LA HARBOR COLLEGE
Student Learning Outcomes (SLOs) Assessment Report
Course Assessment
Division: Health Sciences
Discipline/Program:
Course Number and Name: Nursing 325 Nursing Process and Practice in the Care of Adult Client II
Program Contact Person: Doris Webster/Kathy Vo
Phone: 310-233-4386/4387
Reviewed by: Joachin Arias, Ph.D., SLO Assessment Coordinator
Institution
al
Learning
Outcomes
2
Program
Learning
Outcomes
Course
Intended
Outcomes
Integrate the
nursing
process using
the Roy
Adaptation
Model to
promote
adaptation of
individuals,
groups, and
the
community.
Utilize the
nursing
process and
Roy
Adaptation
Model in
caring for
adult medicalsurgical
patients
Means of Assessment and Criteria for
Success
Nursing
Date: Fall, 2014
Summary of Data Collect
Mean:
Result:
Weekly Clinical Evaluation Tool (WCET
Rubrics) Preparation for clinic:
Pathophysiology, establish data base with
health history, physical assessment, review
client records, consult support persons,
review nursing literature:
46 (N325) assigned to N325 (Fall, 2014)

Will maintain and
continue to achieve
course outcome per
WCET as delineated by
the means of assessment
and criteria for success

Will continue to monitor
Kaplan scores to
evaluate students
concept of the each
nursing process item
based on national
standards set forth by
Kaplan Nursing
Company

Will increase
Assessment questions on
Unit exams by 25% than
previous tests

Will increase Planning
questions on Unit exams
by 15% than previous
tests to give students
opportunities to practice
answering assessment
type questions.

Continue to analyze
questions used for
Assessment and
Planning to determine
material review for
Spring, 2014

Will continue to monitor
for a decrease in
implementation trends
100% received a “Satisfactory rating” on the clinical evaluation tool 5/7 weeks.
Results: Per Kaplan comprehensive M/S exam, N = 42 students scored:
Criteria:
Nursing Process
Assessment
80% of nursing students will implement the
nursing process effectively as evidenced by
achieving an overall “Satisfactory” rating for
competency rating #1 in 5/7 weeks.
Students will score 68% or higher for the
Kaplan M/S Comprehensive Exam
Use of Results





Norm
75.0
F, 2013
70.4
S, 2014
57.7
F, 2014
69.5
Diagnose
69.0
66.1
55.0
63.8
Evaluation
73.0
75.6
70.5
75.1
Implementation
62.0
61.1
45.8
59.5
Planning
74.0
67.1
66.2
69.8
Assessment score increase in Fall of 2014 cohort. Assessment questions were
increased to 25% compared to other sections of the Nursing Process for this class.
Results did not match the national norm, but is an improvement the previous cohort
and was consistent with Fall, 2013 cohort.
Diagnose data is showing more consistency with the Fall, 2014 cohort as anticipated
from previous assumption.
Evaluation data increased by 5%, which is consistent again with Fall, 2014 cohort.
The data is pointing into the right direction.
Implementation score picked up as well and comparable with the Fall of 2014 cohort.
As noted previously, the last cohort (S, 2014) did not demonstrate within the average
norm.
Planning was below national data of 74%, but showed improvement in one year,
which means that adding more planning questions helped
Overall, students in Fall, 2014 cohort scored 67.8% which matched at last place with the
last cohort. Please note these are first year students and the Kaplan exam is a
comprehensive exam. Some items were not taught in this course to accurately measure this
section effectively.
The score was not achieved for Fall of 2014, but is not significantly low for the level of
learning.
N325 Fall, 2014
1
5
Internalize
professional
standards of
nursing
practice
Display
professional
behaviors for
nursing
practice
Mean:
Result:
WCET (Rubrics), clinical performance
observation by the instructor throughout the
quarter, Anecdotal notes of clinical
instructors


Criteria:
80% of nursing students will practice within
ethical/legal boundaries when assessing,
planning and implementing patient care as
evidenced by receiving a “satisfactory”
rating on the WCET.



