process and include evidence of resolution. The UPR Student General Regulation, amended in June 28, 2011 (Article 2.36) states that any student who understands that some of his/her rights has been affected or violated can present a complaint to the corresponding authority within the institutional unit. Students’ complaints about the program are addressed at institutional and NEU level. Students are informed about the appropriate process during orientation week, in the Undergraduate catalogue, UPRM website, flyers and informally through the faculty. 40 At the NEU, the student can present a formal complaint to the Director or Associate Director. Complaints that are addressed to the Director or Associate Director are analyzed and discussed with the student at NEU level. A copy of the complaint is maintained in a record file under the custody of the Associate Director. If it cannot be solved within the department’s reach, then the student is referred to the pertinent areas or services at the institutional level. Complaints received through the evaluation of program by graduates or evaluation of courses are compiled as part of the EC report from the Qualitative Data (QD) questionnaire and analyzed and discussed with the faculty (See Faculty minutes). Complaints received in students’ assembly, are directed through the corresponding committees (Curriculum, Teaching Resources and Faculty Development and, Evaluation Committee). After analysis, complaints are discussed in the appropriate forums (Director, Faculty courses teams, Faculty meetings,etc.) and they are filed in the Associate Directors’ office (See Student’s Assembly minutes). At the institutional level, complaints are directed to one of these: Deanship of the College of Arts & Sciences, Deanship of Academic Affairs, Deanship of Students, and /or through the Ombudsperson. At the Deanship of the College of Arts and Sciences level, complaints are seen and then submitted to the Deanship of Academic Affairs or Deanship of Students. At the Deanship of Academic Affairs, complaints by students are for the following reasons: placement on courses, pre-requisites and, advanced placement; non-compliance by professors’ or services regarding student’s rights; grade objections or claims. The procedure to submit a complaint at the Deanship of Academic Affairs is the following: 1. An initial interview is done by the Director and/or Associate Director with the student to obtain the complete information. 2. A referral is done to the appropriate service or person according to the complaint. 41 3. If resolution is not obtain the complaint is referred to the Deanship of students or to the Deanship of Academic Affairs. In the Deanship of Students, complaints about courses and grades are seen, according to certification (Certification 12-73, from the Academic Senate). Other reasons to solicit services are for payment deferment, scholarship reconsideration and handicap request for accommodations. The NEU has received complaints about grade claims that are solved following the certification standard procedures and records are kept in the Associate Director’s office. The Ombudsperson for students, offers orientation to the university community about student’s rights, effective communication, academic regulations and sexual harassment, among others. The objective of this office is to offer services to students in an informal manner in the solution of conflicts. When the Ombudsperson receives a complaint from the student, he or she is interviewed and immediate actions are taken. The complaints seen under this service are related to student-professor areas, academic difficulties, administrative services and complaints about support services in relation to security, discipline and sexual harassment among others. The Ombudsperson has a website for students to access in case they need additional information (http://www.uprm.edu/procuraduria/. Annual statistics are aggregated and analyzed based on the total student body seen under this office. (See exhibit: Annual Report or go to http://www.uprm.edu/procuraduria). It is important to point out that nursing students’ complaints to the NEU are minimal, or none. A registry of the cases seen and actions taken are maintained in some of the offices where students are seen. Students are encouraged to refer a complaint to the most appropriate deanship or service when needed. 42 STANDARD 2 FACULTY AND STAFF Qualified faculty and staff provide leadership and support necessary to attain the goals and outcomes of the nursing education unit. UPRM Monzon Building 43 2.1 Faculty are credentialed with a minimum of a master’s degree with a major in nursing and maintain expertise in their areas of responsibility. All faculty are credentialed with a minimum of a master’s degree with a major in nursing and maintain expertise in their areas of responsibility to fulfill the goals and outcomes of the BSN Program. At the present, there are 22 full time faculty members, one part-time nursing faculty member and one part time non nursing faculty member. All have earned master’s degree as their minimum professional preparation, as established in the General Regulation of the University of Puerto Rico, Article 42, Section 42.1 and the By-Laws of the Faculty of the Department of Nursing (2011, p.7). Some faculty members have a master’s degree with more than one areas of specialty and others have completed additional professional certifications and certificates (See Exhibit Standard 2 - Table 2.1.1: Faculty Profile). Faculty of the NEU is diverse in experience and academic preparation and participates actively in their maintenance of expertise and professional requirements. This fact harmonizes with the University goals in directing its efforts toward instruction, research and service to community (Undergraduate Catalog 2012-2013, p. 2). The faculty is assigned to teach course content according to the need of the NEU and their areas of expertise (See Exhibit Standard 2 - Table 2.1.1:Faculty Profile). Faculty’s expertise in their areas promotes creative dialogue and in depth search for knowledge among the students which sets the foundation of inquisitive minds and commitment to life-long learning. The UPRM and the NUE unit encourage the faculty members to maintain expertise in their areas of responsibility. Faculty attends workshops, professional enhancement activities, annual meetings regarding their specialty and continuing education courses to increase their knowledge and skills in their teaching areas. Evidence that the faculty participate in these educational activities can 44 be found in faculty professional portfolio (available at visit site). Also, faculty maintains expertise through active participation in professional organizations. They participate and are members of the Professional College of Nursing in Puerto Rico, National League for Nursing, Sigma Theta Tau International, Society of Trauma Nurses, American Academy of Nurse Practitioners, American Association of Diabetic Educators, Family Centers Childbirth Educators, Doulas of North America, American Association of Critical Care Nurses, Florida Nurses Association, Association of Sexual Educators, Counselors and Therapists, Gerontological Society of Puerto Rico, and three faculty members are founders and board member of the Cardiac Care Associates of the American College of Cardiology Puerto Rico Chapter. 2.1.1 A minimum of 25% of the full-time faculty hold earned doctorates There is a 30 % of full-time faculty holding an earned doctorate degree. Distributions of these represent three doctorates in Nursing; two faculty hold DNP and one a PhD. Two faculty members have a PhD; one in Continuing and Vocational Education, and one in Psychology. There are two faculty members with Ed.D, both in Curriculum and Instruction. In addition, one faculty holds an ABD, one is in the final process of completing doctoral degree in Public Health (D.Ph.) and, three are midway in a Doctorate Program. (See Table 2.1.1:Faculty Profile, in Exhibit Standard 2). 2.1.2 Rationale is provided for utilization of faculty who do not meet the minimum credential All faculty in the NEU meet the minimum credential requirement. There is a non-nursing faculty member who holds a master Degree in Human Nutrition and a PhD in Food Science and Human Nutrition. She teaches ENFE 3035 – Fundamentals of Nutrition. Her knowledge and expertise in the area of nutrition and dietary management provides the student with additional learning experiences and strengthens the curriculum of nursing with her area of expertise. This 45 part-time faculty member contributes with continuing education to our professional communities of interest and, participates in health fairs and prevention and promotion of health activities. 2.2 Faculty (full-and part-time) credentials meet governing organization and state requirements. The faculty complies with the credentials required by the laws of the Commonwealth of Puerto Rico and of the governing organization. The Puerto Rico Board of Nurse Examiners (JEEPR) requires all nurses must hold current licensure to practice nursing in Puerto Rico by virtue of Law No.9 (October 11, 1987), which regulates the Nursing Practice. To maintain licensure, nurses must complete thirty (30) contact hours in continuing education during the three years prior to license renewal (Law No. 11, June 23, 1976) and further, 6 CEU from specialty areas for recertification. In addition, Law No. 82 (June 1 st, 1973) requires from nurses compulsory membership to the College of Professional Nursing of Puerto Rico (CPEPR). Faculty portfolios (See Exhibit Standard 2) provide evidence of such requirements. Additional requirements of the governing organization include Governmental ethics CEU requirements (Law No. 1, Jan 3rd , 2012). It requires that all public servants of the executive branch must take a 20 hour training every two years in the subject of ethics. Furthermore, faculty records are audited yearly by the Human Resources Office to verify the currency of licensure renewal, membership to CPEPR and for the Governmental ethics CEU requirements. Full and part-time faculty credentials meet governing organization and state requirements. The General Regulation of the UPR, 2002 amended (http://sindicos.upr.edu/wp-content/uploads/2010/11/reglamentogeneral.pdf) in 2006 establishes the minimum requirements for faculty appointments. In Article 42, section 42.1.2 (a), “…after fiscal year 2006-2007 to be able to teach, be a researcher or obtain tenure, the person must, at least 46 have obtained a doctoral degree or equivalent terminal title in areas that capacitates him, her especially in the areas to teach, research or responsibility” 42.1.2 (b), … “this condition will not apply to those appointed with probation in one of the categories mentioned, before fiscal year 2006-2007… Section 42.1.5 (a) exceptions (a) “teaching personnel that do not meet the requirements of doctoral degree can be recruited with additional exceptions as substitute, temporary or special appointments only if they have additional merits in their area of specialty… (pg.59). After the aforementioned years, priority has been given to applicants that even though they were not doctoral prepared their merits in the areas of specialty justified their recruitment. 2.3 Credentials of practice laboratory personnel are commensurate with their level of responsibilities. The NEU has a full time generalist nurse as laboratory coordinator. The position requires a minimum degree of Bachelor of Science in Nursing. The nurse in charge when hired held the required minimum degree; nonetheless in her commitment towards self improvement and to the NEU, she has completed a Masters of Science in Nursing. Her duties and responsibilities as stated by the Human Resources Office are found in the Manual of Skills Laboratory (Manual de Laboratorio de Destrezas, See Exhibit Standard 2). Examples of these are; Assist in the preparation of materials and resources available to faculty necessary for clinical procedures or skills demonstration and practice. Assist students in the practice of skills and in the application of the nursing process. Provide to the faculty a report of the number procedures and skills performed by the students who attend the skills laboratory. 47 Assist students in the development of health history taking and patient physical evaluation skills. Assist students in the identification of client’s needs and formulation of nursing diagnosis. Perform demonstrations of clinical procedures taught by faculty in the nursing courses. The NEU has a well prepared, credentialed generalist nurse as Laboratory personnel, which is commensurate to her level of responsibilities. 2.4 The number and utilization of faculty (full and part time) ensure that program outcomes are achieved. The number and utilization of faculty are sufficient to meet the outcomes of each course and to ensure that SLO and PO are achieved. According to the General Regulations of the University of Puerto Rico, Article 65, as amended (Elements of the academic workload), each full time professor has a 37 ½ hour per week workload divided into various components. These are as follows: 12 hour credit of teaching, six hours of office-hours, 15 hours for the preparation of course effectiveness or research and 4 ½ hours for meetings and other activities. However, the teaching workload varies in accordance with the Departmental needs and the faculty professional interest (UPR Regulation, Chapter VII, Article 64 & 65 pg. 94-96) see Exhibit Standard 2. Faculty time utilization is in compliance, according to teaching/advising, committee activity, scholarship, and practice or service workload including additional appointments or commitments from governing organization or the NEU (See Table 2.4.1: Example of Faculty Time Utilization, Full Time 2012-2013, First Semester in Exhibit Standard 2). Faculty to student ratio The ratio of faculty to students in the classrooms and clinical area is considered adequate to assure the teaching learning process, supervision and evaluation. The number and utilization 48 of the full and part time faculty is consistent with the vision, mission and philosophy of the NEU Program Outcomes, (See Table 2.4.2: Example of Faculty/student ratio in the classroom and clinical practice 2011-2012). The NEU maintains a proportion of 30-40 students for didactic courses (Certification No. 08-09-309 UPRM Administrative Board). A maximum of 10 students are maintained on each clinical practice sections in accordance with the established agreements with affiliated agencies. In exceptional occasions, an agreement is made with the professor to increase the number of up to eleven due to a particular situation of a student; but only if this does not affect the required safety standards and affiliated agency regulation. The BSN program is based on team teaching method. Faculty shares the task of the course, such as organization, programming, testing and team meetings to achieve the expected outcomes of the course. Table 2.4.2 presents examples of faculty to student ratio for classroom and clinical practice. Table 2.4.2: Example of Faculty /student ratio in the classroom and clinical practice 2011- 2012 NUMBER OF SECTIONS FACULTY ENFE 3015-Interpersonal relationship 2 Lectures 3 Full-time ENFE 3021-Introduction to Clinical Nursing 1 Lecture 6 Laboratories 3 Full-time 1: 30 2: 35 3:58 4:40 2:18 ENFE 4001-Maternal and Child Nursing I 2 Lectures 9 Laboratories 6 Full-time 4 Part-time (6 crs. each one) 3: 50 Lecture 3: 41 Lecture 8: 80 Laboratory 1: 11 Laboratory COURSE FACULTY/ STUDENTS RATIO Lecture Lecture Lecture Laboratory Laboratory 49 ENFE 4015 Management in Nursing Services 2 Lectures 1 Full-time 1:41 1:37 Lecture Lecture ENFE 4025-Nursing in Community Health 1 Lecture 2 Full-time 4 Part-time (6 crs. each one) 2:39 2:20 1:11 1:8 Lecture Laboratory Laboratory Laboratory ENFE 4041-Senior Seminar in Nursing 6 Lectures 6 Full-time 1:15 1:16 1:16 1:16 1:14 1:17 Lecture Lecture Lecture Lecture Lecture Lecture ENFE 4031-Medical and Surgical Nursing I 2 Lectures 5 Full-time 7 Laboratories 4 Part-time (6 crs. each one) 2:30 Lecture 3:40 Lecture 7: 70 Laboratory ENFE 3005-Introduction to Nursing 1 Lecture 2 Full-time 2: 74 Lecture ENFE 3022-Introduction to Clinical Nursing II 1 Lecture 2 Full-time 6 laboratories 2 Part-Time 2:60 1: 11 1:9 4: 40 Lecture Laboratory Laboratory Laboratory 1:32 1:32 5: 69 1: 9 1: 7 2:20 3:33 Lecture Lecture Lecture Laboratory Laboratory Laboratory Laboratory (6 crs. each one) ENFE 3035-Fundamentals of Nutrition 2 Lectures 1 Part-time ENFE 3045-Psychiatric Nursing 1 Lecture 5 Full-time 9 Laboratories 4 Part-time (6 crs. Each one) 50 2 Lectures 6 Full-time 9 Laboratories 6 Part-Time 1 Lecture ENFE 4025-Nursing in Community Health ENFE 4002-Maternal and Child Nursing II 3: 49 3: 42 4: 40 3: 33 2: 18 Lecture Lecture Laboratory Laboratory Laboratory 2 Full-time 2: 75 Lecture 1 Lecture 5 Laboratories 3 Full-time 4 Part-time 3:48 Lecture 3:30 Laboratory 2: 18 Laboratory ENFE 4042-Senior Seminar in Nursing 6 Lectures 6 Full-time 1:13 1:14 1:15 1:16 1:17 1:19 Lecture Lecture Lecture Lecture Lecture Lecture ENFE 4032-Medical and Surgical Nursing II 2 Lectures 7 Laboratories 4 Full-time 6 Part-time (6 crs. each one) 2 : 37 2 : 31 3 : 30 1 : 11 3 : 27 Lecture Lecture Laboratory Laboratory Laboratory ENFE 3126 Basic Principles of Pharmacology (6 crs. each one) F.T. = Full-time Professor P.T. = Part-time Professor (6 hrs; credit a course of 12 hrs. of Clinical Practice) 2.5 Faculty (full and part time) performance reflects scholarship and evidence based practice. Faculty adopted the definition of scholarship as presented by ACEN, (2008): “Activities that facilitate the enhancement of expertise and achievement of program goals. May include, but is not limited to; application of knowledge, teaching, service, practice and research”. 51 In order to make this definition operational, the Personnel Committee developed indicators for each of the components (Exhibit Standard 2: Scholarship in Nursing). Such indicators were discussed, approved and adopted by faculty at large as guidelines for professional performance that reflect scholarship (Exhibit Standard 2: Faculty Portfolios and CV). Examples of faculty scholarship activities are presented in Table 2.5.1 in Appendix Standard 2. Faculty in the NEU has an active participation in community service, an element basic to the mission and goals of the University. Various faculty members have committed themselves in supporting in many different ways, organizations and/or groups of their personal and/or professional interest. For example, several faculty members are working with elderly-adults, health fairs, as judges in scientific fairs; or preparing students and teachers of public schools system through the Community of Educators for the XXI Century Project. In addition, other faculty members organize cardiovascular community symposiums, work as diabetes and breastfeeding educators; participate in the Relay for Life fund raising activity of the American Cancer Society, or act as trainers for the Emergency and Disaster Management Agency of Puerto Rico. In addition, one member is the founder of the Coalition of Nurses for Communities in Disaster and integrates continuing education and simulation drills in preparedness, response and mitigation activities to professional nurses, hospital staff and community leaders as well as to nursing students. Research activities at the NEU is enhanced by the participation of seven faculty members in the development of an NIH proposal in Health Literacy and Self Management in Older Adults Living with Diabetes in Puerto Rico, which promoted the creation of the Center for Applied and Collaborative Research in Nursing. Other areas of interest which promote either research or 52 projects, are obesity, forensics (disaster, sexual abuse nurse examiner, children victims of sexual abuse), Thanatology, prenatal care, gerontology, cardiovascular disease and promotion of mental health. Contributions in this area are also seen with two members being part of the IRB-Human Subject Committee and others as representatives of the Graduate Studies Department or participation in postgraduate dissertation committees. Faculty have chosen to stay current in the field of nursing by working per diem shifts or volunteering their time in clinical settings. One of our faculty members works during weekends as a nurse supervisor at a local hospital. Additionally, in July 2010 the city of Mayaguez hosted the Centro American Games (international sports competition) where more than 30 countries participated. Members of our faculty volunteered their expertise for a month providing care to athletes and other people who attended the games and required care in the clinical facilities utilized for this purposes. Other faculty members were part of the organizational committee for the Pan-American Health Organization Congress for the Group of the Professional Nurses from Central American and the Caribbean. Furthermore, faculty are active participating in leadership positions such as President of the Sigma Theta Tau, International- Epsilon Lambda Chapter, President of the Nursing Educators Section of the CPEPR, Ambassador of the National League for Nursing; President, Secretary-treasurer and member founders of the American College of Cardiology-Puerto Rico Chapter of the Cardiac Care Associates; Founder and Director of the Coalition of Nurses for Communities in Disaster, Coordinator of the Department of Health for the Sexual Assault Nurse Examiners; Commander of the DMAT-PR1 and among others as, LTC Case Manager OIC Medical Detachment of the Puerto Rico Army National Guard. One of our faculty members initiated a service project to provide prenatal care and orientation to pregnant students within the 53 university community. This project has been in operation for 5 years and has successfully served 110 participants. Similarly, the Nursing Students Association counts currently with a membership of 100 students that are guided by one of our faculty member. The mentoring and support provided by the faculty to this student organization has resulted in many services and educational activities. Similarly another faculty functions as an around the clock phone service/ online consultant for the Puerto Rico Society of People with Alzheimer and people at the end of life. Also another member of our faculty is volunteering with the Leche League Organization to provide educational support and resources for mothers who want to breastfeed their infants, but do not know how. Faculty’s performance has been impacted by these scholarship components as it is evidenced in our progressive : (1) use of electronic platforms, (2) use of technology as learning resources (3) high fidelity simulators (4) use of and creation of professional web-sites for publication, knowledge dissemination and sharing, (5) multiple creation of power point presentations for classroom teaching and lecturing, (6) development of evaluation rubrics like the one recently originated by the ENFE 3021- Introduction to Clinical Nursing I to assess general professional standards (GPS) among nursing students, which at the present time has also been adopted by two other nursing courses (ENFE 3022- Introduction to Clinical Nursing II and ENFE 3045-Psychiatric Nursing) (7) development of new courses for the curriculum (8) development of the proposal for the Master of Science of Nursing (approved by the Academic Senate and in consideration by the Administrative Board). Faculty members have the opportunities to share those discoveries with colleagues at clinical sites, local faculty gatherings, 54 liaison meetings, NEU committee meetings and regional/state wide meetings of nurse educators and/or professional nurses. 2.6 The number utilization and credentials of non-nurse faculty and staff are sufficient to achieve the program goals and outcomes. The NEU has only one non nurse faculty member who supports the curriculum by providing classes in the content area of nutrition (ENFE 3035- Fundamentals of Nutrition). Mrs. Santa Nilsa Soto had a Master degree in Nutrition Science and contributed to our program with her knowledge and expertise for 20 years; however in January 2011 she retired. Dr. Gloria Fidalgo was hired then in her position. Dr. Fidalgo holds a PhD in Food Science and Human Nutrition from the University of Illinois Urbana-Champaign obtained in 2002, and a Master degree in Human Nutrition from the University of Maryland. As a nutritionist her working experience includes 9 years of experience in several positions such as: Nutritionist for the WIC Program, Nutrition and Dietetic Specialist for a Head Start Program, Private nutrition practice and clinical dietitian. As an educator she worked two years for the University of Maryland at College Park as a Teacher Assistant, one at the UPR-RUM for the College of Agricultural Science and one for the NEU. Her credentials meet all the PR Department of Health and UPRM requirements for her practice and teaching assignment. Her expertise in nutrition has contributed to the attainment of program goals and outcomes. Students in her class gain knowledge in the area of nutrition and dietary management, identification of populations at risk, elaboration of nutritional educational plans, which are useful for all courses of the program. Non nurse support staff consists of one administrative assistant, three Secretaries, two housekeeping personnel and students under the UPRM work-study program. The Administrative Officer holds Juris Doctor Degree, in addition to two years of experience as an assistant 55 administrator for a federal grant and two years of higher degree education in accounting. In addition he works as part time faculty in the Humanities Department. He collaborates with the Director in the preparation of the budget and record keeping. The Administrative Officer is also in charge of inventory control, procurement activities, and collection of continuing education payments, among others. The Administrative Secretary IV holds a doctoral degree in Curriculum and Instruction (EdD). Her primary function is to work with the Director and Associate Director in order to fulfill the administrative and academic demands of the Department. The Administrative Secretary III holds a high school preparation in Secretarial Sciences and accumulated 62 university credits toward a Bachelor’s Degree in Secretarial Sciences from the Pontifical Catholic University of Puerto Rico. Currently she continues to take courses in computer literacy. Her duties include the typing of reports, minutes, didactic and continuing education materials, plus record keeping for all the committees in the NEU. The Administrative Secretary II has a post-secondary preparation in Secretarial Sciences form Dr. Pedro Perea Fajardo School (Vocational School). Her principal responsibility is typing didactic materials and keeping nursing course files in order and updated. The Housekeeping personnel are in charge of keeping the Nursing Building and its surroundings clean and properly organized. Last but not least, student under the UPRM Work-study plan who are assigned to the NEU on an hourly basis during the academic semester also become part of our support personnel. The students perform tasks such as duplication of didactic materials (excluding tests or confidential documents), delivery of messages, filing and monitoring utilization of the computer room. Duties and responsibilities document of non-nurse faculty staff is available on Exhibit Standard 2. 56 2.7 Faculty (full- and part time) are oriented and mentored in their areas of responsibilities The NEU takes necessary steps to orient and mentor full and part time faculty in their areas of responsibilities. Once the new faculty is hired and completed all the documents with the Human Resources Office, orientation at Institution and NEU level begins. The Professional Enrichment Center (PEC) (http://www.uprm.edu/cep/ ) created by the Certification 96-97-596 Administrative Board, UPRM, establishes the orientation to the newly recruited professor. The mission of this Center is to expose faculty members and teaching assistant to diverse educational strategies in order to promote academic excellence. The Center covers all aspects of professional development including teaching, learning, evaluation, technology, and research. Its goal is to create a community of well-prepared and motivated individuals who will contribute to the academic excellence of our institution. During the first year, the new faculty member receive twenty nine contact hours distributed as follows: before the classes begin on January or August , the PEC offer one week (21 hours) of orientation and the other eight(8) hours are related to teaching and learning process. This orientation is mandatory for all newly faculty member. The evidence of this participation is part of their professional portfolio and is used in their evaluation by the personnel committee. The Faculty of Arts and Sciences began a Mentorship Program for Newly Recruited Faculty, during 2008-2009 (http://research-academy.uprm.edu/mentoryprogram.html). To accomplish this Dean project, the director developed and implemented the Department of Nursing Mentorship Program. (Department of Nursing Mentorship Program- Exhibit Standard 2). The NEU mentorship program comprises an orientation process that is initiated by the Director and Associate director, and then completed by a faculty mentor. The faculty mentor is assigned by the Director to the new faculty, based on seniority, credit load, and area of teaching 57 expertise. The NEU Director meets with the new faculty member to discuss and provide a copy of the vision, mission, philosophy, conceptual framework, assigned course curricular design, ByLaws of the Faculty of the Nursing Department, and work schedule (See Exhibit, Standard 2). Furthermore, they receive a copy of the policies and bylaws of the UPRM and those laws applicable to the governing organization imposed by the Commonwealth of Puerto Rico. Some other's important aspects discussed are performance expectations, professional development, and Human Resources office information. As mention earlier, the faculty member is paired with a mentor assigned by the director of the NEU. The mentor is a facilitator for course management, including clinical laboratories. The mentor meets regularly with the new faculty member to provide a guide for classroom, laboratory, and clinical settings role. 2.8 Systematic assessment of faculty (full and part time) performance demonstrates competencies that are consistent with program goals and outcomes. The University of Puerto Rico has highly competent faculty members in order to accomplish its vision and mission. In harmony with the standards established by the institutional units and approved by the University Board, it is required that all academic faculty be evaluated systematically and periodically in accordance with the educational objectives and goals of the University. The evaluation process constitutes the essence of professional formation, development and progress of the academic faculty. It is conceived as a dynamic aspect of teaching that must be initiated introspectively through self-evaluation and at the same time it should be shared with peers, with the objective to contribute to the improvement of professional development. The normative framework to evaluate the faculty is established in Chapter VII Article 45 of the General Regulations of the University of Puerto Rico (http://sindicos.upr.edu/wp- 58 content/uploads/2010/11/reglamentogeneral.pdf ). The direct evaluation of faculty members will be done by the members of the Personnel Committee of each department in accordance with Certification 86-87-476 of the Administrative Board of the UPRM as amended by Certification No. 11-12-229 of the Administrative Board UPRM. This certification establishes the frequency that every faculty member, independently of rank, time of service or functions must undergo for periodic evaluations by superiors, peers and students. This evaluation process will be initiated at the beginning of each academic year and also at the time of appointment. The Director of the NEU will meet individually with each of the faculty members to establish the objectives of the year (Appendix A – Faculty Workload Program, Certification 86-87-476 of the Administrative Board of UPRM). A Curriculum Vitae from the academic faculty is also required. The following documents are required to complete the evaluate on process: Appendix B (Resume), Appendix F- Module for General Evaluation, Appendix G – Module for Teaching Evaluation, Student Opinion Survey (COE, for Spanish. Administered at the tenth week of each semester), Certification No. 06-07-075, Administrative Board UPRM, Appendix I – Module for Researcher Evaluation (if the faculty member has reduced workload for research) and Appendix L - for Academic Managers: Module for Academic Management. The faculty member will also use Appendix F, G, H (Module for teaching evaluation by students) for their self-evaluation. The evaluated faculty will provide a Professional Portfolio to the Department Personnel Committee with the following documents: 1. Appendix A : Year Objectives and Goals 2. Appendix B: Resume 3. Appendix F: Module for General Evaluation (self-evaluation) 4. Appendix G: Module for Teaching Evaluation (self-evaluation) 59 5. Appendix H: Module for Teaching Evaluation by Students (self-evaluation) 6. Copy of the faculty workload program 7. Evidence of UPRM, College of Arts and Sciences and NEU committees and meetings attendance 8. Student’s evaluations for the specific period 9. Professional Credentials: evidence of membership organizations, health certificate and vaccines 10. Evidence of Continuing Education, and/or formal education 11. Evidence of community service 12. Evidence of research, publications, presentations and, creative activities 13. Evidence of honors, recognitions and letters of gratitude Each member of the Department Personnel Committee evaluates each individual faculty using the appropriate evaluation modules. The Director’s evaluation counts as an additional peer evaluation and has the right to submit a separate report if not in accordance with the final recommendation from the Personnel Committee members. During the evaluation process the committee can meet with the faculty member being evaluated if it is requested by the faculty. The committee tabulates the results from the different evaluation modules using the format included in the Appendix C. – Longitudinal Analysis (Certification 86-87-476 of the Administrative Board of the UPRM). The Director will discuss the report with the faculty member and provide a copy with recommendations to areas that must be strengthened. The faculty member must sign the document certifying that a copy was received and that he/she agrees with this report. If the faculty member does not agree with the report, is allowed to submit an objection or observation 60 in writing, not later than 10 working days after the receipt of the report. The committee will reevaluate the documentation and include a new report with the objected petition as part of the documentation that will be presented to the next evaluating organism. Once the evaluation process is completed at the department’s level, the report will be sent through the Dean to the Personnel Committee of the College of Arts and Sciences. This committee will address the recommendations of the Department Personnel Committee. As established by Certification 8687-476 of the Administrative Board, the faculty member has the opportunity to participate in a due process if not in agreement with the final evaluation results. The faculty member who is also in a management position will be evaluated using the process established by the Certification 86-87-476 of the Administrative Board. At the beginning of each academic year the evaluated faculty member meets with the Dean to establish the yearly objectives in the management area. In addition, the faculty member needs to submit a resume and a self-evaluation of its management performance (Appendix L, Module for Management Evaluation). During the semester that the director and/or associate director are being evaluated, the Department’s Personnel Committee will ask the faculty and Dean to evaluate their academic management. The director does not participate in this process as a member of the committee, when being evaluated. The Dean of the College of Arts and Sciences will discuss the results of the evaluation with the director. From there on, the evaluation process continues using the same steps as with the academic faculty. The Department Personnel Committee completes the evaluation of the faculty member and sends it to the Faculty Personnel Committee of the College of Arts and Sciences to continue the process and then to the Administrative Board to take the final decision. Once the academic evaluation is completed, the faculty member can obtain the recognition that 61 deserves, including tenure and /or promotion. The part time faculty performance is evaluated by the Director of the NEU and the Departmental Personnel Committee utilizing the credentials and students evaluations. During this process of evaluation there is consistency and systematic assessment of the faculty’s competencies in order to obtain the program goals and outcomes. 