Running head: NURSING EDUCATION PRACTICUM Nursing Education Practicum Experience Proposal Ann E. Bancroft, BSN RN Ferris State University 1 NURSING EDUCATION PRACTICUM 2 Abstract The process of leaving the academic world as a student and entering the academic world as an educator is a journey that spans both worlds over an extended period of time. In the final semester of the Masters of Nursing, a practicum experience allows the student to fully explore the chosen professional role. The student works closely with a preceptor to learn as well as act within the professional role. In the case of Masters of Nursing: Education, the student will explore the didactic aspect of nursing education. The practicum proposal delineates the learning plan for the Masters student, a literature review to support the learning plan, and evaluation tools that the student and preceptor complete. Key comments: The Masters of Nursing Education student must complete a practicum experience in preparation for entering this specialty role. Examination of strengths and weaknesses directs the student to prepare the practicum experience to gain needed experience. By basing the practicum in nursing and non-nursing theory the student is guided in structuring the practicum experience as well as evaluation of outcomes related to the National League of Nursing Nurse Educator Competencies. NURSING EDUCATION PRACTICUM 3 Nursing Education Practicum Experience Proposal The Masters of Nursing: Education program at Ferris State University requires the graduate student to complete a practicum focused upon the chosen specialty role. The graduate student is required to examine strengths and weaknesses to determine where best to direct energy in the practicum experience. I have experience as a clinical instructor and within simulation, so my focus for my practicum will be on the didactic portion. I feel as though I do not have the experience nor sufficient education to dive into the lecture portion of nursing education, including pace and delivery of lecture material, integration of learner centered activities to facilitate learning, test question writing and test question evaluation, and implementing other assessment and evaluation techniques. In the interest of gaining experience in these areas, I will be focusing upon four National League for Nursing (NLN, 2012) competencies: Facilitate Learning, Facilitate Learner Development and Socialization, Use Assessment and evaluation Strategies, and Engage in Scholarship (NLN, 2012). To further my experience, I will be teaching obstetrics. This is not a strong area for me and will require me to step outside of my comfort zone of critical care/emergent care and learn the specialty under the guidance of an experienced obstetrical nurse and educator. The purpose of this proposal is to present the learning plan, a literature review, and evaluation tools to support the proposed teaching practicum. Learning Plan The learning plan is the guide by which the student delineates the activities that are to be completed in the practicum. These activities are linked to the National League of Nursing Education Competencies. A grid of the learning plan can be found in the Appendix A. NURSING EDUCATION PRACTICUM 4 Facilitate Learning Under the NLN competency of Facilitate Learning, I will be focusing upon several skills including the application of learner centered teaching. In order to meet the objective of “implementing a variety of learner centered teaching strategies” (NLN, 2012. p. 14) I will create case studies, interactive questioning opportunities such as Jeopardy style games and employ the use of concept maps to assist in assimilation of key concepts (Horsfall, Cleary, & Hunt, 2011)2. The didactic faculty of the college I will be working within also play a role in the clinical setting. To meet the objective of “recognizing multicultural, gender, and experiential influences” (NLN, 2012. p. 14) I will be actively supportive of the learning experience of male students within the clinical setting while respecting the patients’ wishes and the staff’s preference. I will also encourage experiential sharing by students and be guided by my mentor in multicultural approaches to perinatal care and delivery. To meet the objective of “engaging in self-reflection and continued learning to improve teaching practices” (NLN, 2012. p. 14) I will employ journaling as a means to track and reflect upon the teaching experience. I will review my reflections with my mentor as well as seeking feedback from her. Facilitate Learner Development and Socialization The OB content falls within the first semester of the students’ professional sequence at the college I with be completing my practicum. The first semester is the ideal time to introduce and encourage integration of professional behaviors and learning strategies. The community college in which I will complete my practicum has a very diverse student population: immersion into this diversity will assist me in comprehending the different challenges experienced by NURSING EDUCATION PRACTICUM 5 students from a variety of socio-economic and cultural backgrounds, and to create or access resources to meet the needs of the individual student. Under the NLN competency of Facilitate Learner Development and Socialization (NLN, 2012. p. 16) I will be focusing on “identifies individual learning styles and unique learning needs of diverse learners” (NLN, 2012. p. 16). To meet this objective, I will