Nursing 12/06 RIVERSIDE COMMUNITY COLLEGE SCHOOL OF NURSING PROGRAM REVIEW 2006 Topic I. Where are we now? A. Purpose and Goals and Relation to Institution Riverside Community College (RCC) and the Associate Degree Nursing (ADN) and Vocational Nursing Programs (VN) are committed to implementation of the Mission, Goals, Vision and Values of the college. The nursing faculty concurs with the RCC philosophy and purposes. The School of Nursing provides affordable, quality teaching services. The diverse student population stimulates critical thinking, performs short and long-term master planning, develops partnerships with entities within the community and creates an environment conducive to optimal learning. Students completing the ADN or VN programs are well prepared to enter the workforce and contribute to the community’s economy and needs. The ADN and VN Program Philosophy and Purposes are congruent with the college vision as demonstrated in Table I (p.26 – 27). The overall goal of the School of Nursing programs at RCC is to graduate competent clinicians who will be prepared to take national licensure examinations to become licensed vocational nurses or registered nurses and, who in turn will provide safe and competent nursing care to our community. The VN and ADN program curriculums and competencies were developed to adhere to licensure requirements, accreditation mandates, and are the industry standard. The School of Nursing strives to be student centered and to achieve teaching excellence throughout the VN and ADN programs. Students are encouraged and guided to think critically when making clinical and professional decisions. The School of Nursing faculty members are committed to providing a comprehensive, evidence-based curriculum that is presented to students through interactive learning and case-based scenarios that facilitate critical thinking. B. History Vocational Nursing Program In response to post World War II community demand, Riverside Community College (RCC) established a Vocational Nursing (VN) Program and in 1952, the California Board of Vocational Nurse and Psychiatric Technician Examiners (BVNPTE) approved admission of the first students to the program. With the successful completion and licensure of the students from that first class, the BVNPTE granted the program full accreditation in 1953. Students have been admitted each fall for over 50 years, with approximately 2,100 students completing the 51 semester unit certificate in Vocational Nursing during that time period. 1 of 80 Nursing 12/06 In the late 1980s, a part-time Vocational Program was developed that allows students the opportunity to meet program requirements in two years instead of the more concentrated one year time frame of the full-time program. Part-time students are integrated into the same classes as full-time students, but take the courses in a sequence modified for a twoyear format. In 2001, a Caretaker’s Training Initiative grant facilitated a partnership with Plott Family Care Centers to educate employees in healthcare entry-level positions to become vocational nurses. Twenty-six students began the program and twenty-one completed the program in March 2003. Twenty were successful in passing the licensing exam and are currently employed in a variety of settings within the community as licensed vocational nurses. Many are currently taking prerequisites to establish eligibility to enter the RCC ADN Program. The latest VN Program self-study accreditation report was prepared by the VN Program faculty team and submitted to the BVNPT in spring 2004. The program was granted full accreditation by the BVNPT, with no areas of noncompliance and no recommendations, for the maximum four year period. Approximately 75% of VN Program graduates enter the ADN Program in the second or third semester as advanced placement students. These graduates have shown a high level of success both in completing the ADN Program as well as passing the licensure examination for registered nursing. On a related note, the VN Program serves as an alternate route for generic ADN students to complete the ADN Program when they become ineligible to continue. On a space available basis, those students can procure advanced placement into the VN Program and upon completion, are eligible for advanced placement into the ADN Program as LVNs. Likewise, this process has met with high success and offers ADN students an alternate route for achieving their nursing education goals. In October 2002, the college celebrated 50 years of excellence in nursing education at RCC. The commemorative booklet entitled Nursing Education, Celebrating Fifty Years 1952-2002 was published to highlight this historic event. Associate Degree Nursing Program The Vocational Nursing Program that was established in 1952 was so successful that in 1957 the College was selected as one of the five well-regarded community colleges in California to take part in an “experimental” curriculum for registered nursing designed to lead to an Associate Degree in Nursing (ADN). The first AD Nurses graduated from RCC in 1959 and attained a 90.4% pass rate on their State Licensing Examination. Since that time, RCC School of Nursing has graduated over 5,000 nurses for its community and celebrated 50-years of Nursing Education at RCC in 2002. In 1980 the RCC ADN Program made a decision to seek and attain National League for Nursing (NLN) accreditation. Towards this end, faculty worked with a consultant to develop a conceptual framework that was reflective of their beliefs and values about nursing and nursing education. This curriculum has been modified and updated throughout the years, but still encompasses the same five major concepts today. In 2006 2 of 80 Nursing 12/06 the NLN granted accreditation to the ADN Program for the maximum number of years possible. In 2001, the RCC ADN Program implemented a partnership distance education ADN to BSN Program with California State University, Fullerton (CSUF) through funding from a Department of Labor H-1B Nursing Shortage Grant. RCC provided the rooms for teleconferencing baccalaureate classes from CSUF to ADN graduates who are able to attend class on the RCC campus without having to commute to Orange County. The grant paid for the teleconferencing lines, equipment, and the BSN instructor salaries. This distance education partnership is continuing to be a successful option for ADN graduates to earn their BSN. Since 2002 RCC School of Nursing has entered a new phase involving the formation of partnerships with key community agencies with a goal of attaining grant funds. RCC School of Nursing has been very successful in this endeavor, and has been awarded several federal, state, and private grants. These funds have been used to increase enrollment, develop innovative programs, and purchase needed equipment. In August 2004, RCC School of Nursing used the HRSA Nurse Education, Practice, and Retention Grant to fund a new flexible LVN to ADN program which videostreams the theory component of the last year (Nursing 3 and 4) of the ADN Program to off-site computer terminals. This unique and innovative program was developed in consultation with District-wide distance education directors and is congruent with the philosophy and purposes of both the college and the ADN program. Today, the School of Nursing is entering a new era at Riverside Community College. In response to California’s severe nursing shortage, ADN student enrollment is at an alltime high, with 280 ADN students enrolled for Fall 2005. The RCC Nursing Programs are anticipating the building of a new School of Nursing in 2009, which will triple existing square footage and include state-of-the-art technology. The ADN Program was successful in being awarded two state grants that will allow the department to establish an off-campus site in the Moreno Valley area to increase program growth in producing more registered nurses for the community. The School of Nursing at RCC continue to support the career ladder concept with graduates of the VN program being admitted as advanced placement students into the third semester of the ADN program. With the extension of the program to the Moreno Valley campus, more advanced placement students will be admitted as part of program growth. In addition, a partnership with California State University, Fullerton, to offer their BSN program for ADN graduates at the RCC campus has allowed graduates to continue their education toward their BSN. Relevant Institutional Issues The RCC District chancellor voices strong support for the School of Nursing within the college and greater Riverside communities. This district support is evidenced in numerous ways, including such areas as assistance with writing grants, supplying space for the human patient simulator lab, providing tenure track faculty positions, and budgeting for the expenses incurred in maintaining regional and national accreditations. 3 of 80 Nursing 12/06 Faculty members from other disciplines work closely with nursing faculty to assure congruence of theory from foundation courses with application to nursing practice. Nursing faculty members are represented fully on college-wide committees across the district. The greatest need that the School of Nursing has at this time is for more space to adequately meet the needs of students who wish to secure a space in the program and the needs of the community, which needs additional nurses. With the anticipated groundbreaking of the School of Nursing building in Fall 2007, and occupancy projected for Fall 2009, the space problem should be resolved, as the new facility provides three times the current square footage. Response to Prior Program Review Since the last Program Review in the 1990s, the School of Nursing has grown considerably in human, technological, and physical resources. A strong faculty works collaboratively to keep the curricula current to meet advances in the ever changing healthcare field. The School of Nursing has been awarded over $5,000,000 in grant funding, which has been used to meet the school’s mission and goals. Strong leadership by the District Dean of Nursing creates an environment in which faculty members are able to optimize opportunities for student success and builds strong bonds with community partners. Success rates on the licensing exams remain high, as does assessment of the School of Nursing graduates in the workforce. C. Programs and Curriculum Vocational Nursing Program The Riverside Community College (RCC) Vocational Nursing (VN) Program is a 51 semester unit certificate curriculum pattern that complies with and is approved by the California Board of Vocational Nursing and Psychiatric Technicians. The curriculum is designed to be completed in either a one year full-time or two year part-time format. Students enroll in the same courses, but take them in different sequences. The part-time program is designed to allow those students with multiple responsibilities to complete the program in a more convenient model. See Tables II & IIa (p. 28 – 32). The Vocational Nursing Program prepares graduates to establish eligibility for the national licensing examination (NCLEX-PN) to become licensed vocational nurses (LVN). Success on the NCLEX-PN qualifies the candidate to practice as an LVN in the state of California as delineated by the BVNPT Nursing Practice Act with Rules and Regulations. Classroom instruction is offered concurrently with clinical practice to assist the student in the application of nursing theory to actual nursing situations. Graduates are thus qualified to work in a variety of healthcare settings within the community. The VN Program is comprised of 51 semester units, including three units each of anatomy and physiology and growth and development. See Table II (p. 28 - 30) entitled Vocational Nursing Program Curriculum Plan for course sequence. Upon completion of the curriculum pattern, the student is awarded a certificate in Vocational Nursing. The Associate in Science degree in Vocational Nursing will be awarded upon completion of 4 of 80 Nursing 12/06 the requirements for the certificate, plus completion of the graduation requirements as described in the catalog, as well as electives totaling 60 units of college work as required for the associate degree. All VN Program course outlines are being revised to be congruent with the new course outline format and the required student learning outcomes. Co(pre)requisites, learning objectives /outcomes, and competencies can be found on the course outlines. Associate Degree Nursing Program The two-year ADN program fulfills all the requirements for the Associate in Science Degree in Registered Nursing degree at RCC and qualifies the graduate to take the national licensing examination (NCLEX-RN) to become a licensed registered nurse. Students take courses to meet their general education requirements and complete a total of 71.5 units to earn the Associate in Science Degree in Nursing. See Table III (p. 33). The ADN curriculum’s content, depth, scope, and sequence of instruction, as well as the program prerequisite courses, were designed to meet the standards set forth by the California State Board of Registered Nursing and the National League of Nurses. The ADN curriculum fulfills all requirements to qualify a graduate to take the National Council Licensing Examination for Registered Nursing. Successful passage of this examination qualifies the graduate to practice in the State of California as a licensed registered nurse. Graduates are prepared to function as safe entry-level practitioners in diverse community settings where health promoting, prevention of illness, and provision of quality care are directed toward clients with common and recurring health-illness problems. The Associate in Science Degree in Nursing will be awarded upon completion of all general education, prerequisite courses, and nursing courses, totaling 71.5 units. Students are encouraged to complete all general education courses prior to entering the ADN program due to rigorous course load. The total credits for completion of the RCC ADN Program are balanced and distributed between prerequisite, general education, and nursing courses. Fifty-two percent (5 2%) of course credits are nursing courses and 48% of course credits are general education courses. The RCC ADN Program prerequisite science courses of anatomy, physiology and microbiology, as well as the eligibility requirement of college-level chemistry or its equivalent, ensure nursing students have the necessary science background needed to provide the foundation for the nursing curriculum. Anatomy, physiology, and microbiology provide the necessary theory to understand health-illness problems, infection control concepts, and lay the foundation for understanding normal human physiology and pathophysiology of health-illness problems. RCC ADN students are encouraged to complete the following general education courses prior to enrollment in the program: English, Speech, Word Processing, an analytical thinking course, and completion of the mathematics, reading, and writing competencies. The English and Speech courses plus the reading competency establish the foundation for 5 of 80 Nursing 12/06 verbal and written communication skills and reading comprehension that are used throughout the ADN Program. Competency in mathematics is essential for calculating medication dosages and intravenous therapy flow rates. Developmental Psychology content establishes the nursing foundation of Erikson/Newman and Newman’s Eleven Developmental Stages and Maslow’s