2.9 Non-nurse faculty and staff performance is regularly reviewed in accordance with the policies of the governing organization. A non-nurse faculty is hired on a part- time bases each second semester to teach ENFE 3035 Fundamentals of Nutrition. The Departmental Personnel Committee and the director of the NEU evaluate non nurse faculty credentials in order to hire the candidate. The faculty performance is evaluated by the director, the Departmental Personnel Committee members and students. The staff performance is reviewed according to the policies mentioned in the UPR General Regulation. The evaluation process is conducted by the Human Resources Office. When staff is subject to personnel actions such as tenure, revision of job description, reclassification of the position, and/or granting salary bonuses, the Department Director completes an evaluation form sent by the Human Resources Office (See form on Exhibit Standard 2). 62 STANDARD 3 Students Student polices, development, and services support the goals and outcomes of the nursing education unit. Capping Ceremony 63 3.1 Student policies of the nursing education unit are congruent with those of the governing organization, publicly accessible, non-discriminatory, and consistently applied; differences are justified by the goals and outcomes of the nursing education unit. Policies and procedures related to students are published and accessible in the following documents: UPR Institutional Policies, Student General ByLaws UPR, Undergraduate Catalogue, Undergraduate Student Manual, Department of Nursing Brochure, Department of Nursing Student Manual, Student Ombusperson Office (Certification 32, Board of Trustees) and the UPRM website (www.uprm.edu/politicas/). These documents provide information about institutional policies, the program of study, requirements for admission, progression and retention, and/or other academic regulations. Since 1992, the Undergraduate Catalogue has been updated annually. Rights and Duties of the Students of the UPR system and UPRM website are published in the http://www.uprm.edu/catalog/UndergradCatalog2012-2013.pdf (pg.6-8). The other aforementioned documents are available and accessible in the Administrative Nursing Offices and website (http://www.uprm.edu/enfe/curriculo.html). All information was evaluated and is congruent with those of the governing organization and is non-discriminatory and consistently applied. Table 3.1.1 shows examples of documents and page number where the policies related are published; other policies information are available in Exhibit Standard 3. 64 Table 3.1.1 Examples of documentation of written student policies Policy Undergraduate Catalogue UPRM 2012-2013 Institutional Policies UPR Department of Nursing Unit Brochure Department of Nursing Student Manual Certification # 58, 2005 Board of Trustees Equal opportunities Page 8 Selection and Admission Pages 64-66 Academic Progression Pages 10-11 Student evaluation /grading Pages 10-11,69-70 Retention Standards Pages 71-72 Certification # 05-32 Academic Senate Page 19 Withdrawal/dismissal Pages 67, 73 Cert. 11-34 Academic Page 24 Back cover Certification # 05-32 Academic Senate Page 16-17 Page 22-23 Page 19 Senate Graduation requirements Pages 74,120 Page 24 Grievance/Complaints and appeal procedures Pages 12,16 Financial Aid Pages 53-54 Transfers of credit Pages 65-66 Sexual harrasment Pages 9 Back cover Certification # 81-3 Academic Senate Certification 93-94-303 Page 18 Administrative Board Health requirement Pages 10, 54-55 Page 28 65 Rationale for policies that differ from the governing organization policies Students’ evaluation and grading The NEU complies with the UPRM policies and regulations. Nonetheless, some areas differ or supplement the University policies. Such differences enhance quality or address particular goals and outcomes of the NEU. For instance, the UPRM has established a minimum passing grade of “D” for undergraduate courses (Undergraduate Catalogue, 20122013 pg. 69). Nursing students however, must pass nursing courses with a minimum grade of “C” (Certification 83-2, Academic Senate), with the exception of nursing elective courses; and a general GPA in specialization of 2.20 (Undergraduate Catalog 2012-2013, page 120). The Faculty of the NEU supports this difference due to the nature of our field, which requires from students to perform at least in a satisfactory manner within professional competencies and standards. Health & clinical requirements There are other policies, which are unique to the NEU. Students must provide to cooperative agencies, evidence of annual Health Certificate from the Department of Health of Puerto Rico, Hepatitis B vaccine, CPR-certificate, HIPAA certificate, certificate of criminal record and Varicella Vaccine or Varicella Titers. Affiliated agencies hold requirements of a liability insurance (Hold Harmless Agreement, provided by UPRM). Other affiliated agencies require influenza vaccine; nose and throat cultures for the care of the neonates and in the labor room. Students may also be required to wear certain special attires for clinical scenarios. Such policies have been supported by the NEU to address some of the requirements set by the health agencies used for clinical practice. 66 Universal free hour The UPRM has designated Tuesdays and Thursdays from 10:30 A.M. to 12:00 P.M. as a universal free hour period (Certification 86-31, Academic Senate) According to the Universal Free Hour Regulation no classes or academic affairs should be conducted so that students are provided with the time to attend activities that are programmed by the institution or by student organizations. However, due to the clinical component of courses in the nursing curriculum, the number of hours required for practice and the availability of clinical settings to accommodate students; the NEU must schedule clinical laboratories during Tuesdays and Thursday during the universal free hour. However, when activities of great significance that are previously scheduled on the UPRM academic calendar and, or approved by the Chancellor (such as student’s council elections and general assembly’s), faculty provide for the necessary arrangements that allow nursing students to participate. Articulated Program Certification 115, of the UPR Board of Trustees establishes the institutional policy for the articulated transfer programs of the UPR System. The purpose of this policy is to provide access to the UPR academic programs, and that a student can begin studies in a campus near their residency and later transfer to the UPRM without affecting the years of study. The NEU has a Memorandum of Understanding (MOU) with three campuses of the UPR system- Aguadilla, Utuado and Ponce (See Exhibit Standard 3). The students admitted through the MOU to this program, study the first year at one of these campuses, and if they complete the requirements established in the articulated program, a guarantee admission to the UPRM- NEU for the second year is granted. It differs from the regular external transfers in which the institutional requirements are different and the admission is not guarantee. 67 3.2 Student services are commensurate with the needs of students pursuing or completing the baccalaureate program, including those receiving instruction using alternative methods of delivery. Students at the UPRM and NEU have varied access to support services that are administered by qualified individuals. Students at the NEU are encouraged to take advantage of these services and participate in extra-curricular activities which are designed to enrich their personal development and academic growth (http://www.uprm.edu/catalog/html/ugrad/DEANSTUDENTS.html). Descriptions of these services and others not described here are found in the UPRM Undergraduate Catalogue 2012-2013, and the UPRM website as above. Institutional support services include but are not limited to health, transportation general library, placement department, counseling, financial aid, safety and security, Veterans’ services, international student services, registrar services, computer center, and services to handicapped students. The Office of the Dean of Students assures and maintains an optimal learning environment by providing a variety of services and activities as support systems for academic programs. Table 3.2.1 Describes all services offered to students, and personnel by areas of responsibility. 68 Table 3.2.1: Services to students and personnel by areas of responsibility Service/Office Student Advocate Office Student’s Center Office 408 Department of Orientation Office of Financial Aid Director/or Person in Charge Prof. Olga Collado Zapata Electronic Page/Electronic e-mail http://procuraduria.uprm.edu/ Description Prof. Edwin Morales http://www.uprm.edu/orientacion.html Mrs. Lynette Feliciano http://www.uprm.edu/financialaid/ Placement Office Mrs. Nancy Nieves http://www.uprm.edu/placement/ Office for Students with Disabilities Office of Athletics Activities Mrs. Virgen Aponte http://www.uprm.edu/sei/solicitar.html Prof. Fernando Gaztambide http://www.uprm.edu/deportes/ Provides informal mechanisms for the resolution of situations or conflicts related to students Service of orientation, and individual and group counseling, psychological therapy Financial aid to students who request and result eligible. (Scholarships, Student Loans, Work & Study) Extended hours in the reception area Monday through Thursday from 5:00 PM to 8:00 PM Provide effective tools to search for employment. (Job Interviews, Job Fair) Reasonable accommodations for students with special needs. Help and services for the athletes of the campus Section of Photography Mr. Wilson Lugo Quintana Not available ID services for students Trolley Service Ing. Roberto Ayala http://www.uprm.edu/deportes/ Trolley Service for all the university community Office of the Registrar Mrs. Briseida Meléndez http://www.uprm.edu/registrar/ Assistance Certification services for scholarship, delivery of grades, GPA and transcripts of credits, among others. Quality of Life Office Mrs. Virgen Aponte Warning information of crime, prevention of use and abuse of alcohol and drugs, safety on and off campus, among others http://www.uprm.edu/cvida/ 69 Service/Office Director/or Person in Charge Mrs. Rosie Torres http://www.uprm.edu/medical Child Care Program for Students Lactation Room Mrs. Maritza Arroyo arroyom@uprm.edu Mrs. Maritza Arroyo arroyom@uprm.edu Wireless Network of the RUM Sr. José Cuevas http://wireless.uprm.edu/ Bookstore College first Floor Student Center Sr. Edgardo Rodríguez http://www.uprm.edu/services/libreria.ph p libreria@uprm.edu Responsible to have text books, general interest books and educational materials English Writing Center Dr. Judith Casey http://www.uprm.edu/english/writing_ce nter.html Collaboration in the correction of written documents in the English language. Hours: Monday through Thursday 9:00 a.m. - 4:00 p.m. Friday 9:00 a.m. - 2:00 p.m. Department of Medical Services Electronic Page/Electronic e-mail writingcenter_uprm@hotmail.com Resource Center of the Department of Chemistry Dr. Lolita Rodríguez Dr. Nilka Rivera saladerecursosquim@gmail.com Writing Center Department of Hispanic Studies Dr. Francisco García Moreno Not available Description Medical and dental services for all students, while studying at the campus. In addition to the following services: Stress Management Center, Psychological Services Program for childcare for student’s children Lactation Room is available for both mothers to extract breast milk or breastfeed the child. Hours: Monday through Friday from 7:30 a.m. to 4:30 pm They are responsible for registering the wireless cards that allow students to access the Internet on campus, without cables or telephone lines. Tutorials provided in the courses of the Chemistry Department directed to undergraduate students Hours: Monday to Thursday 7:30 a.m. to 5:30 pm Friday 7:30 a.m. to 12:00 pm Collaboration in the correction of written documents in the Spanish language. Hours: Monday to Friday 8:30 a.m. - 4:30 p.m. 70 Service/Office Director/or Person in Charge Sr. José I. Vega http://cde.uprm.edu/ Information and consultancy services for academic and business projects. Available for students, academics, community leaders, entrepreneurs and the general community General Libary Prof. Norma Sojo http://www.uprm.edu/library/ Office of Graduate Students Dr. Anand D. Sharma http://grad.uprm.edu/ Various services such as book loans, photocopy service, search for computerized information, patent information, and more. Responsible for supervising and enforcing the rules and regulations related to graduate studies. Exchange Office Mrs. Gildreth González http://www.uprm.edu/decestu/Intercambi o/index.htm Office of Social and Cultural Activities Sr. Wilfredo Acosta http://www.uprm.edu/about/actividades. html Office of Vocational Rehabilitation Mrs. Idalia Rivera Mrs. Lourdes Méndez http://www.gobierno.pr/arv/inicio Counseling services in vocational rehabilitation to students with special physical and mental needs, if she/he qualifies Computer Center of the Student Center Mrs. Maritza Arroyo Not available The computer center provides services to the students of the UPRM. It offers free printing services. Must bring paper for printing. Hours: Monday to Thursday 8:00 a.m. to 12:00 am Friday 8:00 a.m. to 4:30 pm Weekends and festive days 2:00 pm-12:00am Informative Resource Center for Business and Community (CRINC, acronym in spanish) Electronic Page/Electronic e-mail Description Provides information of exchange students of the UPRM with other universities out of PR and orient the foreigner students about the services of the UPRM Offers a program of social and cultural activities such as: dances, concerts, plays, board game tournaments, arts exhibits, among others 71 Service/Office Director/or Person in Charge Mrs. Myrna Hernández http://www.uprm.edu/ac/ Provides services to all students in the UPRM Usage requirements: -Identification card and registration -Paper Hours: Monday to Friday 8:00 a.m. - 4:00 p.m. Computer Center of Business Administration Mr. Daniel Rivera http://www.enterprise.uprm.edu/cc/ Computer Center of The Department of Chemistry Mr. Roberto Rivera Not available Provides services to all students in the UPRM Usage requirements: -Identification card and registration -Paper Hours: Monday to Thursday 7:00 a.m. - 11:45 p.m. Friday 7:00 a.m. – 4:30 p.m. Saturday 10:30 a.m. – 4:30 p.m. Provide services to the students of the UPRM, to take courses from the Department of Chemistry Art Galery from de Department of Humanities Coop Plan-Faculty of Engineering Dr. Dana CollinsDirector Departament of Humanities Mrs. Ellen Ríos de Acarón http://www.uprm.edu/gallery/ Exhibitions of works of art for the enjoyment of the university community. http://ing.uprm.edu/coop Program gives students the opportunity to work in their respective areas of study while earning their college degree http://enterprise.uprm.edu/administration Program gives students the opportunity to work in their respective areas of study while earning their college degree Computer Center of Arts and Sciences Coop Plan & InternshipFaculty of Business Administration Electronic Page/Electronic e-mail Description 72 Service/Office Coop Plan -Faculty of Agricultural Sciences Research Opportunities Under graduates Student Faculty of Engineering Director/or Person in Charge Dr. Arístides Armstrong Electronic Page/Electronic e-mail Description http://www.uprm.edu/agricultura/estudia ntes.html Mrs. Josefita González http://ece.uprm.edu/dean/intern/ Program gives students the opportunity to work in their respective areas of study while earning their college degree Study opportunities and undergraduate research ther opportunities of investigation Study Trips www.uprm.edu http://www.uprm.edu/cartelera http://www.uprm.edu/students Information through the website of the departments and faculties Offerings announced annually in the Weekly Bulletin, Student Portal, Portal Academic and the website of the Department of Humanities. http://www.uprm.edu/academics http://www.uprm.edu/humanidades/ Certificates of Business Development and Business Administration for Student Certificate in Project Management for students Recycling Program of the UPRM Mr. Roberto Torres http://enterprise.uprm.edu/certificados.ht ml Tools to acquire the skills to develop an idea or concept for establishing of their own business. http://enterprise.uprm.edu/certificados.ht ml It exposes the students to the planning, management and control of projects. torresr@uprm.edu College Recycling Program: “ReVerdeSiendo Colegio” Recyclable materials that will be handled are: white paper, aluminum cans, plastic bottles # 1 and # 2, glass bottles, colored paper, newspaper, corrugated cardboard http://campusverde.uprm.edu/ 73 Service/Office Student Advocate Office Student’s Center Office 408 Department of Orientation Director/or Person in Charge Prof. Olga Collado Zapata Electronic Page/Electronic e-mail http://procuraduria.uprm.edu/ Description Provides informal mechanisms for the resolution of situations or conflicts related to students Service of orientation, and individual and group counseling, psychological therapy Prof. Edwin Morales http://www.uprm.edu/orientacion.html Office of Financial Aid Mrs. Lynette Feliciano http://www.uprm.edu/financialaid/ Placement Office Mrs. Nancy Nieves http://www.uprm.edu/placement/ Office for Students with Disabilities Mrs. Virgen Aponte http://www.uprm.edu/sei/solicitar.html Reasonable accommodations for students with special needs. Office of Athletics Activities Prof. Fernando Gaztambide http://www.uprm.edu/deportes/ Help and services for the athletes of the campus Section of Photography Mr. Wilson Lugo Quintana Not available ID services for students Trolley Service Ing. Roberto Ayala http://www.uprm.edu/deportes/ Trolley Service for all the university community Office of the Registrar Mrs. Briseida Meléndez http://www.uprm.edu/registrar/ Assistance Certification services for scholarship, delivery of grades, GPA and transcripts of credits, among others Financial aid to students who request and result eligible. (Scholarships, Student Loans, Work & Study) Extended hours in the reception area Monday through Thursday from 5:00 PM to 8:00 PM Provide effective tools to search for employment. (Job Interviews, Job Fair) 74 Service/Office Director/or Person in Charge Mrs. Virgen Aponte http://www.uprm.edu/cvida/ Department of Medical Services Mrs. Rosie Torres http://www.uprm.edu/medical Child Care Program for Students Lactation Room Mrs. Maritza Arroyo arroyom@uprm.edu Mrs. Maritza Arroyo arroyom@uprm.edu Wireless Network of the RUM Sr. José Cuevas http://wireless.uprm.edu/ Bookstore College first Floor Student Center Sr. Edgardo odríguez http://www.uprm.edu/services/libreria.ph p libreria@uprm.edu English Writing Center Dr. Judith Casey http://www.uprm.edu/english/writing_ce nter.html Quality of Life Office Electronic Page/Electronic e-mail writingcenter_uprm@hotmail.com Resource Center of the Department of Chemistry Dr. Lolita Rodríguez Dr. Nilka Rivera saladerecursosquim@gmail.com Description Warning information of crime, prevention of use and abuse of alcohol and drugs, safety on and off campus, among others Medical and dental services for all students, while studying at the campus. In addition to the following services: Stress Management Center, Psychological Services Program for childcare for student’s children Lactation Room is available for both mothers to extract breast milk or breastfeed the child. Hours: Monday through Friday from 7:30 a.m. to 4:30 pm They are responsible for registering the wireless cards that allow students to access the Internet on campus, without cables or telephone lines. Responsible to have text books, general interest books and educational materials Collaboration in the correction of written documents in the English language. Hours: Monday through Thursday 9:00 a.m. - 4:00 p.m. Friday 9:00 a.m. - 2:00 p.m. Tutorials provided in the courses of the Chemistry Department directed to undergraduate students Hours: Monday to Thursday 7:30 a.m. to 5:30 pm Friday 7:30 a.m. to 12:00 75 Service/Office Writing Center Department of Hispanic Studies Director/or Person in Charge Dr. Francisco García Moreno Electronic Page/Electronic e-mail Not available Informative Resource Center for Business and Community (CRINC, acronym in spanish) Sr. José I. Vega http://cde.uprm.edu/ General Libary Prof. Norma Sojo http://www.uprm.edu/library/ Office of Graduate Students Dr. Anand D. Sharma http://grad.uprm.edu/ Exchange Office Mrs. Gildreth González http://www.uprm.edu/decestu/Intercambi o/index.htm Office of Social and Cultural Activities Sr. Wilfredo Acosta http://www.uprm.edu/about/actividades. html Office of Vocational Rehabilitation Mrs. Idalia Rivera Mrs. Lourdes Méndez http://www.gobierno.pr/arv/inicio Description Collaboration in the correction of written documents in the Spanish language. Hours: Monday to Friday 8:30 a.m. - 4:30 p.m. Information and consultancy services for academic and business projects. Available for students, academics, community leaders, entrepreneurs and the general community Various services such as book loans, photocopy service, search for computerized information, patent information, and more. Responsible for supervising and enforcing the rules and regulations related to graduate studies. Provides information of exchange studentsof the UPRM with other universities out of PR and orient the foreigner students about the services of the UPRM Offers a program of social and cultural activities such as: dances, concerts, plays, board game tournaments, arts exhibits, among others Counseling services in vocational rehabilitation to students with special physical and mental needs, if s/he qualify 76 Service/Office Director/or Person in Charge Electronic Page/Electronic e-mail Computer Center of the Student Center Mrs. Maritza Arroyo Not available Computer Center of Arts and Sciences Mrs. Myrna Hernández http://www.uprm.edu/ac/ Computer Center of Business Administration Mr. Daniel Rivera http://www.enterprise.uprm.edu/cc/ Computer Center of The Department of Chemistry Mr. Roberto Rivera Not available Description The computer center provides services to the students of the UPRM. It offers free printing services. Must bring paper for printing. Hours: Monday to Thursday 8:00 a.m. to 12:00 am Friday 8:00 a.m. to 4:30 pm Weekends and festive days 2:00 pm-12:00am Provides services to all students in the UPRM Usage requirements: -Identification card and registration -Paper Hours: Monday to Friday 8:00 a.m. - 4:00 p.m. Provides services to all students in the UPRM Usage requirements: -Identification card and registration -Paper Hours: Monday to Thursday 7:00 a.m. - 11:45 p.m. Friday 7:00 a.m. – 4:30 p.m. Saturday 10:30 a.m. – 4:30 p.m. Provide services to the students of the UPRM, to take courses from the Department of chemistry 77 Service/Office Art Galery from de Department of Humanities Coop Plan-Faculty of Engineering Coop Plan & InternshipFaculty of Business Administration Coop Plan -Faculty of Agricultural Sciences Research Opportunities Under graduates Student Faculty of Engineering Other opportunities of investigation Study Trips Director/or Person in Charge Dr. Dana CollinsDirector Departament of Humanities Mrs. Ellen Ríos de Acarón Electronic Page/Electronic e-mail Description http://www.uprm.edu/gallery/ Exhibitions of works of art for the enjoyment of the university community. http://ing.uprm.edu/coop Program gives students the opportunity to work in their respective areas of study while earning their college degree Program gives students the opportunity to work in their respective areas of study while earning their college degree Program gives students the opportunity to work in their respective areas of study while earning their college degree http://enterprise.uprm.edu/administration Dr. Arístides Armstrong http://www.uprm.edu/agricultura/estudia ntes.html Mrs. Josefita González http://ece.uprm.edu/dean/intern/ Study opportunities and undergraduate research www.uprm.edu Information through the website of the departments and faculties Offerings announced annually in the Weekly Bulletin, Student Portal, Portal Academic and the website of the Department of Humanities. http://www.uprm.edu/cartelera http://www.uprm.edu/students http://www.uprm.edu/academics http://www.uprm.edu/humanidades/ Certificates of Business Development and Business Adm. for Students http://enterprise.uprm.edu/certificados.ht ml Tools to acquire the skills to develop an idea or concept for establishing of their own business. 78 Service/Office Director/or Person in Charge Certificate in Project Management for students Recycling Program of the UPRM Mr. Roberto Torres Electronic Page/Electronic e-mail Description http://enterprise.uprm.edu/certificados.ht ml It exposes the students to the planning, management and control of projects. torresr@uprm.edu College Recycling Program: “ReVerdeSiendo Colegio” Recyclable materials that will be handled are: white paper, aluminum cans, plastic bottles # 1 and # 2, glass bottles, colored paper, newspaper, corrugated cardboard http://campusverde.uprm.edu/ 79 Nursing Education Unit support services Students of the NEU have access to additional support services, which include computer center, skills laboratory, and transportation to clinical areas. 3.3 Student educational and financial records are in compliance with the policies of the governing organization and state and federal guidelines. Student educational records are in compliance with the policies of the governing organization and state and federal guidelines. These norms require that the Office of the Register maintain full custody of student’s educational records. The University of Puerto Rico established confidentiality of Academic File Policy, which complies, with the depositions of the Family Educational Rights and Privacy Act of 1974- Establish as Buckley Amendment (FERPA) (See Exhibit Standard 3). The Register Office has established a procedure manual to comply with the norms and regulations established by the Central Administration Office in the protection of privacy of student educational record information (http://www.uprm.edu/registrar/ferpa.php). This policy establishes that the student has rights related to his/her academic files including the right to register complaints. The student has access to this policy in the Register’s Office and through Register’s web page: http://www.uprm.edu/registrar/ferpa.php. Access is also possible to their electronic record through telnet rumad.uprm.edu. An audit trail of updates is produced by the computer center, which also maintains backup information, done every week. Student's records are classified as active and inactive. Active records are stored in a secure vault in the Register’s Office, restricted by an access code to qualified personnel only. The student’s information is password protected, and access is granted only by approval of the appropriate supervisor. The Associate Director of the NEU accesses the student’s files for registration 80 purpose and academic advising through the RUMAD electronic data system. The faculty of the NEU is custodian of student’s test, academic work and evaluations for six months. Financial Records The Office of Financial Aid of the UPRM has custody of all financial records based on the Family Educational Rights and Privacy Act: 1974 Buckley Amendment. The financial aid programs comply with the deposition of federal regulation regarding academic progress and attendance to class. The Financial Aid Offices follow an internal procedure manual, which safeguards student’s financial records according to norms and regulations established in the Central Administration Offices of the UPR system. The Financial Aid Office maintains custody of student’s financial records in active and inactive form. Only qualified and authorized personnel have access to the information contained in these records. Authorization in written form is required by the student in order to provide information to a third party. An inactive record of the students is maintained at the financial aid office when the student does not complete an application form, or does not qualify for the official interview or other reasons. Files are kept for a period of five years by which then are shredded by authorized personnel. 3.4 Compliance with the Higher Education Reauthorization Act Title IV eligibility and certification requirements is maintained. The Certification Number 044 (2005-2006), Board of Trustees, www.certificaciones.upr.edu/ establishes the Institutional Policy on Academic Progress for Eligibility to the Programs of Economic Assistance. The UPRM complies with the Federal Department of Education, by establishing, publishing and applying reasonable norms, which measure the student’s academic progress for determining economic aid eligibility in Title IV programs. These are not less restrictive than those applicable to the general student population. 81 All students are hereby notified of the criteria to be satisfied at the end of the academic year to maintain their possible eligibility and participate in economic aid programs. 3.4.1 A written, comprehensive student loan repayment program addressing student loan information, counseling, monitoring, and cooperation with lenders is available. Students who apply for financial aid receive counseling and information from Financial Aid officials. Written information is available online in the Financial Aid Office website. Information covered in the document “Eligibility Criteria for Financial Aid Programs,” which is also posted on the website (http://www.uprh.edu/oficinas/a_economica/pdf/criterios- elegibilidad.pdf), includes students’ rights and responsibilities. Student loan repayment program The UPR, follow the guidelines in accordance with the Higher Education Reauthorization Act Title IV (Return of Title Funds), Public Law 105-244 section 484 B Higher Education Act of 1965 (www.uprm.edu/cms/index.php/page/689). The Office of Financial Aid has primary responsibility for all Federal Stafford, with or without subsidy, SMART, ACG (Title IV), GEER, LEAP, Pell Grant and FSEOG as well as others loans or economic assistance. The Office of Financial Aid and the Office of Finance carefully oversees the administration of funds to students and circulate communications that includes the rules, regulations and processes of all financial aid programs. Published documents can be accessed from the website: http://www.uprm.edu/financialaid/aidwhat.html. At the initial application and during exit interviews participating students are informed of the process for repayment obligations. Schedules for these meetings are e-mailed and delivered by standard mail to the student. Guidelines for the http://www.mapping.your.future.org. Federal Stafford Loan are provided through An initial interview includes a short test or quiz, 82 afterwards the student is directed to a link that connects to the Stafford Loan application. The steps for the repayment of funds Title IV (Public Law 105-244 Section 848B Higher Educational Act 1965 are contemplated in a document called “Treatment of Title IV, Funds when a Student Withdraws” (See Exhibit in Standard 3). These procedures are applied to students who drop below half time enrollment status, withdraw, or graduate. Failure to complete the interview processes has several consequences for students, which includes loan cancellations for the registered student, ineligibility for future registration or inability to obtain release of grades and transcript. Faculty is also required to complete student attendance to courses in order for delivery of aid funds in a timely manner each semester. The UPRM adopted the version for “windows” provided by the Department of Federal Education as the mechanism to calculate the repayment of funds that apply to each individual student. Published steps are found in http://www.uprm.edu/financialaid/aidrem.html\ 3.4.2 Students are informed of their ethical responsibilities regarding financial assistance Students who receive financial assistance are informed of their ethical responsibility. This is done in the initial interview and exit interview. In this interview students are informed of the various venues and payment options. The full-time professional staff uses the Entrance and Exit Interview Checklist, to assure that the information is provided to the students (http://www.uprm.edu/financialaid/docs/checklist.pdf ). The Office of the Registrar notifies the lender of the student’s registration status. Whenever a student falls below the six credits or withdraws, must begin repayment six months from there on. The agency notifies the student that the deferment period has completed. If the 83 student decides to continue sub-graduate or graduate studies, a deferment can be given to finalize or continue studies. After six months, if the student does not start with repayment the guarantor will notify the Department of Federal Education and the student will be placed by default as a morose debtor. The Office of Financial Aid will detect these comments on the Student Aid Report Transfer History when the loaner is unable to localize the student. The student can also receive Forbearance, when his/her time of deferment has concluded and cannot start repayment. Forbearance is given to students when there is a justified reason, unemployment, or illness, among others. 