SYSTEMATIC PLAN FOR PROGRAM EVALUATION AND ASSESSMENT OF OUTCOMES Standard VI The program has an identified plan for systematic program evaluation and assessment of educational outcomes. CRITERION 18: Written planning for systematic program evaluation and assessment of outcomes includes the following elements: definitions of criteria and required and elective outcomes; defined levels of achievement (decision rules for action); time frames from assessment of all plan components; person(s) responsible for each component of the plan; methods and/or tools to assess each criterion and outcome; reliability, validity, and trustworthiness of methods and tools used; data collected, analyzed, aggregated, and trended; and, verification that findings are used for decision making in program development, maintenance, and revision. Operational Definition Evaluation Plan—document outlining the components of the Nursing Program and including all the NLNAC required elements for evaluation. Expected Outcomes: 1. A written plan is in place that meets the criteria and is used to guide systematic evaluation of the program. Component Where Responsible Time/ Assessment method Reliability, Validity, Report of Implementation Documentation person Frequency of (and rationale) Trustworthiness of the data to: is Found Assessment Assessment method Assessment Action Evaluation plan Nursing Office Evaluation Review plan Evaluation Evaluation Faculty 1. Plan did not meet 1. Plan revised and “S” drive for Committee bi-annually Committee review committee group the standard when updated to reflect all faculty plan for currency and constitute a "panel Self Study process newest criteria. relevancy and to of experts" who are initiated. make sure it meets qualified to evaluate standards listed quality of plan. above. (As plan is used it is expected that revisions will be needed to maintain usefulness of document.) D:\106755427.doc 99 CRITERION 19: Required and elective outcomes as they relate to student academic achievement by program type, are evaluated. Operational Definitions: Definitions for each element are found in the Program Planning and Assessment Document and in the Self Study. Expected Outcomes: 1. Graduates exhibit critical thinking. a. Students complete required Nursing Process Papers (NPPs) satisfactorily at each level in the Program in order to progress. b. Graduates show a positive disposition toward critical thinking on the CCTDI. c. Graduates score above the 50th percentile on the steps of the nursing process as shown on NCLEX RN Program Reports. d. Graduates rate #2, #3, & #5 on the Graduate Self-Assessment Survey (GSS) as 3.5 or better on a scale of 1-5 upon graduation. 2. Graduates demonstrate communication abilities. a. 100% of students passing are rated as "satisfactory" on communication skills on their clinical evaluation tools each quarter. b. 90% of students passing complete satisfactorily (grade 2.0 or above) a communication project at each level (paper, verbal presentation, etc.) c. Students rate #7 on the GSS as 3.5 or better on a scale of 1-5 upon graduation. 3. Graduates demonstrate therapeutic nursing intervention skills. a. Students are rated as satisfactory in all clinical outcomes at each level in the Program in order to progress. b. Graduates score at or above the 50th percentile for all graduates of all nursing programs in meeting client needs for: safe, effective care environment, health promotion and health maintenance, psychosocial integrity, and physiological integrity as shown in NCLEX RN Program Reports. c. Students rate #4 on the GSS as 3.5 or better on a scale of 1-5 upon graduation. 4. Graduates have the knowledge and skills to pass the NCLEX RN and become licensed RNs. a. Graduates pass the NCLEX RN at or above the mean rate for the United States. 5. Patterns and rates of employment are tracked. a. At least 90% of graduates are employed as RN's within six months of graduation. b. Employment patterns reflect that 80% of those employed are practicing in roles for which they have been prepared (i.e. direct care in hospitals, nursing homes, ambulatory clinics, and home care.) 6. Graduates are satisfied with the preparation the Program has provided for the RN role. a. Graduating students rate program satisfaction as "3.5" or better on a scale of 1 – 5 upon graduation. b. Graduate surveys show that 90% of graduates were satisfied with Program preparation. 