Hierarchy of Basic Human Needs. These are components of the RCC ADN Conceptual Framework and are incorporated into individualizing the nursing care plans. Psychosocial content is integrated throughout the program and is a major focus in Nursing 3 during the Mental Health/Psychiatric nursing rotation. Students Served in the School of Nursing The RCC VN and ADN student populations reflect the rich diversity of the college as demonstrated by Tables IV & V (p. 34 – 35). The nursing faculty respects the varied cultural and ethnic backgrounds of all students and believes the diverse population enriches the learning environment, which promotes cultural competence. The ADN program is impacted with over 300 applications for 60 spaces. Students who have met the admission criteria for the ADN Program are randomly selected for admission into the program. Sixty students are admitted into Nursing 1 in spring and fall semesters. Ten advanced placements students are admitted into Nursing 3 in the fall semester each year. Additional advanced placement students are admitted if spaces become available due to attrition. The 2004 HRSA grant allowed for program expansion with the use of videostreaming technology. This grant provided an additional ten to twenty spaces for working LVNs to be admitted into Nursing 3 each semester. Priority for admission was given to qualified applicants who are underrepresented in the program and who are employed in partner healthcare agencies. The objective of the grant was to produce 24 RNs within a 3--year time frame. The awarding of two state grants to the ADN program will allow for program expansion in the Moreno Valley area. Thirty additional students will be admitted in Fall 2006 into a Nursing 1 cohort group, along with 20 LVN to RN advanced placement students into Nursing 3. These students will attend classes at the March Education Center due to limited facility space on the Riverside campus. The grant is intended to produce 140 ADN graduates over the period Fall 2006 to Fall 2008. Likewise, the Vocational Nursing (VN) Program is impacted with upwards of 250 qualified applicants. Since the 1960s, 45 to 48 full-time and 30 part-time students have been admitted into the VN Program each fall. In 2003, a Health Resources and Services Administration (HRSA) grant provided a categorically funded full-time faculty member for the VN Program, allowing for the acceptance of 60 full-time students into the program. The funding of this position continues. An innovative strategy to promote the success of students who are ineligible to continue in the ADN Program has been fully implemented in the last several years. These students transfer into the winter or spring semester of the VN Program to fill spaces vacated due to attrition. This process has shown exceptional success, which is attributed to the additional theory and clinical experience. Upon completion of the VN Program, these graduates are eligible for the ADN Program as advanced placement students. Not only have their academic and clinical skills been 6 of 80 Nursing 12/06 strengthened, but their confidence is improved by having successfully passed the vocational nurse licensure exam. D. Student Outcomes Assessment The nursing faculty of the ADN and VN Programs are in the process of revising all nursing course outlines of record using the new 2005 Curriculum Committee template. Revised course outlines are going through the required approval process, including submission to the college-wide Curriculum Committee. It is anticipated that all nursing course outlines will be completed and approved by Fall 2006. The School of Nursing builds on a foundation of general education courses that students complete prior to or during enrollment in the program. Students enrolled in the ADN Program, with the exception of 30-unit option students, are obligated to meet all general education requirements for the Associate of Science degree. Although the VN Program is a certificate, not degree, program, students must possess a basic foundation in anatomy and physiology, growth and development, nutrition, and pathophysiology. The ADN Program maintains an ongoing assessment of program effectiveness. Graduation rates, performance on licensure examinations, job placement rates, and program satisfaction (graduates and/or employers) is collected, analyzed, aggregated, and trended each semester. The RCC ADN Program graduation/retention rates have been in the range of 87% to 93% for the past five years Tables VI & VII (p. 36). This rate is well above the average 80%-82% for other Southern California ADN programs. The NCLEXRN licensing exam pass rates for RCC ADN graduates in the last ten years has varied from 83.8% to 94.5% with most recent being 94.4%. This is above the California State average NCLEX pass rates of 80.8%-84.8% Table VIII (p. 37). National pass rate is 85%. Employment rates for graduates six months after graduation for the past five years, is reported to be 100% Table IX (p. 38). ADN Program Evaluation Surveys are completed by all students prior to graduation, 6 months, and 2 years after graduation. The survey results consistently demonstrate that RCC ADN graduates believe the Program adequately or more than adequately prepared them for practice as Registered Nurses in California. Employer Program Surveys are completed to assess employer perceptions of RCC ADN graduate skills. Results of these surveys indicate that the expected level of achievement was met for 21 out of the 22 identified outcomes, with 85% or greater of responding employers indicating that RCC graduates were prepared to function for entrylevel practice as Registered Nurses. Lowest rated areas were in evaluation of interventions, supervision and delegation to other team members, competency with current technologies, and participation on committees/organizations. The faculty is exploring strategies to improve these areas. Nursing regulatory bodies and accrediting agencies approve course student learning outcomes and require that students meet them in order to progress in the program. Two areas that the department has identified for assessment of student learning outcomes that bridge all semesters and both programs are dosage calculation and nursing care plans. Dosage calculation is identified because of the potential for life-threatening medication errors if proficiency in this skill is deficient. Proficiency in clinical competencies is necessary to provide safe client care and is an expected learning outcome for each 7 of 80 Nursing 12/06 semester level. Clinical competencies are leveled beginning from foundational skills in the first semester to more advanced skills by the fourth semester. Although The School of Nursing conducts ongoing assessment of student learning outcomes through such means as tests, weekly nursing care plans, and clinical evaluations, this assessment needs to be written into a formalized plan. Once developed, the faculty in each semester/course will monitor their plan and report progress in semester level and program minutes. The timeline for implementation of a written plan will be Fall 2006. See assessment of Student Learning Outcomes plan, which follows. Student learning outcomes (SLOs) for Vocational Nursing Program courses are congruent with General Education SLOs. Samples of course SLOs and statements from School of Nursing documents provide evidence for this assertion. Critical Thinking Nursing 50: Recognize the nursing process as an application of critical thinking for providing individualized nursing care. Nursing 60: Apply critical thinking skills in problem-solving and development of a plan of care. Information Skills The MLK Teaching and Learning Center houses two computer labs exclusively for the use of nursing students. Dozens of self-paced computer programs are available to supplement in-class learning activities for nursing students. The following statement appears in a document describing the resources accessible in the Nursing Learning Lab. “All nursing students are encouraged to enroll in the Nursing Learning Laboratory for self--paced practice leading to mastery of clinical nursing skills, dosage calculation, assistance with nursing care plans and computer nursing programs.” In the clinical agencies, the majority of documentation is written on the computer, requiring vocational nursing students to possess computer literacy. Communication Skills Nursing 60: Compare and contrast therapeutic and non-therapeutic communication. Recognize the factors that influence communication, including barriers to communication. Describe the process for developing a therapeutic relationship with clients in various stages of the life cycle. Quantitative Reasoning Nursing 50: Prepare for safe medication administration by earning 100% on an Arithmetic proficiency test. Nursing 62: To calculate an accurate measurable dose for administration. Breadth of Knowledge The Vocational Nursing Program curriculum includes courses from several of the 8 of 80 Nursing 12/06 major knowledge fields (Psychology 9, Anatomy and Physiology 10). This introduces vocational nursing students to the basic content and modes of inquiry of the broad foundation of knowledge. Application of Knowledge Nursing 62: To promote application of Nursing 62 theory to a simulated nursing care situation. Apply the nursing process to the care of clients with common health-illness problems and needs according to Maslow. Nursing 63: Apply the nursing process and principles of mental health in the care of client, in all health delivery settings, with conditions which interfere with normal intellectual, social, and/or emotional behavior and result in problems in interpersonal relationships. Nursing 71: Compare application of the nursing process in management of multiple clients with stable conditions and acute conditions. Global Awareness Nursing 50: Compare and contrast nursing needs of clients from diverse cultural backgrounds. Nursing 60: Analyze therapeutic communication techniques related to client assessment, using concepts of culture and spirituality. Nursing 62: Describe one situation during your home health visit in which you would have applied your understanding of diverse cultures. Name five categories for which cultural variations influence one’s response to healthcare. For example, mental health. Assessment is ongoing in the Vocational Nursing Program. The most observable assessment is the pass rate on the licensing exam. Table X (p. 39), Pass rates for all California Vocational Nursing Programs are publicized on the Web site of the Board of Vocational Nursing and Psychiatric Technicians. A document is sent to schools quarterly with the latest pass rates for the quarter and for the year. Student retention has been good ranging from 81% - 93% over last eight years, Table XI (p. 40). At the end of each course, students are asked to complete a course evaluation, which is used as one measure of the success of the learning environment and often serves as the basis for changes in program procedures. Likewise, at the end of the program, graduates fill out a survey that is designed to provide students the opportunity to give a comprehensive evaluation of the program. Both faculty and students are required to evaluate each clinical agency in which there is practicum. This evaluation is vital to determine whether or not the experiences at the agency permit students to meet learning objectives. Vocational nursing students participate in weekly assessments of their achievement of SLOs. This includes quizzes, written assignments such as annotated bibliographies and diet analyses, and development of nursing care plans. Students receive a written evaluation at the end of each clinical rotation to document their achievement of clinical SLOs. 9 of 80 Nursing 12/06 The School of Nursing is required by the accrediting bodies to carry out ongoing assessment of program outcomes. The comprehensive plan to assess student learning outcomes can be found in Table XII (p. 41 – 74), entitled “Systematic Plan for Program Evaluation.” 10 of 80 Nursing 12/06 Riverside Community College School of Nursing Assessment of Student Learning Outcomes Plan Faculty members in the School of Nursing use numerous resources to perform ongoing assessments of student achievement of student learning outcomes (SLOs). The two that bridge all semesters and both programs are leveled tests of dosage calculation competency and development of nursing care plans. The plan to monitor these two SLOs is as follows: Dosage Calculation Competency 1. Each semester in the ADN and VN programs, a dosage calculation competency exam appropriate to the clinical objectives related to medication administration for the semester is administered. The exam is given at the beginning of the semester, except in the first semester of each program, when dosage calculation must be introduced prior to testing. Students are required to repeat the exam until 100% proficiency is achieved. Review is recommended prior to repeating the exam. 2. Dosage calculation problems may be included on exams throughout the semester. Practice problems are provided for self-assessment. 3. Each semester/course will develop and implement a dosage calculation competency policy that assures students meet the student learning outcomes. 4. Students who are unable to meet the SLOs in dosage calculation will be required to do remediation and provide documentation to the nursing faculty. 5. Plan: The faculty will keep statistics on student success on achieving 100% on the dosage calculation exams. Comparison of initial with final dosage calculation competency will be made with the expectation of improved first time pass rate by the end of the semester. a. Percentage of students who earned 100% on the initial exam the first time . b. Percentage of students who earned 100% on the final exam (administered at or near the end of the semester) the first time . Clinical Competency Testing Each semester has essential clinical skills that are introduced and in which students must be competent at the completion of each semester. All semester levels determine the process by which students receive didactic and skills practice, in addition to minimum safe skill proficiency. Students will be evaluated on their initial skill performance. If their level of performance does not meet satisfactory level, there will be remediation assigned. Upon completion of 11 of 80 Nursing 12/06 remediation, the skill will then be performed and be reevaluated by faculty. Clinical Competency check off sheets will be completed by faculty and can be placed in students’ files or students will be required to maintain these records. Each semester will determine the remediation strategies appropriate to promote satisfactory skill performance. Semester faculty will determine practice and testing procedures applicable for their semester. Additional testing may be required as semester levels determine the need. Outcome criteria: Faculty will document each student’s skill performance at the time of skill introduction, during clinical experiences, and/or at the end of the semester. Nursing Progress Notes will be completed on each student who does not satisfactorily perform clinical competencies. Progress Notes will be placed in the student’s file for program review outcome documentation. The results will be reported on the “End of Semester Report.” E. Collaboration with Other Units RCC nursing faculty members collaborate with college administrators, prerequisite course instructors, and counselors to refine ADN enrollment criteria, facilitate prenursing student progression in science and other courses, and ensure course content in those courses provides a smooth transition to the ADN curriculum. The Occupational Education Counselor is a member of the Nursing Enrollment Committee who provides valuable input into nursing enrollment and curriculum issues and serves as a communication link between The School of Nursing and the Counseling Department. This link ensures that RCC counselors have the latest prerequisite and enrollment information available to appropriately guide pre -nursing students. The science faculty and the School of Nursing faculty meet whenever either department is considering a curriculum change that impacts the other department. Most recently, the School of Nursing faculty collaborated with science faculty on enrollment criteria for the microbiology course. The science, math, and nursing faculty have also met frequently in the last year to plan the Nursing, Science, and Math building, and have worked together to ensure all departments’ needs are addressed. Immunizations, lab tests, and referrals are made available by College Health Services. Approximately 25% of nursing students have accommodations through Disabled Student Programs and Services. The nursing faculty has established an endowed scholarship with a minimum corpus of $10,000. Scholarships from this fund will be awarded each spring to the ADN and VN Programs’ Man and Woman of Distinction, beginning Spring 2006. A close relationship with Financial Services is maintained in order to be aware of grant, loan, and scholarship opportunities for nursing students. The Student Nurses’ Organization collaborates with Student Services in events such as health fairs, Halloween Town, the Blood Drive, and Festival of Trees. The District Dean and numerous nursing faculty members work with the office of Grants and Contracts to submit and procure grant funding, that have brought about five million dollars to the School of Nursing for additional services to and spaces for nursing students. 