3.5 Integrity and consistency exist for all information intended to inform the public, including the program’s accreditation status and NLNAC (ACEN) contact information. Information intended to inform the public, including the program’s accreditation status and ACEN contact information, is current, accurate, clear, and consistent. The UPRM Undergraduate Catalogue 2012-2013, states the mission, goals, objectives and institutional outcomes of the Mayagüez Campus (pg.1,2) as well as the College of Arts and Sciences mission and goals (pg. 119). Included, is information concerning admission policies, tuition and fees, financial aid, graduation, academic policies, student services and length of each academic offering. The information is updated every academic year providing accurate representation of the programs to the public and sufficient information to insure accountability. The Catalogue is available through the website http://www.uprm.edu/catalog. Information about the BSN Program is also contained in the Catalogue on pages 228 thru 232. It includes name and address of the accrediting agency, (formerly) the National League for Nursing Accrediting Commission. Consumers can also find the mission, vision, BSN curriculum, 84 courses description and faculty of the program. Besides the basic information included in the catalog, the NEU website includes links to professional organizations, such as The College of Professional Nursing of Puerto Rico, Sigma Theta Tau, International, Nursing Student’s Association, National League for Nursing and the Coalition of Nurses for Communities in Disaster. http://www.uprm.edu/enfe Furthermore, at NEU’s level, more precise information on the BSN program is included in the Department of Nursing Students Manual- revised 2013, Newly Admitted Students Orientation Manual- revised 2013, and the BSN Curriculum Program Brochure (See Exhibit Standard 3). Additional opportunities to inform the public, prospective students, current students, employers and other interested parties are done through various activities of recruitment in university open house, schools, health fairs and other specific community activities where documents, brochures and materials about the program and for career opportunities in nursing provide to update information on the program. Information offered in orientation visits at schools and articulated nursing programs are also consistent with the information given in the undergraduate catalog and website. 3.6 Changes in policies, procedures and program information are clearly and consistently communicated to students in a timely manner All changes in policies are discussed in the Administrative Board, Academic Senate and, Students’ Council as well as in most of Institutional and Departmental Committees where students have representatives. Prior to the execution of a policy change, students have the opportunity to contribute to its revision. General policy changes affecting the student population are communicated through a diversity of methods: 1. Written letters addressed to the student from the Chancellor, Dean of Student or 85 Dean of Academic Affair 2. Notices posted on the NEU bulletin boards or others located across campus 3. General public media resources (radio, television, newspaper) 4. Internal UPR System electronic emails to students and staff (cartero) 5. Student’s assembly meetings 6. Informative notices given in class sessions and or academic counseling processes 7. UPRM website flash 8. Registered roster student’s email The notifications given to students include the relevant and non-relevant changes in the academic calendar, changes due to activities, (academic and non-academic), advisement, class registration schedule, scholarship opportunities, and commencement related activities, etc. 3.7 Orientation to technology is provided, and technological support is available to students, including those receiving instruction using alternative methods of delivery. All new students receive an introduction to technology during Nursing Orientation Week, and in a university adaptation course, UNIV 0006 Introduction to University Life, taught by the UPRM. An important part of this introduction is a basic orientation of the services provided by the campus library. Many of these services are available on-line, through the library website. Additionally, librarians are on-line during regular business hours to interact with the campus community members using the online platform. The university has an Information Technology Center (ITC) located at the “Monzon” building, responsible of providing general technology support. It is in command of maintaining the necessary infrastructure to provide quality wireless Internet access throughout the entire campus. The office provides adequate support services to assist student and faculty experiencing 86 difficulty using technology, both on campus and through remote access. The ITC has a help desk in the Monzón building on campus that is open for visitors Monday-Friday from 8:00 AM to 4:00 PM and provides support via telephone as well. They also have an email address available for submitting any queries that may arise out of business hours (http://www.cti.uprm.edu). The technology introduction also includes the information management skills that students need to navigate professional nursing resources, including on-line, journal databases, research strategies, book search tools, the interlibrary loan system and electronic resources for citation format. In addition, each faculty member reviews technological access and expectations with students in individual classes. Many training opportunities are provided to faculty, staff, and students to facilitate their use of the various software programs and services available through the university network. Some of these opportunities are free, including seminars taught by the office of Assessment and Technology of Arts and Sciences (AvA-TecA in Spanish), http://www.uprm.edu/cms/index.php/page/235. Other courses are provided by the Division of Continuing Education and Professional Studies (DECEP in Spanish) with a fee to enhance student computer and informatics skills on such topics as managing files and folders, web navigation, and the use of Moodle, the web-based learning platform used by the UPRM campus. In addition to the ITC, “Closed Television Circuit”, a unit ascribed to the UPRM Press Office, provides services that meet unique needs within the UPRM. These services include: video editing, photography, transference from VHS to DVD format, DVD copying, sound system lending within campus, and digitalization of written material and photographs, as others. Students can use these services for specific assignments, course projects and others. 87 STANDARD 4 Curriculum The curriculum prepares students to achieve the outcomes of the nursing education unit, including safe practice in contemporary health care environments. Nursing Education Unit 88 4.1 The curriculum incorporates established professional standards, guidelines, and competencies, and has clearly articulated student learning and program outcomes. The curriculum of the Bachelor of Science in Nursing (BSN) of the NEU, functions in harmony with the philosophy of the University of Puerto Rico (UPR) and UPRM. Our curriculum demonstrates its integrity in the application of principles and concepts that are interconnected with our mission, philosophy and conceptual framework. Focused is placed on teaching and learning as a process, which is designed to develop an inquisitive and analytical mind and stimulate intellectual curiosity and creativity (critical thinking, lifelong learning, research appraisal, caring). The learner (nursing student) is a unique individual with a particular rate of development within the teaching and learning process. A positive attitude toward the increment of knowledge is essential and must assume responsibility for learning, professional, and personal development (lifelong learning, values, ethical, legal, caring, leadership). Success in this area prepares our student to function as a leader, assume responsibility as a citizen and be assertive and accountable for his/her professional actions (communication, team work, leadership, health teaching). The BSN Program is evaluated, and revised periodically by the Nursing faculty. The revision of the curriculum takes into account the Standards of Professional Nursing Practice of the College of Professional Nurses of Puerto Rico (CPEPR, in Spanish), Code of Ethics of the CPEPR, American Nurses Association, the ACEN Standards and Criteria, the National Safety Standards as well as tendencies in health care that respond to society’s needs among others. 89 Professional standards, guidelines and competencies for nursing practice The curriculum of the NEU takes into account the established Professional Nursing Education Standards of the CPEPR (see Table 4.1.1),and the Standards for the Nursing Practice in Puerto Rico 2010, (www.cpepr.org/PDFS/CPEPR%20Folleto%20Estandares.pdf) (See Table 4.1.2), which are divided in two areas: Standards for Professional Performance and Standards of Care. The nine Standards for Professional Performance describe the level of minimal performance in the professional practice role. It includes quality of practice, education, evaluation of professional practice, collaboration, collegiate membership, ethics, research, use of resources, and leadership. The six Standards of Care describe the minimum level of performance in nursing care based on the nursing process. These are assessment, nursing diagnosis, and identification of objectives, planning, intervention and evaluation. The faculty of the NEU developed six Student Learning Outcomes, (SLO) which maintain the integrity of quality and safety through the curriculum. These SLO where derived from the four domains; Professional Role, Professional Judgment, Research and Nursing Process. The faculty then outlined three components to define a competency: knowledge, skills and attitudes pertaining to each (See Exhibit Standard 4: Program competencies). The SLO, Domains and Competencies can be found in Table 4.1.2. Table 4.1.1 presents how the NEU adheres to the Professional Nursing Education Standards (CPEPR) and Table 4.1.2 presents how the curriculum has articulated the SLO, competencies and the Standards for the Practice in Nursing of Puerto Rico (CPEPR). 90 Table 4.1.1: Representation of the NEU Adherence to Professional Nursing Educational Standards Professional Nursing Education Standards (CPEPR) Nursing Education Unit Standard I – Organization and Administration: The organization structure and administration of the nursing program is in harmony with the mission, philosophy, and objective of its governing institution. The line of authority and communication of the NEU within the governing institution is in harmony with the norms and policies stated in UPR General Regulations (See Standard 1). Standard II – Resources and Facilities The human, financial and material resources are The NEU has the human, financial and physical resources for the implementation of the nursing program (See Standard 5) adequate in quantity and quality for the implementation of the nursing programs educational process. Standard III- Students Nursing students participate with the faculty in the identification of their educational needs and in the identification of their learning and educational experiences. Standard IV – Curriculum design: The nursing education program’s curricular objectives are designed to reflect the Nursing Department’s philosophy, and provide for the development of knowledge, skills and attitude congruent with the roles expected level at which students are being prepared. Standard V – Faculty The Faculty and director of the Nursing Department are adequate in number and preparation to achieve programs outcomes, the educational process and excellence in the teaching of nursing. Standard VI – Evaluation Evaluation is an integral and ongoing process of the nursing program. It includes the teaching / learning process, the curriculum and the impact of the programs upon the organization and in the health services. Nursing students participate in the identification of their educational needs, learning and educational experiences are assured in different committees such as curriculum, evaluation, recruitment and teaching learning resources. Also, students have an active participation in faculty meetings through a student representative. In student assembly or individualized counseling, they are provided with the opportunity to discuss and make decisions about their educational needs (See Standard 1, 3). The NEU philosophical beliefs, conceptual framework, learning outcomes evidence compliance with this standard (See Standard 4). The director of the NEU has a strong record of administrative experience and academic preparation. The faculty has a minimum preparation of a Master degree in Nursing. The faculty is adequate in number and preparation to achieve the program’s outcomes. (See Standard 2). The NEU has a Master Plan: Outcomes Evaluation which are implemented on regular basis to strengthen and improve the program (See Standard 6). 91 Table 4.1.2 Standards for the Practice in Nursing of Puerto Rico, student learning outcomes and Domains/competencies of the NEU NEU Student Learning Outcomes Domain/Competencies Standards for the Practice in Nursing of Puerto Rico (CPEPR) Apply knowledge and skills from nursing science and other disciplines while caring for the client system as it pertains to promotion and maintenance of health, prevention, management and rehabilitation of illness, and end of life care. Professional Role Teamwork Lifelong learner Communication Health teaching Professional Judgment Critical Thinking Values/ethical/Legal Nursing Process Caring Demonstrate leadership, communication and interpersonal relationship, knowledge and skills when managing care in a collaborative effort with the clientsystem. Professional Role Teamwork Lifelong learner Leadership Communication Nursing Process Caring Provide and promote safe, quality care that will continually allow the client system to progress toward higher levels of wellness as they adapt to changes. Professional Role Health teaching Professional Judgment Critical thinking Values/ethical/legal Nursing Process Caring I. Standard Professional Performance Quality of practice Education Evaluation Collaboration Use of resources Ethics II. Standard of Care Assessment Nursing diagnosis Objective identification Planning Nursing Intervention Evaluation I. Standard Professional Performance Quality of practice Collaboration Use of resources leadership II. Standard of Care Assessment Nursing diagnosis Objective identification Planning Nursing Intervention Evaluation I. Standard Professional Performance Quality of practice Collaboration Use of resources Evaluation II. Standard of Care Assessment Nursing diagnosis Objective identification Planning Evaluation Integrate critical thinking, professional judgment, values and ethical/legal principles within Professional Role Communication Lifelong learner I. Standard Professional Performance Quality of practice 92 NEU Student Learning Outcomes Domain/Competencies Standards for the Practice in Nursing of Puerto Rico (CPEPR) generalist nursing practice. Professional Judgment Critical thinking Values/ethical/legal Nursing Process Caring Evaluation of Practice Ethics II. Standard of Care Assessment Nursing diagnosis Objective identification Planning Evaluation Act as an evolving scholar demonstrating continuous professional development, use of creative thinking, technology and evidence base as a foundation for decision making and problem solving. Professional Judgment Critical thinking Values/ethical/legal Lifelong learning Nursing Process Caring I. Standards of Professional Performance Quality of Practice Education Evaluation of Practice Research Use of Resources Leadership Ethics Collegiate II. Standards of care Assessment Nursing Diagnosis Objective Identification Planning Nursing Intervention Evaluation I. Standards of Professional Performance Quality of Practice Education Evaluation of Practice Collaboration Research Ethics Leadership II. Standards of Care Assessment Nursing diagnosis Objective Identification Planning Nursing Intervention Evaluation Research Incorporate professional nursing roles while providing holistic, competent and culturally sensitive nursing care in multiple settings. Research Appraisal Professional Role Lifelong learner Communication Professional Judgment Critical thinking Values/ethical/legal Research Research appraisal 93 Table 4.1.3 Professional Standards and Guidelines integrated in the curriculum Professional Standards and Guidelines Courses Puerto Rico College of Professional Nursing Education Standards (See exhibit 4) All courses Puerto Rico College of Professional Nursing Practice Standards http://cpepr.org/PDFS/CPEPR%20Folleto%20Estandares.pdf All courses Nursing Practice Act #9 http://www.lexjuris.com/lexmate/profesiones/lexenfermeria.htm All courses PR College of Professional Nurses Code of Ethics http://www.cpepr.org/PDFS/CODIGO%20ETICA.pdf All courses National League for Nursing Accrediting Commission All courses http://www.nlnac.org/manuals/SC2013_BACCALAUREATE.pdf American Nursing Association (2010) Practice Standards All courses http://www.nursingworld.org/codeofethics http://www.nursingworld.org/nursingstandards Safety Guidelines; National Patient Safety Goals All courses http://www.jointcommission.org/hap_2013_npsg/ HIPAA (Health insurance Portability and Accountability) http://www.hhs.gov/ocr/privacy/ All courses Healthy People 2020 All courses http://www.healthypeople.gov/2020/topicsobjectives2020/default.aspx American Heart Association Guidelines http://www.heart.org/HEARTORG/ ENFE 3021, ENFE 3022, ENFE 4031, ENFE 4032, ENFE 4025, ENFE 4001 ENFE 4002 Based on the NEU’s SLO and competencies, the BSN Program will deliver; a graduate with the competencies appropriate to role preparation, graduation rate of 85%, Nursing Board 94 passing rate of 90% or higher, an employment rate of 90% within six to nine months after graduation, an employer satisfaction of 85% or higher, a graduating student satisfaction of 85% or higher and an alumni satisfaction of 85% or higher. Most of all, the faculty is committed to provide students with the knowledge, skills and attitude to be competent, sensitive and engage in safe practice; focusing in systems effectiveness and individual performance. 4.2 The curriculum is developed by the faculty and regularly reviewed for rigor and currency. Faculty is responsible for the rigor, currency, continuous and revision of the BSN curriculum since it was established (See faculty and curriculum committee minutes). The curriculum is reviewed regularly using nursing education trends, needs of society, student’s profile, retention and graduation rates, licensure board examination results, alumni, employer surveys, course surveys , affiliated agencies evaluation, faculty and students satisfaction surveys and others, as the basis to consider changes. The Master Plan: Outcomes Evaluation (MPOE) presented by the Evaluation Committee and approved by the faculty in November 2008, sets the ongoing evaluation process needed to maintain currency and rigor of the BSN program (See Standard 6). Additionally the Curriculum Committee has leaded the efforts that maintained continuity and harmony of the curriculum within the NEU, and its vision, mission, philosophy, Conceptual framework, SLO and PO. The MPOE sets the scheduled time frame and documentation necessary to review the areas of importance that affect the curriculum and its relevance. The Questionnaire for the Evaluation of the Program by Graduating Students of the Baccalaureate of Science in Nursing Program (Q3), provides significant information about possible overlapping content, redundancy, and areas to include and improve in courses. Based on these evaluations surveys and the consistent petition of students to include additional open elective courses, reduce the workload of 95 the seminar courses, and include a permanent pharmacology and health assessment course; the faculty has proposed a minor curricular revision to begin in August 2013. Nevertheless elective courses have been offered in alternate semesters, including the ENFE 5005 Health Assessment and ENFE 3126 Basic Principles of Pharmacology, as well as other elective courses petitioned by students. Results from quantitative and qualitative surveys of courses and affiliated agencies are aggregated and analyzed in the Evaluation Committee. A report is generated with recommendations and a formal presentation is offered to the faculty at the end of the semester (See Faculty minutes, exhibit Standard 4; Survey reports in Exhibit Standard 6). Faculty discusses thoroughly the strengths and areas to improve in courses and generates a plan for the improvement of weaknesses found in the course, to the Evaluation and Curriculum committees. Courses and affiliated agencies with low satisfaction in survey results are also identified. Moreover discussion for possible solutions and for corrective actions is included by the Curriculum and Evaluation Committees recommendations to the faculty of the courses. Each faculty team gathers the information pertinent to the course they teach and strengthens the areas to be improved. Furthermore, the teams of faculty meet at the beginning of every academic semester and during the course academic period to discuss pertinent matters, course content, sequence of learning material and outcomes evaluation criteria. Table 4.2.1, Comprehensive review of the BSN program, presents examples of the ongoing activities for program review. 96 Table 4.2.1 Comprehensive review of the BSN program Areas evaluated Vision, mission, philosophy, conceptual framework, Program outcomes, student profile Outcomes Student Learning Outcomes Program Outcomes Domains and Competencies Nursing courses description Evaluation of pre-and co requisites Revision of Nursing courses curricular designs Strategic and Operational Plan Resource reviewed Philosophy of the University of Puerto Rico Standards of ACEN Professional Nursing Standards of the CPEPR PR Board of Nursing New tendencies in health care, Nursing education and society needs Ludwig von Berthalanfy’s General System Theory Halbert L. Dunn- Concept of High Level of Wellness Abraham Maslow’s Theory Hierarchy of Needs Sister Callista Roy Adaptation Theory Dates February 22. 2010 April 4, 2011 BSN Program goals Profile of the Graduate Standards of ACEN Master Plan: Outcomes Evaluation Vision, mission, philosophy, conceptual framework, NEU Program outcomes Sept. 15, 2011 October 20, 2011 Student Learning Outcomes Program Outcomes Standards of ACEN Vision, Mission, Philosophy, conceptual framework, outcomes and competencies Vision, Mission, Philosophy, conceptual framework, outcomes and competencies Nov 26, 2012 Vision, Mission, Philosophy, conceptual framework, outcomes and competencies PR Board of Nursing New tendencies in health care, Nursing education and society needs General curricular courses Domains, competencies, outcomes Student course evaluation surveys Faculty and Student satisfaction surveys Affiliated agencies survey Vision, Mission, Philosophy of Governing organization, UPRM, NEU Aug.12, 2011 April 15, 2011 November, 2008 Dec 20, 2010 April 4th, 2011 Feb 22, 2010 Feb. 22, 2011 March 12, 2012 December 9, 2008 Nursing Course Syllabi Nursing Course Curricular designs Each semester and when necessary BSN curricular program Student course evaluation surveys Graduating student evaluation of the program Faculty and student satisfaction surveys Oct. 7th , 2009 April 17, 2012 April 20, 2012 New Nursing courses being considered to be incorporated in the curriculum ENFE 3126 Basic Student course evaluation surveys (Q1) Graduating student evaluation of the program (Q3) Faculty satisfaction survey (Q6) April 4th, 2011 March 2nd , 2011 97 principles of Pharmacology Employer’s survey (Q5) Domains and Competencies ENFE 5005 Health Assessment ENFE4----Research in Nursing Elective Nursing courses approved or being offered ENFE 4995 Practice COOP ENFE 5397 Applied Pathophysiology ENFE 5665 Theories in Nursing ENFE 5667 EKG Interpretation: Nursing Care ENFE 3116 Forensic Nursing: Sexual Aggression ENFE 3007 Decision Making in Nursing Nov. 21, 2011 Oct. 29, 2012 May 14, 2013 Sept. 4th, 2014 Feb. 25, 2013 Jan. 25, 2010 Summer 2010 Offering December, 2012Approval December, 2012Approval December, 2012Approval June 29, 2012- in process of approval July 6, 2011Approval November 7, 2011 Inactivation of Nursing course ENFE 3117 Ethics in Nursing (Replaced by ENFE 3007-Decision making in Nursing Competencies Syllabus Course Design Trends in Nursing Faculty has participated in workshops, colloquiums and continuing education courses to strengthen the process for curricular revision and to stay knowledgeable on current changes in healthcare delivery. 4.3 The student learning outcomes are used to organize the curriculum, guide the delivery of instruction, direct learning activities, and evaluate student progress. The curriculum of the NEU has defined program goals that emanate from the mission, vision, and philosophy. To reach these goals the program follows a conceptual framework that is reflected in the six student learning outcomes (SLO). These SLO are connected to the domains 98 and competencies which guide the delivery of instructions and learning activities. Table 4.3.1 demonstrates how course outcomes are in compliance with SLO. The SLO permeate throughout the four years of the bachelor degree program. Table 4.3.1 Examples of compliance of Courses Outcomes with SLO SLO #1: Apply knowledge and skills from nursing science and other disciplines while caring for the client system as it pertains to promotion and maintenance of health, prevention, management and rehabilitation of illness, and end of life care. ENFE 3005 ENFE 3022 ENFE 3045 ENFE 4025 ENFE 4031 ENFE 4032 ENFE 3035 ENFE 4002 Identify historical events that were important in their development of professional nursing. Apply the nursing process through independent and collaborative efforts to promote, and maintain health, prevent and manage illnesses, promote rehabilitation and provide end of life care. Apply concepts and principles of the bio-psycho-social sciences in the ministering of psychiatric mental health nursing. Apply concepts and principles of General System Theory and Highlevel Wellness in their nursing practice in the community setting. Integrate theories, concepts and research findings, which underlie nursing intervention in the care of patients with major health problems. Intervene effectively in meeting the learning needs of the patient, and his family, when dealing with major health problems. Integrate theories, concepts and research findings, which underlie nursing intervention in the care of patients with major health problems. Identify the conditions of health and diseases that are related to nutrition in Puerto Rico. Utilize theories, concepts, and facts from the biological and psychosocial sciences in the ministering of care to the growing child. SLO#2: Demonstrate leadership, communication and interpersonal relationship knowledge and skills when managing care in a collaborative effort with the client system. ENFE 3015 ENFE 3021 ENFE 4015 Understand interpersonal relationships as the process of offering care to individuals, families, and groups of different social status, creed and color. Utilize the communication process as a base to build the therapeutic relationship. Recognize the human being as an open system receiving input from the nurse system through the therapeutic nurse-client relationship. Employ interpersonal relationship knowledge and skills in the implementation of the nursing process while providing care to the client system. Demonstrate knowledge of leadership and management theories and its relationships to health agency management and nursing care delivery system 99 SLO #3: Provide and promote safe, quality care that will continually allow the client system to progress toward higher levels of wellness as they adapt to changes. ENFE 3015 ENFE 3021 ENFE 3045 ENFE 4001 ENFE 4025 ENFE 4031 ENFE 3035 ENFE 4002 Uses the nursing process in the achievement of the therapeutic nurseclient relationship. Apply the nursing process to fulfill the basic needs of the client system along the health illness continuum, promoting, and maintaining health, preventing and managing illnesses, promoting rehabilitation and providing end of life care. Examine the roles of the professional nurse in the delivery of psychiatric mental health care. Utilizes the nursing process as a systematic method for providing nursing interventions to the pregnant woman, neonate and family in a variety of settings. Distinguish roles and functions of community health practices within the health care system. Implement the nursing process as a systematic method in the ministering of care to patients in a variety of settings. Plan nutritionally adequate menus using the Food Guide Pyramid, the Dietary Reference Intakes (DRI’s), My Plate and the 2010 Dietary Guidelines for Americans. Utilize the nursing process as a systematic method to assess, plan, intervene, and evaluate the care for the growing child during health and illness. SLO #4: Integrate critical thinking, professional judgment, values and ethical/legal principles within the generalist nursing practice. ENFE 3021 ENFE 3022 ENFE 3045 ENFE 4001 ENFE 4025 ENFE 4031 ENFE 4032 ENFE 4041 Integrate values, legal, ethical principles in the ministering of care to the client system. Discuss critical thinking, values legal and ethical principles in problem solving processes. Apply concepts and principles of the bio-psycho-social sciences in the ministering of psychiatric mental health nursing. Apply concepts of the critical thinking process in a variety of settings. Applies the knowledge utilizing the critical thinking process needed to assess, plan, and implement the nursing care to the healthy and the high risk pregnant woman and her family throughout the childbearing period. Recognize the influence of ethics, values and ideals in their nursing intervention with families, individuals, groups, and communities. Apply critical thinking skills in clinical decision making situations, both in written and oral expressions. Develop beginning skills in advanced nursing interventions with patients undergoing complex procedures. Values the ethical, legal aspects and human rights in the development and implementation of a research project. 100 SLO #5: Act as an evolving scholar interested in continuous professional development, use of creative thinking, technology and evidence base, as a foundation for decision making and problem solving. ENFE 3005 ENFE 3022 ENFE 4001 ENFE 4015 ENFE 4031 ENFE 4032 ENFE 4041 ENFE 4042 ENFE 3035 ENFE 4002 Understand the interrelationships of nursing theory, practice and research for the improvement of nursing practice. Values the nursing process as an essential tool to provide health care to the client system along their health-illness continuum. Utilizes research findings in the practice of nursing to the pregnant woman, neonate and family. Examine research critically and evaluate the applicability of findings to nursing management. Apply critical thinking skills in clinical decision making situations, both in written and oral expressions. Apply critical thinking skills in clinical decision making situations, both in written and oral expressions. Discuss the implications of current issues, concerns and trends related to professional nursing practice. As a beginner in the research process, develop those skills necessary to evaluate research studies. Relates concepts proper to the methodology of the scientific investigation process. Analyze and critique selected research studies. Describe the nutrition needs throughout life span and basic nutrition requirements of each stage. Recognize the value of the applicability of research findings in the nursing of children practice. SLO #6: Incorporate professional nursing roles as planners, managers and coordinators of holistic, competent and culturally sensitive nursing care in multiple settings. ENFE 3021 ENFE 4015 ENFE 4041 Envelop the importance of professional nursing roles and functions in the practice of nursing. Examine determinants of human behavior in organizations and the leadership role of the nursing manager. Demonstrate basic skills in identifying a problem, reviewing literature, development of theoretical framework and stating the purpose of the study. 