meet with students experiencing difficulty within the course. In order to “provide resources to diverse learners” (NLN, 2012. p. 16) I will explore learner support systems in place within the college, explore experiences of educators within the program in assisting students, and create educational opportunities that support multiple styles of learning including on line learning opportunities, case studies, and supplemental supportive material. To meet the objective of “recognizes the influence of teaching styles interpersonal interactions on learner outcomes” (NLN, 2012. p. 16) I will present an engaging classroom milieu through enthusiasm, knowledge, and drawing the students into the learning experience as well as maintaining availability outside of the classroom. Use Assessment and Evaluation Strategies (NLN, 2012. p. 17) My mentor is providing me with information and education on creating and evaluating NCLEX style questions, with which I have little to no experience. I feel the need to explore the time, effort, and knowledge level necessary in assessing and evaluating the work the students do within the didactic setting. In meeting the objective “uses extant literature to develop evidencebased assessments and evaluation practices” (NLN, 2012. p. 17), I will have the opportunity to evaluate/assess levels of learning with assignments within the didactic setting. I will create grading rubrics for one for one or more of the learning opportunities to meet the objective of “uses a variety of strategies to assess and evaluate learning in the cognitive, psychomotor, and affective domains” (NLN, 2012. p. 17) The creation of a variety of learner center teaching NURSING EDUCATION PRACTICUM 6 opportunities will create the need to evaluate the effectiveness of the opportunities as well as the level of learning achieved by the students. These opportunities include evaluation of the case studies and concept maps, assessment of student knowledge during questioning games, and assessment of cultural and experiential bias through student sharing of experiences. Engage in Scholarship (NLN, 2012. p. 21) While engaging in scholarship is not a weakness within my practice or education, I feel it is important to continue my commitment to pursuit of best practices. This also aligns well with the process of stepping outside my comfort zone in both education and area of expertise. To meet the objective of “draws on extant literature to design evidence-based education and evaluation practices” (NLN, 2012. p. 21) the literature review for this proposal will prepare me for the teaching and evaluation opportunity in the next semester, as well as provide me with resources from which to draw. Furthermore I will be using evidence-based education practices to create and evaluate NCLEX style questions as well as using evidence-based education practices in the presentation of learner centered teaching opportunities. To meet the objective of “exhibits a spirit of inquiry about teaching and learning, student development, and evaluation methods” (NLN, 2012. p. 21) I will seek continuous feedback from my mentor on the effectiveness of my teaching. Embracing a discipline outside my comfort zone to increase my own knowledge base also demonstrates the spirit of inquiry. Finally, the continuous validation of teaching concepts by my mentor and by extant literature will allow me to support my practicum with experience and evidence based teaching practices. Literature Review This literature review explores Benner’s Novice to Expert nursing theory and learner centered teaching theory as the theories apply to both the nursing student and the post graduate student. Benner’s nursing theory ties into learner centered learning theory and the National League of Nursing NURSING EDUCATION PRACTICUM 7 competencies, which guides the Masters student in the practicum. Assessment and evaluation of the undergraduate nursing student is addressed, focusing upon authentic assessment and NCLEX style questions. Benner’s Novice to Expert More than 30 years ago Patricia Benner (1982) introduced nursing education to the Novice to Expert model. As the Master prepared nurse educator prepares to enter the professional role, this model not only applies to the students but to the new nurse educator as well. Benner’s model (1982) reflects the journey of an individual from novice (an individual with no experience) through Advanced Beginner (an individual who can perform acceptably), Competent (an individual who has practiced for two to three years), Proficient (an individual who views the whole rather than the parts and is capable of anticipating situations and adapting), to Expert (an individual who reacts intuitively and no longer relies upon rules or maxims to guide practice). The graduating Masters prepared nurse may be Expert in the specialty role within nursing but is an Advanced Beginner in the professional advanced specialty role. Gardner (2013) writes about Benner’s work and reflects that the first three stages in Benner’s model are applicable to nursing school. This can be extrapolated to the Masters student. Proficiency and Expert levels are reached after years of practice. This is applicable to the nurse educator as well. In the early semesters of the Masters of Nursing Education, theory and knowledge are explored. In the final semesters projects and practicums take the student from Novice to Advanced Beginner or Competent through experiential learning