12 of 80 Nursing 12/06 One faculty member represents the department on the college-wide Strategic Planning Committee. Other faculty members serve on committees such as Health, Human, and Public Services as advisory committees, Faculty Academic Senate Committees, and hiring committees. Nursing faculty consult with faculty from numerous other disciplines on an as needed basis to ensure congruence of academic foundation courses, such as Psychology 9, with knowledge needed for the School of Nursing. F. Outreach The School of Nursing faculty and students participate in numerous activities in partnership with entities within the community, including educational institutions and businesses. These activities are designed to recruit and retain nursing students, especially underrepresented members of the community, to advance the nursing profession and the School of Nursing, and to provide service to the community. Nursing Orientation Meetings are conducted on a regular basis by the Nursing Enrollment Technician to inform students interested in nursing about the nursing program requirements. On February 1, 2005, the Riverside City College (RCC) School of Nursing Multicultural Advisory Committee (MAC) had its initial meeting. It was agreed that the committee has the purpose of recruiting and retaining nursing students and faculty who represent the diversity in the greater Riverside area. Members of the committee were drawn from nurse leaders at partner healthcare agencies and RCC School of Nursing graduates. Committee composition characterizes the diversity found in local healthcare agencies, as well as that of nursing students. MAC meetings are held quarterly in February, May, August, and November. Agenda items have revolved around designing a recruitment and retention plan targeted at underrepresented minority and disadvantaged nursing students and faculty and have included such topics as identifying strategies and planning interventions for recruitment and retention of diverse students and faculty; creating, administering, interpreting the results, and planning actions to address the results of a Survey on Nursing Student Diversity; studying cultural competence through discussion of scholarly works; and report of statistics about the retention and successful completion of minority students admitted to School of Nursing. Future meetings will focus on continuing to strengthen the cultural competence component in the nursing curricula with the goal of improved retention of the targeted population. Numerous opportunities exist for distributing nursing career track information to students, counselors, and teachers at secondary schools that feed into the Riverside Community College District. A nursing faculty member receives 0.1 reassigned time to participate in outreach activities as the Tech Prep Healthcare Careers Coordinator. Additionally, the Nursing Enrollment Technician often attends career-focused events at healthcare agencies and secondary schools in the district. The Tech Prep Healthcare Careers Coordinator participates in Health Careers Academy Steering Committee meetings at Canyon Springs High School (CSHS) and La Sierra High School (LSHS). She serves as a mentor for an academy student from CSHS and attends a number of functions related to each academy. Presentations are given to students and parents from both academies and at Career Fairs at high schools within the district about the healthcare career programs offered by RCCD. A representative from the 13 of 80 Nursing 12/06 School of Nursing serves not only on the School of Nursing Occupational Advisory Committee, but also on Advisory Committees for Dental Technology, Medical Assisting, and Healthcare Technician. Several lectures are given yearly about the health career programs at RCC to foster teenagers in the RCC Youth Emancipation Program and DPSS Independent Living Program. Vocational nursing students served at the “Look good, feel good” event for Hurricane Katrina victims on October 8, 2005, and at Indian Pow Wow held at the VA Hospital in Loma Linda on November 19, 2005. The Student Nurses’ Organization (SNO) is involved in many outreach activities on and off campus. SNO takes part in the orientation of incoming ADN students to welcome them to nursing and their pre-professional organization each semester. It sponsors a Welcome Tea to bring together all nursing students, faculty, and student elected officers for each nursing class as well as elected SNO officers each semester. Each semester, they hold a Back to School Event to provide the opportunity for students, their families, and friends to come on campus and see the nursing department and skills labs available for student use. SNO participates in health fairs and other community events that promote or support health. The Break Through to Nursing Director of SNO coordinates students visiting middle, junior and high schools to talk about a college education and nursing as a profession. SNO provides speakers at events on campus and in the community at the request of the RCC Foundation. SNO has been acknowledged with Humanitarian Awards for community service and for coordinating four Blood Drives a year. SNO participates in other campus/community events such as Halloween Town in October, Festival of Trees in November (with proceeds going to purchase pediatric equipment at the Riverside County Regional Medical Center), baskets for the needy for Thanksgiving and Christmas, and Christmas Shoeboxes which are sent to needy children around the world. SNO members attend leadership and educational conferences on a local, state, and national basis. Guest speakers and academic advisors from Loma Linda University, California State University San Bernardino, and California State University, Fullerton, are invited to meet with students who are interested in the ADN to BSN programs. Students are able to bring their transcripts for evaluation. Orientation programs are set up with community hospital partners and CSUF. G. Resources The School of Nursing provides a wealth of learning resources to enhance student opportunity for success in the nursing programs, such as instructional aids and technology, including hardware, software, and human patient simulators. The Nursing Computer Labs are located in the Martin Luther King, Jr., Teaching and Learning Center (MLK). The main lab is located on the second floor of MLK and contains 66 computer stations. This is complemented by an additional 29 stations in a separate dedicated room on the third floor, for a total of 95 computer stations dedicated for nursing students. With the assistance of the Computer Information Science (CIS) department, nursing students have access to the computers 15 hours per day Monday through Thursday, 10 hours on Friday and four hours on Saturday. 14 of 80 Nursing 12/06 The computers in MLK reside on a network which serves all the nursing computers both in MLK and the nursing classrooms. VTEA funding has been the primary resource used to provide software programs for the computer labs. Students have access to 175 computerassisted instructional (CAI) programs related to nursing content, as well as study skills, test taking skills, and National Council for Licensure Exam (NCLEX) style practice exams. Most of the CAI programs are interactive programs which stimulate active learning and critical thinking. A growing number of the nursing-related video holdings from IMC have been digitized and are now available in MLK via videostreaming as well. All nursing faculty include required and supplemental materials from the MLK computer lab holdings in their nursing curriculum. In Spring, 2006, the School of Nursing is piloting administration of online exams using WebCT in an effort to streamline the administration of exams and expose the students to practice on computerized exams to help prepare them for the computerized NCLEX exam. With the opening of the MLK computer labs in August, 2005, the School of Nursing has adequate computer resources to meet student needs. Some of the software holdings are becoming outdated and will need to be replaced in the next two to three years, as they will no longer be compatible with the next Windows operating system upgrade. The Nursing Skills Labs consist of two labs. One is located in LS207 and includes two patient beds with manikins with medical supplies and equipment for students to practice clinical skills. LS207 also has three computers for student use for developing papers and care plans. A coin-operated photocopy machine is provided in this lab for students to copy materials as needed. Two intravenous (IV) simulators are also housed in the LS207 skills lab. These simulators allow students to practice the invasive procedure of starting IVs as much as needed with no harm presented to humans. The simulators have been an integral part of the curriculum, but have become unreliable in the last two years, requiring frequent maintenance and return to the manufacturer. Funding has been requested (response pending) to purchase two replace Virtual IV simulators from a different vendor with a better service record. LS207 also contains study tables and chairs for students to work individually or in groups as needed. The nature of nursing education includes practice of many technical skills, requiring the use of medical equipment and many disposable supplies. VTEA continues to be a major source of funding for equipment, while the district provides funding for disposable instructional supplies. Due to the generosity of a Human Resources Services Administration grant in Fall, 2005, the School of Nursing opened a Human Patient Simulator Lab (Simlab) for the Spring, 2006 semester. The lab is housed in LS206 and contains four high-fidelity adult patient simulators of varying complexity. Human patient simulators (HPS) provide the opportunity for students to practice clinical skills, patient assessment, and care plan development and implementation in a virtual reality environment. Students are able to practice nursing care on the virtual patients and realize the outcomes of their care, appropriate or not, in a safe environment. Use of the HPS stimulates critical thinking through real-life scenarios, thus enhancing student learning outcomes. The use of the Simlab has grown steadily during its first semester of operation, presenting the need for more staffing. 15 of 80 Nursing 12/06 The lab is currently staffed four half-days a week by the School of Nursing Resource Specialist (NERS), who is a full time faculty member with 0.9 reassigned time to coordinate the skills lab and computer labs, as well as develop and integrate the Simlab into the nursing curriculum. The overwhelming positive response to the HPS has resulted in the NERS staffing the Simlab approximately 12 hours per week in addition to the 16 planned hours. Some adjunct faculty have been trained on the HPS and are assigned to assist in the Simlab when possible as well. Student requests for more open time for practice in the Simlab have been increasing. A new Capacity Building for Nursing Program Expansion grant will provide a 23 hour per week lab assistant to work in the Simlab for the 2006-2007 academic year. The general skills lab and computer labs are staffed by BSN and MSN prepared faculty. Most of these adjunct faculty members are practicing nurses in the community. The average staffing is three part time faculty per day, Monday through Friday, with faculty utilized between the computer lab, skills lab, and Simlab as needed. Students enhance their learning through informal instruction, reinforcement of instruction, and tutoring as needed by these experienced nurses. While we have experienced an excellent start with the Simlab, it is a very basic lab environment, lacking space and facilities to create a true virtual clinical environment. Currently there is no sink for hand washing. Folding screens are used to provide patient privacy and are cumbersome to move around. Grant funding will allow installation of a sink and patient privacy curtains for Fall, 2006. The two most sophisticated simulators require the use of noisy air compressors for some of their mechanical functions. The noise of the air compressors is very distracting to student learning. Facilities management is being consulted to develop sound-muffling housing that will decrease the noise level; however, a lab with rooms built for that purpose will provide a better learning environment. In addition, the Simlab currently houses only adult simulators. For continuity of instruction in all levels of nursing education, there is a need for maternal-child simulation as well. Grant funding will allow purchase of pediatric and infant HPS for Fall, 2006, but LS206 is not large enough to expand further. Plans are under way to use half of a portable building located between the Life Sciences and Physical Sciences building to open a second Simlab, which will be designated a Maternal-Child lab. This lab will house the obstetric simulator as well as pediatric and infant. Both of these labs are considered stopgap measures until a more appropriate facility can be built. In order to take full advantage of technology and interactive learning, the School of Nursing needs a much larger, up to date facility built with separate patient rooms and the appropriate wiring, piping, furniture, and equipment to create a realistic interactive environment for learning. Due to the continuing pressure to address the nursing shortage in California, the School of Nursing recently was awarded