101 Nursing courses in the curriculum are of two types: those exclusively theoretical in nature and those with a theoretical component and clinical laboratory experience. The theoretical content of courses contributes directly to the clinical components of the nursing courses. Each nursing course utilizes the content knowledge acquired from the cognate’s related courses. Knowledge of the arts, sciences, and humanities is an integral part that enriches the nursing curriculum. The content of courses from different disciplines helps the learner to study the human being from a bio-psychological and spiritual perspective, which is needed for the understanding of themselves and the development of the role as a professional nurse. Identifying the human being as an open system with basic needs, the learner is guided to view the human being as a whole entity interrelating with the environment. At the beginning of each semester, the student receives a course syllabus which includes, course title, codification, credits hours, pre-requisites, co-requisites and other requirements; course description, course outcomes, evaluation strategies and tools, grading system and references. The student is also provided with information containing the name of the instructor/s, office number, office hours and office phone extension as well as e-mail address. The UPRM and NEU policies are discussed during the first day of class. The plan for the didactic instruction and development of clinical experience is delineated in the curricular design of the course. (See Exhibit Standard 4: Curriculum). First year of the nursing curriculum In the first year the curricular focuses on courses that are based on liberal arts, behavioral, and natural sciences. The learner begins with English, General Psychology, Mathematics, Biological Sciences, Chemistry, and Physical Education courses. These establish the fundamental knowledge that will lead into basic nursing courses. 102 The courses CIBI 3031-3032 (Introduction to Biological Sciences I and II), provide knowledge applicable to the process of scientific inquiry. Both integrate fundamental biological principles as exemplified in the study of the diversity of relationships among living organisms. This knowledge is basic to understanding the biological nature of the human being, which is important to nursing. The General, Organic, and Biological, QUIM 3141-3142 (Chemistry I and II), these courses present the chemical properties of natural elements and the transformations they cause or go through when they exchange energy with the environment. The biological and chemical processes provides for the understanding of the changes within and around the human body in the health – illness continuum. The concepts taught in MATE 3171/MATE 3086 (Pre-calculus I /Mathematical Reasoning) and ESMA 3015 (Elementary Statistics) help in the implementation of the conceptual framework of the program by developing an analytical attitude which helps students in dealing with the different problems found in nursing scenarios. The arithmetic and probability component are integrated in the administration of medications. The content obtained from ESMA 3015 begins building the knowledge necessary for the understanding and critique of nursing research and the analysis of epidemiological studies (ENFE 4041-4042, Seminars in Nursing; ENFE 4025, Nursing in the Community). Students can select COMP 3057 (Computer Fundamentals), COMP 3010 (Introduction to Computer Programming I) or MATE 3172 (Pre-calculus II) to comply with three additional required credits in math. COMP 3057 (Computer Fundamental) is the most selected course. As a basic course in computers, it facilitates the appreciation of technology and computers utilization in the health care delivery systems. 103 The courses PSIC 3001-3002 (Principles of Psychology I and II) deal with the fundamental principles, which underlie human behavior. Both are directed toward students’ understanding of themselves as individual and as integral part of a group. Application of the knowledge obtained in these courses is fundamental in all nursing courses. The study of INGL 3101-3102 (Basic English), INGL 3201-3202 (English Composition and Reading) contributes to the command of the fundamental structure of this language. The several courses in English prepare the learner in the expressive usage of this language as a tool for professional communication. Knowledge of grammar and skills in reading, writing, and comprehension are fostered. The EDFI (Physical Education courses) integrates the importance of physical fitness. The learner is taught the basic principle of body mechanics, the practice of physical exercises, and the benefits to health and well-being. This knowledge is later used in activities of nursing courses. During the first academic year, learners are exposed mainly to general courses required by the University and the NEU (Undergraduate Catalog 2012-2013). In the first year, second semester, the course ENFE 3005 (Introduction to Nursing) introduces the mission of the UPR, UPRM, College of Arts & Sciences and NEU’s philosophy, conceptual framework, student learning outcomes, profile of the graduate and outcomes of the program. Concepts of the General System Theory and Dunn’s Concept of High Level of Wellness are discussed including the historical, philosophical and social development of nursing as a discipline and as a profession with standards of practice, ethics, legal, value and their relationship with Human Being – Client System, the Professional Nurse System and the Social System. 104 Second year of the nursing curriculum In the second year, learners begin their first clinical course in nursing, ENFE 3021 (Introduction to Clinical Nursing I). This course provides selected learning experiences that build upon knowledge gained in ENFE 3005. They begin to see themselves in the professional system role. The learner learns that the nursing process (horizontal strand) is a systematic approach to intervene with clients in the health- illness continuum (vertical strand). This enables learners to acquire fundamental concepts, knowledge, and skills necessary to provide nursing care to clients with basic human needs. Concurrently, they also take ENFE 3015 (Interpersonal Relationships in Nursing). This course introduces the learner to nursing as a therapeutic interpersonal process, which enables the professional nurse system to communicate with the human being- client system and the social system. Communication is addressed as a process to establish a therapeutic nurse-client relationship. The learner explores the variables affecting the human being communication process through different stages of growth and development, personality development and bio-psychosocial needs and behaviors. Through this therapeutic relationship the learner understands the human being as an open system in continuing growth and development with values and basic needs. The biological aspect of the person is discussed in BIOL 3715-3716 (Anatomy and Physiology). Both provide knowledge of the human body structures and physiological principles. The nursing clinical courses integrate this knowledge to understand the response of the human body in the health – illness continuum. ENFE 3022 (Introduction to Clinical Nursing II) builds upon the concepts and knowledge acquired in ENFE 3021. The learner continues to develop clinical nursing skills and nursing process as a method of caring. Its focus is on the care of selected clients experiencing mild to 105 moderate health-illness needs or problems of relative instability and duration. Cognate courses in psychology and biological sciences provide the fundamental principles that enable students with the abilities to deal with these clients. ENFE 3045 (Psychiatric Nursing) addresses the professional nurse system, within the role of psychiatric nursing as well as the social system and human-being client system. The course explores the biological, psychosocial, and cultural factors, which affect the individual’s mental health throughout the life cycle. Knowledge acquired in Spanish, English and ENFE 3015 enhance learners’ abilities to communicate and intervene therapeutically with the human being. Equally important are other cognate courses in the sciences, which help to explain the psychological, biological and/or other imbalances experienced by psychiatric clients. ENFE 3035 (Fundamentals of Nutrition) cover the basic principles of nutrition. Learners recognize the importance of the relationship that exists between nutrition, health and illness as well as the collaborative role in a multidisciplinary team. Knowledge on dietary management of clients with a diversity of conditions is broadened according to the emerging needs and trends in society. Science related courses such as PSIC 3001-3002, CIBI 3031 - 3032, BIOL 3715-3716 and QUIM 3141 and 3142 provide content support to ENFE 3035. The Spanish courses (ESPA 3101-3102), addresses the communication concept inherent in the BSN Curriculum Conceptual Framework and SLO. These courses develop knowledge about the functions of language using examples and exercises for correction and propriety in writing, reading and, speaking. Emphasis on literature review provides students with a diverse of cultural patterns of people from different countries and/or times. The understanding toward diversity is an element which nursing students are introduced in these courses. In the third year, students are 106 required to take six additional credits of Spanish. Learners have the opportunity to select from other courses with additional depth and breadth according to their knowledge. Third year of the nursing curriculum BIOL 3725 (Microbiology) is a co-requisite to ENFE 4001 (Maternal and Child Nursing I). This course includes the basic principles of microbiology with emphasis in the study of microorganisms in relation to human health and disease. An objective of this course is to “Demonstrate how microbiology principles are applied to the solution of problems related to human health”. Knowledge gained helps in the prevention or control of infections in healthy or ill individuals. It also reinforces the concepts of asepsis, hand washing, isolation techniques and chain of infection learned in ENFE 3021 and ENFE 3022. ENFE 4001 (Maternal and Child Nursing I) provides the knowledge and clinical practice to carry out responsibilities in the health promotion, maintenance and care of childbearing families and their interaction. Learners revisit the professional nurse system within the role of the maternal and neonatal nursing as well as the social system and the human-being client system. ENFE 4002 (Maternal and Child Nursing II) is offered during the second semester of the third year. Learners gain knowledge and engage in clinical experiences necessary to prepare a professional nurse to carry out interventions in the health promotion, maintenance and health and illness management of the child. Included are the dynamic processes of each major phase in the growth and development of a child from infancy to adolescence. Health teaching is emphasized. Cognate courses such as PSIC 3001-3002, CIBI 3031 - 3032, BIOL 3715-3716 and 3725, QUIM 3141 and 3142, courses of Social Sciences or Economics and HUMA 3111-3112 provide fundamental knowledge and principles for both (ENFE 4001-4002) courses outcomes. 107 HUMA 3111-3112 (Introduction to the study of Western Culture I and II) are part of the third year study program. Its purpose is to familiarize the student with literature masterpieces of the western culture, as they relate to their historical framework. In discussing the evolutions of the human being thinking patterns, nursing students gain insight about their past, present and future as members of the social system. The course aims to develop the capacity of analysis, critical thinking and the ability to reach conclusions. Understanding their historical framework and skills helps nursing student’s self-perception of worth and appreciation for the recipients of nursing care. Both courses contribute to a better understanding the human being –client system and the social system, particularly when students take ENFE 4025 (Nursing in Community Health). Fourth year in the nursing curriculum The nursing senior year courses are ENFE 4041(Seminar in Nursing I), ENFE 4031(Medical Surgical Nursing I), ENFE 4015 (Management in Nursing Services) and, ENFE 4025 (Community Health Nursing). In ENFE 4041: Seminar in Nursing I; the learner participates in the identification of a researchable nursing problem and utilizes the scientific method to develop a research proposal. Knowledge for developing a critical appraisal of a research article is taught. ENFE 4042 (Seminar in Nursing II) continue with the knowledge base of ENFE 4041. Literature reviews concerning current issues and trends in nursing are required. Both courses promote the student to visualize themselves as future professional practitioners committed with the improvement of nursing practice and, to master the many search capabilities available to conduct research. Courses in Computer Sciences, Math and Statistics help the learner in the implementation of the scientific method of inquiry. 108 In ENFE 4015 (Management of Nursing Services) emphasis is given to the study of nursing service administration, management and, the concept of leadership. This course addresses the importance of applying leadership knowledge and skills through collaborative strategies with other members of the health care team. Cognate courses in psychology (PSIC 3001-3002), mathematics (MATE 3171 or MATE 3086) and humanities (HUMA 3111 – 3112) are integrated as a basis for understanding the art and science of management, and its application to nursing. ENFE 4031-4032 (Medical and Surgical Nursing I-II) stresses the care of the client in the different stages of adulthood. Theories, concepts and, principles, which underlie nursing interventions in the care of the medical-surgical patient are studied. Nursing process continues to be emphasized in these courses as a tool for providing nursing care. Emphasis is placed in the implementation of independent and collaborative interventions with other professionals and nonprofessional members of the health care team. The promotion and maintenance of health, prevention and management of illness, rehabilitation and care at the end of life is carried through interventions among the learner in their practice. ENFE 4025 (Nursing in Community Health) help learners integrate the three systems within a selected community context, through the study of basic concepts of public health and community health nursing. Health teaching is emphasized for the promotion of health and the prevention of illness for clients. Implementation of principles and concepts of leadership throughout independent and collaborative interventions are carried out in diverse community settings. The knowledge of cultures derived from the courses HUMA 3111 and 3112 (Introduction to the Study of Western Culture I and II) is applied in the delivery of interventions to the human beingclient system within the community of interest. Knowledge acquired from all cognate and nursing courses are integrated at this level. 109 The College of Arts and Sciences also requires twelve credits in free electives (Minimal requirements of the Faculty of Arts and Sciences approved September 29, 1970- In exhibit Standard 4) and page 26 of the Undergraduate Catalogue 2012-2013, www.uprm.edu/catalog/UndergradCatalog2012-2013.pdf. These free electives serve the purpose of allowing the students to satisfy their particular area of interest and intellectual curiosity. Learners may take free electives courses in arts, humanities, sciences (natural, behavioral, physical), computers, economics or nursing, among others. The curricular sequence increases in difficulty and complexity as the learner progresses through the courses in the program. Cognate and nursing courses and electives in the curriculum give the learner the knowledge and skills to function as a leader, assume responsibility as a citizen and, become assertive in his or her actions as a generalist nurse. Student progress is evaluated by levels utilizing varied tools, rubrics and other methods as presented in Table 4.3.2 (SLO, delivery of instruction and evaluation methods per level) which reflect the development of knowledge and skills from simple to complex upon the attainment of cognate courses (pre-requisites, co-requisites) in the attainment of the SLO and Program outcomes. (See exhibits under Standard 4). A variety of learning activities in the courses and an array of evaluation methods are used to assess student progress all through the four levels. 110 Table 4.3.2: SLO delivery of instruction and evaluation methods per level SLO 1. Apply knowledge and skills from nursing science and other disciplines while caring for the client system as it pertains to promotion and maintenance of health, prevention, management and rehabilitation of illness, and end of life care. 2. Demonstrate leadership, communication and interpersonal relationship knowledge and skills when managing care in a collaborative effort with the client SLO system. Courses First year student ENFE 3015 Second year student 5. Act as an evolving scholar interested in continuous professional development,}}use of creative thinking, technology and evidence base, as a foundation for decision making and problem solving. 6. Incorporate professional nursing roles as planners, managers and coordinators of holistic, competent and culturally sensitive nursing care in multiple settings. ENFE 3021 ENFE 3022 ENFE 3035 3. Provide and promote safe, quality care that will continually allow the client system to progress toward higher levels of wellness as they adapt to changes. 4. Integrate critical thinking, professional judgment, values and ethical/legal principles within the generalist nursing practice. ENFE 3005 Third year student ENFE 3045 ENFE 4001 ENFE 4002 ENFE 4015 Fourth year student student ENFE 4031 ENFE 4041 ENFE 4025 ENFE 4032 ENFE 4042 Instruction/Activities Conferences/Lectures, group discussion, oral presentation, integration of technology, role playing Conferences/Lectures, oral presentation, group discussion, integration of technology, group work, assignments, interview; initial, work and termination phase; prevention project, professional conduct, case study discussion, fieldtrips, didactic material, role playing, movies, videos, demonstration, illustrative model, practice exercise, critical thinking activities, clinical experience, dynamics, simulated laboratory practice, journal, pre and post conferences discussion, guest speaker Evaluation Methods Exams, oral presentation criteria, questions and answer. Exam, quizzes, oral presentation criteria, questions and answer, discussion of case studies, therapeutic interaction evaluation criteria, research article evaluation criteria, prevention project evaluation criteria , general professional standard criteria, education plan evaluation criteria, case study evaluation criteria, laboratory evaluation, student participation criteria, nursing process criteria, journal evaluation criteria Conferences/Lectures, oral presentation, group discussion, integration of technology, group work, assignments, interview, prevention project, case study discussion, fieldtrips, didactic material, role playing, videos, demonstration, illustrative model, practice exercise, critical thinking activities, clinical experience, dynamics, simulated laboratory practice, pre and post conferences discussion, guest speaker Conferences/Lectures, oral presentation, group discussion, integration of technology, group work, assignments, interview; professional conduct, case study discussion, fieldtrips, didactic material, role playing, movies, videos, demonstration, illustrative model, practice exercise, critical thinking activities, clinical experience, dynamics, simulated laboratory practice, journal, pre and post conferences discussion, guest speaker Exam, quizzes, oral presentation criteria, questions and answer, discussion of case studies, research article evaluation criteria, prevention project evaluation criteria, case study evaluation criteria, laboratory evaluation, nursing process evaluation criteria Exam, quizzes, oral presentation criteria, questions and answer, discussion of case studies, research article evaluation criteria, education plan evaluation criteria, case study evaluation criteria, laboratory evaluation, student participation criteria, nursing process criteria, journal evaluation criteria 111 The Associate Director follows the learner academic progress and academic standing. UPRM Students are classified according to categories and also they can partially or completely withdraw as established in the academic calendar as well as published in the Undergraduate Catalogue 2012-2013, pg. 67 (www.uprm.edu/catalog/UndergradCatalog2012-2013.pdf) The undergraduate catalogue also publishes the retention standards, grading system and graduation requirements in pages 69-74. The minimum grade for passing Nursing core courses is “C” (Certification 83-2, Academic Senate) and student must attain a minimum GPA of 2.20 in the mayor courses for graduation. Academic standing policies are written and available to all students in course syllabus, UPRM-Department of Nursing- Student Manual, Undergraduate catalogue 2012-2013, and website (http://www.uprm.edu/procuraduria/documentos_oficiales.htm). 4.4 The curriculum includes cultural, ethnic, and socially diverse concepts and may also include experiences from regional, national, or global perspectives. The Nursing curriculum emanates from the vision, mission, program philosophy, through an organized framework into a logical progression of course outcomes and learning experiences that include cultural, ethnic, and socially diverse concepts of the client including regional, national and global perspectives of its environment. Based on one of the Program SLO “Incorporate professional nursing roles while providing holistic, competent and culturally sensitive nursing care in multiple settings”, emphasis is placed on cultural implications; development of knowledge, skills and attitudes to provide client-centered, safe, and effective care to diverse populations in varied settings. Through diverse learning experiences the student acquires knowledge and develops acceptance, respect, and sensibility towards the culture, ethical 112 and legal aspects, values, beliefs, and practices of each individual throughout the growth and development stages. Regional experiences are varied and based on clinical diversity settings of practice in rural and urban areas. The students complete many clinical experiences at agencies where the client population is ethnically and socio-economically diverse. These experiences are enriched with activities of National and global perspectives. For example students had the opportunity to exchange their views on disaster response with the visit of nursing students from the East Straudsburg University (ESU) in Pennsylvania, during their three day stay at the campus. This activity was part of the Cultural Immersion Program coordinated by a professor at ESU and one of our professors. Additional experiences of National and global perspectives are also provided through other activities that include reflective and comparative analysis of population characteristics, socio-economic differences and health disparities. For example a group of students and faculty participated at a health fair sponsored by Ferries del Caribe in Santo Domingo, Dominican Republic. Students had the opportunity to assist in vital signs, medical, pediatrics, maternity, dental and ambulatory surgery clinics. They also had opportunity to partake in cultural activities. These first hand experiences have a significant impact in how our students appreciate the differences in culture, ethnicity and social diversity. In addition, the Nursing Student’s Association organizes a yearly Food Fest, where it incorporates known dishes from countries of the world, its dances, clothes and culture. As part of the preparation for the exhibition, students construct a representation of their country with cardboards, cloth or other materials and place the prepared food dishes for tasting. This activity is enhanced by asking the students to research the country’s culture, health system and nursing practice. Most faculty 113 participate with their group of students; the Dean and other University representatives are invited, making it a popular and already expected activity every year. From the participation of a faculty member as President, and other NEU faculty members in the Continuing Education and Scientific Committee for the Central American and Caribbean Nursing Congress in Puerto Rico, senior students had the opportunity to participate of two days of scientific presentations on relevant topics in nursing from expert faculty, practitioners and educators from Central-South America and the Caribbean. In addition to listening to the exposition of nursing lectures, representative of the different countries, students had the opportunity to share their views with other nursing professionals from the International arena. The following table (4.4.1) illustrates examples of how the content of cultural, ethnic and social diversity is incorporated in the curriculum. These concepts are inherent in all courses through the curriculum as it relates to specific health conditions prevalent in PR and the world. Table: 4.4.1 Cultural, Ethnic, and Social Diversity Concepts in Nursing courses Cultural, Ethnic, and Social Diversity Concepts in Nursing courses Cognate courses (Humanities, Social Sciences, Psychology, English, Spanish, Economy Units in courses Introduction of basic problems of the human being in a contemporary society with changes in family patterns, community involvement, wealth and poverty and societal pressures Discussion of evolution of human being thinking patterns. Emphasis on literature reviews with diverse of cultural patterns of people from different countries and or times. Understanding of diverse human behaviours ENFE 3005 – Introduction to Nursing Unit I- The origin and evolution of nursing health and education practice. A. Human basic needs ENFE 3015 – Interpersonal Relationships in Nursing Unit II- Human nature and the Dynamic of behavior. A. Human being as an open system in continues growth with values and basic needs Unit outcomes: 114 Cultural, Ethnic, and Social Diversity Concepts in Nursing courses Units in courses Value the role of nursing in interpersonal relationship as a process in providing care to clients of diverse socio economic, ethnic and cultural background. Apply the nursing process in the care of clients of diverse cultures ENFE 3021 -3022- Introduction to Clinical Nursing I-II Unit II- The human as a Client System ENFE 3035- Fundamental of Nutrition Unit I- Fundamentals of Nutrition, nutrition in Nursing ENFE 3045- Psychiatric Nursing Unit I—Concepts and indicators bio psychosocial components of health and mental illness. D. Bio-psychosocial components of mental disorders 1. Sociocultural Unit II- Psychosocial theoretic basic of psychiatric nursing Unit outcomes: Identify the assumptions and key ideas of psychoanalytic, interpersonal, social, communication, behavioral, medical and nursing theories and models. Discuss psychosocial theories, that support psychiatric nursing practice Identify the underline theories that contribute to the understanding of the human being behavior Apply the social theories to Psychiatric mental health nursing Unit III. The psychiatric nursing process Family assessment Socio-cultural aspect Unit outcomes: Describe the changing family structure and mental health application Identify the differences in mental health according to cultural background ENFE 4001- Maternal and Child Nursing I Unit I- Perspectives in the nursing care of the pregnant woman, neonate and family. Rights of clients Laws of Puerto Rico and United States Unit outcome: Analyze concepts, ethical-legal issues in the practice of nursing with pregnant client, neonate and family. ENFE 4002 – Maternal and Child Nursing II 115 Cultural, Ethnic, and Social Diversity Concepts in Nursing courses ENFE 4031-Medical and Surgical Nursing I ENFE 4032-Medical and Surgical Nursing II Units in courses Unit I- Nursing in health and disease A. Human Being: the client system: Adaptationgrowth and development- health illness continuum. 1. Overview of the system Theory and high level of wellness a. Human responsibilities and cultural and social differences in health practices B. Professional Nursing System: Role-leadershipresearch-ethic-legal and values. C. Social System-communication: interpersonal relationship-health teaching Unit outcome: Identify factors that contribute to a successful interpersonal relationship with the adult and elderly patient Unit II- Transcultural Nursing ENFE 4025- Nursing in Community Health Unit outcomes: Discuss the significance of transcultural nursing and its importance in Community health nursing Compare and contrast the values, practices and health beliefs in a population with cultural diversity Apply the principals of transcultural nursing in the practice of community health 4.5 Evaluation methodologies are varied, reflect established professional and practice competencies, and measure the achievement of student learning and program outcomes. Evaluation tools are consistent with course content, student learning outcomes and program outcomes. Varied methods of evaluations are used, such as evaluation criteria for oral presentations, clinical performance, special reports, portfolios on particular projects, and leadership activities. The grading scale and percentage of evaluation method criteria is presented and discussed to students in the Syllabi of each course. Other methods used include, written exam – partials and finals, participation in class and attendance. Faculty provides feedback based upon the learner's progress utilizing the respective evaluation tools. Examinations and all work handed in to the learner is graded and returned to them before a two-week period (UPRM 116 Student Regulation Manual: Article I, Section c, pg. 2.). Faculty office hours are available to students to discuss grades or doubts regarding course work during office hours or as needed. Every semester or as required professors of an assigned course meet and review the Syllabi for requirements, grading methods, outcomes and review of evaluation tools in order to guarantee consistency in implementation. Evaluation of students competencies reflect established professional and practice standards and professional competencies. The professional role is evaluated for communication, leadership, teamwork, lifelong learner, and health teaching. These concepts are evaluated through application of knowledge in clinical areas, test questions, quizzes, and case studies; health teaching plans, nursing care plans, multidisciplinary and teamwork relationships and prepost clinical laboratory conference. In the clinical area a formative and summative evaluation tool is used to evaluate professional judgment, communication, critical thinking, values-ethicallegal, and the utilization of the nursing process as the framework for care. The clinical evaluation tool is discussed with the student during the first week of class and again while in clinical area. Some courses give the student an opportunity to self-evaluate with the same tool and discuss results with the professor. Formative evaluation provides the faculty the opportunity to discuss the ongoing progress of the student and the achievement of competencies. The majority of courses administer four unit tests and a final; which was decided to be from all the units covered during the semester. Expected achievement is ≥70%, after summative evaluation, which includes evaluation of clinical performance. Further evaluation that SLO and PO are being achieved is based on student’s pass rates in the nursing boards. Consistently over the last two years the passing rate has been increasing from 82% to 100%. The Benchmark of students taking the boards for the first time has been 117 established in 90%. Graduating Students’ survey has reflected a perception that competencies are being met, although satisfaction with the program has been consistently low for the past two years. After graduation, Alumni surveys, Employer Satisfaction Surveys and comments on NEU social network pages reflect a very high satisfaction and perception of attainment of competencies’ which validates the achievement of PO. Faculty has discussed additional ways of analyzing this area and increasing the alternatives of quantitative measures. 