2
Formulate
clinical
judgments in
practice that
promote the
health of
patients
Interpret
rationales for
clinical
decisions
Mean: WCET (Rubrics)
Preparation for clinic:
Including researching pathophysiology, Pre
& Post conference,
Nursing care plan teaching plan, Anecdotal
notes of clinical instructor, Kaplan test.
Criteria:
80% of nursing students as evidence by
achieving a “Satisfactory” performance on
the weekly clinical evaluation tool
46 (N325) students assigned to N325 (Fall 2014); 100% (46/46) received a
“Satisfactory rating” on category of competency # 5
On the Kaplan exam, Teamwork and Collaboration data was collected. A score of
19.6% was achieved; the score represent the highest thus far, which is very
impressive. Part of this reason is making the QSEN (Quality safety in education for
nursing) transparent. Students also share reflection of how they achieve QSEN in a
reflective note weekly. The data collected is comparable to the last cohort. Will
continue to trend.
Due to the limited data; it’s difficult to explain the discrepancy between all the
cohorts. More data will be needed to assess this section objectively (using Kaplan
results).
Should students be expected to meet the national average score of 44% in their first
year of Nursing School in Professionalism? More discussion may be needed to
determine what % should be set for first year students. Because of the inconsistencies
of the result; it is best to wait for another set of scores.
Another item that can be considered to trend is Management of Care – which was
scored at 85.9% for this cohort (F2014). The national norm for this item is 89%.
Result:


Continue to maintain
written clinical
performance evaluation
of students in nursing
process of adult clients.

Will continue to monitor
Teamwork and
Collaboration data

Will discuss % of first
year students in Kaplan
section: Teamwork and
Collaboration when
more data is collected
next semester.

Will trend Management
of Care from Kaplan
results starting Fall,
2014

Will consider adding the
results for Management
of Care from Kaplan to
the criteria to allow for
an objective perspective

Continue to maintain
and monitor written
clinical evaluation tools
and anecdotal notes of
clinical instructors.

Will continue to monitor
trends for the “Making
Nursing Judgment”
section and assess for
improvement

Will continue to monitor
for “Safe & Effective
Care” to establish a
reliable approach to
increase safety in
nursing practice

Will consider changing
the % of “Making
Nursing Judgment”
section since historically
(aside from the S2013
class), students tend to
not score high
100% of students in Fall, 2014 (46/46) received “satisfactory” performance on the
weekly clinical evaluation

Per Kaplan, “Making Nursing Judgment” section, students scored 67%, which is
below the national norm of 77%. Please keep in mind that the M/S comprehensive
exam is designed for students completing the 4th semester. In comparison to the last
group (71.6%), this group did not perform quite as well. Until we have more data, it’s
difficult to determine what a good goal is for first year students in this section.
Making Nursing Judgment
Spring
2013
Students will score a 70% on the Kaplan
exam; section “Making Nursing Judgment”


Fall
2013
Spring
2014
Fall
2014
71.30%
67.10%
56.8%
68.3%
This section should be used for the Student Learning Outcome: Formulate clinical
judgments in practice that promote the health of patients” – It is more appropriate for
that category – will consider changing item to meet the aforementioned objective next
semester.
Norms were recently updated on Kaplan website for “Safe & Effective Care.”
Students scored 64.5%. The score is showing a downward trend from the previous 2
collection results in the same category. S2014 – 66.8% and F2013 – 67.1%. And the
result is lower than the national normal of 71%
N325 Fall, 2014
2


2
Provide safe,
patientcentered care
Provide safe,
patientcentered care
Mean: WCET (rubrics), observation by
clinical instructor, electronic documentation,
use of Handoff Communication Tool, SBAR
Communication Tool, pre and post
conference, Documentation using paper and
Pencil, Weekly Nursing Care plans,
Teaching Plans.
Current data is more consistent with the trend of not meeting the national norm for
this section; however, more data still is required to conclude accurately.
Fall
2013
Spring
2014
Fall
2014
54.40%
66.8%
53.8%