two capacity building grants for 2006-2008. As a result of this funding, a satellite ADN program will be started at March Education Center (MEC) in Fall, 2006. A designated room at MEC will become a small skills lab for basic skills practice for the MEC cohorts. Grant funding will provide three beds, three basic HPS, supplies, and equipment to complete that lab. 16 of 80 Nursing 12/06 The nursing classrooms consist of LS201, LS202, and LS208. They currently house 60+ students and are very crowded. The nursing department is at maximum capacity, which limits the ability to expand, even though there is constant pressure from local, regional, and state levels to do so. The satellite cohort program at MEC is a temporary fix because the MEC is only approved for two years, and requires that the student population is divided. This requires duplication of many resources, including equipment and personnel. When the new School of Nursing building is funded and built as proposed, it will allow some expansion over current class size, but this may not be enough for future needs as the nursing shortage continues. H. Other Comments The School of Nursing has been awarded a number of grants in the last several years. A summary follows and details are provided in Table XIII (p. 75). Grants have become an essential part of the programs’ budget, needed to cover the necessary faculty, space, and equipment expenses. The following is a listing of current/upcoming grants and their purpose: ADN State Enrollment Growth Funds -- $118,155 over two years; funds one full-time faculty position for 12 students. HRSA Equipment Only -- $131,878 has been used to purchase a video streaming unit, four Human Patient Simulators, and other related lab equipment. HRSA Nurse Education, Practice and Retention: Career Ladder -- $789,919 over three years; funds faculty/equipment to continue career ladder and increase enrollment. Capacity Building and Expansion Grants -- $478,696 will be used to purchase more simulators, related equipment, basic lab equipment, and some remodeling costs for both the March Education Center Extension Program and the main campus program. $ 1,589,396 will be used to fund three faculty positions, technology support, lab coordination, and secretarial support needed to add 60 generic and 80 LVN to RN slots over the next 2-1/2 years. Song-Brown -- $278,167 will be used to fund two faculty positions to admit 10 generic and 10 LVN to RN students. VTEA -- $55,190 was used in 2005/2006 to fund professional development, simulator lab development, remediation testing, equipment, and DVD/computer programs. I. Overall Assessment of Discipline performance Areas of Strength Excellent faculty who are educationally well-prepared, committed to RCC and the ADN Program, innovative, and very student-centered. 17 of 80 Nursing 12/06 Well-established and proven nursing curriculum that has been repeatedly validated as such by the California BRN, BVNPT, and NLNAC. Ethnically and culturally diverse nursing student body, which takes immense pride in the RCC Nursing Program. Exceptional community support. Wide variety of clinical experiences available for students. Active Nursing Advisory Committee, comprised of nursing faculty, students, and community representatives. On-going strong RCC administrative support for the School of Nursing, as evidenced by the approved plan for a new School of Nursing and other resources. Proven track record in obtaining alternative funding sources such as grants, which have been used to enhance the Program’s budget. Multiple learning resources available to augment student learning. Excellent graduation/retention, NCLEX pass, job placement, graduate program satisfaction, and employer satisfaction rates. Areas Needing Improvement Not all part-time faculty are prepared at the Master’s level. The faculty as a whole is not representative of the diverse community and RCC nursing student population it serves. Current physical space in the School of Nursing is being used to its maximum capabilities. Plans for Strengthening Program Continue to actively recruit and hire ethnically and culturally diverse Master’s prepared part-time faculty whenever possible, as well as facilitate educational advancement of current part-time faculty members. Plans for the new RCC School of Nursing building that will triple existing square footage to be constructed in 2007-2009 will solve existing space issues and allow for Program expansion. Future Plans Continuous planning and development of the new School of Nursing building with state-of-the-art classrooms, labs, and a virtual hospital. 18 of 80 Nursing J. 12/06 Implementation of an extension of the RCC ADN Program at the March Education Center (off-campus). Expansion of current Flexible LVN to ADN Program. Incorporation of newly purchased Human Patient Simulators throughout the curriculum. Continued curriculum revisions to ensure currency with contemporary nursing practice by effective use of program outcome data. Insights Gained Changes in enrollment procedures to comply with Title V requirements have resulted in a slow decline in ADN retention rates over the last 5 years, from 2-3% to 10–13%. Furthermore, concerns raised by the RCCD Prerequisite Sub-committee indicate that enrollment criteria for the VN Program may also have to be changed to better comply with Title V. The faculty are in agreement that no changes should be made without careful research to ensure continued program and student success. With the assistance of Institutional Research validation studies on key variables for both the VN and RN programs should be performed during the 2006/2007 academic year to better pinpoint which enrollment criteria are most predictive of successful program retention and completion. Topic II. Where do we want to be? A. Environmental Scan The ADN Program has been impacted to some extent for many years, but in the last two years alone, the number of applications has tripled. For 2004/2005, the program received 700 applications, of which 589 were qualified, for 114 enrollment slots. Randomized computer selection determined the final candidates. Currently, slots are already filled for Fall 2006 and for over 50% of Spring 2007. Recently awarded grants will increase enrollment slots by 60 generic and 90 Advanced Placement for the 2006/2007 and 2007/2008 academic years. The VN Program has also seen an increase in applications, with many students applying for both the VN and the ADN programs to increase their enrollment opportunities. Approximately 30% of VN graduates go into our ADN Program as Advanced Placement students. Of 2005 VN Program graduates, 98% indicated plans to pursue registered nursing education, 48% immediately and another 27% as soon as prerequisites are completed. Both programs are undergoing curricular review through the Prerequisite Sub-committee to evaluate their enrollment processes. The critical nursing shortage in California, the worst in the nation, will serve to fuel program demand for many years. As RCC and other nursing programs increase their size, clinical placement of students will become more of an issue, as well as the availability of 19 of 80 Nursing 12/06 qualified nursing faculty. Partnerships with healthcare institutions are critical to continued program success. B. Internal Review The School of Nursing Strategic Plan 2006-2010 addresses where the faculty see both programs evolving over the next five years. As mentioned previously, falling ADN retention rates indicate that further research studies are needed to validate enrollment criteria to ensure student success and program completion. C. Revised Vision/Summary This Program Review has demonstrated consistent progress in the achievement of the goals identified in the 2006-2010 Strategic Plan. The Nursing Advisory Committee members support the direction of the program, especially the increased enrollment to address the nursing shortage in this region. The vision is being implemented on schedule and undergoes updating on a regular basis to adapt to the changes in the current healthcare environment. The School of Nursing goals include the desire to be a state-of-the art nursing program that is recognized as graduating safe, competent entry level nurses in sufficient quantity to meet community needs for nurses. The nursing faculty is exploring strategies to ensure student success and minimize student attrition in the nursing program. Human patient simulation technology has been embraced by the faculty to enhance student learning. Efforts are being made to increase the cultural diversity of faculty and students to reflect the diversity of the community we serve. The school of nursing has a good distribution of culturally diverse students through both the VN and ADN nursing programs and would like to continue increasing these numbers. The primary challenges faced by the discipline are facility space, finite clinical agency sites, and the limited number of students who can be enrolled in the nursing program each semester. Both the VN and ADN programs are impacted with qualified applicants who cannot be admitted due to space availability. Another challenge is helping students successfully complete the nursing programs once they are admitted. A new challenge as the School of Nursing embarks on program expansion with extension to the March Education Center is to maintain the quality of the ADN program. The department will monitor student outcomes as the expansion proceeds. Topic III. What do we need to do to get there? A. Planning The nursing faculty meets on a regular basis to establish goals and identify program needs, and update the strategic plan for the programs. As goals are achieved, new goals are established. The strategic plan developed by the department for 2006-2010 identifies the five-year plan for the department. One of the top priorities for the department has been a new School of Nursing building. Program expansion on the Riverside campus has been limited due to facility space. 20 of 80 Nursing 12/06 Evidence of the need for space for increased enrollments in both the ADN and VN programs is shown in Tables XIV-XVIII (p. 76 – 80), Applicant Reports. The table shows that average number of applicants to the generic ADN Program is approximately 360 each semester, with only 60 spaces available. For the 60 spaces each fall semester in the VN Program, the current number of applicants is 400. The expansion of the ADN Program to March Education Center will allow the admission of an additional 60 first semester students and 80 Advanced Placement students over two years supported by grant funding. Long term solutions need to be found. A new School of Nursing building would allow the program to permanently expand and meet the growing community need for nurses. School of Nursing Strategic Plan 2006 – 2010 I. Continue to plan and establish new School of Nursing with state of the art classrooms, a Human Patient Simulator/Computer Lab, a virtual hospital skills lab, an admissions/counseling area, and adequate office/conference/work space (specifics available in the School of Nursing office). II. Increase total number of nursing graduates by up to 100% to meet community needs. 1. Maintain current retention and NCLEX pass rates and full approval by all accrediting bodies. 2. Expand career ladder to include CNA to LVN to ADN to BSN to MSN pathways. 3. Continue, expand, and evaluate the flexible LVN to ADN program using videostreamed lectures in partnership with local hospitals. 4. Develop an alternate evening and/or weekend ADN program. 5. Investigate a high school to RN fast track program. 6. Investigate a paramedic, respiratory therapist, and/or psychiatric technician to ADN program. 7. 8. Secure state approval for an RCC baccalaureate degree or a 1 + 2 + 1 collaborative BSN degree. Collaborate to provide on-campus MSN program. III. Employ faculty and staff necessary to support an expanded array of programs. 1. Dean to focus on external programs, grants, partnerships, strategic planning, budget management. 2. Associate Dean/Director to focus on day to day program operations, including compliance with accreditation standards. 3. Assistant chairs for each major program. 4. Full-time School of Nursing Retention and Remediation Specialist. 5. Full-time School of Nursing Resource Specialist. 6. Dedicated Nursing Counselor on-site in department. 7. Additional full-time faculty necessary to develop and implement curriculum for new programs. 8. Additional classified staff necessary to support program expansion. IV. Secure alternate funding sources to augment program expansion. 21 of 80 Nursing 12/06 1. 2. 3. 4. Grants. State and Federal Funds/Allocations. Endowments. Partnerships. V. Provide classes for nurses and others in the community as needed to improve nurse retention rates and meet community needs. 1. Cultural Language Immersion Program. 2. Caregiver Classes. 3. B. Resources Additional employee resources: faculty, counseling, and clerical personnel are needed to fully implement the strategic plan as proposed. The recent awarding of grant funds will allow the ADN Nursing Program to expand to March Education Center (MEC). Administrative support was provided for this program expansion with approval of replacing one vacant faculty position and hiring two additional tenure track positions for Fall 2006. The grant will provide funding for two categorical positions beginning Spring 2007 and some funding for equipment purchase. New clinical agency contracts have been established with San Antonio Community Hospital, Arrowhead Regional Medical Center, and Valley Health Systems (to include Hemet Valley Hospital) to provide additional clinical sites needed for program expansion. The department would need additional funding to establish a full-time School of Nursing Retention and Remediation Specialist to address remediation and retention issues for nursing students and a School of Nursing Resource Specialist to coordinate the Human Patient Simulator lab. A dedicated indepartment nursing counselor would be beneficial to ensure that students interested in nursing education are advised appropriately regarding required coursework to meet admission criteria for the programs. Additional secretarial and clerical assistance will be needed as the department continues to expand. Topic IV. What evidence do we need to track our progress? A. Documentation The effectiveness of the ADN Program and the evidence needed are tracked through the Systematic Plan for Program Evaluation. The standards set by the National League for Nursing are: Mission and Governance, Faculty, Students, Curriculum and Instruction, Resources. Each criterion has specific criteria for the expected level of achievement, plan, and implementation. The Plan defines the components, frequency of assessment, and the assessment methods. In the Implementation activities, the results of the data collection and analysis and the actions for the program (development, maintenance, or revision) are described. The Systematic Plan includes, but is not limited to, monitoring the following program outcomes: 1. Student diversity 2. School of Nursing statistics on attrition and retention of nursing students. 22 of 80 Nursing 12/06 3. School of Nursing Strategic Plan. 4. NCLEX-RN and NCLEX-PN pass rates. 5. Employer surveys of graduate performance. 6. Alumni surveys of program’s satisfaction. 7. Graduate job placement rates. 