4.6 The curriculum and instructional processes reflect educational theory, interdisciplinary collaboration, research and the best practice standards while allowing for innovation, flexibility and technological advances. Educational theory Ludwig Von Bertalanffy’s General System Theory (1968) and Halbert L. Dunn Concept of High Level of Wellness (1973) provide orientation for the educational framework that guides our nursing curriculum. This conceptual framework provides curriculum organization and is used for content selection and sequence. Three major systems are integrated in the Curriculum Program Conceptual Framework: the human being-client-system, professional nurse system, and the social system. The human being –client system is viewed as an open system in continuous communication and in constant change, influencing and contributing to his/her bio-psychosocial and spiritual environment. Therefore, the professional nurse system’s goal is to provide an essential service dedicated to the promotion and maintenance of health and the prevention and management of illness, rehabilitation and care at the end of life at all levels of healthcare. The practice of the professional nurse system is influenced by the social system, which consists of groups in constant change and with common goals and interests. These three interrelated basic systems; 118 Human Being-Client System, Professional Nurse System, and Social System integrate the professional nursing service paradigm of the NEU. (See Figure 4.6.1, Conceptual Framework Model) The BSN curriculum has been developed within the conceptual framework described above. In addition to the three major concepts, the faculty has identified two basic concepts as horizontal strands within the conceptual framework: basic human needs and the nursing process. The concepts progressively integrate the content throughout all levels of the curriculum. The faculty has also identified as vertical strands those concepts, which in sequence produce depth and breadth at different levels of advancement throughout the curriculum. These vertical strands include the following concepts: health-illness continuum, health teaching, leadership, growth and development, legal, ethics and values, research and interpersonal relationships. The following is an analysis of the relationship between the identified systems, major concepts and the unifying strands. Professional Nurse Systems encompasses the behaviors established by the profession in order to implement the nursing process that addresses the needs of human being-client system. Role is a basic concept to the understanding of the professional nurse system. The professional nurse role is governed by legal, ethics, values and professional standards that regulate the practice of nursing. The professional nurse considers the values, legal and ethical aspects of the professional role and the human being-client system while providing health services. Each human being is unique in structure and function and is constantly relating and interrelating with an ever-changing environment. The professional nurse role includes the ability to use critical thinking skills within each situation and to make professional judgment to deal with human responses. 119 The professional nurse as a leader needs to be dynamic, visionary and an agent of change. In order to produce innovative ideas and policies to improve the health care system the professional nurse should be able to work with people and develop effective relationships. Nursing research is an essential component for the development of scientific knowledge to the professional nurse system which provides evidence-based health care. The knowledge derived from research uses the unique perspective of the discipline as well as other allied sciences in the search of high level of wellness for the human being-client. Therefore, nursing research generate a body of knowledge for the implementation of evidence based nursing care to promote and maintain health, prevent and manage illnesses and provide rehabilitation and end of life care. The legal practice of nursing is based on standards of care and in the applicable laws. Ethical nursing practice is promoted by applying ethical thinking, values and moral reasoning to the decisions and actions inherent to the care of clients. Ethics are based on moral reasoning and reflect sets of values unique to the professional nursing code. The social system consists of groups in constant change and with common goals and interests. It encompasses economic, political, ecological, demographical and cultural changes that influence the practice of professional nursing. Communication is the basic concept used for understanding of the human being within the social system. As a system the human being-client is constantly reacting to the input received from the social system. The conceptual framework developed by the faculty provides for the curriculum organization and is used for content selection and sequence. The elements that provide the conceptual structure for the program are represented in the following Diagram. 120 Figure 4.6.1 Conceptual Framework Model The diagram illustrates the interaction and interrelation of elements inherent to the framework. The circles represent the three systems through which the body of knowledge of nursing is transmitted. Continuous feedback between the Human being- Client System, the Professional Nurse System and the Social System are represented by the overlapping of the circles. The major concepts inherent to each system are represented and interrelated in the center 121 of each circle: Adaptation, Role and Communication. The horizontal strands, which are Basic Needs and Nursing Process, are inherent to each system. These horizontal strands integrate and applied content throughout the curriculum. The vertical strands (health-illness continuum, growth and development, research, legal, ethics and values, leadership, interpersonal relationship, health teaching) are found surrounding the other elements of the diagram. These concepts permeate throughout the curriculum and provide in-depth and breadth of knowledge throughout the levels of the curriculum. That is, as learning experiences become more complex they build successively upon each other to add depth and breadth to the learner’s knowledge, conduct, and skills as he/she progresses from one level to another. Throughout the curriculum the general education and related science courses provide a broad base for building the knowledge, skills and attitudes specific to nursing. The nursing courses provide the competencies necessary for the practice of professional nursing. Knowledge is organized from simple to complex and from general to specific. It takes into consideration the elements in curriculum development such as: program philosophy, goals, student profile, student learning outcomes and program outcomes, theories/concepts related to professional nursing, and horizontal/vertical strands of the curriculum. In each course, the faculty identifies the human being-client system as an open system having basic human needs and seeking high level of wellness in the health-illness continuum. The general education courses within the curriculum provide the liberal education recognized in the philosophy as an essential part for the development of a professional nurse. In addition, they serve as the basis for developing skills of professional judgment and provide the learner with a broader concept of the person as an integral being in an open system. To further ensure that the goals and outcomes of the program are met, the learner is given the opportunity, 122 within the program of study, to select several elective courses both in the area of nursing, as well as in the area of general education and sciences. The inclusion of these elective courses, the use of various teaching and learning strategies and, the use of a variety of clinical settings for clinical practice serve to promote the individual growth of the student within the teaching and learning process. Interdisciplinary collaboration The curriculum offers an opportunity for the learner to practice nursing with other relevant interdisciplinary collaborators. The theoretical /clinical courses in nursing provide the learner with the opportunity to relate or work with health professionals from multiple disciplines: physicians with different areas of specialty or subspecialty, respiratory therapists, nutritionists, social workers, clinical psychologist and others. Among the examples of interdisciplinary collaboration in nursing courses are the following; the prenatal care practice that is performed in ENFE 4001 Maternal-Infant Nursing I is carried out in the project Esperanza a la Vida (Hope for Life). Psychologist and counselors are invited to provide their expertise to the pregnant women and their significant others. A specialist, with a PhD in personal defense and violence in disaster and crisis situations, offers workshops and conferences in these subjects areas in the courses of ENFE 3045, Psychiatric Nursing and ENFE 4032 Medical Surgical Nursing II. The course ENFE 4025 Community Health Nursing invites social workers and other health professionals’ experts in sexual violence from the Help Center for Victims of Rape. This course also invites prosecutors that are experts in child abuse and laws related to children welfare. Health care and non-health care professionals are invited to participate in lectures, conferences and discussions with faculty and learners. The student learns to collaborate, coordinate or refer to other professionals for services in order to respond to the needs of clients. 123 Research and best practice standards Nursing research is an essential component for the development of scientific knowledge to the professional nurse system and provides evidence-base health care. The SLO: Act as an evolving scholar interested in continuous professional development, use of creative thinking, technology and evidence base, as a foundation for decision making and problem solving validates how learners are expected to develop knowledge to examine research and evaluate findings and its applicability to the practice of professional nursing. ENFE 3005 defines research and discuss the nursing role in conducting and utilizing research findings. The learner in ENFE 3021 is requested to select a research article related to course content and identify pertinence to the practice of nursing. In ENFE 4031 and 4032 the learner is expected to argument the research findings relating it to specific content areas and clients’ disease process. Concurrently, the learner is enrolled in ENFE 4041- 4042 in which he or she goes through the research methodology and develop a critical research appraisal and a proposal. In ENFE 4025 research is focused on epidemiological studies. Throughout the curriculum, learners are taught and motivated to internalize that the role of professional nursing is governed by ethics, values and legal, professional standards that regulate the practice of nursing. They learn about accountability and responsibility as professional nurses, with the human being - client system, professionalnurse system and the social system. ENFE 3005 (Introduction to Nursing) introduces legal, ethics and values concepts in nursing through lectures, discussions, and readings concerning the role of the nurse. In addition, the learner continues learning about the legal, ethics and values responsibilities through their clinical experiences were faculty expects the commitment to safeguard client’s rights, value systems and dignity; and to have a thorough understanding that they are accountable for their actions. ENFE 4041 (Seminar in Nursing I) broadens these 124 concepts from a research perspective: justice, beneficence and privacy, and protection of human subjects in research guidelines. In addition senior students participated in a faculty project during their clinical practice based on the Affinity Research Model, Critical Thinking Model and Nursing Process. Their participation resulted in a completed project that was presented by a faculty in the 4th International Congress of Nursing Educators in Baltimore, Maryland. In addition the Epsilon Lambda Chapter - Sigma Theta Tau International , a chapter based in the UPRM- NEU, has contributed to the culture of research and awareness of its applicability to the practice of nursing by motivating students to participate in its yearly Research Forums, poster presentations and conferences in evidence based nursing. An example of this motivation was the completion of a small research conducted by two senior students and guided by two faculty members, one from ENFE 4042 Seminars in Nursing and one from ENFE 4032 Medical Surgical Nursing. The results of this research were presented by these students, in the Annual Assembly and Research Forum of the Sigma Theta Tau International –Epsilon Lambda Chapter. Future integration of students in research will be possible through the Center for Applied and Collaborative Research in Nursing (2013). The Center has seven faculty members participating in the Nursing-Research Development Working Group, a NIH project that aims to develop the culture of research in the NEU. One of the objectives of the center is to integrate students as shadows of the research process with a faculty mentor. Innovation, flexibility and technological advances Student learning is directed with an innovative approach where the use of video clips, movies, music, simulation, the virtual hospital and others are frequently integrated in courses to enhance the learning experience and accommodate the differences in learning styles. For many years now, the university has adopted Moodle as course base platform. The majority of our 125 faculty is using Moodle to place power point class lectures, quizzes, reading resources and to add other learning electronic tools. In clinical areas, senior students are encouraged to use their electronic devices, applications (for android, iphones, ipads, tablets) in order to search for the latest literature, guidelines or best practice in the solution of a clinical problem. This activity is directed and supervised by the faculty member. Flexibility is based on the multiple opportunities that student have to participate in Athletic events, as spectators or as athletes, band and orchestra, chorus, R.O.T.C and others. Flexibility to comply with the requirements of an assignment in a reasonable manner and equivalent with the circumstances is carried out. There are other flexible choices or opportunities for student to complete their program of study in a lengthy period of time. Based on university requirements (completion of a four year program in Arts and Sciences, is 6 years), some students decide to reduce their credit load to a little more than the minimum so that they can pursue a job or balance family matters. Other students decide the use of additional time to complete a double major or complete requirement on other disciplines of interest. Additionally, students have online data bases and a reference source known as Ask your librarian, which is connected to the UPR Library System. Other technological library services include, document and journal loans, interlibrary loans, reference and information services, access to electronic indexes and abstracts, online catalog (http://www.uprm.edu/library), internet access and access to remote government and commercial databases. 126 4.7 Program length is congruent with the attainment of identified outcomes and consistent with the policies of the governing organization, state and national standards, and best practices. The BSN Program has been established in a four academics year length. Each semester carries a load of approximately 16-19 credits for a total of 144 credits (see table 4.7.1 Program of Study Bachelor of Science in Nursing). Students can attain the identified outcomes in the program length established. However, the UPRM has an institutional policy that allows them to finish the curriculum up to 8 years (Undergraduate Catalogue 2012-2013, pg. 74). According to the departmental statistics the majority of the students complete the program in 5 years. The NEU faculty is committed in helping students attain the outcomes within the established program length. The following actions have been implemented to help students achieve the outcomes of the program: When a student is identified as having difficulty either in the program of studies, financially, emotionally or he/she is referred to a professional in the area of need within the system. Tutorial services are provided to students in subjects such as English, Mathematics and Spanish. The Associate Director of the NEU interview and assess all the students who visit the office to discuss their academic progress especially the student in probation status. Students can also register in some general courses during the summer session in order to facilitate their progression through the program. 127 Table 4.7.1 Program of Study Bachelor of Science in Nursing FIRST YEAR SECOND YEAR First Semester NUMBER * INGL CIBI PSIC * MATE QUIM EDFI First Semester COURSE 3----3031 3001 3171 3141 ------ First year course in English Intro. to the Biological Sciences Principles of Psychology I Pre-Calculus I o Mathematical Reasoning Principles of General Chemistry, Organic and Biological I Course in Physical Education CREDITS NUMBER 3 3 3 3 4 INGL *ESPA BIOL BIOL ENFE ENFE EDFI 1 17 Second Semestre NUMBER 3----3032 3002 3----3142 ENFE 3005 3----3101 3715 3716 3015 3021 ------ Second year course in English Basic Course in Spanish Anatomy and Physiology Anatomy and Physiology Laboratory Interpersonal Relationships in Nursing Introduction to Clinical Nursing I Course in Physical Education CREDITS 3 3 3 1 3 4 1 18 Second Semester COURSE * INGL CIBI PSIC ** MATE QUIM COURSE First year course in English Intro. to the Biological Sciences II Principles of Psychology II Mathematics Principles of General Chemistry, Organic and Biological II Introduction to Nursing CREDITS NUMBER 3 3 3 3 4 INGL *ESPA ENFE ENFE ENFE 3 19 *Refer to the academic regulations section for information on advanced placement **MATE 3172 or COMP 3057 or COMP 3010 COURSE 3----3102 3022 3035 3045 Second year course in English Basic Course in Spanish Introduction to Clinical Nursing II Fundamental of Nutrition Psychiatric Nursing CREDITS 3 3 4 2 6 18 128 THIRD YEAR FOURTH YEAR First Semestre NUMBER ESPA HUMA 3---3111 BIOL ENFE CISO 3725 4001 3121 First Semester COURSE Course above level of Advance Spanish Introduction to the Study of Western Culture Microbiology Maternal and Child Nursing I Introduction to the Study of the Social Sciences CREDITS 3 3 4 6 3 19 Second Semestre NUMBER ESPA HUMA 3---3112 ESMA ENFE CISO 3015 4002 3122 NUMBER ENFE 4015 ENFE 4031 ENFE 4041 ELECTIVES COURSE Management of Nursing Services Medical and Surgical Nursing I Seminar in Nursing I Electives CREDITS 3 6 1 9 19 Second Semester COURSE Course above level of Basic Spanish Introduction to the Study of Western Culture I Elementary Statistics Maternal and Infant Nursing II Introduction to the Study of the Social Sciences or Economy CREDITS 3 3 3 6 3 18 NUMBER ENFE 4025 ENFE 4032 ENFE 4042 ELECTIVES COURSE Nursing in Community Health Medical and Surgical Nursing II Seminar in Nursing II Electives CREDITS 6 6 1 3 16 129 4.8 Practice learning environments are appropriate for student learning and support the achievement of student learning and program outcomes; current written agreements specify expectations for all parties and ensure the protection of students. Practice learning environment are appropriate for student learning and support the achievement of student learning and program outcomes. The faculty and the NEU Director share responsibility in determining which of the hospitals and community agencies have appropriate learning practice environments for student clinical teaching and provide proper experiences for the achievement of the student learning outcomes as well as program outcomes. Agencies are evaluated for its adequacy using the following criteria: variety of health services offered, daily census, type of clientele and credentials such as licenses and approval status. The institution must hold a license from the corresponding governmental agency (Puerto Rico Department of Health) to operate and preferably be accredited by the Joint Commission on Accreditation of Healthcare Organizations and/or Medicare. Services offered by agencies under contract allow faculty to assign the learner to practice settings in which learning experiences could be controlled in terms of its complexity. Table 4.8.1: Affiliated Agencies, shows a comprehensive description of the majority of the affiliated agencies used for the learners’ practice in relation to nursing courses. Other factors taken into consideration when assessing the adequacy of the agencies are its physical facilities, availability/accessibility of personnel resources, materials and equipment necessary for the learner to gain and develop knowledge and skills necessary to attain student learning and program outcomes. Although the NEU currently has an outstanding pool of agencies as practice settings, the faculty is constantly evaluating new 130 institutions and organizations, which might also contribute to the attainment of the student learning and program outcomes. Table 4.8.1: Affiliated Agencies Agency Course Number ENFE 30213022 ENFE 40014002 ENFE 40314032 Control Type Hospital San Antonio, Inc. Mayagüez, PR ENFE 40014002 Private Hospital PereaMetro ENFE 30213022 ENFE 40014002 ENFE 40314032 Private Hospital de Psiquiatría Forense ENFE 3045 Public Hogar Colón Rivas ENFE 3045 Private Acute and Chronic Mental Health & Psychiatric 80-84 Centro Esperanza ENFE 3045 para la Vejez Mayagüez, PR (ESPAVE) Public Health Promotion and Prevention varies Department of Education of Public Health Promotion and Prevention Varies Hospital de La Concepción San Germán, PR ENFE 3045 ENFE 4025 Private Acute and Chronic Medicine, Surgery, Maternal and Infant, Pediatric, Emergency, Critical Care Maternity, Pediatrics, Neonatal, Emergency Acute care, Surgery Acute and Chronic Medicine, Surgery Maternal and Infant Pediatric, Emergency, Critical Care Acute and Chronic Mental Health & Psychiatric Daily Census 165 Approval Status 60-70 Department of Health of Puerto Rico Medicareoutpatient Department of Health Joint Commission for Accreditation of Health Care Organizations Medicare 130 Department of Health of PR 176 Department of Health of Puerto Rico, Department of the Family, Veterans Administration Affairs Department of Health of Puerto Rico, Department of the Family, Veterans Administration Affairs Department of Health of Puerto Rico, Medicare General Council of Education 131 Agency Course Number ENFE 40014002 Control Type Hospital Bella Vista ENFE 40014002 ENFE 40314032 Private Acute and Chronic Medicine, Surgery Maternal and Infant Pediatrics, Emergency, ICU 150-165 Mayaguez Medical Center ENFE 4002 ENFE 4031 Private Acute and Chronic Medicine, Surgery Maternal and Infant Pediatric, Emergency, Intensive Care Unit Cardiotoraxic Surgery Cardiovascular Specialty Center 150-180 Oncology Hospital ENFE 4031 Private non Profit Acute and Chronic Ambulatory Surgery 15-20 Hospital Metropolitano San German ENFE 3045 Private 50 Centro Ayani ENFE 4002 ENFE 3045 Private non Profit Department of Education of Puerto Rico (Schools) ENFE 3045 ENFE 4025 ENFE 4002 Public Acute and Chronic Mental Health & Psychiatric Acute and Chronic Mental Health & Psychiatric Health Promotion Children and Adolescents Puerto Rico (Schools) Daily Census Children and Adolescents Approval Status Department of Education Varies Varies Department of Health of Puerto Rico, Joint Commission of Accreditation of Healthcare Organizations, Medicare Department of Health of Puerto Rico, Joint Commission of Accreditation of Healthcare Organizations, Medicare Department of Health of Puerto Rico, Joint Commission of Accreditation of Health care Organizations, College of American Surgeons Department of Health of Puerto Rico, Department of Family Affairs Department of Health of Puerto Rico, Department of Education General Council of Education Department of Education 132 Agency Atlantis Renal Center Mayagüez Aguadilla Isabela San Sebastián UPRM Preschool Center Escuela de la Comunidad Sabanetas El Maní Centro de Detección del Oeste CorreccionalMayagüez Home Care Agencies of the Western Region Course Number ENFE 4032 Control Type Daily Census 380 Approval Status Private Hemodialysis ENFE 4002 Public Health Promotion and Maintenance Varies Public Health Promotion and Maintenance Varies Department of Education of Puerto Rico Department of Health Puerto Rico ENFE4025 ENFE 4025 Public Health Promotion and Maintenance Varies Department of Health ENFE 4025 Private and Public Gerontological Health Care Varies Department of Family Affairs Department of Health of Puerto Rico, Medicare The faculty and the learner evaluate the adequacy of clinical facilities through the survey of affiliated agencies submitted by the Department’s Evaluation Committee each semester. Analysis of this survey provide information granting that all agencies utilized for clinical practice are adequate and provide experiences for attainment of course outcomes and for the provision of contemporary nursing. (Exhibit Standard 6, Questionnaire for the Evaluation of Affiliated Agencies Q2). Data gathered from evaluation results help faculty to make decisions concerning course programming and facility utilization. Current written agreements specify expectation for all parties and ensure the protection of students. The associate Director of the NEU in collaboration with the UPRM Legal Assistant generates a contractual agreement with the agencies that meet the established criteria and guarantee the security of students and faculty. (See Exhibit: Contractual Agreements, under Standard 4). 133 The faculty of the NEU considers that all agencies under agreement shown on Table 4.8.1 are adequate to fulfill the SLO and PO. Agencies are evaluated by students at the end of each clinical experience after the completion of the semester. The Evaluation Committee is responsible of providing and distributing the evaluation forms. Results are aggregated and analyzed by the Evaluation Committee and presented to the faculty with recommendations. If changes or further evaluation is necessary, the Curriculum Committee will follow on the recommended actions. Each course faculty meets to develop an action plan and address further opportunities and or decide to continue or not with the current agency. The variety, quality and security provided by the participating agencies allow students to achieve a significant experience that contribute to the SLO and PO. 134 STANDARD 5 RESOURCES Fiscal, physical, and learning resources promote the achievement of goals and outcomes of the nursing unit. Students at the Skills laboratory 135 5.1 Fiscal resources are sufficient to ensure the achievement of the nursing education unit outcomes and are commensurate with the resources of the governing organization. Monies allocated to the NEU come from the General Budget Funds of the University of Puerto Rico to operate on a fiscal year that runs from July 1 st to June 30th. The budget for the NEU has remained under the one projected for any particular fiscal year for the past five years, due to constraints created by the economic crisis. Nonetheless, different steps have been implemented to use adequately the resources so that the NEU ends every fiscal year with a balanced budget. Fiscal resources are sufficient to ensure the achievement of the NEU’s outcomes. Funds are provided by various mechanisms; the projected budget presented to the Deanship of Arts and Sciences, allocated by the General budget funds, Office of Institutional Research and Planning, (OIIP, in Spanish), funds coming from the Continuing Education Section, and grants or others. Table 5.1 Illustrates NEU’s General Budget for years 2009, 2010, 2011 Categories 2009-2010 2010 - 2011 2011-2012 Personnel salary $1,298,285.00 $1,439,272.00 $1,589,034.81 Benefits $ 302.073.00 $564,118.57 $335,520.32 $61,968.00 $70,123.20 $36,939.16 Operational budget NEU’s Director participates and has authority in Budget allocation according to the Departmental and Operational Strategic Plan. The Plan was developed with faculty feedback and is discussed with faculty; hence priorities and specific recommendations are considered. Every academic year, faculty is requested to suggest resources or new technology that are of interest for improving course outcomes success, which may include aids and equipment that help further develop competences taught in nursing courses including those materials and equipment that are of recurrent utilization. 136 Human Resources Human resources take a major part of the NEU’s budget. Table 5.2 shows distribution of human resources budget. Funding for the nursing budget is difficult to compare to other programs on campus because of its unique educational needs (faculty to student ratio). Table 5.2 shows a comparison of mean salary and rank of the Department of Nursing and the Department of Physical Education. The Department of Physical Education was based on the comparable number of professors. Table 5.2 Comparison of Mean Salary and Rank of the Department of Nursing and the Department of Physical Education Academic Year 2012-2013. Department of Nursing Rank Academic Number Preparation Department of Physical Education Mean Rank Salary Academic Number Preparation Mean Salary Full Doctoral 1 78,000 Full Doctoral 7 78,000 Professor Master 4 62,571 Professor Master 5 66,000 Associate Doctoral 5 66,897 Associate Doctoral 2 66,000 Professor Master 3 55,264 Professor Master 1 57,000 Assistant Doctoral 1 59,400 Assistant Doctoral 2 59,400 Professor Master 1 44,172 Professor Master 0 0 Instructor Doctoral 0 0 Instructor Doctoral 0 0 Master 8 43,620 BA 1 43,644 Faculty salary is assigned according to academic rank and tenure track. Fiscal resources are comparable with other units within the institution. The Department of Physical Education salaries are close to those of the NEU, differences shown are due to years in tenure track. 137 5.2 Physical resources (classrooms, laboratories, offices, etc.) are sufficient to ensure the achievement of the nursing education unit outcomes and meet the needs of faculty, staff, and students. Physical Facility NEU physical facilities at the UPRM and the affiliated agencies are adequate for the accomplishment of the nursing program outcomes and competencies. The overall physical structure available to the NEU is being utilized effectively and efficiently. Description of Dr. Josefina Torres Building, (Nursing Education Unit) The NEU has its own building, inaugurated in 1971. It is a two-story structure, centrally aired conditioned, which provides for 21 faculty offices, eight classrooms and one amphitheater with a capacity for 250 people, a computer room, faculty lounge, and a Skills Laboratory Room. Restrooms and storage's rooms are located on each floor. Located on the first floor, the Administration office can accommodate a small-group meeting and has the resources and equipment required for all administrative activities. In proximity, there is the office of the Associate director and the Assistant administrator. Three administrative staff offices are located within the area. Adjacent there is a reproduction room for the duplication of materials and the faculty meeting room. Located on the first floor, the Continuing Education Section, the Nursing Student Association and the Chapter Epsilon Lambda Chapter of the Sigma Theta Tau International, Inc. have an office space. Faculty offices are distributed between both floors, all on the west wing to the building. Each is properly equipped with desks, chairs, bookshelves, telephone, computers and/or printer and internet access (cable and Wi-Fi). On the second floor, there is also a faculty lounge. 138 Skills Laboratory The Skills Learning Laboratory is located in Room EE-213, east side of the Nursing Building. It comprises 598.5 square feet (Full description on Exhibit Standard 5; See also, Manual of Use of the Skills Laboratory, Standard 5). The skills laboratory is divided into three main areas, one large area for demonstrations, three independent cubicles, and one room for offering tutorials and practice of different skills and procedures. This room has a projector and projection screen, a black board, various beds, among other equipment. Thirty students can be accommodated in the larger room. The independent cubicles accommodate ten to twelve students. Each allows for the practice of different skills and procedures. A diverse amount of teaching and learning material, supplies and equipment are available. Some are in locked cabinets for safety purposes. The room for tutorial and practice services can accommodate fifteen students at a time. However, students must request an appointment to have a practice session with the laboratory generalist nurse. Simulation Area The laboratory generalist nurse coordinates the use and programming of the high-fidelity simulators. The courses ENFE 3021, 3022 Introduction to Clinical Nursing I, II; ENFE 40314032 Medical-Surgical Nursing I, II and ENFE 5005 Health Assessment uses the SimMan in Area C. The course ENFE 4002 Nursing care of the Mother and Child, II use the Simchild and Simbaby placed in Area D. These high fidelity simulators are used to strengthen the competencies in the nursing courses. 139 Table 5.2.1 Example of equipment in the Skills Laboratory Item Amount IV arms with simulated blood 10 Regular manikins 4 Upper torsos 2 Lower torsos 2 Body system models 26 Medication cart 1 Videos / CDs Videos VHS-20, DVDs-18, CDs-51 Reference books >20 Learning Posters 1 rack TV/video/CD player 1 each Computers / software 2 Classroom Extended learning and affiliated learning facilities In order to fulfill program outcomes NEU has legal contracts with Hospitals within and outside the western region of the island. The NEU is in physical proximity to four Hospitals; Mayagüez Medical Center, Hospital San Antonio, Hospital Perea and Hospital Bella Vista. Other facilities in the area that are used are schools; daycare centers, nursing homes, rehabilitation centers, mental health care facilities among others. Extended clinical facilities or practice sites located outside the Mayagüez area are accessed through transportation services vehicles provided by the institution and paid for with NEU’s assigned budget. Technology Resources Technology resources dramatically improved during the last few years. Wireless services are provided throughout the university campus and adjacent to student’s residential areas. The most recent technology improvement has been the addition of an educational platform (moodle) to complement learning activities or provide online classes. Scanning devices and software has been added to all clerical staff computers. The College of Arts and Sciences has been providing 140 training on electronic resources such as Moodle, Clickers, Google Apps, among other strategies in order to improve the teaching and learning process and the achievement of the NEU outcomes. 