Will maintain baseline
at 70% when analyzing
“Making Nursing
Judgment” section.
More data needs to be
completed before
another set % is
considered

Continue to maintain
and monitor written
clinical evaluations tools
and anecdotal notes of
clinical instructors to
ensure passage of
patient centered care
item on WCET

Will continue to monitor
and trend the patient
centered care portion of
Kaplan M/S
comprehensive exam
and record patterns for
improvement

Will continue to monitor
section on “Meeting
client needs:
psychosocial &
physical” per Kaplan for
Spring, 2015

Continue to maintain
and monitor written
clinical evaluations tools
Norms were recently updated on Kaplan website for “Safety and Infection Control.”
Students scored 53.8%. This cohort did roughly the same as Fall 2013 cohort. Will
need more data to analyze what is the underlying issue in this category.
Result:

100% of students in Fall, 2014 (46/46) received “satisfactory” performance on the
weekly clinical evaluation.

For Fall of 2014, students scored 42.4% on Patient Centered Care category. This is the
first time data from this category is collected. Will need more information before
making baseline analysis of appropriate percentage.

Another item to consider trending next semester is “Basic care and comfort.” The
students in this group scored 63.3% with a national norm of 69%.
Criteria:
80% of nursing students will demonstrate
competence in using a variety of
communication, including written
documentation as evidenced by achieving an
overall “Satisfactory” rating for Competency
IV in 5 out of 7 weeks.
Students will meet the national norm of 55%
on the Patient Centered Care section of the
Kaplan exam

Other consideration which has been trend previously were “Meeting Physical and
Psychosocial Client Needs.”

Physical Section:


1, 4
Assimilate
effectively
within
Practice as a
member of the
nursing team
Mean: WCET (rubrics), observation by
clinical instructor, electronic documentation,
use of Handoff Communication Tool, SBAR
Norm
Spring
2013
Fall
2013
Spring
2014
Fall
2014
71%
72.3%
71.4%
87.2%
71.4%
Psychosocial Section:
Norm
Spring
2013
Fall
2013
Spring
2014
Fall
2014
79%
56.30%
53.8%
63.3%
52.2%
Students achieved 52.2% on “Meeting client needs: psychosocial” section; it is
important to note that students in the semester did not have psych rotation. The
national average is 79%. The results show consistency from previous collection, but
one. Will continue to collect data for pattern and trend.
Result:

100% achieved a rate of “Satisfactory” in the clinical setting; 46 students assigned to
N325 Fall, 2014
3
nursing and
interprofessional
teams
fostering
effective
communicati
on to achieve
quality
patient care
utilizing
effective
communicatio
n strategies
Communication Tool, pre and post
conference, Documentation using paper and
Pencil, Weekly Nursing Care plans,
Teaching Plans.
Clinical for Nursing 325

Communication score on M/S
Comprehensive Exam
Per Kaplan comprehensive exam for Fall 2014, students scored 72.3%, which was
lowered than previous group. The percentage data from the last group (87.2%) was
too impressive, so it cannot be used as a baseline. More data will need to be collected
to set our own nursing baseline.
and anecdotal notes of
clinical instructors to
ensure passage of
communication item on
WCET

Will continue to monitor
and trend the
communication portion
of Kaplan M/S
comprehensive exam
and record patterns for
improvement

Continue to maintain
and monitor written
clinical evaluations tools
and anecdotal notes of
clinical instructors to
ensure passage of
Evidence Based Practice
item on WCET

Will continue to monitor
and trend the Evidence
Based Practice portion
of Kaplan M/S
comprehensive exam
and record patterns for
improvement

Will consider using the
Final exam for N325 to
analyze if students meet
this learning objective
for Spring of 2015
assessment.
Continue to monitor.
Emphasize more focus
on interdisciplinary
approach in pre and post
nursing conferences.