8. Accreditation status (BRN, BVNPT, and NLN). See Systematic Plan for Program Evaluation (Associate Degree Registered Nursing Program Self-Study Report), Table XII (p. 41 – 74) submitted to the National League for Nursing Accrediting Commission, November, 2005. The list of suggestions resulting from the NLNAC accreditation visit has been reviewed by the faculty. A new committee has been formed, the Educational Effectiveness Committee, to address these suggestions. The committee has met twice and is developing a Systematic Plan for Program Evaluation Calendar. This calendar will organize on a monthly basis the plan and implementation of assessment and actions for the program. In addition, the Multicultural Advisory Committee was developed to monitor program diversity and identify strategies for recruitment and retention of underrepresented student populations. The School of Nursing Advisory Committee is made up of representatives from community partners (medical facilities) that employ our graduates. This committee continues to assist our program in reaching its goals and assessing student outcomes. B. Student Learning Outcomes Assessment The Riverside Community College ADN and VN programs have a long history of excellence in nursing education, including entry-level competence of graduates, NCLEX pass rates, initial job placements, and graduate responses on program satisfaction surveys. RCC ADN and VN graduates are highly sought after for employment in the greater Riverside community and beyond. ADN employment rates six months after graduation for the past five years were reported to be 100% Table IX (p. 38). As previously mentioned, the faculty from each nursing course is in the process of developing a formal assessment plan for implementation in Fall 2006. The ADN Program outcome assessment plan, which consists of program evaluation by students, graduate surveys, employer surveys, and NCLEX-RN results, provides evidence to evaluate program outcomes and meets the requirements of our regional and national accrediting bodies. A Systematic Plan for Program Evaluation has been developed for the ADN Program and is monitored by the Educational Effectiveness committee that meets monthly to review and evaluate progress in achieving the objectives identified in the plan. The ADN program has successfully maintained continuous accreditation by the Board of Registered Nursing and the NLNAC. 23 of 80 Nursing 12/06 The Riverside Community College VN Program has maintained full accreditation from the BVNPT since its first approval in 1953. Data on pass rates for the national licensing exam (NCLEX-PN) provide the most concrete assessment of VN Program effectiveness. Currently the pass rate for Riverside Community College as reported on the Board of Vocational Nursing and Psychiatric Technicians Web site (www.bvnpt.ca.gov) for 1999 to 2006 ranges from 89 – 100%, with an average of 94.3% Table X (p. 39). This is approximately 14% above the state average. A second measure of program success is the employment rate of graduates and employer satisfaction with their work. Informal surveys show that any graduate who is interested in employment as an LVN is successful in obtaining a position in the greater Riverside area and healthcare agencies within the community report high satisfaction with LVN graduates of the RCC VN Program. At the end of the VN Program, graduates are asked to complete a survey entitled “Vocational Nursing Program Evaluation.” Of 2005 graduates, 83% either strongly agreed or agreed that the curriculum, textbooks, learning lab, clinical experiences, and tests prepared them for LVN practice. Areas of noted dissatisfaction were with use of required texts, adequacy of learning lab hours, and college skills lab. These matters will be examined closely during the next Program Review process. Topic V. How can we improve the discipline self-study process? A. Suggestions/Recommendations Both the ADN and VN programs are required to write Self-Study reports to maintain BRN, BVNPT, and NLNAC accreditations (ADN Program only). These self-studies occur approximately every four to eight years and are very time intensive for the faculty. The College Program Review incorporates some of the same content that has already been addressed in previous self-studies and is duplicative work for the department. The nursing programs have consistently conducted on-going program reviews, strategic planning, and curriculum reviews on an annual basis. Departmental needs have routinely been communicated through the Dean, School of Nursing, Academic Planning Council, and the College Strategic Planning Committee. If the self-study reports developed by the ADN and VN program teams for state and national accreditations could be utilized to satisfy the RCC Program Review requirement, much faculty work and time could be saved and this effort redirected to further curriculum review and improvement. A recommendation for improving the Program Review process is to have departments submit a five year strategic plan with yearly progress reports. To ensure that course outlines remain current, the College-wide Curriculum Committee should establish criteria for how often course outlines should be reviewed and updated by departments. Topic VI. Summary of Goals, Activities, and Findings A. Summary Goals: The School of Nursing has been successful in accomplishing goals identified in the Nursing Strategic Plan. The achievement of many departmental goals has resulted from grant funding and administrative support. The School of Nursing is currently focusing on 24 of 80 Nursing 12/06 program expansion, student remediation/retention, and development of the human patient simulation lab while maintaining the quality and excellence of the School of Nursing. Activities: Program activities will focus on developing and implementing the new extension program at March Education Center with the first class beginning Fall 2006. A skills laboratory will need to be established at MEC for students to practice their skills. Equipment for this skills lab is being purchased. An Assistant Director and two nursing faculty (one to be hired) have been identified to teach at MEC and are planning the implementation of the new program. The nursing faculty is exploring ways to improve retention and student success within the programs. The department goal is to implement a system that will incorporate strategies for improving study skills, test-taking, remediation, and retention. Mentoring of newly hired faculty is also planned for Fall 2006 and Spring 2007. The department is hiring three tenure-track positions and one categorical position for Fall 2006. Two additional categorical positions will be hired for Spring 2007 to accommodate program growth. Findings: The School of Nursing has taken advantage of the opportunities for State grants that the severe nursing shortage has provided. The School of Nursing recognizes that achievement of program goals could not have been attained without administrative support and the department is truly grateful for this support. RCC’s School of Nursing is attempting to meet the community’s demand for nurses by working on program expansion. The nursing faculty is using videostreaming technology to meet the needs of working LVNs who desire to continue their education toward their ADN degree. This flexible program was developed in response to an identified community need. It is proving to be successful and is still being evaluated by the nursing faculty. The department is exploring a method for students to self-evaluate whether this mode of education would be effective for their particular learning style. The graduate pass rates for the NCLEX-RN (96%) and NCLEX-PN (100%) demonstrates that the program is meeting its overall program goals. This Program Review report summarizes the achievements and accomplishments of the School of Nursing faculty. The nursing faculty is a cohesive group that works collaboratively toward a common goal to improve nursing education and produce competent and knowledgeable nurses. This working relationship has been vital to the attainment of program goals and is attributed in part to the department leadership. Both the ADN and VN programs are well respected in our community and it is our desire to maintain a quality program as we move to program expansion. 25 of 80 Nursing 12/06 APPENDICES TABLE I VALIDATION OF CONGRUENCY BETWEEN THE RCC MISSION, GOALS, VISION AND VALUES AND THE RCC ASSOCIATE DEGREE NURSING AND VOCATIONAL NURSING PHILOSOPHY AND PURPOSES RCC MISSION/GOALS/VISION AND VALUES RCC ADN AND VN PHILOSOPHY AND PURPOSES RCC . . . committed to providing an accessible, affordable, post-secondary education . . . to a diverse student body. The nursing faculty concurs with the Riverside Community College philosophy and purposes as expressed in the statements regarding its Mission, Goals, and Vision and Values. . . . occupational program leading to Associate in Science degree. The graduates of the ADN Program earn an Associate in Science Degree in Nursing and are highly successful on the national licensing examination for registered nurses (NCLEXRN). VN Program graduates are awarded the certificate in Vocational Nursing and may use those 51 units to satisfy requirements for the Associate in Science Degree. . . .prepare students for intellectual, cultural awareness. RCC . . . committed to providing an accessible, affordable, post-secondary education . . . to a diverse student body. . . . occupational program leading to Associate in Science degree. . . . Nursing education should take place within an institution of higher learning. It is appropriate that education of the associate degree and vocational nurse occur in the community college whose purposes include occupation and transfer education. . . . . . The nurse graduate . . . participating in lifelong learning activities. . . .prepare students for intellectual, cultural awareness. . . . reaching out to the underserved/ underrepresented and designing programs and approaches relevant to diverse segments of population. . . .tailor program to meet the needs of the students and the communities served. . . .responsive to the communities we serve. The nursing faculty respects the varied cultural and ethnic backgrounds of students and believes the multicultural student population enriches the learning environment which promotes cultural competence. . . highly regarded for commitment to all students . . .openly responsive to community served. . . . Our values . . . Student Centeredness, Student centeredness, teaching excellence, an environment Teaching Excellence, Learning Environment, conducive to learning, and tradition, as values of the institution, and Tradition form the foundation upon which Riverside Community College is built and grows. These values guide individual and collective actions of its faculty and staff. Student Centeredness Riverside Community College . . . provides quality teaching and accessibility to a diverse student population. . . . serve the best educational interest of the students. The college offers a comprehensive and flexible curriculum together with programs and services to meet diverse and . . . offer curriculum/programs according to evolving student needs. diverse and evolving student needs. . . .personalized public institution of higher learning 26 of 80 Nursing 12/06 . . . treat each other with sincere, caring attitude. . . . help students progress toward their educational goal. Faculty’s role to provide learning experiences and guidance to assist students. . . . supportive and collaborative relationship between teacher and student. Teaching Excellence . . . respected for excellence in teaching. Excellence in teaching is provided by a faculty that communicates knowledge in a creative, stimulating, and challenging manner. . . . to communicate a body of knowledge in a creative, stimulating, and challenging manner. Faculty . . . facilitate learning by providing an environment that promotes inquiry, critical thinking, accountability, selfevaluation, and attainment of program outcomes. . . . expectation of high achievement. . . .encourages students to think critically and analytically, applying learned principles, concepts, and skills. ...encourage student to think critically and analytically applying learned principles, concepts, and skills, to inspire independence of thought and self-reliance. Learning Environment Atmosphere . . . pride in achievement. . . . satisfaction in their work. . . . programs that are responsive to student and community needs. The nursing faculty respects the varied cultural and ethnic backgrounds of all students. . .The faculty use teaching methodologies that integrate innovative technology to meet the differing abilities and learning styles of all students. The nursing faculty believes teaching is a dynamic process that integrates principles of adult learning. . . creative instructional processes to meet differing abilities and learning styles of students. . . .highly successful on the national licensing examination (NCLEX-RN). . . .receive excellent ADN and VN entry-level evaluations. Tradition To further traditions of pride, quality, innovation, and professionalism. . . . Share our heritage. . . . build the future on the foundations of our past. This process will move the college toward achievement of the vision, to be the leader among community colleges, highly regarded for commitment to students, widely respected for excellence in teaching,. . . . evolved from the successful 50-year history and tradition of excellence in nursing education. . . . . . meet the needs of the community. . .enhances the quality of . . . the educational center of the communities it life. serves. . . . openly responsive to communities served. 