5.3 Learning resources and technology are selected by the faculty and are comprehensive, current, and accessible to faculty and students, including those engaged in alternative methods of delivery. Faculty members evaluate learning resources and make recommendations for purchasing them. Faculty members determine course supplies and equipment needed and coordinate with the Laboratory Generalist Nurse of the Skills Laboratory to set priorities for purchases based upon identified needs and costs. Those that are of higher expenditure follow the UPRM purchasing process (e.g. simulators). At the end of the academic year the Laboratory Generalist Nurse sends a written request to faculty for equipment and/or material needed for the next academic year. The Director evaluates the faculty request and authorizes the purchase. As of 2012, all recommended learning resource materials were purchased. When new equipment arrives an educational activity or an open house is organized. The NEU’s Teaching Resources and Faculty Development Committee organize an activity in which Faculty members are engaged in the process of evaluating the existence of available resources at the Skills Practice Laboratory and the General Library. Each team in a course visits these sites and evaluates resources to be kept or disposed using an evaluation criteria (see in exhibit Standard 5).This activity helps maintain the currency and availability of resources. Library Resources The Main Library is located in a modern centrally air conditioned building of 124,335 square feet structure with a seating capacity for 851 visitors. The library has 8 individual study rooms for graduate students and faculty, 4 rooms for group discussion and collaborative learning 141 with a seating capacity that varies from 8 to 20 users each one, a computer lab with 75 computers, 2 library instruction classrooms, one with 24 computers and the other with 14 computers. Also, there is a conference room for 90 people capacity with audiovisual technology, 4 monitors and Internet access. The General Library is a resource that provides faculty and students support in areas such as course work, instruction and research development. Examples of resources provided are computerized literature search, interlibrary loans, electronic reserve, virtual references and library instruction services. The resources are available 24 hours through the web page (http://www.uprm.edu/library). The library is divided in two main areas: Technical Services and Public Services. The Technical Services acquires and prepares library resources including selecting, ordering, invoicing, bookkeeping, labeling, cataloging, and classifying. Cataloging and classification are done through the Online Computer Library Center (OCLC) that permits access to the public catalog around the world. The Technical Services processes library recommendations that are made electronically by the NEU faculty and students. NEU’s faculty requests the purchase of books, journals and recommends electronic databases directly to the library service named Recomendación de recursos (Resources recommendation) that is available through UPRM General Library Electronic Access. Public Services provide a wide array of access to references and instructional services. It meets the information needs of the campus community and visitors through online specialized reference services (via email, or chat), or face to face. Also Public Services provides library collections and resources information literacy instruction to faculty, students, and individuals. Examples of the in housed collections and departments are: Reference / Documents Collection, Audiovisual Collection, Puerto Rican Collection (Manual María Sama y Auger 142 Collection), Josefina y Manuel Alvarez Nazario Collection, Circulation /Reserve Collection, Marine Science Collection, Serials and Electronics Resources Collection (CRE), Center for Technological Assistance (CAT), Center for the Development of Library Research and Information Literacy (CEDIBI), Interlibrary Loan Department, Patent and Trademark Depository Library and Puerto Rico Census Data Center. The Circulation/Reserve Collection maintains bibliographic resources chosen by the faculty to complement the required and assigned courses readings or homework. Since August 2005, faculty has the choice to authorize the library to digitalize course materials and make it accessible through the online catalog for the students (http://unilib.uprm.edu/uhtbin/cgisirsi.exe/9R3Sq6OlSY/GENLIBRARY/120940010/36/1163/X/ BLASTOFF) The Center for Technological Assistance (CAT) has a diversity of technological resources such as software and adaptable furniture to satisfy and ensure the research and study needs of our students with disabilities. The purpose is to promote among students with disabilities more independence, productivity and full community integration. The Interlibrary Loan Department allows faculty and students to request resources to other libraries that UPRM does not have. The requests are made online by filling a form. The Center for the Development of Library Research and Information Literacy (CEDIBI) offers library instructions, orientation, tours and workshops for faculty and student. The library instructions offer a variety of information about the access to library resources, how to retrieve, analyze, evaluate and use the information found and/or needed. Also, instruction is available on how to conduct a bibliographic literature retrieved. The request of this service is completely online. 143 UPRM yearly budget, assigns funds to the Library for books purchases to each Department. This allocation is made according to the needs and amount of students registered in each department. Each academic year, NEU is assigned an allocation of monies for the acquisition of books on nursing-related subjects. Additional funding is provided for journals, which are paid with a lump sum. A NEU’s faculty member (member of NEU’s Teaching Resources and Faculty Development Committee) is a representative in the Library Committee of the College of Arts and Sciences (LCAS) where budget and acquired resources and services is discussed. One of the General Library librarians belongs to the NEU’s Teaching Resources and Faculty Development Committee. His/Her role is to maintain faculty informed about new services and educational resources among others and collaborate in the evaluation process of educational material available. Faculty and students are given a username and password in order to navigate through the General Library services. At the beginning of their program, students are exposed to the library holdings and databases as well as how to use them during course work. In ENFE 3005: Introduction to Nursing, as part of the teaching activities, students visit the General Library and receive an orientation and training on how to use databases particularly those related to the health care field and nursing. In ENFE 4041: Seminar in Nursing I, another visit is made to the General Library; strengthening students skills on how to conduct a literature review on a research problem selected. UPRM library holdings includes a variety of resources on nursing, with an average of 1, 796 resources that include 1,352 books, 46 of them includes CD-ROMs; 233 titles of print journals, 145 federal documents online and in print formats, 58 video recordings with nursing themes are also available, and 6 thesis and dissertations in print format. The Circulations stacks 144 are in the third floor of the Library. Students can check-out books of interest for a determined period of time. Also, the electronic resources are available off campus for the university community through the on line services. The library has an extensive collection of online resources that are appropriate to the Nursing Program. Table 5.3.1 shows the General Library subscription databases which contain health related and nursing literature. Table 5.3.1 General Library subscription databases DATABASE EBSCOHOST products TOPICS CINALH, Psychology & Behavioral Sciences Collection, General Science Full Text and MEDLINE Proquest products Family Health, Health and Medical Complete, Medcom Video Training, Medica Evidence Matters, Medical Library and Nursing and Allied Health Sources Gale Cengage Learning MEDLINE, Health and Wellness Resource Center and Gale Virtual Reference Library (encyclopedias) JoVE (video journals) Immunology and Infectious and Neuroscience OVID MEDLINE, Nursing Journals Science Direct Science Classic Books: Annual Reviews, National Academies Press, CRCnetBase Table 5.3.2 Shows the General Library opening hours. Any change is communicated through the general e-mail communication system called Cartero. 145 Table 5.3.2 General Library Opening hours GENERAL LIBRARY HOURS AREAS Main Building TIME SCHEDULE Monday through Thursday - 7:00 AM to 10:00PM Sundays and Holidays CRE (Electronic Resource Center) 6:00am through 12:00 midnight Sundays and Holidays *Summer and academic recess schedule may vary. Information on www.uprm.edu/library/ Library personnel consist of 16 professional librarians, including the Library Director. All hold a Master’s degree in Library and Information Science. Twenty-eight personnel act as supporting staff. These include the computer technicians and assistant librarians. Student assistants, who work on hourly basis help in locating and shelving books, journals, documents, and other materials and tasks. Educational Technology Educational Technology includes the departments of Audiovisual Services, Collection of Music and the Word File. It is located in the Sánchez Hidalgo Building #202 A. Hours of operation are Monday to Friday, 7:30am-12:00 and 2:00-5:00pm. The contact person is Mrs. Arlene Fremaint, Supervisor (afremaint@uprm.edu) Educative Technology is one of the principle areas of the General Library of the University of the UPRM. The principal objective is to serve the university community and the community in general. They have highly trained graphic artists and audio-visual technicians, eager to help and to meet all the needs related to the use of multimedia in the educational process. Their mission is to provide support for the academic programs of the General Library and the 146 Mayagüez Campus of the University of Puerto Rico through the use of multimedia technologies to complement and enrich the teaching-learning process. Specifically, they offer users a highly professional technical personnel, audiovisual equipment and resources to enable them to carry out their educational, administrative and research needs. Educative Technology provides consultation to the individual and groups, for special projects, as well as orientation on the use of audio-visual equipment, resources and facilities. Closed Circuit Closed Circuit provides a range of services for both teachers and students, such as: 2x2 photos, passport photos, VHS to DVD transfers, advertising and promotion of activities by Closed Circuit, recording and video editing, DVD copies of graduations, among others. Transmission services are provided for classrooms, auditoriums, etc. Closed Circuit offers an informative system of electronic messages. The applicant may file a service request by telephone or in person (www.uprm.edu/library/tecnoedu.html). Closed Circuit is located in Monzon Building, Office 223 and is part of the Press Office (prensa@uprm.edu), under the direction of Dr. Mariam Lidim Rosa. Technology and Learning Advances in technology have helped faculty to improve students’ ability to access current and reliable information, which they can integrate into their knowledge base and learning process. The NEU has a variety of instructional projection devices that provide for in-house and distant learning modalities. Three areas have the equipment for transmitting distance learning activities simultaneously. Classrooms are equipped with overhead projectors, projection screens and access to the World Wide Web. 147 The Skills Laboratory is equipped with television sets, DVD and CD players, computers, high fidelity simulators and basic anatomical models, among other equipment and materials used for teaching skills and its demonstrations; and student's practice of skills taught throughout the nursing courses. Room EE-226 has computers, printers and World Wide Web access. Interactive teaching learning software is available. Faculty supplements the teaching and learning activities using computers assisted programs that make accessible course materials to students. Computer technician personnel from the Computer Center located at Monzon Building offer technical assistant when needed. Computer Center Formerly inaugurated in October 2003, is currently located in EE 226, East side of the second floor. Its main objective is to provide computer resources for both students and faculty to conduct their research and course agenda as well as other academic affairs. The room has twelve computers connected to a main printer, and access to the World Wide Web. The computers vary in specification, but all of them are equipped with Microsoft windows (2007 versions), Microsoft Office XP, Antivirus software and some other third party software. It is opened Monday thru Fridays from 7:45 AM to 4:30 PM. Students under hourly paid basis are responsible for the technical control and management of the Computer Center. Personnel from the Computer Center office locate at Monzon building supply services related to the systems operation. Additional computer center services (printing, computers use) are available to students in the building of Business Administration and Engineering. Other services Another resource available is the photocopying machines that can be found around the building and express checkout machine in Circulation /Reserve Collection. The library provides 148 information assistance desks with a librarian that is available for consulting during working hours. 149 SECTION THREE STANDARD 6 OUTCOMES 150 STANDARD 6 OUTCOMES Evaluation of the student learning demonstrates that graduates have achieved identified competencies consistent with the institutional mission and professional standards and that the outcomes of the nursing education unit have been achieved. Graduating class of 2011 151 6.1 The systematic plan for evaluation emphasizes the ongoing assessment and evaluation of the student learning and program outcomes of the nursing education unit and the NLNAC standards. The systematic outcomes' evaluation is a necessary process in the development, maintenance and revision of the program. The systematic outcomes' evaluation plan for SLO and PO is derived from the incorporation of the UPRM- vision, mission, philosophy, Middle State Commission on Higher-Education Association Standards, The Council of Higher Education of Puerto Rico Standards, and the 2008 ACEN Standards and Criteria. The purposes of the evaluation plan are to: (1) Evaluate the quality of the nursing program in fulfilling the mission, goals and outcomes of the NEU and UPRM, and (2) ensure accountability for the accomplishment of the program components. The Master Plan: Outcomes Evaluation (MPOE) comprises of the criteria being evaluated with defined outcomes and benchmarks. The MPOE is divided into two, the plan and the implementation sections. The planning section contains three columns; component, frequency of assessment and indicators and assessment methods. The implementation section contains two columns; report of data collection and analysis which includes the responsible person or committee and a column for actions and comments (See Table 6.0 and Exhibit Standard 6). The following instruments for quantitative and qualitative data collection are used (see Exhibit Standard 6): Questionnaire for the Evaluation of Nursing Courses (Q1) Questionnaire for the Evaluation of Affiliated Agencies (Q2) Questionnaire for the Evaluation of the Program by Graduating students of the Baccalaureate of Science in Nursing Program (Q3) 152 Questionnaire for the Evaluation of Satisfaction with the Program by Alumni (Q4) Questionnaire for the Evaluation of Employer’s Satisfaction with the Alumni of the Program (Q5) Questionnaire for the Evaluation of Faculty Satisfaction (Q6) Aggregated Qualitative data from each questionnaire as collected (QD) The Evaluation Committee (EC) is responsible for implementing the evaluation process, trending and analyzing the data and presenting results with recommendations to the Faculty of the Program for decision making. The timeframe established is presented in the MPOE and followed by the members of the EC. Courses and affiliated agencies are evaluated after completion of the semester (See exhibit Standard 6). From these, the domains and competencies are evaluated to identify the student achievement of SLO. The qualitative component of these questionnaires is analyzed separately, discussed in the EC and a report presented to faculty for appropriate actions. Discussions and decision making are recorded in Faculty Minutes. When an outcome benchmark is not reached a plan is developed, implemented and evaluated by the faculty and the EC members. A follow-up report is given by the EC in faculty meeting. 6.2 Aggregated evaluation findings inform program decision making and are used to maintain or improve student learning outcomes. Evaluation data have been systematically collected, analyzed and used for Program refinement and maintenance. The EC following the established schedule in the Master Plan: Outcomes Evaluation, administers the questionnaires as established in the time-frame to the corresponding area of evaluation. The faculty decided in 2008 to establish a benchmark of 85% in SLO, competencies, and level of satisfaction (See Faculty minutes – Exhibit Standard 6). The attainment of a lower benchmark generates further analysis and decision making by 153 the faculty. The EC also decided to change the time-frame for the Alumni and Employer questionnaires due to low response rates. The frequency was changed from five years to every two years, and the strategies for data collection have been varied utilizing conventional mail, email and electronic format – none, which resulted in improved response rate. The members of the EC continue with the established plan to revise these tools to make them shorter, more readable, and accessible. The electronic format has been the most appropriate method. An AdHoc Alumni committee was established in 2012 to begin addressing better Alumni and Employer contact and participation. Figure 6.2.1 illustrates the algorithm used by the EC to maintain or improve SLO and PO. As a continuum systematic assessment, the process is initiated by the application of the tools for assessment, followed by the collection, aggregation and analysis of data. A report from the EC is generated and presented to faculty. When an outcome's benchmark reached the expected level, assessment continues for maintenance. An action plan is established, and evaluation is followed if the benchmark falls lower than the established. The process continues with the application of the tools for assessment (See Table 6.0 Master Plan: Outcomes Evaluation, Courses Improvement Plan and Exhibit Standard 6). 154 Fig. 6.2.1 Algorithm for systematic assessment of SLO and PO Q1 Courses each semester Q2 Q3 Affiliated agencies Program by Graduates each semester yearly SYSTEMATIC ASSESSMENT Q4 Q5 Alumni Employer every 2-5 years every 2-5 years Q6 Qualitative data Faculty Satisfaction as collected every 5 years Data is collected,agregated and analized report to faculty YES Benchmark 85% NO maintain continue assessing action plan implementation of plan Evaluation of plan 155 Findings are used to improve SLO Aggregated evaluation findings have provided decision making to maintain SLO and prompted revisions of curricular and syllabus designs to include improved evaluation methods, clinical experiences and existing elective courses as permanent, as well as, the creation of a new courses. As a result, a minor curricular revision is planned to begin in August of 2013. (See Curriculum Committee Minutes and Faculty Minutes). 6.3 Evaluation finding are shared with communities of interest The NEU recognizes the importance of sharing evaluation findings with communities of interest in order to maintain or improve SLO and PO. Communities of interest are represented by stakeholders, affiliated agencies, university community, graduates of the program, the general public; the Board of Nurse Examiners of Puerto Rico (JEEPR, in Spanish) and College of Professional Nursing of Puerto Rico (CPEPR, in Spanish). Formal presentation of evaluation findings, are arranged by the Director, Associate director, and Curriculum or Evaluation Committees with representatives of affiliated agencies and communities of interest (See Exhibit Standard 6, Curriculum Committee Minutes and Evaluation Committee Minutes). Chancellor and the Dean of Arts and Sciences are invited to share our findings. The It is an opportunity to maintain an open channel of communication and collaboration. The EC provides the aggregated findings from the Questionnaire for the Evaluation of Affiliated Agencies (Q2) filled by students every semester after their clinical practice. During this meeting, representatives of affiliated agencies receive information on students’ evaluations and their particular concern if any. Areas of concern presented by students include; among areas not affecting SLO, the reduced clinical experiences in some areas. For the past two years, the affiliated agencies have reduced the clinical experiences and number of students allowed, due to the increase number of schools 156 that are soliciting clinical practice. Faculty of the NEU has added learning experiences using high-fidelity simulation as an alternative. The NEU also receives from communities of interest, valued feedback regarding; trends, practice issues and clinical guidelines on patient safety which are included in the curricular course content. Additional efforts to discuss trends, requirements and/or policies that affect PO are made with the CPEPR, and the JEEPR. Furthermore, the Director of the NEU participates in the annual meetings of Nursing Program Directors, where presentation of integrated components of the nursing board exam and results are discussed. Additionally, through the Nursing Educators Section meetings, important information and changes that have an impact in Nursing Programs are analyzed in Faculty meetings. 6.4 Graduates demonstrated achievement of competencies appropriate to role preparation. The achievements of competencies to role preparation are evaluated using the Questionnaire for the Evaluation of the Program by Graduating students of the Baccalaureate of Science in Nursing Program (Q3), Questionnaire for the Evaluation of Satisfaction with the Program by Alumni (Q4), Questionnaire for the Evaluation of Employer’s Satisfaction with the Alumni of the Program (Q5) and the aggregated qualitative data from these, if provided. The scheduled application of these questionnaires is established in the MPOE. Competencies are also measured independently through different evaluation tools or rubrics in each nursing course (See exhibit, Standard 4). Passing grade for nursing courses is established with a minimum of C (70%), which guarantees the achievement of competencies. The Alumni and Employers Surveys are conducted every two to five years. The benchmark established for each survey is 85%. The Graduating Students Surveys is administered at the end of every academic year prior to graduation. In this survey, students are asked to evaluate how 157 satisfied they feel with the Program components and attainment of competencies. The tool is based on a five point Likert type scale that ranges from 5 – strongly agree, 4 agree, 3 neutral, 2disagree, 1- strongly disagree and 0- does not apply. The questionnaire findings are aggregated and analyzed in the EC and presented in a Faculty meeting. Table 6.4.1 displays graduating students’ opinion for years 2009-2010, 2010-2011, and 2011-2012 related to the level of satisfaction from competencies attained in the Program. Results reflect consistency of student’s rating of competencies achieved. Areas identified as below the benchmark established are, lifelong learning and perceived competencies in general. Faculty linked this finding with other items in the survey, and with Alumni and Employers survey. Lifelong learning as individual item did not reach the benchmark although as an integrated item, the benchmark is exceeded. Faculty will explore in depth these two areas, nevertheless, we believe that low benchmark in perceived competencies might be related to lack of confidence related to the proximity of graduation. In Table 6.4.2: Alumni satisfaction with the attainment of competencies in the Program, reflect a high level of satisfaction and present evidence of achievement of competencies. Satisfaction of Employer is discussed and survey results presented in criteria 6.5.3. Additional survey results can be found in Exhibit Standard 6. 158 Table 6.4.1: Graduating student’s opinion on competencies achievement; 2009-2010, 2010-2011, and 2011-2012 2010 n= 43 2011 n = 40 2012 n = 46 “It allows to develop effective skills in interpersonal relations with clients, family and health team, taking into account their cultural background” Communication Teamwork 93% 100% 98.43% “Provides for the development of knowledge and skills to improve verbal and nonverbal communication” Communication 88% 97.5% 95.3% “Provides for the development of knowledge and skills to improve written communication” Communication 88% 92.5% 98% “Contributes to the development as leaders and agent of change” Leadership 91% 100% 96.8% “The content and skills studied in general and related courses, contributes to the integral and professional development students” Lifelong learning 72% 80% 84% “The program provides broad and in depth knowledge of the human being as an unique individual with basic needs” Lifelong Learning Caring Health Teaching 93% 100% 87.4% “The program provides for the integration of knowledge from the bio-sico-social sciences” Lifelong Learning 88% 100% 98.4% “The curricular sequence facilitated the integration and application of knowledge and skills acquired in the learning experiences of subsequent courses ” Lifelong Learning 79% “Provides knowledge and skills to identify and meet the needs of the human being in different stages of growth and development” Critical Thinking Caring Health Teaching 93% CRITERIA/COMPETENCE 75% 100% 81.6% 98.4% 159 2010 n= 43 2011 n = 40 2012 n = 46 “Helps to acquire ethical-legal values in the practice of nursing” Values, Ethics, Legal 95% 97.5% 98.4% Stimulates the development of critical thinking skills ” Critical Thinking 95% 100% 92.7% “Help to recognize the value and usefulness of research in nursing” Research Appraisal 88.4% 83% 98.4% “Aid to assess the human being as a whole along the health-illness continuum and with varied levels of wellness” Caring 98% 97.5% 98.4% 93% 100% 87.4% “Help utilize and value therapeutic interventions within the nursing process” Caring 100% 95% 96.8% “Facilitates the development of basic and complex skills needs for nursing care” Caring 91% 97.5% 80.95% “The content and skills that are studied in each nursing course prepares the students with the necessary competence for the practice of nursing” Perceived competencies 76% 70% 60.88% CRITERIA/COMPETENCE “The program provides broad and in depth knowledge of human beings as unique individual with basic needs” Lifelong Learning Caring Health Teaching 160 In addition to administering the questionnaire, each course has a summative evaluation form, which also measures acquisition of competencies. Performance on licensure exam was also considered to determine acquired competencies by graduates of the Program (See criteria 6.5). The faculty is confident that students of the BSN Program reach the benchmark established of 85% in established competencies. Table 6.4.2: Alumni satisfaction with attainment of competencies: 2004-2008, 2011-2012 CRITERIA/ DOMAINS/COMPETENCIES 2008-2004 2012 “Leadership skills” Professional Role Leadership 100% 89% “Capacity of critical thinking” Professional Judgment Critical Thinking 86% 100% “Application of the nursing process” Nursing Process Caring 100% ND “Ability to identify the basic needs of the client according to his/her stage of growth and development” Nursing Process Caring 100% 100% “ Capacity to make decision” Professional Role Leadership 86% 100% “Skills in the direct care of clients” Nursing Process Caring 86% 100% 86% 100% ”Application of ethical-legal principles” Professional Judgment Values, Ethics, Legal 161 “Skills in interpersonal relationships” Professional Role Communication Teamwork 100% 100% “Capacity to work in group” Professional Role Leadership Communication Teamwork 100% 100% 86% 89% “Skills in written and oral communication” Professional Role Communication 100% 100% “Ability to plan and educate the client and/or family” Professional Role Health Teaching 100% 100% “Skills in Nursing Management ” Professional Role Leadership Teamwork Communication 6.5 The Program demonstrates evidence of achievement in meeting the following program outcomes: Performance on licensure exam, Program completion, Program satisfaction, job placement. The NEU evaluates Program Outcomes as determined by the 2008 ACEN Standards and Criteria and established in the MPOE. Criteria 6.5.1 to 6.5.4 address our findings. 6.5.1 The licensure exam pass rates will be at or above the national mean The Faculty of the NEU has established a benchmark of 90% on licensure exam pass rates for first time takers (FTT). The JEEPR establishes a comparison mean from all examinees of BSN Programs throughout the Island and sends a report to the Director of the NEU. Up to 2009, 162 the NEU’s program experienced a decline in licensure passing rates. This phenomenon was observed also throughout the Island. Measures were taken by Directors of Programs of Nursing to formally meet and discuss these concerns with the JEEPR. Explanations provided by the Board were related to the changes in test format, integration of computerized test and a new testing management company. Faculty decided to maintain benchmark of 90% and succeeded to reach it. The NEU appointed a group of Faculty members to work an improvement plan, forming the Board Exam AdHoc Committee. The goal of this committee was to evaluate the possible reasons for the decreased in passing rate, recommend and incorporate additional learning activities to improve this PO. Many strategies were incorporated, these included a comprehensive Board exam review, and action plans to strengthen longitudinal achievement of competencies and SLO in particular Nursing courses. The Curriculum Committee provided faculty with workshops on test development, in-depth revision of curricular course designs, among other related activities (See Plan for improvement on Board exam, Exhibit Standard 6). For the past three years a solid passing rate has been obtained, surpassing the outcome benchmark of 90%. Table and Graph 6.5.1 present the comparison of licensure exam pass rate when compared with the Puerto Rico mean reported by the JEEPR for FTT in Puerto Rico. TABLE 6.5.1: Comparison of Licensure exam pass rate of the NEU and the Puerto Rico level. Year 2009 2010 2011 2011 2012 2012 Frequency of NEU FTT % Approval from NEU FTT % National Approval Rate FTT 15/27 1/1 33/35 25/30 18/18 62/62 56% 100% 94% 83 % 100% 100% 56% 68% 79% 69% 77% 83% 163 Figure 6.5.1: Graphical representation of NEU Licensure exam pass rate compared to Puerto Rico level Comparison of NEU Licensure exam pass rate first time takers with National level 120% passing rate 100% NEU FTT National level 80% 60% 40% 20% 0% 15/27 2009 2010 33/35 25/30 18/18 62/62 2011 2011 2012 2012 years 6.5.2 Expected levels of achievement for the program completion are determined by the faculty and reflect program demographics, academic progression, and program history. Faculty of the NEU has established that 85% of students graduate at the required time according to Institutional policy (Certification 84-18, Academic Senate UPRM). Graduation rate is defined by the Institution as the percentage of students who enter the major and graduate from the Program within the 150% of the maximal timeframe allowed by the Institution (not included internal or external transfers). Graduation rate is 6 years for a 4 year program and 8 years the time-frame allowed for completing the program. This considers students from time of admission to time of graduation. Graduation rate (GR) adopted by the NEU is also equivalent to the definition of ACEN- which establishes GR as the number of students who complete the Program within 150% of the time of the stated Program length. The Associate Director follows statistics of student retention, attrition, and graduation rate and reports to Faculty her findings at the end or beginning of the academic year. Available also is the official statistics presented by the UPRM Institutional Research and Planning Office (OIIP, in Spanish). The average time length of a student admitted in a four-year Baccalaureate 164 program is 5 years for graduation rates purposes. Table 6.5.2a presents findings in graduation rates provided by the UPRM OIIP from cohort of 2009 through 2012. Table 6.5.2a: Graduation rates from NEU- 2009– 2012 cohorts * Years 2009-2010 2010-2011 2011-2012 Number of students who graduated Time-frame for program completion On time Graduation Rate 35 50 84 5 years 5 years 5 years 34 (97%) 49 (98%) 79 (94%) *http://www.uprm.edu/oiip/ The number of students, who entered the Baccalaureate Nursing Program in 2009 to 2012, 2nd, 3rd, and 4th year cohorts and the retention rate, are reported by the UPRM-OIIP, (http://www.uprm.edu/oiip/). Likewise, the Assistant Director presents to the faculty a report with the findings of retention and attrition rate in order to evaluate and determine the effectiveness of our retention strategies. It has been identified, by the Associate Director and Faculty, the multiple factors affecting student progression, retention and attrition. Some of these factors are: 1. student being employed part-time or evening shift, 2. those who struggle with academic requirements due to knowledge gaps, 3. pre-requisites courses as scheduled interfere with clinical laboratories of nursing courses, 4. financial difficulties, or 5. multiple roles as parent, spouse, or other related. Table 6.5.2b presents retention and attrition rates of the 2nd 3rd and 4th year cohort group of students in the BSN program. The following tables represent the available data offered by the UPRM-OIIP, showing the last two years (2009-2011) at attrition of cero and retention rates at 100%. The data for 20112012 was not available from the OIIP at the end of the self-study report. 