7. Students accepted into the program are successful in achieving their goals. a. At least 60% of those admitted to the Nursing Program graduate with an AAAS degree within the standard six quarters (two academic years) 70% within 9 quarters (three academic years.) Component Where Responsible Time/ Assessment method Reliability, Validity, Report of the Implementation Documentation person Frequency of (and rationale) Trustworthiness of data to: is Found Assessment Assessment method Assessment Action 1. Critical 1. Nursing 1. Program 1a.b. At the 1a. Nursing Process Interrater 1abcd. NursGreater reliability is Our Institutional Thinking course Director, end of each Papers (NPPs) reliability is .467 ing faculty, needed for this to be Effectiveness Dept. summary Evaluation quarter: fall, Advisory an effective measure will work with us on evaluations Committee winter, spring Committee 1a. Faculty will evaluating after a continue to evaluate new rubric is NPPs using course developed. criteria as a guide. D:\106755427.doc 100 1b. Scoring data provided by Institutional Effectiveness office Program Director in cooperation with Institutional Effectiveness office. Quarterly 1b. California Critical Thinking Dispositions Inventory (CCTDI) will demonstrate a positive disposition to critical thinking. (Instrument has been evaluated for its ability to measure this attribute.) 1b. CCTDI is an established instrument that has been statistically evaluated for reliability and validity. Evaluation Committee 1c. NCLEX Program Reports purchased by Program Program Director 1c. Twice Annually 1c. NCLEX feedback information is purchased and evaluated for patterns of change by the Evaluation Committee. (Provides a reliable source of information about outcomes measured by NCLEX.) 1c. NCLEX-RN is a valid and reliable instrument for measuring entry level RN competency. Evaluation Committee 1d. Graduate Self Assessment Survey 1d. Program Director 1d. Quarterly. Students are asked to complete the GSS just prior to graduation. The survey matches the Program Educational Outcomes (Students approaching graduation are most able to assess their own abilities with regard to the components of the curriculum.) Comparative analysis of tool and outcomes shows consistency. The Evaluation Committee constitute a "panel of experts" who are qualified to evaluate for trends which are revealed in the data. 1d. Nursing Faculty, Advisory Committee D:\106755427.doc 101 1b. The overall mean score for each disposition is above 40 (the recommended cut score for each scale) & the overall total mean score is above 280, Students are demonstrating that they are disposed toward critical thinking and the Program is assisting them to maintain this disposition 1.c. Mean percentile rankings have varied but without a specific pattern. Most have remained above the 50th percentile. 1b. Continue use 1d. Students rate #2, #3, & #5 on the GSS 3.5 or greater. They believe they possess critical thinking skills. No action needed. 1c. Continue current curricular plan for teaching nursing process and monitor. 2. Interpersonal and communication skills 3. Therapeutic nursing intervention skills 2a. Course Evaluation summary annually 2a.b. Program Director, Team Coordinators, Clinical Instructors 2abc. At the end of each quarter: fall, winter, spring 2b. Course Evaluation summary annually See 2a. above 2c. Graduate Self Assessment Survey 2c. Program Director, Evaluation Committee, Advisory Committee 3a. Program Director, Team Coordinator, Clinical Instructors 3a. Syllabi passing requirements and annual course evaluation summary 2a.b. Course evaluation forms are designed to collect raw "objective" data that is unbiased in nature. The Evaluation Committee constitute a "panel of experts" who are trustworthy to evaluate for trends in the data. 2a. Nursing faculty, Evaluation Committee, Advisory Committee 2a. 100% of Students who pass are rated satisfactory. All clinical evaluations include communication abilities. 