27 of 80 Nursing 12/06 TABLE II March 25, 2000 RIVERSIDE COMMUNITY COLLEGE VOCATIONAL NURSING PROGRAM CURRICULUM PLAN Course Title SUMMER INTERSESSION Survey of Human Anatomy & Physiology Intro. Vocational Nursing Foundations Course Units No. Theory Clinical Classif. Hours Hours 10 50 3.0 2.0 54 36 0 0 A&P Fund-30 Com-4 Pt Ed-l Nsg Pro - .1 51 3.0 54 0 Intro. Concepts of Vocational Nursing Nursing Fundamentals 52 9.5 72 297 Intermediate Vocational Nursing Foundations Nursing Process/Communication 60 1.0 18 0 Developmental Psychology 9 3.0 54 0 Nutr - 22 Fund - 31 Com Dx - 1 Fund - 36 Nutr - 2 Ger - 6 Com Dx - 4 Com - 1 PtEd-2 Nsg Pro - 1 Rehab - 2 Pharm - 18 Psych - 5 Com - 3 Nsg Pro - 10 Nutr - 6 G&D-44 Ger - 4 WINTER INTERSESSION Intermediate Concepts of Vocational Nursing Care of the Family 61 6.0 63 135 FALL SEMESTER Intro. Concepts of Vocational Nursing Health/Illness 28 of 80 Nutr - 5 Peds - 18 Pharm - 8 Matern - 28 Com Ox - 2 PtEd-2 Nursing Course Title SPRING SEMESTER Intermediate Concepts of Vocational Nursing Medical/Surgical Intermediate Concepts of Vocational Nursing Mental Health SUMMER INTERSESSION Advanced Vocational Nursing Foundations - 12/06 Course Units No. Theory Clinical Classif. Hours Hours 62 12.0 126 270 63 3.0 36 65 70 1.0 18 0 Role Transition Advanced Concepts of Vocational Nursing Medical/Surgical PROGRAM TOTALS: 29 of 80 71 7.5 72 189 51.0 603 956 Nutr - 7 Pharm - 18 M/S - 89 Com Ox - 3 PtEd-2 Rehab - 7 Nutr - 1 Pharm - 2 Psych - 29 Com - 3 PtEd-l Psych - 3 M/S - 10 Lead - 3 Super - 2 Nutr - 5 Pharm - 8 M/S - 51 Com Dx - 2 PtEd-2 Rehab - 4 Nursing 12/06 CURRICULUM CONTENT UNITS Anatomy & Physiology (A & P) Nutrition (Nutr) Psychology (Psych) Normal Growth & Development (G & D) Maternity Nursing (Matern) Nursing Fundamentals (Fund) Medical-Surgical Nursing (M/S) Pharmacology (Pharm) Pediatric Nursing (Peds) Gerontological Nursing (Ger) Nursing Process (Nsg Pro) Patient Education (Pt Ed) Leadership (Lead) Supervision (Super) Communication (Com) Communicable Diseases (Com Dx) Rehabilitation Nursing (Rehab) TOTALS Formula for computing hours: 3.0 Int. Int. 3.0 Int. Int. Int. Int. Int. Int. Int. Int. Int. Int. Int. Int. Int. 51 1 unit = 18 theory hours 1 unit = 54 clinical hours Total Program Hours: 1559 Total Program Units: 51 30 of 80 THEORY HOURS 54 48 37 44 28 97 150 54 18 10 12 10 3 2 11 12 13 603 CLINICAL HOURS 0 Int. 43 0 57 183 355 Int. 50 100 42 22 8 8 50 20 18 956 Nursing 12/06 TABLE II-A RIVERSIDE COMMUNITY COLLEGE DISTRICT School of Nursing Part-Time Vocational Nursing Program Curriculum Pattern PREREQUISITES Nursing 50 Introductory Vocational Nursing Foundations 2 Units Anatomy & Physiology 10 Survey of Human Anatomy & Physiology 3 Units 5 Units Introductory Concepts of Vocational Nursing-Health/Illness 3 Units Nursing 60 Intermediate Vocational FoundationsNursing Process/Communication 1 Units Psychology 9 Developmental Psychology (Birth Through Old Age 3 Units FIRST YEAR FALL SEMESTER (1 Day: T) Nursing 51 7 Units SPRING SEMESTER (1 Day: T) Nursing 63 SUMMER SESSION Intermediate Concepts of Vocational Nursing-Mental Health (No Required Courses) 3 Units 0.0 Units SECOND YEAR FALL SEMESTER (3 Days: WThF) Nursing 52 31 of 80 Introductory Concepts of Vocational Nursing-Nursing Fundamentals 9.5 Units Nursing 12/06 WINTER INTERSESSION Nursing 61 (Four 8-hour days/week) Intermediate Concepts of Vocational Nursing-Care of the Family 6 Units SPRING SEMESTER (3 Days: WThF) Nursing 62 Intermediate Concepts of Vocational Nursing-Medical/Surgical 12 Units Nursing 70 Advanced Vocational FoundationsRole Transition 1.0 Units Nursing 71 Advanced Concepts of Vocational Nursing-Medical/Surgical 7.5 Units SUMMER SESSION (5 Days: MTWThF for 8 Weeks) 8.5 Units NOTE: Most classes are scheduled 7 a.m. – 5 p.m.; selected hospital labs may be scheduled during afternoon and evening hours (1 - 10 p.m.). All days are approximately 8 hours in length. All days and times are subject to change on the basis of enrollment and available class/clinical space. EQUIVALENT COURSES RCC VN PROGRAM A & P 10 EQUIVALENT COURSES A & P 2A and A & P 2B POLICY: PROGRESSION IN PART-TIME VOCATIONAL NURSING PROGRAM Course sequence for the Part-Time Vocational Nursing Program will be as printed on the R.C.C. Part-Time Vocational Nursing Program Curriculum Pattern. Students will lose their space if they fail to progress according to this sequence and must reapply to the program. Readmission will be granted on a space available basis according to the admission point system. VN students in the part-time program will be required to earn a minimum grade of C in the Nursing 51, 60, 63, and in Psychology 9 prior to being eligible to enroll in Nursing 52. In order to repeat a VN Program course, the student is required to submit a “Petition for Readmission to the Nursing Program,” as well as an application to the Nursing Program. These are obtained from and submitted to the Counseling Office during the Nursing Program application time periods. 32 of 80 Nursing 12/06 TABLE III REQUIREMENTS OF THE CALIFORNIA BRN MET BY THE RCC ADN PROGRAM CALIFORNIA BOARD OF REGISTERED NURSING SEMESTER REQUIRED CONTENT NUMBER COURSE TITLE UNITS BASIC SCIENCES (BRN Requirements = 16 units / RCC Requirements = 18 units science, 9 general education/27 total Anatomy Anatomy & Physiology 2A Anatomy and Physiology I 4 Physiology Anatomy & Physiology 2B Anatomy and Physiology II 4 Microbiology Microbiology I Microbiology 4 Societal/Cultural Patterns Sociology 1 or Anthropology 2 Intro to Sociology or Cultural Anthropology 3 Psychology Psychology 9 Developmental Psychology 3 Humanities* (GE Req.) Any Degree Applicable Course * Not required content for licensure 3* Communications & Analytical Thinking* (GE Req.) Any Degree Applicable Course * Not required content for licensure 3* American Institutions* (GE Req.) Any Degree Applicable Course * Not required content for licensure 3* GE SUBTOTAL 27 COMMUNICATION (BRN Requirements = 6 units / RCC Requirements = 7 units) Group Speech 1 OR Public Speaking 3 Verbal Speech 9 Interpersonal Communication __ Written English 1A English Composition 4 GE TOTAL 34 units GE NURSING (BRN Requirements = 36 units / RCC Requirements = 37.5 units) Medical/Surgical N1, N2, N3, N4 Varied Nursing Concepts in Health and Illness 8+8+9+9 Obstetrical * N2, N4 * Beginning Nursing Concepts In Health & Illness __ Pediatric N2, N4 Same __ Psych/Mental Health N1, N3, N15* * Introduction to Nursing Roles 2 Geriatrics (30 hrs. - First Year) (30 hrs.-Second Year) N1, N2, N3, N4, N15, N16* * Dimensions of AD Registered Nursing 1.5 Relationships Nursing TOTAL 37.5 units ADN Degree OVERALL TOTAL 71.5 units 33 of 80 Nursing 12/06 TABLE IV VOCATIONAL NURSING PROGRAM STUDENT ETHNICITY 2005 2004 2002 2001 2000 1999 1998 0% 0% 0% 0% 0% 1.50% 0% Asian/Pacific 14.47% 3% 7.40% 5.50% 4.70% 8.80% 4.90% Filipino 7.89% 13.79% 9.60% 6.80% 14.10% 20.60% 13.10% African American 14.47% 17.24% 20.20% 17.80% 12.50% 17.60% 27.90% Hispanic 21.05% 25.86% 30.90% 30.10% 32.80% 22.10% 19.70% White/Caucasian 42.11% 39.66% 31.90% 39.70% 35.90% 29.40% 34.40% Other/Unknown 0% 0% 0% 0% 0% 0% 0% Female 88.16% 94.83% 92.60% 97.30% 96.90% 82.40% 95.10% Male 11.84% 5.17% 7.40% 2.70% 3.10% 17.60% 4.90% Total Underrepresented 63.16% 60.34% 68.10% 60.30% 64.10% 70.60% 65.60% Native American 34 of 80 Nursing 12/06 TABLE V ADN ETHNICITY/GENDER/AGE NURSING STUDENT TRENDS Ethnicity 2004 2003 2002 2001 2000 1999 1998 Native American 1% 1% 0% 1% 1% 1% 0% Asian/Pacific Islander 17% 18% 17% 13% 11% 12% 11% African American 9% 12% 12% 12% 9% 8% 10% Hispanic 23% 21% 22% 24% 25% 19% 15% Caucasian 45% 44% 45% 47% 52% 56% 57% Other 5% 4% 4% 3% 2% 4% 7% 100% 100% 100% 100% 100% 100% 100% Male 13% 16% 17% 12% 9% 15% 14% Female 87% 84% 83% 88% 91% 85% 86% 100% 100% 100% 100% 100% 100% 100% <17 0% 0% 0% 0% 0% 0% 0% 18-19 0% 0% 0% 0% 0% 0% 0% 20-24 26% 18% 14% 6% 2% 0% 0% 25-34 44% 45% 48% 52% 49% 43% 41% 35-54 29% 36% 37% 40% 47% 55% 56% 55> 1% 1% 1% 2% 2% 2% 3% 100% 100% 100% 100% 100% 100% 100% Gender Age Source: School of Nursing Data Base 35 of 80 Nursing 12/06 TABLE VI RCC ADN PROGRAM RETENTION RATES TABLE VII COMPARISON BETWEEN RCC ADN PROGRAM RETENTION RATES AND CALIFORNIA RETENTION RATES 36 of 80 Nursing 12/06 TABLE VIII COMPARISON OF RCC NCLEX-RN PASS RATE VERSUS CALIFORNIA AVERAGE PASS RATE 37 of 80 Nursing 12/06 TABLE IX RCC ADN JOB PLACEMENT RATES WITHIN 6 MONTHS, OF GRADUATION 38 of 80 Nursing 12/06 TABLE X RCC NCLEX VN Pass Rates Name of School Riverside Community College 39 of 80 Pass Rate 1999 98% Pass Rate 2000 89% Pass Rate 2001 92% Pass Rate 2002 100% Pass Rate 2003 89% Pass Rate 2004 100% Pass Rate 2005 92% Nursing 12/06 TABLE XI Retention - Vocational Nursing 100 Retention Percent 90 80 81% 84% 90% 93% 92% 94% 94% 70 Start Drops F's, D's, W's Completed Retention Retention 60 50 40 30 20 10 Term 06 Sp r 20 5 00 Fa ll 2 05 Sp r 20 4 00 Fa ll 2 04 Sp r 20 3 00 Fa ll 2 20 Sp r Fa ll 2 00 2 03 0 40 of 80 93% Nursing 12/06 TABLE XII SYSTEMATIC PLAN FOR PROGRAM EVALUATION STANDARD I: Mission and Governance CRITERION # 1 Mission and/or philosophy of the nursing education unit is congruent with that of the governing organization or differences are justified by nursing education purposes. Expected Level of Achievement: Philosophy/purpose of program is congruent with mission/goals/vision/values of college. Philosophy is accessible, appropriate, and contemporary. Nursing unit is reflective of cultural/racial/ethic diversity of community. Distance education program is congruent with philosophy/purposes/mission. PLAN IMPLEMENTATION Components Frequency of Assessment RCC Mission Goals/Vision/ Values Statement Every 3 years or when mission changes Comparative analysis of written materials in College Catalog, ADN Student Handbook, and Nursing Web site to assess congruency and accessibility. Annually Comparative analysis between nursing student diversity versus community diversity. Annually Comparative analysis between nursing faculty diversity versus community diversity Philosophy of Nursing Program Program Diversity 41 of 80 Assessment Method/s Results of Data Collection and Analysis including actual level/s of achievement Spring 2005 Written materials in Catalog, Handbook and Web site are congruent and accessible Fall, 2004 Nursing Student = 55% Campus = 60% Community = 52% Actions for Program Development(D), Maintenance(M), or Revision(R) M – Expected Level of Achievement (LoA) met. M – Web site updated every semester. M – ADN Handbook and RCC Catalog updated yearly. Program Review Minutes, 6/9/05, 12/16/04 M – LoA met. Nursing student statistics compiled biannually. RCC/community statistics are compiled annually. Nursing CRITERION # 1 Flexible Annually LVN to ADN Program Information 42 of 80 12/06 Comparative analysis between Flex Program Information and Nursing Program Philosophy. Spring 2005 Flex program philosophy is the same as traditional ADN Program. M – LoA met. Program Review Minutes, 12/16/04 * Nursing Faculty Minutes, 5/23/05 Nursing 12/06 SYSTEMATIC PLAN FOR PROGRAM EVALUATION STANDARD I: Mission and Governance CRITERION # 2 Faculty, administrator, and students participate, in governance as defined by the parent organization and nursing education unit. Expected Level of Achievement: The Dean, Assistant Department Chair, and 100% of the full-time faculty are actively involved in college-wide and nursing departmental committees. All nursing committees that are appropriate for student input will have student representation. PLAN Components Frequency of Assessment Faculty/ Annually Assistant Department Chair/ Administrator/ Student/ Participation Annually 43 of 80 IMPLEMENTATION Assessment Method/s Review of lists of committees and meeting minutes that document participation by the Dean, Assistant Department Chair, and faculty in collegewide and department committees. Review of meeting minutes that document student participation in appropriate department meetings. Results of Data Actions for Program Collection and Development (D), Analysis Maintenance(M), or including actual level/s Revision(R) of achievement Spring 2005 M – LoA met. 100% of full-time faculty, * Nursing Faculty Committee Assistant Department Chair and Assignments Dean participate in collegewide and nursing committees. Students are represented on all nursing committees except Enrollment, Faculty Affairs, Scholarship, and Content Experts. M – LoA met. Nursing Committee Minutes Nursing 12/06 SYSTEMATIC PLAN FOR PROGRAM EVALUATION STANDARD I: Mission and Governance CRITERION # 3 Nursing education unit is administered by a nurse who is academically and experientially qualified, and who has the authority and responsibility for development and administration of the program. Expected Level of Achievement: Dean holds a minimum of a graduate degree with a major in nursing. Dean job description accurately reflects authority and administration responsibilities. PLAN Components Frequency of Assessment Dean’s Every 3 years authority and or more as responsibility. changes in organizational structure occur. 44 of 80 IMPLEMENTATION Assessment Method/s Review of Dean’s curriculum vitae. Review of RCC organizational chart. Review of Dean’s job description. Results of Data Collection and Analysis including actual level/s of achievement Spring 2005 Review indicates Dean is qualified. Review of organizational chart and job description indicates the Dean has the authority and responsibility to administer the nursing program. Actions for Program Development(D), Maintenance(M), or Revision(R) M – LoA met. * See Dean Curriculum Vita M – RCC Organizational Chart was revised in June 2005. M – Job description was revised in Fall 2004 to better reflect actual responsibilities. Job title being changed from “Dean/Director, Nursing Education” to “Dean, School of Nursing.” * See Job Descriptions Organization Charts Nursing 12/06 SYSTEMATIC PLAN FOR PROGRAM EVALUATION STANDARD I: Mission and Governance CRITERION # 4 Policies of the nursing education unit are consistent with those of the governing organization, or differences are justified by nursing education purposes. Expected Level of Achievement: 100% of the nursing faculty agree that the nursing program’s policies affecting faculty and staff are consistent with the college, are accessible, and that differences can be justified by the uniqueness of the clinical component. PLAN Components Frequency of Assessment College/ Contractual (CTA)/ Nursing Faculty Policy Congruency Annually IMPLEMENTATION Assessment Method/s Results of Data Collection and Analysis including actual level/s of achievement Comparative analyses of policies Spring 2005 provide ongoing review to ensure Policies are 100% consistent consistency. except for requirements per clinical agencies. RN license/ CPR maintenance Actions for Program Development (D), Maintenance (M), or Revision (R) R – RCC Faculty Handbook revised annually R – Nursing Faculty Handbook revised annually M – Faculty CTA Contract in effect through 2007 Health exam Policies are accessible in the RCC Faculty Handbook, Nursing Faculty Handbook, and RCC/CTA Contract. 45 of 80 * Program Review Minutes, 12/18/03, 6/12/03 Nursing 12/06 SYSTEMATIC PLAN FOR PROGRAM EVALUATION STANDARD II: Faculty CRITERION # 5 Faculty members (full- and part-time) are academically and experientially qualified, and maintain expertise in their areas of responsibility. Expected Level of Achievement: 100% of theory and clinical faculty have a master’s degree with a major in Nursing. 100% of faculty maintain current California RN licensure. 100% of faculty maintain expertise in nursing and education by attending a minimum of two nursing education workshops yearly. PLAN Components Frequency of Assessment Faculty Qualification s Time of Employment IMPLEMENTATION Assessment Method/s Review of CV and transcripts. -Nursing Lab Faculty Results of Data Collection and Analysis including actual level/s of achievement Spring 2005 100% of full-time faculty have minimum MSN. Approximately 50% of total parttime faculty have MSN -Nursing Clinical Faculty Actions for Program Development (D), Maintenance (M), or Revision (R) M – LoA met. D – LoA not met. Continue to recruit qualified part-time faculty to increase to 100% qualified. M – Facilitate completion of advanced degrees. As needed Review of copies of faculty RN licenses. 100% of full- and part-time faculty have current RN license. M – LoA met. * CPR/ Licensure Book 46 of 80 Nursing 12/06 CRITERION # Maintenance of Expertise 5 Annually Review of faculty FLEX activities schedules. 100% of full-time faculty have attended at least two workshops per year. M – LoA met. RCC/CTA Contract requires 18 hours/year of professional development. * Faculty CVs. 47 of 80 Nursing 12/06 SYSTEMATIC PLAN FOR PROGRAM EVALUATION STANDARD II: Faculty CRITERION # 6 Number and utilization of full- and part-time faculty meet the need of the nursing education unit to fulfill its purposes. Expected Level of Achievement: 100% of faculty teaching loads are consistent with the CTA contract. Student/faculty ratio in the clinical areas are maintained at 1:10. PLAN Components Frequency of Assessment Faculty Utilization Faculty/ Student Ratios Every Semester Every Semester IMPLEMENTATION Assessment Method/s Review of teaching assignments. Clinical class rosters indicate no more than 10 students/group. Results of Data Collection and Analysis including actual level/s of achievement Fall 2005 100% of faculty TAs are consistent with the CTA contract. Fall 2005 63% of clinical groups are maintaining 1:10 ratio. 