165 Table 6.5.2-b Retention and attrition rates of students at the BSN program during 2009– 2011 nd 2 Year Class Number Attrition % Rate Retention % Rate 87 48 16 2 18.4% 4.2% 71 46 81.6% 95.8% Class Number Attrition % Rate Retention % Rate 2009-2010 2010-2011 87 48 30 * 34.5% * 57 * 65.5% * 4th Year Class Number Attrition % Rate Retention % Rate 2009-2010 2010-2011 2011-2012 87 48 * 0 0 * 0% 0% * 87 48 * 100% 100% * 5 Year Class Number Attrition % Rate Retention % Rate 2009-2010 2010-2011 2011-2012 87 48 * 0 0 * 0% 0% * 87 48 * 100% 100% * 2009-2010 2010-2011 rd 3 Year *Data not available by the Office of Institutional Research and planning 6.5.3: Program satisfaction measures (qualitative and quantitative) address graduates and their employers. Graduates Satisfaction The Questionnaire for the Evaluation of the Program from Graduating students of the Baccalaureate of Science in Nursing Program is used at the end of the program from students completing the BSN on December and May. This survey provides three items for the satisfaction criteria measured on a Lickert style scale with intervals from: agree, neutral and disagree. See Table 6.5.3-a for evaluation results for years, 2010, 2011, and 2012. 166 TABLE 6.5.3-a: Graduates satisfaction with the BSN Program 2010 n=43 2011 n= 38 Completely agree/agree Completely agree/agree The quality of the program that I am going to be graduating is excellent 84% 81.5% 2012 n=46 Complete agree/agree 72% The curricular content and the clinical laboratories fulfilled my expectations 43% 70% 56% I favorably recommend friends and family to study in the nursing program 80% 81% 74.4% Reactive In faculty meetings there have been ample discussions on the low levels of satisfaction reflected in the surveys. Comparative analysis with qualitative section of the survey indicated that students want more clinical practice, some courses are academically overwhelming and that a separate pharmacology and health assessment courses should be included, instead of having them integrated. The Faculty approved to incorporate these two courses as permanent (See Faculty Minutes). Nevertheless these two courses have been offered as electives with very good response from students of the program. Additionally after the revision of courses curricular designs, content was restructured to allow for more clinical practice time. Findings from such changes will be collected in the next scheduled evaluations. Alumni satisfaction The Questionnaire for the Evaluation of Satisfaction with the Program by Alumni is scheduled every five years if the response rate is more than 50 %. Measures have been taken by the EC to increase the response rate, including posting the survey in the NEU’s social network page. In the 2009 survey which included alumni’s from 2004-2008, a total of 149 questionnaires were submitted with a response rate of 19%, for which the EC decided to reduce the evaluation 167 period to two years. A second online survey had a participation of 21 alumni‘s from 2009-2011. Consideration to evaluate the length of the survey is underway as well as to use the student’s email for evaluation purposes and maintain communication. Table 6.5.3-b: Alumni Satisfaction with the BSN Program reflects positive results from both survey groups 2004-2008; 2009-2011. The benchmark of 90% established by the faculty on satisfaction level from Alumni was exceeded in many of the satisfaction indicators in both groups; meeting Program Outcome #6: 90% of alumni responding to the Alumni Survey will reflect achievement of competencies and satisfaction with the program. Table 6.5.3b: Alumni Satisfaction with the BSN Program of the UPRM Academic Aspect Completely Satisfied Very Satisfied Satisfied 2004-2008 n=28 2009-2011 n=21 2004-2008 n=28 2009-2011 n=21 2004-2008 n=28 2009-2011 n=21 Quality of education in area of expertise 64% 67% 3% 33% 10% --- Satisfaction level 77% 100% Quality of general education 57% 63% 25% 33% 18% 4% Satisfaction level 100% 100% System of evaluation from the majority of professors in the program 36% 57% 32% 43% 29% ---- Satisfaction level 97% 100% Availability of the faculty 61% 67% 18% 19% 21% 14% General attitude of the faculty towards students 43% 58% 32% 33% 25% 9% 100% 100% Satisfaction level 168 Academic Aspect Completely Satisfied Services of the Study Room 22% 53% Satisfaction level 86% 96% The process of enrollment in the department of Nursing 35% 19% Satisfaction level 93% 86% 43% 34% 100% 82% 11% 57% Satisfaction level 68% 95% Variety of knowledge in your program 43% 52% Satisfaction level 93% 99% 43% 57% 93% 99% 43% 71% 89% 99% 71% 71% 89% 99% 78% 81% The Department facilities for the general use of computers Satisfaction level Academic counseling Curriculum of the program Satisfaction level Services of the Lab Skills Facilities Satisfaction level Would you study Nursing again Satisfaction level Would you recommend others to study in the Department of Nursing Very Satisfied Satisfied 25% 24% 39% 19% 29% 29% 29% 38% 18% 29% 39% 19% 21% 29% 36% 9% 18% 33% 32% 14% 18% 38% 32% 4% 25% 24% 21% 4% 11% 19% 7% 9% 4% 19% 14% 169 Academic Aspect Satisfaction level Completely Satisfied 96% Very Satisfied Satisfied 100% Employer’s satisfaction Employers’ satisfaction levels with the BSN Program are evaluated in the questionnaire “Questionnaire for the Evaluation of Employer’s Satisfaction with the Graduate of the Program”. This survey consists of 24 items of multiple selection in a Lickert type scale with intervals from: excellent, good, satisfactory and deficient. The MPOE establishes a five year period for the evaluation of Employer’s satisfaction. The low response rate has prompt to increase the timeframe, and in the past 8 years, 2 surveys have been sent to employers by regular mail mode. The first survey covered graduates from 2004-08. Although the Evaluation Committee sent a total of 140 questionnaires, only 5% of the questionnaires were received. Due to the low response rate, the second questionnaire was sent to employers during the academic year 2011-12, 49 questionnaires were sent resulting in a 20% response. The EC is working in an electronic format of the questionnaire and is expected to pilot the project in 2014. Responses received from employers achieved the benchmark of 85% of satisfaction in all components, meeting Program Outcome #5: Employer satisfaction. In addition validation of graduate’s performance is received during the affiliated agencies meetings and communities of interest’s meeting where graduate’s performance is always praised and recognized by employers. See Table 6.5.3c for evaluation results for years 2004-2008, 2011-2012. 170 Table 6.5.3c: Employer’s satisfaction with the graduate 2004-2008; 2011-2012 General Performance of the graduate Graduates’ knowledge Education of the graduate Selection as employees 2004-2008 2011-2012 Excellent/ Good Excellent/Good 100% 100% 100% 100% 100% 100% 100% 100% 6.5.4: Job placement rates are addressed through quantified measures that reflect program demographics and history Employment rates have reflected a change in the past five years or so due to hospital fiscal constraints which have resulted in loss of nursing jobs in the area and; increase in programs offering AD/BSN from nearby institutions. These changes have prompted many of our Graduates to relocate to the metropolitan area, when before many would stay employed at nearby hospitals. The employment rates are evaluated in the Questionnaire for the Evaluation of Satisfaction with the Program by Alumni and through comments posted in the NEU social network page. The majority of our Graduates from 2009 survey (93%) and 2012 survey (89%) obtained jobs in PR, mainly in the north and west side of the island. Meanwhile 3.5% alumni in 2009 survey and 7% of alumni in 2012 survey indicated they are employed in the United States. Results of both surveys in relation to job placement rate reflected that 89% of the 2009 survey did not have difficulty being employed and 11% indicated that a delay was due to licensure procedures. On the other hand, 70% of the participants from the 2012 survey did not report difficulty in being employed as a nurse. The 30% that confronted difficulty stated that it was due to; personal expectation about wages, limited positions open in areas of interest, and the employer wanted people with experience. The timeframe to which all Graduates were employed could not 171 be quantified by the questionnaire. Qualitative information obtained reflected that graduates were employed in a short period of time. Revisions to the questionnaire will include this area. Table 6.5.4: Employment rates from Graduates of the UPRM, reflects additional data related to this criteria. Table 6.5.4: Employment history and job rates from Graduates UPRM Full Time Part Time Unemployed Employed in other profession Post graduate studies 2004-2008 (n=28) 82% ---- 4% 4% 10% 2009-2011 (n=21) 76% 5% 5% 14% ---- Through the systematic assessment established in the MPOE, the NEU has identified that the expected level of achievement of PO have been obtained. Licensure passing rate for first time takers has been 100%. For the past two years, the In 2012, three of our graduates received the Professional Nurses Award by EDP University, one year after their graduation. We find many, working in specialized areas such as, ICU, CICU, SICU, PICU, maternity wards, Emergency Department and supervisory positions. Our graduates have excelled as leaders and participate in professional committees from the CPEPR, Sigma Theta Tau, Inc. Epsilon Lambda Chapter, and as members of the Coalition of Nurses for Communities in Disaster. A vast number have continued graduate studies (some in health related professions), Family Nurse Practitioner Program, Anesthesia, or work in the United States. During the 2011-2012, four graduates were commissioned as officers in the USAF-Army Corps. Most of all, the stories and accomplishments of graduates and alumni reflect the mission that the NEU envisions to carry out. 172 The following Table 6.0: Master Plan; Outcomes Evaluation, presents the components evaluated, methods, results and actions taken to improve or maintain the SLO and PO. 173 Table 6.0 – Master Plan: Outcomes Evaluation EVALUATION PLAN STANDARD 1: Mission and Administrative Capacity The Nursing education unit’s mission reflects the governing organization’s core values and is congruent with its strategic goals and objectives. The governing organization and program have administrative capacity resulting in effective delivery of the nursing program and achievement of identified outcomes. OUTCOMES : Mission/philosophy and outcomes of the nursing education unit are congruent with those of the governing organization. Faculty, administrator, and students participate in governance activities. Communities of interest have input into program processes and decision-making. Existing partnerships promote excellence in nursing education, enhance the profession, and benefit the community. A doctoral prepared nurse, with authority and responsibility over the unit, administers the nursing education unit. The nurse administrator has adequate time to fulfill the role responsibility of development and administration of the program. The nurse administrator prepares and administers the program budget with faculty input and is a strong advocate for equity among the units of the UPRM. Policies of the nursing education unit are consistent with those of the UPRM, are comprehensive and, provide for welfare and safety of faculty and staff. Differences in policies are justified by goals and outcomes of the nursing education unit. Program complaints and grievances are kept in records and receive due process including evidence of resolution. PLAN Component MISSION AND ADMINISTRATIVE CAPACITY A. Congruency 1. 2. 3. 4. 5. Vision/Mission Philosophy Conceptual Framework Goals NEU Outcomes Frequency of Assessment Every 5 years and as needed or required IMPLEMENTATION Indicators / Assessment Method Review of: Faculty meeting minutes Review of: Student’s Handbook, Faculty By-Laws NEU Web page, NEU Annual Report, Undergraduate Catalogue, previously known as Bulletin of Information, Governing Board former Board of Trustees and Academic Senate Certifications, General Regulations of the UPR Report of Data Collection & Analysis Faculty meetings evidence the approval of a vision statement of 2000 and thereafter a review of the congruency and relevancy of Program Mission and governance components (philosophy, vision, mission, goals, conceptual framework, society trends, etc.) Self-study process. Actions or Comments A vision, mission, philosophy, program goals and conceptual framework statement were reviewed by faculty since 2009. The vision was revised in Spring 2010. All these documents were finally approved by 2010-2011. Societal and professional trends were incorporated. 174 PLAN Component 6. 7. Societal and professional trends Policies, procedures and Bylaws Frequency of Assessment As required IMPLEMENTATION Indicators / Assessment Method Report of Data Collection & Analysis Establishment NEU Outcomes (SLO, PO), approved by Faculty 2011. UPR- UPRM-NEU Vision/Mission Strategic Plan Philosophy of the NEU Outcomes of the NEU UPR-UPRM-NEU Organization Chart General Regulation of the UPR Professional Nursing Standards of CPEPR Safety National Standards NEU Standards of Professional Associations Institutional Policies Faculty Minutes Curriculum Committee Minutes Workshops were conducted since 2009 until 2012 when activities concluded with revised definitions and concepts, evaluation of course outcomes with content and components of new societal and professional trends. Congruency was validated. Actions or Comments Administration Faculty Curriculum Committee Faculty workshops for revision of philosophy, vision/mission, conceptual framework, program goals, student profile. Revised and adjustments made On Feb. 22, 2011 Revision and establishment of Domains/Competencies 4/4/2011, 15/09/2011, 20/10/2011, Approval of Master Plan: Outcomes Evaluation Establishment of SLO, PO Continue assessment as needed for the congruency of Professional Nursing Standards of the CPEPR with NEU vision, mission, goals and outcomes. The NEU and the UPRM is committed to cultural, racial and ethnical diversity of the community as stated in the Undergraduate Catalogue 20122013. Outcomes was attained. 175 PLAN Component B. Participation in Governance of the Parent Organization 1. 2. 3. Faculty Administrator Students Frequency of Assessment Yearly or as needed IMPLEMENTATION Indicators / Assessment Method Faculty Minutes Listing of participation of faculty and students in governance Committees/Task Forces/Workgroups of the UPRM and NEU Report of Data Collection & Analysis At the beginning or at the end of every academic year the list is reviewed. See under Standard I for faculty member of the various committees. UPRM: Governing Organization Committee IRB Committee Law 51 Integral Education Services for the Disable Dialogue Committee Institutional Recruitment Faculty members of the NEU have consistently participated since 1997 to present in the IRB Committee and one in the Dialogue Committee. The College of Arts and Sciences have five standing Committees: Undergraduate Education Personnel Committee Curriculum Committee Library Committee Strategic Planning Committee Actions or Comments Faculty is strongly motivated to participate in the UPRM committee structure. Continue motivating faculty members to participate in Institutional Committees. Continue participation 176 PLAN Component Frequency of Assessment IMPLEMENTATION Indicators / Assessment Method Report of Data Collection & Analysis Actions or Comments 2008-2013 Faculty of the NEU has participated in 100% of the College of Arts and Sciences Committees. Ad-Hoc Committees or special assignments at the university level were also assessed through faculty promotion portfolios and monthly report of scholar activities. Administrators have the discretion to participate in any specific committees. NEU Director has been participating as member of College of Arts and Sciences Personnel Committee appointed by the Dean. As ex-officio member the Director participates in Departmental Committee, except Personnel Committee where she is member. Student Participation At the UPRM governing organization and the College of Arts and Sciences is guaranteed by the General Regulations of UPR Participation of students in NEU Standing Committees. Fall 2012 Evaluation Committee (3 students) Curriculum Committee (3 students) Promotion and Recruitment Committee (2 students) Students’ representatives have been elected by their peers in the Student Council of the College of Arts and Sciences. Participation list is kept by the Director. Students are continuously motivated to participate in Institutional and NEU Committees. Each year students are encouraged to select its two student representative. 177 PLAN Component Frequency of Assessment IMPLEMENTATION Indicators / Assessment Method Report of Data Collection & Analysis Teaching and Learning Resources and Faculty Development Committee (3 students) Actions or Comments Continue to assess reasons for low and nonparticipation of students in order to establish further actions. Continue to encourage participation. Outcome was attained. C. Administrator 1. 2. 3. Academic credential Experience Authority and responsibility As necessary or required (According to Certification 8687-476 of the Administrative Board). According to Certification 8687-476 of the Administrative Board-UPRM Curriculum Vitae Portfolio Credentials of the nurse administrator Faculty handbook UPRM and NEU Human Resources UPRM By-laws of the Faculty of the Department (2-28-2011) Standards and Criteria of ACEN, 2008 Certification 08-09-309 – Administrative Board The NEU administrator possesses an MSN with a functional role in administration and strong record of administrative experience. Rank of full professor and 34 years of teaching experience. Authorities and responsibilities are documented in the By-laws of the faculty of the NEU, Article 1, Section 1.0 – 1.20. Required six credit hours per semester for teaching activities. NEU administrator has complied with fulfilling her administrative and teaching responsibilities. Full evaluation can be found in Standard I, Criteria 1.5, of the SelfStudy Report. (SSR) 48 credits hours in a Doctoral Program Major in Educative Management Outcome is not completely met. 178 PLAN Component Frequency of Assessment IMPLEMENTATION Indicators / Assessment Method Questionnaire for the Evaluation of Faculty Satisfaction (Q6) n = 14 Report of Data Collection & Analysis 100% - Satisfaction with administrative capacity – 100% - Satisfaction with the effective channels of communication 93% - Satisfaction with participation in decision making. 85.6% - Satisfaction with resources provided. 71% - Satisfaction with budget planning participation 97.12% - Satisfaction with services provided by the program 100% - General satisfaction with the Program. 4. Welfare of faculty and staff Every 2 years Questionnaire of the Evaluation of Faculty Satisfaction Evaluation Committee Report 100% of Faculty is satisfied to teach at the NEU. 93% of Faculty is satisfied with the quality of alumni. Actions or Comments 179 PLAN Component As needed D. Policies 1. 2. 3. Frequency of Assessment Consistent Accessibility Rationale for policies that differ from governing organization IMPLEMENTATION Indicators / Assessment Method General Regulation Policies of the UPRM UPRM-NEU Student Manual By-Laws of the Faculty of the Department of Nursing Website Undergraduate Catalogue Accrediting Agency Report (MSN, CPEPR) State Board of Nursing documents National Safety Standards Professional Nursing Standards Report of Data Collection & Analysis Responsible person /committee: The General Regulation of the University of Puerto Rico is accessible in the website: http://www.upr.edu/politicas/ and in paper copies at the administrative offices. New Policies and Regulations through certifications are made available directly to parties involved (faculty, students and/or staff) The NEU has no policies that differ from the governing organization rather it has additional policies and regulations justified by the nursing practice in Puerto Rico. Actions or Comments To maintain the consistency with the institutional policies, the Faculty By-laws were revised in 2011. Continued assessing and reviewing consistency according to the need. Clinical laboratory requirements Professional license and registration Professional collegiate requirements Requirements meet. E. Communities of Interest F. Partnerships At the end of every academic year Evidence of participation of Communities of Interest Partnership agreements (MOU, description of partnerships, contracts, grants, etc.) EC Minutes Faculty Minutes Director, Associate Director Discussion of Affiliated Agencies Report Collaborative Agreements for the compliance of SLO 180 PLAN Component Frequency of Assessment IMPLEMENTATION Indicators / Assessment Method Memorandum of Understanding (MOU) with UPRM-UPR Aguadilla, Ponce and Utuado Certification No. 115 – 199697, UPR Board of Trustees Report of Data Collection & Analysis Actions or Comments Articulated Program 2010: 7 – Aguadilla 2 – Utuado 1 – Ponce 2011: 2 – Aguadilla 1 – Utuado 0 – Ponce 2012: 6 – Aguadilla 0 – Utuado 1 – Ponce G. Budget Yearly Faculty minutes Nurse administrator’s report of Faculty Satisfaction The Director of the NEU has participation and authority in budget preparation in accordance with the assigned budget for the fiscal year. Based on NEU priorities, specific program needs and faculty, and administrative personnel recommendations. Questionnaire for the Evaluation of Faculty Satisfaction with recommendation of the faculty. Budget 57% - totally satisfy 14% - satisfied 29% - neutral More participation of the faculty in the process of budget preparation. Continue monitoring 181 PLAN Component H. Complaint and grievances Frequency of Assessment As necessary IMPLEMENTATION Indicators / Assessment Method Records of complaints, grievances and resolution reports UPR Student Regulations amended in June 28, 2011 Article 2.36 Undergraduate Catalogue 2012-2013 Faculty meeting discussion Associate Directors report Ombudsperson annual report Students interview Dean of the College of Arts and Sciences Dean of Students Report of Data Collection & Analysis Actions or Comments Students have various avenues to summit complaints according to the type of complaint. No formal complaints were made. Guidelines are established and published in the Website. Continue monitoring 182 EVALUATION PLAN STANDARD 2: Faculty and Staff Qualified faculty and staff provide leadership and support necessary to attain the goals and outcomes of the nursing education unit. OUTCOMES: All faculty are academically and experientially qualified and maintain expertise in their area of responsibility. All faculty present evidence of credentials according to UPRM and state requirements. At least 25% of faculty holds an earned doctoral degree in nursing. All faculty present evidence of involvement in scholarship activities and evidence based practice. Program outcomes are met with the number and utilization of full and part-time nursing and non-nursing faculty Credentials of practice laboratory personnel are commensurate with their level of responsibilities Faculty is oriented and mentored by a systematic and formal program in their areas of responsibilities. All faculty performance demonstrates competencies consistent with program goals and outcomes. Non- nurse faculty and staff performance is regularly reviewed in accordance with policies of the governing organization. Faculty (full- and part-time) who engage in distance education is active in the process of ongoing development and receive support in distance education modalities including instructional methods and evaluation. PLAN Component Frequency of Assessment Indicators and Assessment Method Report of Data Collection & Analysis Actions or Comments 2005-2013 100% of the Department of Nursing Faculty holds a Master Degree as their minimum academic preparation (nursing specialty) and comply with laws requirements. Continue motivating and assisting faculty to pursue studies toward doctoral degrees (implemented on a yearly basis). UPR-General Regulation FACULTY A. Credentials B. Scholarship Activities C. Performance/Evaluation IMPLEMENTATION Yearly and as required Certification No. 11-12-229 – Administrative Board UPRM Certification No. 08-09-309 Administrative Board UPRM NEU Strategic and Operational Plan 2009-2016 Outcome was attained. 183 PLAN Component Frequency of Assessment IMPLEMENTATION Indicators and Assessment Method Certification No. 86-87-476 Administrative Board UPRM Law 9 - Oct 11, 1987 Law 11 - June 23, 1976 Law 82 - June 1st , 1973 UPR General Regulation and Bylaws of the Faculty of the Department of Nursing Evaluation by the NEU Personnel Committee As required: Appendix Modules for evaluations: A, B, C, F, G, H, I, L (Certification 86-87-476 – of the Administrative Board UPRM) Certification 11-12-229 – Administrative Board Professional Portfolios Faculty CV Faculty table of credentials and responsibility Monthly report of activity involvement submitted to the Director of the NEU. Faculty, lab personnel, and staff academic and experiential credentials Position and Job Descriptions for faculty , lab personnel and staff Report of Data Collection & Analysis 2005-2013 30% of Faculty have a Doctoral Degree Actions or Comments Continue motivating faculty to comply with the Laws 11, 9, 82. Doctorates in Nursing 2 – DNP 1 – Ph.D 1 – ABD Doctorates in others fields 2 – Ed.D 2 – Ph.D Currently in Doctoral Programs 2 – DrPH 1 – Ed.D 2005-2013 100% presented evidence as required 2005-2013 52% - Research or proposal development 100% - Community Service 52% - Publications 100% - Continuing Education Courses 100% - Professional presentation Enhance faculty compliment with scholarships activities. Request administrative authorities of the College of Arts and Sciences for release time to be assigned to professors interested in conducting scholarship activities. 184 PLAN Component Frequency of Assessment IMPLEMENTATION Indicators and Assessment Method Report of Data Collection & Analysis 100% - Teaching 100% - Professional Organizations Documentation of faculty-tostudent ratios in class and labs Faculty/Student ratio in lab. – 1:10 Certification 08-09-309 – Administrative Board Faculty to student ratios in class and labs. Are adequate according to Certification. Faculty workload documentation including teaching, advising, committee work, research, service and other responsibilities. Evidence of scholarly activities as defined by the nursing education unit Documentation of evaluation for faculty and staff Policies for evaluation processes 2005-2013 Student Evaluation to Faculty Survey (COE in Spanish) Faculty Scholarship in Nursing Indicators 100% taught with their area of expertise. 100% Faculty with a second academic specialty or certification Certifications in areas such as: Advanced Practice Nursing (APN) Board Certified Adult Nurse Practitioner Family Nurse Practitioner Pediatric Nurse Practitioner Adult Nurse Practitioner Clinical Nurse Specialist Nurse Midwifery Actions or Comments Outcome was attained. Some faculty taught with their areas of expertise. Faculty members have a second academic specialties or certifications: Community & Family Health, Gerontology, Maternal & Newborn, Child & Adolescent, Mental Health and Psychiatric Nursing, Breastfeeding Education, Obstetric Nursing, Prenatal Education, Human Sexuality, Diabetes Educators, Forensic Nursing (Disaster, SANE), and Doulas, second role in education and APN. 185 PLAN Component Frequency of Assessment IMPLEMENTATION Indicators and Assessment Method Report of Data Collection & Analysis Actions or Comments Outcome was attained. Continue efforts toward faculty development. Continue assigning faculty to courses within their area of expertise. Even though data shows that: Some faculty members in addition to their academic area of expertise have knowledge and skills on other areas due to their previous job experiences as nurses, justifying their assignment to certain courses. Article 45 of the UPR General By-laws Certification 86-87-476 of the Administrative Board of the UPRM, were reviewed. Evaluation portfolio Formative evaluation Summative evaluation Meeting with NEU Director Continue with evaluation process for faculty promotion and the strengthening of faculty participation in scholarship activities. 186 PLAN Component D. Staff and Lab. Personnel Frequency of Assessment As needed IMPLEMENTATION Indicators and Assessment Method UPR-General Regulations Human Resources Office Report of Data Collection & Analysis UPRM Student evaluation to Faculty Survey (COE) distributed to the students by the Director or Associate Director in each course. Data collected, at the 10th week of the academic calendar of each semester, is analyzed by the College of Arts and Sciences Computer Center. (See Faculty Portfolio) Actions or Comments Continue reinforcing faculty excellence by providing them with evaluation feedback on evaluation process. Continue implementing every semester. Results are presented and discussed by the Director of NEU during individual meetings with each professor. Outcomes was attained. The performance evaluation is done by the Director of the NEU. Staff and lab. personnel adequate to fulfill the outcomes of the NEU. The decisions related to promotions is done by the Human Resources Office. E. Orientation and Mentorship As needed Orientation Manuals Mentorship Guidelines and Reports Certification 96-97-596 – UPRM – Professional Enrichment Center (PEC) The newly recruited professor receives orientation and is mentored. Continuing with orientation and mentorship program. The PEC covers all aspect of professional development including teaching, learning, evaluation, technology and earch. Outcome was obtained. 187 PLAN Component Frequency of Assessment IMPLEMENTATION Indicators and Assessment Method Report of Data Collection & Analysis Faculty of Arts and Sciences: Mentorship Program for Newly Recruited Faculty The professor is oriented and mentored at the PEC, Arts and Sciences, and NEU. Department of Nursing Mentorship Program Departmental Orientation Program for Newly Recruited Faculty The Faculty mentor is assigned by the Director to the new faculty based on seniority, credit load, and area of teaching expertise. Evidence of orientation and mentoring processes for faculty and staff. Faculty Portfolio Staff receives orientation and mentorship. Actions or Comments Continue with orientation and mentorship. 188 EVALUATION PLAN STANDARD 3: Students Student policies, development, and services support the goals and outcomes of the nursing education unit. OUTCOMES: Student policies are congruent with those of the governing organization, 100% publicly accessible, non-discriminatory, and consistently applied. Differences in student policies are justified by the goals and outcomes of the nursing education unit. Student services are commensurate with the needs of students pursuing or completing the BSN. Policies concerned with educational and financial records are established and followed in compliance with policies of the UPRM and national guidelines. There is complete compliance with the Higher Education Reauthorization Act Title IV eligibility and certification requirements. There is clarity and consistency in communicating to students at a timely manner, of changes in policies, procedures and program information. Students are provided with orientation to technology and technological support. PLAN Component STUDENTS A. Policies 1. Congruency 2. Accessible 3. Non-discriminatory 4. Consistency 5. Compliance 6. Rational for those that differ Frequency of Assessment Yearly or as needed IMPLEMENTATION Assessment Method Report of Data Collection & Analysis Actions or Comments Review of UPRM Law #1 January 20, 1966, Undergraduate Catalogue, UPR Institutional Policies, Undergraduate Student Manual, NEU Brochure, NEU Student Manual, UPRM Website, NEU Website, UPRM Students Regulations (Undergraduate Catalogue) Rights and duties of the students of the UPRM are published in the Undergraduate Catalogue and Website. http://www.uprm.edu Policies are continually revised to establish congruency, accessibility, non-discrimination, consistency and compliance. Student participation in governing body is active. See Table 1.2.1 (Standard 1) General policy changes are discussed to students through student representatives, assembly, Website, letters, notice posts and others. Website is continually updated. 189 PLAN Component Frequency of Assessment IMPLEMENTATION Assessment Method Report of Data Collection & Analysis Actions or Comments Evidence of currency, accuracy, clarity, completeness, and consistency of all program information (paper or electronic). Public Law 101-542 – November 8, 1990 101st Congress Public Law 101-226December 12, 1989 Revision of Institutional Policies: FERPA, Title IV ADA, and other federal and state guidelines and regulations Evidence of communications to students Congruency was established. Accessibility and nodiscriminatory policies was evidenced. See Table 3.1.1 (Standard 3) Documentation or written student’s policies shows policies and where they are found. Student policies: All student’s policies and procedures were found to be published at the UPRM Website, Undergraduate Catalogue, NEU Students Manual and Nursing Course Syllabus. Continue to inform students and public about policies, regulations and all other information disseminated through the UPRM Website, public radio communication, newspaper and other means. 190 PLAN Component Frequency of Assessment IMPLEMENTATION Assessment Method Report of Data Collection & Analysis Actions or Comments These documents were evaluated and showed that the information offered to the university community and the community in general is current, accurate, clear and consistent at institutional level. National Safety Standards Memorandum of Understanding (MOU) with UPRM-UPR Aguadilla, UPRPonce, UPR-Utuado Certification No. 115-1996-97 UPR Board of Trustees Financial Policies Interview with Directors of Support Services Interview with Financial Director and Registrar Officer Faculty meeting minutes National Safety Standards are incorporated in courses. Periodically reviewed as needed. Policy was revised and more flexibility was accomplished. Annually transferred students are studying in the NEU. All requirements of this policy are met and reviewed per semester. Transfers to the NEU are yearly. (MOU) 2010: 7 - Aguadilla 2 - Utuado 1 - Ponce 2011: 2 - Aguadilla 1 - Utuado 0 - Ponce 2012: 6 - Aguadilla 0 - Utuado 1 - Ponce Continue with the Memorandum of Understanding with the UPRM-UPR-Aguadilla, Utuado and Ponce. Increase student recruitment through this manner and establish Memorandum of Understanding with other UPR campuses. 