Criteria:
80% of nursing students will demonstrate
competence in using a variety of
communication, including written
documentation as evidenced by achieving an
overall “Satisfactory” rating for Competency
V in 5 out of 7 weeks.
2
Integrate best
current
evidence
with clinical
expertise for
optimal
health care
Incorporate
evidencebased
practices
which support
clinical
reasoning
Students will meet the national norm of 72%
on the Communication section of the Kaplan
exam
Mean: WCET Tool Rubric for Competency
VI - rubric that pertain to teaching plan.,
Nursing history and assessment tool, PreEducation
Kaplan score for the Evidence Based
Practice section.
Result:

100% of students accomplished this learning objective while in the clinical setting in
5 out 7 weeks.

Per Kaplan exam, students in Fall of 2014 scored 66% on Evidence Based Practice
category. While this cohort did not meet the national average norm of 70%, it is pretty
good to see that the first year nursing students can incorporate evidence-based
practices, which is the core of clinical reasoning and future nursing practice
Criteria: 80% of nursing students will
adapt teaching-learning strategies to promote
health and provide therapeutic intervention
for patients and their family as evidenced by
receiving a rating of “satisfactory” on the
WCET.
5
Describe
strategies for
improving
outcomes of
care in
clinical
practice
Utilize a
variety of
sources to
review
outcomes of
care
Mean: WCET Tool Rubric for Competency
VII, Hand off communication tool,
Multidisciplinary care plan. Discharge
rounds.
Result:

100% of students accomplished this learning objective while in the clinical setting in
5 out 7 weeks.
Criteria: Student weekly nursing history
and assessment form. 80% of nursing
students will participate in interdisciplinary
team
Conferences with the primary nurse and
other members of health care team to
promote continuity of care for patients and
the facilities as evidenced by receiving a

Unable to obtain consistency in student participation in discharge planning and
interdisciplinary teams among the clinical sites for N325; it is difficult to measure this
SLO in the clinical area due to the limited knowledge base of students in their first
year.

Kaplan comprehensive exam was reviewed and was deemed that “Management of
Care” could be an item used to evaluate this section, objectively.
N325 Fall, 2014
4


Will monitor
“Management of Care”
on Kaplan to trend data
for further analysis.

Will add “Management
rating of “satisfactory: on the clinical
evaluation tool.
Management of
Care
National
Norm
89%
Fall
2013
92.5%
Spring
2014
68.2
Fall
2014
85.9

In comparison to the last cohort, this current group’s score is more consistent to the
national norm.

However, due to the limited data collected; it is more appropriate to gather more
information before a conclusion is made.
of Care” to criteria to
next semester
assessment

Will monitor “Reduction
of Risk Potential” data.

Will continue to monitor
Competency VIII using
the WCET

Will request for faculty
input as to what is an
appropriate Kaplan data
that is fitting for this
SLO for next semester.

3
Incorporate
information
and
technology
to
communicate
, manage
knowledge,
mitigate
error, and
support
decision
making
Utilize
technology to
research
patient
information
and
communicate
with
interprofession
al teams
Means: WCET Tool Rubric for
Competency VIII.
A data item on Kaplan that may be fitting for this section is “Reduction of Risk
Potential” – it is appropriate to evaluate that section to evaluate SLO # 7. The students
in this cohort scored 75.8%. The national norm is 74%. The students exceeded in this
section despite the first year. More data will need to be gathered for an appropriate
analysis.
Result:

Criteria: 80% of students will demonstrate
competency VIII behaviors at a satisfactory
level 5out of the 7 clinical weeks
100% of students accomplished this learning objective while in the clinical setting in
5 out 7 weeks. *All affiliate hospitals are using informatics for charting, so data
collected in this SLO will be consistent with real-time technology
N325 Fall, 2014
5