37% of clinical groups have 1112 students/ group to facilitate student progress in the program. Actions for Program Development (D), Maintenance (M), or Revision(R) M – LoA is being met. * Teaching Assignments M – Clinical classes are automatically capped at 10. * Class Rosters M – Faculty wish to maintain the academic freedom to agree to take an extra student occasionally to meet special needs. * Program Review Minutes, 6/9/05: 48 of 80 Nursing 12/06 SYSTEMATIC PLAN FOR PROGRAM EVALUATION STANDARD II: Faculty CRITERION # 7 Faculty performance is periodically evaluated to ensure ongoing development and competence. Expected Level of Achievement: 100% of faculty are evaluated according to the CTA contract. PLAN Components Frequency of Assessment Faculty Every 3 Development years for tenured faculty. Annually for non-tenured faculty. Every 1-3 years for part-time faculty. 49 of 80 IMPLEMENTATION Assessment Method/s Peer and administrator review of faculty – developed course materials, classroom, lab and clinical visitations, and student evaluations are evaluated as per contract. Results of Data Actions for Program Collection and Development (D), Analysis Maintenance (M), or including actual level/s Revision (R) of achievement Spring 2005 M – LoA is being met. 100% of full- and part-time faculty were evaluated according * Faculty Evaluation Schedule to contract guidelines. * Nursing Faculty Minutes, 9/27/04, 4/26/04, 2/28/03 Nursing 12/06 SYSTEMATIC PLAN FOR PROGRAM EVALUATION STANDARD II: Faculty CRITERION # 8 The collective talents of the faculty reflects scholarship through teaching, application, and the integration and discovery of knowledge as defined by the institution and within the nursing education unit. Expected Level of Achievement: 100% of the full-time faculty are engaged in scholarly activities, including committee work, grant-writing, publications, coursework, and research. PLAN Components Frequency of Assessment Faculty Scholarly Activity Annually IMPLEMENTATION Assessment Method/s Review of college FLEX plan, committee lists and minutes, list of faculty publications, proof of attendance at professional development and/or doctoral courses. Results of Data Collection and Analysis including actual level/s of achievement Spring 2005 100% of faculty have participated in scholarly activity. 100% have participated in college-wide committee work. 100% have participated in department committee(s). 45% have participated in grant-writing. 15% have published articles/research/books/ software. 20% have a doctorate. 45% are enrolled in a doctoral program. 100% have attended professional development workshops in the last year. 50 of 80 Actions for Program Development (D), Maintenance (M), or Revision (R) M – LoA is being met. * Nursing Faculty CVs Nursing 12/06 SYSTEMATIC PLAN FOR PROGRAM EVALUATION STANDARD III: Students CRITERION # 9 Student policies of the nursing education unit are congruent with those of the governing organization, publicly accessible, nondiscriminatory, and consistently applied; differences are justified by the nursing education unit purposes. Expected Level of Achievement: Student policies are consistent except where differences are necessary. 100% of student policies are accessible. PLAN Components Frequency of Assessment Policy Congruency Every 3 years IMPLEMENTATION Assessment Method/s Comparative analysis of ADN program student policies and RCC student policies. Results of Data Collection and Analysis including actual level/s of achievement Spring 2005 100% of compared policies are accessible and non-discriminatory. 100% of differing policies are validated as being necessary to be different. 51 of 80 Actions for Program Development (D), Maintenance (M), or Revision (R) M – LoA is being met. * Validation of ADN Student Policies Which Differ from Governing Organization (NLNAC Report) * Nursing Enrollment Minutes, 11/18/04 * Nursing Faculty Minutes, 3/29/04 Nursing CRITERION # 12/06 9 Policy Annually Accessibility Review of RCC Student 100% of policies are published and Handbook, College accessible. Catalog, ADN Student Handbook, RCC Nursing Web site, and nursing level study guides. M & R – A LoA met. ADN Handbook and level study guides revised yearly to update policies. M – RCC Nursing Web site is updated once/semester by NERS. M – RCC Student Handbook and catalog are updated yearly. 52 of 80 Nursing 12/06 SYSTEMATIC PLAN FOR PROGRAM EVALUATION STANDARD III: Students CRITERION # 10 Students have access to support services administered by qualified individuals that include, but are not limited to health, counseling, academic advisement, career placement, and financial aid. Expected Level of Achievement: 100% of students have access to support services. 100% of services are administered by qualified individual(s). PLAN Components Frequency of Assessment Availability of Student Services Annually Qualification of Support Service Administrator When change in personnel occurs 53 of 80 IMPLEMENTATION Assessment Method/s Review of records from College Health Services, Financial Aid Office, Admissions/Records, Counseling, Disabled Student Services, Early Childhood Center, Assessment Center, and Workforce Preparation. Determine qualifications of the administrator of Student Services. Results of Data Actions for Program Collection and Development (D), Analysis Maintenance (M), or including actual level/s Revision (R) of achievement Spring 2005 M – LoA met. Records review/oral report from Dr. Linda Lacy, Vice Chancellor, Student Services & Operations, indicates that 100% of nursing students have access to support services. Dr. Lacy is academically and M – LoA met. experientially qualified to administer Student Services. * CV of Dr. Lacy Nursing 12/06 SYSTEMATIC PLAN FOR PROGRAM EVALUATION STANDARD III: Students CRITERION # 11 Policies concerned with educational and financial records are established and followed. Expected Level of Achievement: Policies for the maintenance of educational and financial records are published in the College Catalog. PLAN IMPLEMENTATION Components Frequency of Assessment Policies Accessible Annually Review of RCC Catalog to ensure policies are published. Records Annually Management Review of student’s educational records in the Nursing Education Program office. Review of student records in Admissions/Records and Financial Aid offices. Records Annually Management 54 of 80 Assessment Method/s Results of Data Collection and Analysis including actual level/s of achievement Spring 2005 100% of policies are published. Records are maintained according to policy. Actions for Program Development (D), Maintenance (M), or Revision (R) M – LoA met. Catalog is updated on an annual basis. M – LoA met. Spring 2005 M – LoA met. Per Lorraine Anderson, Dean, Admissions & Records, and Eugenia Vincent, Dean, Student Financial Services, student records are maintained per college policy. Nursing 12/06 SYSTEMATIC PLAN FOR PROGRAM EVALUATION STANDARD IV: Curriculum CRITERION # 12 Curriculum developed by the nursing faculty flows from the nursing education unit philosophy through an organizing framework into a logical progression of course outcomes and learning activities to achieve desired program objectives/outcomes. Expected Level of Achievement: 100% of faculty participate in curriculum development. Philosophy, organizing framework, objectives, curriculum design and learning outcomes are congruent. PLAN Components Frequency of Assessment IMPLEMENTATION Assessment Method/s Faculty Annually Participation Review of Curriculum Committee minutes, faculty meeting minutes and Program Review minutes. Congruence of Philosophy, Framework, Objectives, Outcomes Comparative analyses of Philosophy, Conceptual Framework, Level Objectives, Curriculum Design, and Learning Outcomes/Competencies (Terminal Objectives). 55 of 80 Every 3 years or as necessary Results of Data Collection and Analysis including actual level/s of achievement Spring 2005 100% of faculty participated in curriculum development. Actions for Program Development (D), Maintenance (M), or Revision (R) M – LoA met. * Nursing Faculty, Program Review, Curriculum Minutes Spring 2005 Comparative R – Minor changes were analyses demonstrated made in all areas to update consistency in the curriculum and ensure consistency but need to update some throughout the curriculum. areas due to practice/ contemporary changes. * Program Review Minutes, 6/9/05, 12/16/04 Nursing 12/06 SYSTEMATIC PLAN FOR PROGRAM EVALUATION STANDARD IV: Curriculum and Instruction CRITERION # 13 Program design provides opportunity for students to achieve program objectives and acquire knowledge, skills, value, and competencies necessary for nursing practice. Expected Level of Achievement: Total curriculum credits are ≤ 72 semester credits. 90% or greater of graduating students will pass the NCLEX exam the first time. 90% of graduates will report that they have acquired the skills and competencies necessary to provide client care. 90% of employers will report that RCC ADN graduates have the skills and competencies necessary to provide client care. PLAN Component s Total Curriculum Units NCLEX Scores Frequency of Assessment Annually Quarterly IMPLEMENTATION Assessment Method/s Monitor number/parent of students who successfully pass RCC Chemistry Placement exam Review and trending of student NCLEX pass rates. Results of Data Collection and Analysis including actual level/s of achievement Spring 2005 Current NCLEX pass rate is 94.44%. Actions for Program Development (D), Maintenance (M), or Revision (R) M – Trend of data indicate LoA is consistently met. * RCC ADN NCLEX Pass Rates (trended from 1996) * Program Review Minutes, 6/9/05, 6/10/04 56 of 80 Nursing 12/06 CRITERION # 13 Alumni Program Evaluation Surveys Bi-annual Distribute, review and trend Program Evaluation/Alumni Surveys. Spring 2005 Surveys demonstrate 96% of graduates report the program has prepared them to function as an entry-level nurse. R – RN Program Evaluation Survey was revised to correlate with the Learning Outcomes/ Competencies (Terminal Objectives). * ADN Program Evaluation Survey (trended from 1999) Employer Program Evaluation Surveys Annually Distribute, review, and trend Employer Program Evaluation Surveys to Directors Educational Liaisons, and/or Clinical Managers. Spring 2005 Survey results: Highest rated areas: 1. 93% of RCC ADN graduates were able to prioritize goals, demonstrate competent skills, be caring, collaborative, advocate, be accountable, practice within ethical/legal framework, be culturally sensitive, and adapt practice when constructive criticism is given. R – Employer Program Survey was revised to correlate with ADN Learning Outcomes/ Competencies (Terminal Objectives) Lowest rated areas: 2. 20% were identified as being minimally prepared or unable to supervise and delegate tasks appropriate to other 57 of 80 R – Faculty identified management and delegation skills as an area for improvement. Theory content and testing methods were changed as a result of feedback. * Program Review Minutes, 6/9/05 Nursing CRITERION # 12/06 13 members of nursing team. 3. 13% did not demonstrate adequate competency with current technologies. 4. 13% did not contribute thru committees/ organizational participation. 58 of 80 R – New HPS Lab beginning Fall 2005 will have scheduled competency testings for each semester level. Nursing 12/06 SYSTEMATIC PLAN FOR PROGRAM EVALUATION STANDARD IV: Curriculum and Instruction CRITERION # 14 Practice learning environments are selected and monitored by faculty and provide opportunities for a variety of learning options appropriate for contemporary nursing. Expected Level of Achievement: 100% of contracts with clinical sites are current. 100% of faculty agree that clinical facilities provide experiences needed to achieve course objectives. 90% of students rate clinical facilities as meeting their learning needs. PLAN Components Frequency of Assessment Contracts Facility Evaluations 59 of 80 On-going On-going IMPLEMENTATION Assessment Method/s Review of clinical contracts. Review of faculty meeting minutes, clinical facility evaluations, semester level meeting minutes. Results of Data Collection and Analysis including actual level/s of achievement Spring 2005 100% of contracts are current. Spring 2005 100% of faculty indicate clinical facilities provide needed experiences. Actions for Program Development (D), Maintenance (M), or Revision (R) M – LoA is being met. Five new facility contracts were added in 2004/2005 * Contracts * Nursing Faculty Minutes, 5/23/05 M – LoA met. * * * * N1 Minutes, 12/13/04 N2 Minutes, 3/4/04 N3 Minutes, 3/28/05 N4 Minutes 3/25/05 Nursing CRITERION # 12/06 14 100% of students rate majority of clinical facilities as meeting their learning needs. 60 of 80 M – LoA met. * Clinical Facility Evaluations * Joint Faculty/ Student/ Facility Minutes Nursing 12/06 SYSTEMATIC PLAN FOR PROGRAM EVALUATION STANDARD V: Resources CRITERION # 15 Fiscal resources are sufficient to support the nursing education unit purposes and commensurate with the resources of the governing organization. Expected Level of Achievement: 100% of faculty agree that the fiscal resources are adequate to support Nursing Education’s goals and objectives. PLAN Components Frequency of Assessment Budget Faculty Input Annually Annually IMPLEMENTATION Assessment Method/s Review of budget, including grants, with nursing faculty. Review of faculty meeting minutes, Learning Resource meeting minutes. Results of Data Collection and Analysis including actual level/s of achievement Fall 2004 100% of faculty agree budget is adequate to meet departmental needs. Spring 2005 100% of faculty have input into budget. Actions for Program Development (D), Maintenance (M), or Revision (R) Spring 2005 M – LoA met. * Nursing Faculty Minutes, 4/25/05, 5/24/04, 2/23/04 D – VTEA Plan 2005/06 developed and submitted for new equipment. M – HRSA grant to fund 2.0 faculty positions through 2006/07. D – Human patient simulators to be ordered in summer 2005 with HRSA Equipment Only grant funds. 61 of 80 Nursing CRITERION # 12/06 15 * Learning Resource Minutes, 5/2/05, 4/18/05, 12/16/04 M – May 2005 VTEA-funded Staff Development Day on Learning Interventions 62 of 80 Nursing 12/06 SYSTEMATIC PLAN FOR PROGRAM EVALUATION STANDARD V: Resources CRITERION # 16 Program support services are sufficient for the operations of the nursing education unit. Expected Level of Achievement: 100% of faculty agree administrative and clerical services are available as needed. PLAN Components Frequency of Assessment IMPLEMENTATION Assessment Method/s Administrative Annually Services Review of faculty meeting minutes. Clerical Services Review of faculty meeting minutes. 