191 PLAN Component Frequency of Assessment IMPLEMENTATION Assessment Method Report of Data Collection & Analysis Actions or Comments Transfer Students: Year 2010 2011 2012 Transfers Readmissions 14 8 13 7 7 Certification 83-2 Academic Senate-UPRM Passing grade for nursing courses is “C”. The NEU supports the difference due to the nature of our field which requires from students to perform in at least a satisfactory manner. Evaluation of student health and clinical requirements. Specific requirements from the Department of Health of Puerto Rico, includes Hep B vac. HIPAA, Health Certificate, Varicella Vaccine and CPR. Others are specified by affiliated agencies. 100% of faculty and students comply with these requirements. 100% of students and faculty are certified in HIPAA. 100% of students and faculty are certified in CPR. . Continue implementation of this policy during semesters. Evaluate trends in health requirements and policies. 192 PLAN Component B. Services Frequency of Assessment Yearly or as needed IMPLEMENTATION Assessment Method Report of Data Collection & Analysis Actions or Comments Institutional support services are health care, transportation, general library, job placement, tutorial, academic counseling, financial aid, safety and security, veterans services, quality of life, international student services, among others. See Table 3.2.1 (Standard 3) Continue assessing support services and student needs and maintain accessible and available with qualified personnel. Registrar services, computer center, services to students with disabilities and career placement are provided and accessible to students. NEU additional support services are evaluated for effectiveness. NEU support services are computer center, skills laboratory, transportation to clinical areas outside of Mayagüez, and areas that UPRM transportation is required. The majority of clinical laboratories experiences are mainly in Mayagüez. Additional computers and software have been recommended and obtained for the computer room. Skill laboratory is equipped with new materials and students have access to high fidelity simulation each semester. 193 PLAN Component Frequency of Assessment IMPLEMENTATION Assessment Method Questionnaire for the Evaluation of the Program from Graduating Students of the Baccalaurate of Sciences in Nursing Program Report of Data Collection & Analysis Graduating Students Perceptions on services provided: 2010, 2011, 2012 Computer Center: 2010 2011 67% 80% 2012 82% Learning Skills Laboratory: 2010 2011 2012 79% 87.5% 74% Academic Counseling: 2010 2011 2012 59% 70% 59% Library: 2010 73% 2011 79% 2012 60% Study Room: 2010 2011 58% 74% 2012 73% Audiovisual Resources Services: 2010 2011 2012 67% 85% 77% Health Care Services (Medical Services: 2010 2011 2012 8% 68% 58% Actions or Comments Faculty needs to conduct an in-depth analysis in regard to the low benchmark results, hence a plan is addressed with strategies to reach benchmark. Share data with the Teaching and Learning Resources and Faculty Development Committee, Curriculum Committee and Evaluation Committee for corrective actions. 194 PLAN Component C. Technology Frequency of Assessment Yearly or as needed IMPLEMENTATION Assessment Method Course Syllabus Registry of Moodle use by student Report of Data Collection & Analysis Actions or Comments Policies of the nursing education unit are found to be congruent with the governing organization. General Policies are published in the Undergraduate Catalogue. They are consistently applied in a non-discriminatory way. Review of Student Manual of the Department of Nursing Evidence of orientation and support provided for the technology utilized by students in classrooms, labs. and clinical areas. Incorporation of theory and practice of electronic medical record. Use of technology in the classroom from professors and students. Evidence based literature search. Student applies technology in oral presentations. Use of technology in clinical area. Questionnaire for the Evaluation of the Program from Graduating Students of the Baccalaureate of Sciences in Nursing Program Graduating student perception on Computer Center service: 2010 67% 2011 80% 2012 82% Review of new technology in nursing practice. Guest speakers to classroom and lab. Continue evaluation of students’ services by the Teaching and Learning Resources and Faculty Development Committee, Curriculum Committee and Evaluation Committee for corrective actions. 195 PLAN Component Frequency of Assessment IMPLEMENTATION Assessment Method Questionnaire for the Evaluation of Nursing Courses (Q1) Report of Data Collection & Analysis Student perception on learning resources (technology): 2010 92.25% 2011 93.5% 2012 93.46% Actions or Comments Continue reinforcing the use of technology. 196 EVALUATION PLAN STANDARD 4: Curriculum The curriculum prepares students to achieve the outcomes of the nursing education unit, including safe practice in contemporary health care environments. OUTCOMES: The curriculum incorporates established professional standards, guidelines, and competencies, and has clearly articulated course and program outcomes. The curriculum is reviewed by the faculty for rigor, consistency and currency by the end of every academic year The program and course learning outcomes are used to organize the curriculum; guide the delivery of instruction; direct learning activities; and evaluate student progress The curriculum integrates cultural, ethnic, and socially diverse concepts and includes experiences from regional, national or global perspectives. Evaluation methodologies are varied; reflect established professional and practice competencies; and measure the achievement of course and program outcomes. The curriculum and instructional processes reflect educational theory, interdisciplinary collaboration, research, and best practice standards while allowing for innovation, flexibility, and technological advances. Program length is congruent with the attainment of identified outcomes and consistent with state and national standards and best practices. Practice learning environments are appropriate for student learning and support the achievement of course and program outcomes, current written agreements specify expectations for all parties and ensure the protection of students 90% of the Faculty, 90% of the Employers and at least 85% of the Graduating students strongly agree or agree item by item that the curriculum provides with the competencies, values, knowledge and skills necessary for nursing practice in the established program length. At least 85% of the students will rate overall clinical agencies as good to excellent in providing opportunities that facilitate students to achieve the program/ course objectives. The distance education learning activities, instructional materials, and evaluation methods are appropriate and consistent with student learning outcomes PLAN IMPLEMENTATION Component Nursing Education Unit Outcomes A. Student Learning Outcomes Frequency of assessment Every 5 years or as needed Indicators /Assessment Method Review of: program philosophy, vision, and mission, organizing framework, objectives, curriculum design, course progression and outcome measures. Report of Data collection & Analysis Director, Associate Director Curriculum Committee Evaluation Committee Faculty Actions or Comments Curricular designs of courses were evaluated. 197 PLAN Component Frequency of assessment IMPLEMENTATION Indicators /Assessment Method Evidence of faculty review of the curriculum (Faculty Meeting minutes, Curriculum Committee minutes, reports, research, etc.) Evidence that diverse concepts, best practices, and national patient safety goals are incorporated into the curriculum Course materials (curricular designs, syllabi, evaluation methods, learning activities) Sample of student written work Evidence that program length facilitates achievement of learning outcomes and is consistent with state and national standards Class and clinical schedule Clinical agency contracts and agreements Report of Data collection & Analysis Philosophy, mission, vision, courses outcomes and framework are congruent and flow logically to achieve NEU outcomes. Curricular program go from the simple to complex increasing in difficulty and complexity. Concepts in framework are integrated in courses outcomes. Standards of Professional Nursing practice are integrated in the curriculum. The faculty found necessary to address societal changes, current trends and issues. Courses in the sciences and humanities provide a broad base of knowledge and skills based to the practice of nursing. Interdisciplinary collaboration is evident in the curriculum. Evaluation tools and methods are consistent with courses outcomes, competencies and clinical component. Actions or Comments In order to strengthen accomplishment of program outcomes, the faculty participated in workshops and conferences such as: Nursing Process Simulation and Technology Workshops Outcomes Assessment and others 198 PLAN Component Frequency of assessment IMPLEMENTATION Indicators /Assessment Method Report of Data collection & Analysis Actions or Comments Evaluation tools/ methodologies for classes, clinical and labs. Analysis and revision of: Undergraduate Catalogue General courses syllabus Curriculum design Nursing courses syllabus Certification No. 83-2 – Academic Senate UPRM Revision of curriculum design and course syllabus was done. Analysis and revision of: Guidelines for Professional Nursing Standards of CPEPR and others Student learning outcomes The curriculum incorporates established professional standards, guidelines and competencies; and has articulated program outcomes. NEU outcomes Technology is used to enhance course learning activities through Moodle Platform. Institutional Strategic Plan includes technology training to faculty members. Students program competencies Evaluation tools and methods of each nursing course Nursing Ethical Code of the CPEPR, Law #9 of October 1987, New Issues and trends of societal and practice of nursing that affects health in PR Faculty workshops to revise the curriculum design were conducted during 2005-2013. The faculty team responsible for a particular course met every academic semester to discuss course matters, content, currency, sequencing, as well as student performance in meeting course outcomes. At the beginning of each semester the student receives course syllabus (as established by Certification #130-19992000-Board of Trustees. Evaluation tools and other material methodology are located in Moodle Platform. Continue with interdisciplinary collaboration to strengthen the curriculum. Outcomes were attained. 199 PLAN Component Frequency of assessment IMPLEMENTATION Indicators /Assessment Method Report of Data collection & Analysis Actions or Comments Faculty has been given various technology workshops to enhance learning activities in the classroom. Faculty has nursing resources integrated for courses in Moodle platform or blogs. Example of these are: (ENFE 3021, ENFE 4001, ENFE 4031, ENFE 4032, ENFE 4041, and ENFE 5005). Formative and summative evaluations are appropriate to determine achievement of SLO outcomes. Questionnaire for the Evaluation of the Program from Graduating Students of the Baccalaureate of Sciences of Nursing Program (Q3) 2010 - Graduating students SLO achievement Leadership: 2010 2011 91% 100% 2012 97% Communication: 2010 2011 90% 97% 2012 97% Continue reviewing and revising the program outcomes to maintain accomplishment of SLO. 200 PLAN Component Frequency of assessment IMPLEMENTATION Indicators /Assessment Method Report of Data collection & Analysis Team Work 2010 2011 2012 93% 100% 98% Lifelong Learning 2010 2011 85% 91% 2012 88% Caring 2010 95% 2011 98% 2012 92% Health Teaching 2010 2011 93% 100% 2012 91% Value, Ethics, Legal 2010 2011 95% 97% 2012 98% Critical Thinking 2010 2011 94% 100% 2012 96% Research Appraisal 2010 2011 91% 100% 2012 97% Leadership 2010 2011 88% 83% 2012 98% Actions or Comments 201 PLAN Component Frequency of assessment IMPLEMENTATION Indicators /Assessment Method Questionnaire for the Evaluation of Faculty Satisfaction (Q6) Report of Data collection & Analysis Actions or Comments Faculty Satisfaction with the Program 100% - Satisfaction with the Program 100% - Satisfaction with the Curricular Structure 97% - Satisfaction with the Services Provided by the Program 100% - General Satisfaction with the Program Aggregated Qualitative data from each questionnaire as collected Evaluation Committee minutes Faculty Meeting minutes (May, 2013) Curricular Committee Minutes Examples of revision/changes based on evaluations include: development of a 3 credit, 1 semester, ENFE 4XXX – Research in Nursing, instead of the current 1 credit, 2 semesters courses. Faculty approved this course as substitution of ENFE 4041 (Seminar in Nursing I) and ENFE 4042 (Seminar in Nursing II). Minor curricular revision is required. 202 PLAN Component Frequency of assessment IMPLEMENTATION Indicators /Assessment Method Aggregated qualitative data from each questionnaire are collected. Evaluation Committee minutes Curriculum Committee minutes Faculty meeting minutes Report of Data collection & Analysis Actions or Comments Qualitative and Quantitative course evaluation by students: Formative and summative evaluations of courses in the program reflect a student desire to decrease workload from some nursing courses in the program or add credit hours to a particular course; student also recommended that some of the elective courses be required (ENFE 5005-Health Assessment, ENFE 3095Concepts of Pharmacology and Posology for Nursing Practice, ENFE 3315 – Fundamentals of Thanatology). Faculty considers students suggestions provided in course ENFE 3095Concepts of Pharmacology and Posology for Nursing Practice and ENFE 5005Health Assessment. Course ENFE 3126 - Basic Principles of Pharmacology replaced ENFE 3095. In Faculty meetings the general education courses were discussed and it was considered to provide in CISO six (6) credits as recommended by the Department of Social Sciences, and thus allowing for approval of the NEU recommendation. Faculty approved offer ENFE 5005-Health Assessment and ENFE 3126 – Basic Principles of Pharmacology as required courses. (Faculty meeting minute May, 2013.) 203 PLAN Component Frequency of assessment IMPLEMENTATION Indicators /Assessment Method Report of Data collection & Analysis Actions or Comments Faculty re-designed a Pharmacology course, now under Curriculum Committee for evaluation. Faculty revised workload and evaluation methods of courses. Elective courses such as ENFE 5005-Health Assessment, ENFE 5115Women’s Sexual and Reproductive Health and ENFE 3315-Thanatalogy, were offered. Affiliated agencies contracts, MOU* ACEN Standards and Criterias Faculty search the characteristics of agencies Associate Director report *Memorandum of Understanding The Faculty, Associate Director and Director share responsibility in the selection of agencies that allow for the teaching and learning experiences to fulfill the SLO and PO. Agencies selected are licensed and accredited by the Puerto Rico Department of Health and/or the Joint Commission for Accreditation of Healthcare Organizations and/or Medicare and Department of Education and other governmental agencies. (See Table 4.8.1, Standard 4) Practice and learning environment of affiliate agencies are adequate to fulfill the NEU mission/philosophy and SLO, PO courses outcomes. 204 PLAN Component Frequency of assessment IMPLEMENTATION Indicators /Assessment Method Questionnaire for the Evaluation of Affiliated Agencies (Q2) Report of Data collection & Analysis Clinical experiences reflect current best practices and nationally established patient health and safety goals. Evaluation of Affiliated Agencies for the compliance of competencies SLO Communication: 2010 2011 97% 95% 2012 99% Caring: 2010 97% 2011 98% 2012 98% Leadership: 2010 2011 98% 97% 2012 99% Values, Ethical, Legal: 2010 2011 2012 98% 96% 100% Health Teaching: 2010 2011 94% 98% 2012 100% Team Work: 2010 2011 98% 97% 2012 100% Actions or Comments Continue evaluation per semester with respective survey. Continue reviewing adequacy of current affiliated agencies being used. Continue assessing new clinical agencies for their possible incorporation as center of practice for our students. See Exhibit under Standard (Contracts and Agreements). Continue reviewing adequacy of current affiliated agencies being used. Continue providing adequate clinical and community experiences of students in the program. 205 Component Frequency of assessment Indicators /Assessment Method Report of Data collection & Analysis Research: 2010 85% 2011 92% Actions or Comments 2012 77% Evaluation of affiliated agencies for the compliance of safety goals: Safety: 2010 94% 2011 93% 2012 98% Application of Standard of Care: 2010 2011 2012 95% 94% 98% C. Program Outcomes 1. Performance of Licensure Exam Yearly or as needed Licensure Exam FTT* passing rate Results FTT JEEPR Official Report NEU FTT approval: 2010 2011 2012 100% 88% 100% Board of Examination Committee minutes and reports Faculty Meeting minutes Evaluation Committee minutes National approval rate FTT: 2010 2011 2012 68% 74% 80% *FTT- First Time Takers Continue monitoring Outcome attained. 206 PLAN Component D. Program Completion Frequency of assessment Yearly IMPLEMENTATION Indicators /Assessment Method OIIP Associate Director Report Faculty Meeting Certification Undergraduate Catalogue Report of Data collection & Analysis Graduation Rates Continue monitoring Years Timeframe On time Graduation Rate 2010 2011 2012 5 years 5 years 5 years 97% 98% 94% Retention and Attrition Rates th ACEN Standards (2008) 4 year 2010 100% 2011 100% 2012 * *Data not available by the Office of Institutional Research and Planning 5th year 2010 100% 2011 100% Actions or Comments 2012 * *Data not available by the Office of Institutional Research and Planning Outcome was attained. 207 PLAN Component E. Program Satisfaction 1. Frequency of assessment Yearly Graduates Satisfaction IMPLEMENTATION Indicators /Assessment Method Alumni Satisfaction 2-5 years Actions or Comments Evaluation Committee minutes Faculty Meeting minutes Questionnaire for the Evaluation of the Program by Graduating Students of the Baccalaureate of Science in Nursing Program (Q3) 2. Report of Data collection & Analysis Graduates Satisfaction Level with BSN Program Year 2010 2011 2012 Average 69% 78% 67% Evaluation Committee minutes Faculty Meeting minutes Questionnaire for the Evaluation of Satisfaction with the Program by Alumni (Q4) Ample discussions in CC, EC, and Faculty meetings on satisfaction level. Minor curricular revision will undergo on August 2013 for incorporation of new courses. Additional clinical experience in enhanced with High Fidelity Simulation. Continue monitoring. Alumni Satisfaction Level with the Program Outcome was not attained. Satisfaction Level: 2004-2008 2009-2011 91% 97% Alumini Satisfaction with Attainment of Competencies: 2004-2008, 2011-2012 Continue monitoring. Outcome was attained. Leadership: 2004-2008 93% 2009-2012 94% 208 PLAN Component Frequency of assessment IMPLEMENTATION Indicators /Assessment Method Report of Data collection & Analysis Critical Thinking: 2004-2008 2009-2012 93% 94% Caring: 2004-2008 86% 2009-2012 100% Values, Ethics, Legal: 2004-2008 2009-2012 86% 100% Communication: 2004-2008 2009-2012 96% 97% Health Teaching: 2004-2008 2009-2012 100% 100% 3. Employers Satisfaction with the Alumni 2-5 years Evaluation Committee minutes Faculty Meeting minutes Questionnaire for the Evaluation of Employer’s Satisfaction with the Alumni of the Program (Q5) Employer Satisfaction with the Alumni of the Program General Performance of the Graduate: 2004-2008 Excellent Good 86% 14% = 100% Actions or Comments 209 PLAN Component Frequency of assessment IMPLEMENTATION Indicators /Assessment Method Report of Data collection & Analysis Actions or Comments 2011-2012 Excellent Good 78% 22% = 100% Graduates Knowledge: 2004-2008 Excellent Good 57% 43% = 100% 2011-2012 Excellent Good 71% 29% = 100% Education of the Graduate: 2004-2008 Excellent Good 86% 14% = 100% 2011-2012 Excellent Good 78% 22% = 100% Selection as Employees: 2004-2008 Excellent Good 71% 29% = 100% 2011-2012 Excellent Good 89% 11% = 100% Outcome attained 210 PLAN Component 1. Faculty Satisfaction Frequency of assessment 2-5 years IMPLEMENTATION Indicators /Assessment Method Evaluation Committee minutes Faculty Meetings minutes Report of Data collection & Analysis Faculty satisfaction with the Program Actions or Comments Continue monitoring Outcome was attained. 100% - General Satisfaction Questionnaire for the Evaluation of Faculty Satisfaction (Q6) Maintain open communication with alumni. Establishment of Alumni Committee F. Job Placement 2-5 years Evaluation Committee minutes Faculty Meetings minutes Questionnaire for the Evaluation of Satisfaction with the Program by Alumni (Q4) Employment History Continue monitoring 2004-2008 Full-Time 2009-2011 Full-Time 82% 76% Maintain open communication with employers. Develop electronic survey for rapid response. 211 EVALUATION PLAN STANDARD 5: RESOURCES Fiscal, physical, and learning resources promote the achievement of the goals and outcomes of the nursing education unit. OUTCOMES: Fiscal resources are adequate to support the nursing education unit purposes and commensurate with the resources of the governing organization. All physical resources are appropriate to support the purposes of the nursing education unit and meet the needs of faculty, staff, and students. Support services are available and adequate for the operation of the nursing education unit Learning resources and technology are selected by the faculty and are comprehensive, current, and accessible to faculty and students. Distance education courses are sufficient in fiscal, physical, technological and learning resources and meet the needs of faculty and students’ learning outcomes. PLAN IMPLEMENTATION Component RESOURCES A. Fiscal resources Frequency of assessment Indicators /Assessment Method Report of Data collection & Analysis Actions or Comments Every year or as needed Review of : General Budget of the UPRM NEU Budget - Interview with the Administrative Assistant Comparative Table of mean salaries Faculty Meeting minutes College of Arts &Sciences Research and Project Allocations The salaries of the faculty members compare with that of other faculties except for Engineering. (See Table 5.2 – Comparison of mean salaries and rank of the Department of Nursing and Department of Physical Education, Standard 5). Reduction of budget is consonant with the reduction at all levels in the UPR system. Balanced budget was evident. Budget reduction and its effects so far has not affected the NEU activities. Budget re-distribution has been implemented. Faculty discusses the NEU budget with the Director and Administrative Assistant Faculty development has been adequate. Continue establishing priorities with faculty input in the preparation of budget. Continue to provide support in development, research, instructions, activities and community public services. 212 PLAN Component B. Physical resources IMPLEMENTATION Frequency of assessment Indicators /Assessment Method Every year or as needed Evaluation of administrative and clerical support services Physical facility inventory Report of Data collection & Analysis Adequate physical and learning resources: Library Skill Laboratory Various Computer Centers throughout of the Campus Technology Assistance (Monzón 110) Wi-Fi, Wireless Campus Audiovisual Resources Tutorial Services Recreational Center Sport Facilities Bookstore Medical Services Cafeteria Parking Security Services Groups and Individual Study Rooms Others Actions or Comments 213 PLAN Component Frequency of assessment IMPLEMENTATION Indicators /Assessment Method Report of Data collection & Analysis Instructional Aids: PPP, Distance learning equipment, high fidelity simulators. Moodle Boards Internet Connection TV Set DVD/CD Video player Dummies Anatomical models Computers Software High fidelity simulators Questionnaire for the Evaluation of Faculty Satisfaction Faculty Satisfaction with Fiscal, Physical and Learning Resources Fiscal: Totally Satisfied Satisfied Neutral 57% 14% 29% Physical and Learning Resources (Computer Center): Totally Satisfied Satisfied Neutral 57.1% 42.8% 0 Actions or Comments 214 Component Frequency of assessment Indicators /Assessment Method Report of Data collection & Analysis Skill Laboratories: Totally Satisfied Satisfied Neutral 79% 21% 0% Clinical Scenario: Totally Satisfied Satisfied Neutral 86% 14% 0% Audiovisual Resources: Totally Satisfied Satisfied Neutral 78.50% 21.4% 0% High Fidelity Simulators: Totally Satisfied Satisfied Neutral 57.10% 28.50% 0% Un-satisfied: 14.30% Actions or Comments 215 PLAN Component C. Learning resources Frequency of assessment Every year or as needed IMPLEMENTATION Indicators /Assessment Method Report of Data collection & Analysis NEU resources inventory Minutes of Resources and Faculty Development Committee Actions or Comments Ample physical and learning resources to promote the attainment of SLO, PO. Continue monitoring. Administrative & clerical support These are sufficient and available as needed. One Director, one Administrative Assistant, one Associate Director. Ample physical and learning resources for Faculty and Staff. Continue monitoring. Three Administrative Secretaries, one Laboratory Skill Technician, two Housekeeping Personnel and students under the Work-Study Plan and on hourly basis. The faculty recommends the resources to be bought for each course. Additional funds to enhance adequacy and effectiveness of the services. Next poll of graduates and graduating will be surveyed. Additional funds have been requested and granted when needed. 216 EVALUATION PLAN STANDARD 6: Outcomes Evaluation of student learning demonstrates that students have achieved identified competencies consistent with the institutional mission and professional standards and that the outcomes of the nursing education unit have been achieved. The systematic plan for evaluation emphasizes the ongoing assessment and evaluation of the nursing education unit outcomes and NLNAC standards. 95% of the evaluation activities are implemented as scheduled in the NEU Evaluation plan. Every academic year aggregated evaluation findings are reported in faculty meeting and used to maintain or improve student learning outcomes Evaluation findings are shared with communities of interest at the end of each academic year: The program demonstrates evidence of achievement in meeting the program outcomes Nursing competencies: 85% of students achieve the required competency of each nursing course at their academic level. Nursing Board passing rate: 90% of our graduates pass the Puerto Rico Nursing Boards as first time takers. Graduation rate: 85% of the students graduate at the required time according to Institutional policy - (up to 6 years for a BSN) Employment rate: 90% of our graduates are employed in nursing within 6 to 9 months after graduation. Employer satisfaction: 85% of employers responding to the Employer Survey will rate the nursing performance of graduates as satisfactory (qualitative and quantitative measures). Graduating Student satisfaction: 85% of the graduating students responding to the survey will rate the quality of the Program and satisfaction level as satisfactory (qualitative and quantitative measures). Alumni Satisfaction: 90% of alumni responding to the Alumni Satisfaction Survey will rate the Program as Good to Excellent (qualitative and quantitative measures). PLAN IMPLEMENTATION Component NURSING EDUCATION UNIT OUTCOMES Frequency of assessment Yearly or as indicated Assessment Method Comparative analysis of proposed evaluation plan schedule A. Student Learning Outcomes Competencies evaluation per course. Report of Data collection & Analysis Actions or Comments Aggregated and analyzed data. The implementation of evaluation studies was conducted as scheduled. Reported to faculty at end of semester or yearly. Formative and summative student evaluation per course. 217 PLAN Component Frequency of assessment IMPLEMENTATION Assessment Method Report of Data collection & Analysis Questionnaire for the Evaluation of Nursing Courses (Q1) 2005-2012 Course Evaluation Survey implemented as scheduled. Questionnaire for the Evaluation of Affiliated Agencies – every semester. (Q2) 100% - Affiliated Agencies Evaluation Survey implemented as scheduled. Congruency of the mission and governance component implemented as scheduled. Questionnaire for the Evaluation of the Program from Graduating Students of the Baccalaureate of Science in Nursing Program (Q3) 100% - Graduating Student’s Satisfaction with the Program Survey implemented as scheduled. Questionnaire for the Evaluation of Employer’s Satisfaction with the Alumni of the Program – every 5 years (Q5) 100% - Employer’s Evaluation Survey implemented as scheduled. Actions or Comments 92% of courses were evaluated. Missed course was due to administrative class suspension (2000) related to strike, or weather conditions. Decrease time frame from 5 years to every 2 years for those not answering. The Graduating Student Satisfaction with the Program Survey was reviewed by faculty. Revised and approved by faculty questionnaire – 2009 and 2012. Competencies: Table 6.4.1, 6.5.1 (Standard 6 – SSR) Analyzed and trended data. Informed faculty of results and developed a plan of action and recommendations. 218 PLAN Component B. Report of evaluation findings Frequency of assessment At the end of each academic year IMPLEMENTATION Assessment Method Questionnaire for the Evaluation of Satisfaction with the Program by the Alumni (Q4) – every 5 years Questionnaire for the Evaluation of Faculty Satisfaction (Q6) Aggregated Qualitative data from each questionnaire as collected (QD) Report of Data collection & Analysis Actions or Comments Surveys administered as planned. Additional methods of data collection implemented due to low response rate on Alumni Satisfaction with Program Survey and Employer’s Survey. To improve response rate a change in schedule for administering Employer’s Survey from every 5 years to 2 years. Yearly report with improvement or continuation plan by course faculty. Evaluation Committee Associate Director Faculty Curriculum Committee Evaluation Committee minutes Faculty Meeting minutes See Tables 6.5.3 (2), 6.5.3 (3) SSR (Standard 6) Associate Director’s Report Comparison of Attrition and Retention Rates Report of the Office of Institutional Research and Planning UPRM Graduation Rates Report UPRM SLO were obtained 219 PLAN Component C. Program Outcomes 1. 2. Frequency of assessment Yearly or as need Program Satisfaction a. Employer Satisfaction Report of Data collection & Analysis Actions or Comments Associate Director Report JEEPR-Licensure Report Nursing Board Ad Hoc Committee Report Evaluation Committee Report Faculty offers Board review Analysis and plans to strengthen SLO/PO Faculty workshop on test development Nursing Board Passing Rate (FTT) Continue to monitor and follow established plan. 2009 – 56% 2010 – 100% (2) 2011 – 94% (2) 2011 – 83% (1) 2012 – 100% (2) 2012 – 100% Outcome was attained. Yearly Report of the OIIP Report of the Associate Director Faculty Meeting minutes Graduation Rate (. Table 6.5.2a SSR) Atrrition/Retention Rates (Table 6.5.2b SSR, Standard 6) Continue to monitor Exceeded outcome of 85% Every 5 years Questionnaire for the Evaluation of Employers Satisfaction by Alumni of the Program Employer’s Satisfaction 2004-2008, 2011-2012 Aggregated scores Table 6.5.3 © (Standard 6 – SSR) Revised questionnaire as determined by faculty. a. Graduate rate b. Attrition rate 3. Assessment Method Puerto Rico Board of Nurse Examiners Report Associate Director of Nursing Annual Report Law 9 of October 1987 and its Regulations Review student’s involvement in extra-curricular and scholastic activities as evidence by data provided by the Associate Director, Faculty and Director of NEU. Nursing Board Passing Rate Program Completion IMPLEMENTATION Outcome attained >85% of employer are satisfied according to competencies. 220 PLAN Component b. Graduating Students Satisfaction Frequency of assessment Yearly IMPLEMENTATION Assessment Method Questionnaire for the Evaluation of the Program from Graduating Students of the BSN Program Q3) Report of Data collection & Analysis Table 6.5.3 (a) (Standard 6 SSR) Curricular Revision A research course was developed and approved. Minutes of Curriculum Committee Faculty Meetings minutes Evaluation Committee Minutes Alumni Satisfaction Questionnaire for the Evaluation of Satisfaction with the Program Alumni Outcome was not achieved. Faculty approved courses petitioned by students. Aggregated Qualitative Data (QD) c. Actions or Comments Courses have increased additional practice skills lab. and other activities. Table 605.3 (b) (Standard 6 – SSR) Alumni show commitment toward the educational outcomes as evidence by their participation in scholar and creative activities. Continue enhancing and monitoring alumni participation in creative activities. Follow up on “success stories” of the graduates. Development of Alumni Committee Questionnaire time frame was decreased to 2 years for these who did not respond. 221 PLAN Component Frequency of assessment IMPLEMENTATION Assessment Method Report of Data collection & Analysis Actions or Comments Alumni e-mail database will be constructed to provide follow-up and send questionnaire. Establish a direct communication with alumni to identify professional activities and growth. Outcome was attained. a. Employment Rates Every 5 years Questionnaire for the Evaluation Satisfaction with the Program by Alumni (Q5) 2004-2008 Full-Time 2009-2011 Full-Time 82% 76% No quantitative data was obtained on employment time placement. Questionnaire to include this area in next revision. Qualitative data showed that alumni working in a short time frame. Continue evaluation as planned. Leyend: *SSR – Self-Study Report 222 APPENDICES SECTION FOUR APPENDICES 223 Appendix Standard 1: UPR Organizational Structure Administrative Structure of the Department of Nursing Administrative Board of Mayaguez Campus 2013-2014 224 Appendix Standard 2: Examples of Scholarship in Nursing by the Faculty of the NEU