2a. No change See 2a. above 2ab. Course evaluation forms are filled out each quarter at each level of the program to collect data about success rates on student papers, clinical grades, and theory grades. (Provides a way to quickly monitor for trends in internal measures of success within the program and at each level.) See 2a. above See 2a. above See 2a. above 2b. Continue working with students to improve writing and interaction skills. See 2a. above 2c. See 1d. above 2c.See 1d above See 2a. above 2b. 90-100% of passing students at each level have a 2.0 or greater on communication project. 2c. Graduates for last 3 years rated number 7 on GSS as 3.5 or above. 3a. At the end of each quarter: fall, winter, spring 3a. See 2a. above All clinical evaluation tools clearly require satisfactory on all therapeutic intervention outcomes. 3a.See 2a. above. 3ab. Nursing Faculty, Evaluation Committee, Advisory Committee 3a. All graduates are satisfactory in clinical evaluations No change D:\106755427.doc 102 2c. Continue working with students to improve communication skills. 3b. NCLEX Program Reports 3b. Program Director, Evaluation Committee 3b. Twice Annually 3c. Graduate Self Assessment Survey 3c. Program Director, Evaluation Committee 3c. At the end of each quarter: fall, winter, spring 4. Performance on NCLEX-RN 4a. Nursing Commission Reports on NCLEX RN results 4a. Annually 5.Patterns and Rates of Employment 5ab. Graduate Survey Advisory committee 4a. Program Director, Nursing faculty, Evaluation Committee, Advisory Committee 5ab. Program Director, Nursing Faculty, Evaluation Committee, Advisory Committee 5. a & b. Survey sent one year after graduation Other--ongoing Communicatio n with facility administrative personnel 3b. See 1c. above 3b. See 1c above 3b. Evaluation Committee 3c .See 1d. above 3c. Evaluation Committee, Nursing faculty, Advisory Committee 4a. NCLEX-RN 4a. NCLEX-RN is a valid, reliable, instrument for measuring entry level RN competency. 5. a & b. The survey asks for specific factual data regarding employment.. 5. Factual data is trustworthy. 3c. See 1d. above D:\106755427.doc 103 3b. In the last 4 years only 3 instances of below the 50th percentile occurred. These were in different measures and do not constitute a trend 3c. All measures have been above 3.5 for the last 3 years. Continue to monitor .to determine if trend begins 4a. Evaluation Committee, Nursing Faculty, Advisory Committee 4. Pass rates have remained above both state and national or there is some decrease in pass rate. 4. Monitor closely. Plan for diagnostic readiness exam to assist graduates in studying for exam. 5. Evaluation Committee Nursing Faculty Advisory Committee 5a. All graduates responding are employed. Informal data indicates all students desiring employment are employed. b. All graduates responding working in roles for which prepared. No change No change 6. Graduate satisfaction 6a. Graduating Student Self Assessment Survey 6ab. Program Director, Evaluation Committee b. Graduate surveys one year after graduation 7. Graduation/ attrition 7. Nursing Program Office & Institutional Effectiveness Office 7. Program Director, Evaluation Committee 6a .At the end of each quarter: fall, winter, spring 6b. One year after graduation for each class Quarterly 6. Graduate survey matches the program educational outcomes. 7. Graduation/ completion data is collected by the Program Director and is used to evaluate trends in these areas by the D:\106755427.doc 104 6. Comparative analysis of tool and outcomes shows consistency. The Evaluation Committee constitute a "panel of experts" who are qualified to evaluate for trends which are revealed in the data. 7. The Evaluation Committee constitute a "panel of experts" who are qualified to evaluate the graduation/ completion data for trends. Evaluation Committee Nursing Faculty, Advisory Committee Evaluation Committee Nursing Faculty, Advisory Committee 6a. Survey shows satisfaction ranging from 3.9 to 4.5 on a 5 point scale with highest ratings most recent. This meets the desired outcome. 6b. Satisfaction has ranged from 3.9-4.27, which meets the desired outcome. 7. The goal of 60% in 6 quarters was not met although there is improvement in the class after support services instituted. The goals of 70% in 9 quarters was met and actually exceeded. This is a brief gain and we must sustain efforts.. 6a. & b. Continue processes in place 7. Continue with supports for student success and continue to implement additional ways to assist students.