63 of 80 Annually Results of Data Collection and Analysis including actual level/s of achievement Spring 2005 100% of faculty agree that administrative services are available. Spring 2005 100% of faculty agree that clerical services are available. Actions for Program Development (D) Maintenance (M), or Revision (R) M – LoA is being met. M – LoA is being met. Nursing 12/06 SYSTEMATIC PLAN FOR PROGRAM EVALUATION STANDARD V: Resources CRITERION # 17 Learning resources are comprehensive, current, developed with nursing faculty input, accessible to faculty and students. Expected Level of Achievement: Faculty and students agree that learning resources are 1) sufficient to meet program objectives; 2) current; 3) accessible; 4) selected with faculty and student input. PLAN Components Frequency of Assessment Resource Annually - Sufficiency every Spring - Currency Accessibility IMPLEMENTATION Assessment Method/s Review of Skills Lab inventory list, list of CAIs, library list of books, IMC list of videos/DVDs, Program Evaluation Surveys. Remove from shelves all holdings greater than 10 years. Results of Data Collection and Analysis including actual level/s of achievement Spring 2005 Faculty/students agree inventory, CAIs, videos, DVDs are adequate. Actions for Program Development (D), Maintenance (M), or Revision (R) M – LoA is being met. D – List of new books submitted to library for purchase. * Learning Resource Minutes 5/2/05, 4/18/05, 9/12/04 * Learning Resources – CAIs, IMC, Library Lists Resource Input 64 of 80 Annually Review of Learning Resource Committee meeting minutes. Minutes reveal numerous video/CAI/ equipment purchases in 2004/2005: VTEA $73,603 HRSA $62,339 Equip. Only $20,292 M – LoA met. D – HRSA Equipment Only grant funds to purchase Human Patient Simulators in Summer 2005. Nursing CRITERION # 12/06 17 * Learning Resources Equipment List * Learning Resource Committee Minutes, 12/6/04, 11/1/04 65 of 80 Nursing 12/06 SYSTEMATIC PLAN FOR PROGRAM EVALUATION STANDARD V: Resources CRITERION # 18 Physical facilities are appropriate to support the purpose of the nursing education unit. Expected Level of Achievement: 100% of the faculty agree that the physical facilities are adequate to meet the outcomes of Nursing Education. PLAN Components Frequency of Assessment Resources: Physical Facilities Annually IMPLEMENTATION Assessment Method/s Review of nursing faculty meeting minutes. Results of Data Collection and Analysis including actual level/s of achievement Spring 2005 Faculty agree that although outcomes are being met, the physical facilities are inadequate to allow for further program growth and expansion. Actions for Program Development (D), Maintenance (M), or Revision (R) D – A new School of Nursing, with 3X (24,000 sq. ft.) the amount of current square footage, has been planned. Building is to begin construction in 2007 with an estimated move-in date of 2009. * New School of Nursing Floor Plan * Program Review, 12/16/04, 2/11/05 * Faculty Meeting, 4/25/05 M – A flexible LVN to ADN Program was developed to allow for program expansion without needing additional classroom space. 66 of 80 Nursing 12/06 SYSTEMATIC PLAN FOR PROGRAM EVALUATION STANDARD VI: Integrity CRITERION # 19 Information about the program, intended to inform the public, prospective students, current students, employers, and other interested parties, is current, accurate, clear and consistent. Expected Level of Achievement: 100% of policies and procedures are published, current, accurate, clear, consistent and accessible. PLAN Components Frequency of Assessment Programmatic Bi-annually Information IMPLEMENTATION Assessment Method/s Review of RCC Catalog, Web site, ADN Information Packet, Nursing Enrollment Committee Policy and Procedure Manual, and ADN Student Handbook by appropriate committee. Results of Data Actions for Program Collection and Development (D), Analysis Maintenance (M), or including actual level/s Revision (R) of achievement Spring 2005 M – LoA met. 100% of policies are published, current, accurate, clear, R – Nursing Web site and ADN consistent and accessible. Information Sheet updated each semester to notify students of upcoming changes. R – RCC Catalog, ADN Student Handbook, and Nursing Enrollment Committee Manual are updated annually. * Nursing Enrollment, 5/3/05 * Nursing Faculty, 9/27/04, 5/24/04 67 of 80 Nursing CRITERION # 12/06 19 Annually Nursing 6, 7, 8, 9 68 of 80 Bi-Annual Student Surveys re: Enrollment Process/Access to Enrollment Information Trend class rosters to determine percent of students enrolled. Spring 2005 Students agreed the following were most useful to them in obtaining program information (n = 196) 85% RCC catalog 88% Nursing RCC Web site 90% ADN Program Information Packet 85% Pre-nursing Information Workshops D – A survey tool was developed to evaluate student perceptions of their access to enrollment/program information. Tool and complete results are available in: *SPPE Notebook. Nursing 12/06 SYSTEMATIC PLAN FOR PROGRAM EVALUATION STANDARD VI: Integrity CRITERION # 20 Complaints about the program are addressed and records are maintained and available for review. Expected Level of Achievement: 100% of records are on file. PLAN Components Frequency of Assessment Program/ Student Complaints Annually IMPLEMENTATION Assessment Method/s Review of grievances/complaints/concerns in Office of Diversity, Academic Affairs, Dean’s Council, Semester Level Meetings. Results of Data Collection and Analysis including actual level/s of achievement Spring 2005 Complaints on file in Dean’s Office, Dean’s Council Minutes, and Semester Level Minutes. Actions for Program Development (D), Maintenance (M), or Revision (R) M – LoA is being met. Process of Problem Resolution is published and accessible in the ADN Student Handbook. Process reviewed each semester with entering students. * Dean’s Council Minutes 69 of 80 Nursing 12/06 SYSTEMATIC PLAN FOR PROGRAM EVALUATION STANDARD VI: Integrity CRITERION # 21 Compliance with Higher Education Reauthorization Act Title IV eligibility and certification requirements is maintained. Expected Level of Achievement: There is 100% compliance with legislation of Higher Education Reauthorization Act. PLAN Components Frequency of Assessment Integrity: Title IV 70 of 80 Annually IMPLEMENTATION Assessment Method/s Review of published material in RCC Catalog and in Financial Aid Office. Results of Data Collection and Analysis including actual level/s of achievement Spring 2005 Review indicates there is 100% compliance with Title IV legislation. Current RCCD Default Rate is 3.6%. Actions for Program Development (D), Maintenance (M), or Revision (R) M – Reviewed annually by Dean, Financial Aid. * CV of Eugenia Vincent, Dean, Financial Aid Nursing 12/06 SYSTEMATIC PLAN FOR PROGRAM EVALUATION STANDARD VII: Educational Effectiveness CRITERION # 22 There is a written systematic plan for program evaluation that is used for continuous program improvement. Expected Level of Achievement: 100% of the nursing faculty agree that the Systematic Evaluation Plan for Program Evaluation is comprehensive and systematic. 100% of faculty agree that the SPPE is integrated into program operations. PLAN Components Frequency of Assessment Systematic Plan for Program Evaluation (SPPE) Annually Educational Quarterly Effectiveness Committee 71 of 80 IMPLEMENTATION Assessment Method/s Systematic Plan for Program format. Educational Effectiveness Committee meeting minutes, Program Review Meeting minutes. Results of Data Collection and Analysis including actual level/s of achievement Fall 2004 Review of Systematic Plan for Program Evaluation demonstrated it was not congruent with current NLNAC Standards & Criteria. Spring 2006 Committee formed at suggestion of NLNAC site visitors on November 2005. Actions for Program Development (D), Maintenance (M), or Revision (R) R – Systematic Plan for Program Evaluation was revised to reflect current NLNAC Standards & Criteria. All criteria now have measurable outcomes and data is being collected, analyzed, and reviewed for program improvement. * Nursing Faculty Minutes, 5/23/05 D: Committee had 2 meetings in Spring 2006 to update SPPE. Nursing 12/06 SYSTEMATIC PLAN FOR PROGRAM EVALUATION STANDARD VII: Educational Effectiveness CRITERION # 23 Student academic achievement by program type is evaluated by: graduation rates, licensure/certification pass rates, job placement rates, and program satisfaction. Expected Level of Achievement: Graduation/retention will be at or above 85%. NCLEX pass rate will be at or above 90%. 90% of graduates will be placed in a job within one year of graduation. 90% or more of responding graduates will indicate that Riverside Community College provided adequate preparation for nursing practice. 85% or more of responding employers will indicate that Riverside Community College ADN graduates were prepared for entry-level practice as Registered Nurses. PLAN Components Frequency of Assessment Graduation Rate NCLEX Pass Rates Annually Annually IMPLEMENTATION Assessment Method/s California Board of Registered Nursing Annual Report, National League for Nursing Annual Report, RCC list of graduates, Nursing Education database California Board of Registered Nursing Results of Data Collection and Analysis including actual level/s of achievement 2003/2004 91% retention 2004/2005 87.5% retention 2004/2005 94.44% Actions for Program Development (D), Maintenance (M), or Revision (R) M – LoA met. * Retention Rates (trended from 1999) M – LoA met. * NCLEX RN Pass Rates (trended from 1996) 72 of 80 Nursing 12/06 CRITERION # 23 Graduate Program Satisfaction Annually Employer Program Satisfaction Annually 73 of 80 Program Evaluation Surveys (graduate, 6-month and 2-year) Employer Program Evaluation Surveys Spring 2005 93-96% of graduates indicate that the program prepared them for hospital/clinical employment. M – LoA met. Spring 2005 Survey results: Highest rated areas: 1. 93% of RCC ADN graduates were able to prioritize goals, demonstrate competent skills, be caring, collaborative, advocate, be accountable, practice within ethical/legal framework, be culturally sensitive, and adapt practice when constructive criticism is given. Lowest rated areas: 2. 20% were identified as being minimally prepared or unable to supervise and delegate tasks appropriate to other members of nursing team. 3. 13% did not demonstrate adequate competency with current technologies. 4. 13% did not contribute thru committed organization. M – LoA met in most areas. * Program Evaluation Surveys (trended from 2000) R – LoA not met. Faculty have identified management and delegation skills as an area for improvement. Theory content and testing methods were changed as a result of feedback. Nursing 12/06 CRITERION # Job Placement 23 Annually Program Evaluation Survey (6 months and 2 years) Since Fall 2000, reported data is consistently 100%. M – LoA met. * ADN Job Placement Rates. Telephone Follow-Up Survey 74 of 80 Nursing 12/06 TABLE XIII RCC SCHOOL OF NURSING GRANTS (2004-PRESENT) Grant Capacity Building Grants Year 2006-2008 Capacity Building Grants 2006-2008 Song Brown 2006-2008 Amount $478,696.00 $1,589,396.00 (faculty, tech support, lab coord. secretary support) $278,167.00 2 faculty positions Purpose/Outcome 60 generic ADNs 80 LVN to ADN Outfit new Lab and expand Simulator Lab 3 faculty, tech support, lab coordinator, secretarial support 10 generic students 10 LVN to ADN students H-1B 2001-2004 $2,100,000.00 HRSA Nurse Education, Practice and Retention: Career Ladder 2004-2007 $798,919.00 Continue career ladder/increase enrollment • Traditional LVN to ADN • Generic ADN • Flexible LVN to ADN Program HRSA Equipment Only Grant 2004-2007 $131,000.00 Purchase state-of-the-art lab/human patient simulators and equipment ADN State Enrollment Growth Funds Nursing Workforce Initiative 2004-2006 $54,218.00 Add 10 ADN enrollment spaces/year 2/20056/2005 $71,969.00 Graduate last 19 students funded through the H1B grant National Student Nursing Association 2004-2005 $46,300.00 Supplement ADN enrollment growth funds to graduate additional 10 ADNs VTEA 2004-2005 2005-2006 $82,450.00 $55,190.00 Purchase equipment/software Staff development CTI Grant 2001-2003 $100,000.00 75 of 80 Career ladder/specialty training/staff development: • CNA – 215 • VN - 23 graduates • ADN - 71 graduates • BSN - 19 • Specialty courses - 139 • Staff development - 685 Partner with skilled nursing facility to educate ancillary staff to become LVNs. 21 out of 26 completed the program. Nursing 12/06 TABLE XIV Spring 2006 RN Applicant Statistics RN Generic Applicants Total Applicants 386 First Priority Total Asian African American American Indian Filipino Hispanic Pacific Islander White Other Female Male 263 44 21 1 44 50 2 83 18 203 60 Second Priority Total Asian African American American Indian Filipino Hispanic Pacific Islander White Other Female Male 76 of 80 0 0 0 0 0 0 0 0 0 0 0 Ineligible RN Applicants 100 9 11 1 12 19 0 41 7 83 17 Third Priority Total Asian African American American Indian Filipino Hispanic Pacific Islander White Other Female Male Fourth Priority Total Asian African American American Indian Filipino Hispanic Pacific Islander White Other Female Male 3 1 0 0 0 1 0 0 1 3 0 Total Asian African American American Indian Filipino Hispanic Pacific Islander White Other Female Male 20 4 3 0 4 5 3 1 0 17 3 Nursing 12/06 TABLE XV Spring 2006 Advanced Placement/Flex Applicant Statistics ADV/FLEX Applicants Total Applicants 72 First Priority Total Asian African American American Indian Filipino Hispanic Pacific Islander White Other Female Male 34 3 9 0 4 9 0 7 2 28 6 Second Priority Total Asian African American American Indian Filipino Hispanic Pacific Islander White Other Female Male 77 of 80 3 0 0 0 0 0 0 2 1 2 1 Ineligible RN Applicants 19 5 4 0 1 2 0 6 1 16 3 Third Priority Total Asian African American American Indian Filipino Hispanic Pacific Islander White Other Female Male Fourth Priority Total Asian African American American Indian Filipino Hispanic Pacific Islander White Other Female Male 13 0 3 0 1 5 0 4 0 11 2 Total Asian African American American Indian Filipino Hispanic Pacific Islander White Other Female Male 3 0 1 0 1 1 0 0 0 3 0 Nursing 12/06 TABLE XVI Spring 2006 30-Unit Option Statistics 30-Unit Option Total Applicants 7 First Priority Total Asian African American American Indian Filipino Hispanic Pacific Islander White Other Female Male Fourth Priority 1 0 0 0 1 0 0 0 0 0 1 Second Priority 0 0 0 0 0 0 0 0 0 0 0 Ineligible Total Asian African American American Indian Filipino Hispanic Pacific Islander White Other Female Male 0 0 0 0 0 0 0 0 0 0 0 Third Priority Total Asian African American American Indian Filipino Hispanic Pacific Islander White Other Female Male 1 0 0 0 0 0 0 1 0 1 0 78 of 80 Total Asian African American American Indian Filipino Hispanic Pacific Islander White Other Female Male Total Asian African American American Indian Filipino Hispanic Pacific Islander White Other Female Male 5 0 1 0 3 0 0 1 0 5 0 Nursing 12/06 TABLE XVII Spring 2006 RN Petition Statistics RN Petitions Total Applicants Nursing 1 Total Asian African American American Indian Filipino Hispanic Pacific Islander White Other Female Male 26 3 0 1 0 0 0 0 1 1 3 0 Nursing 3 Total Asian African American American Indian Filipino Hispanic Pacific Islander White Other Female Male 79 of 80 Nursing 2 Total Asian African American American Indian Filipino Hispanic Pacific Islander White Other Female Male 3 0 0 0 0 1 0 2 0 2 1 Nursing 4 12 0 4 0 3 3 0 2 0 11 1 Total Asian African American American Indian Filipino Hispanic Pacific Islander White Other Female Male 8 2 0 0 1 2 0 3 0 8 0 Nursing 12/06 TABLE XVIII Fall 2005 VN Applicant Statistics VN Applicants Total Asian African American American Indian Filipino Hispanic Pacific Islander White Other Female Male 445 35 65 2 62 117 1 147 16 371 74 Ineligible VN Part Time Applicants Total 24 Asian 1 African American 6 American Indian 0 Filipino 3 Hispanic 9 Pacific Islander 1 White 3 Other 1 Female 21 Male 3 234 19 30 1 31 59 0 90 4 194 40 Ineligible VN Full Time Applicants Total 187 Asian 15 African American 29 American Indian 1 Filipino 28 Hispanic 49 Pacific Islander 0 White 54 Other 11 Female 156 Male 31 Eligible VN Full Time/Part Time Applicants Total Asian African American American Indian Filipino Hispanic Pacific Islander White Other Female Male 80 of 80