opportunities. Gardner follows up with an exploration of the Expert meaning: whether it is based upon “formal, theoretical, analytical” knowing or “intuitive, tacit, holistic” knowing (Gardner, 2013. p. 183). Benner and Gardner both assert that the Expert combines both kinds of knowing, although Gardner clarifies further that the Expert is hybrid of the two types of knowing rather than a combination. In order to reach this hybridization of knowing between formal, traditional learning and holistic, intuitive learning a different style of teaching must be utilized. In an exploration of Benner’s work, Gardner (2012) finds that both Benner and the theorist whose work she built upon, Hubert Dreyfus, define nursing expertise as NURSING EDUCATION PRACTICUM 8 something that can be learned, but cannot be taught. Gardner (2012) questions what this means for nursing education, admitting that the traditional didactic lecturing technique is inadequate to the needs of the students and the profession. While knowledge must be transferred from academia to student, it must be done in a manner that challenges the learner to own and integrate the information. Poindexter (2013) evaluated schools of nursing to determine the core competencies desired in novice nurse educators. The cross sectional surveys revealed that the ability to facilitate learning, which is the National League of Nursing’s first nurse educator competency, ranked high in the expectations of the respondent schools of nursing. This competency includes familiarity with educational theories, evidencebased education practices, and teaching students with diverse backgrounds and learning styles (Poindexter, 2013). The experience within the Masters’ program within Ferris State University allows the student to have experience and knowledge upon which to build, with guidance from a preceptor, to continue the journey toward Proficiency. Learner Centered Learning In order to assist nursing students to capture and integrate the clinical reasoning imperative to the nursing profession an interactive, dual responsibility approach to teaching/learning is necessary. The National League of Nursing (2012) specifically calls upon the nurse educator to implement a variety of teaching methods designed to engage the student in the learning process. Learner centered teaching is an education theory and approach that is based upon the constructivism education theory, and has been identified as a fluid education theory by Henson (2003). Constructivism requires the learner to build individual knowledge bases influenced by personal experience and environment (Kala et al., 2010; Rovai, 2004). The constructivism viewpoint is that the learner is an active accomplice in the learning process (Rovai, 2004). Learner centered learning is an education theory that engages the student in the learning process as an active participant rather than a passive receptacle of knowledge dispensed from the podium (Schiller, 2009). Learner centered teaching is an approach to empowering students to take control of their learning, engage students in the spirit of inquiry, and instill the lifelong learning mentality which is NURSING EDUCATION PRACTICUM 9 imperative for all nurses. In this theory the faculty members are facilitators rather than directors of student learning. This changes the role of educator from a dispenser of knowledge to one of guidance and provider of tools of learning. Billings and Halstead (2012) describe learner centered learning as a means to nurture students spirit of inquiry. Horsfall, Cleary, and Hunt (2012) delineate the necessary pedestals from which learner centered teaching are built, including communication, negotiation, engagement of the student in the learning process, use of multi-media presentations, concept maps, and case studies. Role modeling learning behavior is also important (Horsfall, Cleary, & Hunt, 2012). Students in a learner centered based curriculum are also required to focus on the process of learning, rather than the factual knowledge transfer (Greer et al. 2010). This theory assists students to adjust to the lifelong learning required of nurses. Colley (2012) delineates the difficulties inherent in implementing learner centered teaching including faculty resistance, faculty comfort levels and time constraints, and student resistance. However, the benefits of stimulating the learning mind to develop not only the spirit of inquiry but the knowledge of learning processes leads to students who are capable of integrating knowledge rather than simply regurgitating it. The learner centered educator creates an atmosphere of trust, communication, and engagement not only in the student but within his or her self (Horsfall, Cleary, & Hunt, 2012). This decreases student anxiety and thereby increases the students’ ability to learn actively. The students can be engaged in the learning process in a variety of methods, including negotiation regarding assignments which allows for student interest to be engaged, multi-media quiz show style questions as a means of integrating learned subject matter, and group work on case studies to encourage collaboration, teamwork, and critical thinking (Horsfall, Cleary, & Hunt, 2012). Instead of the educator being the center and source of all knowledge, the students are supported and challenged by the educator to direct and take responsibility for their learning (Keating, 2010). In an article analyzing arts-based education approach, Rieger and Chernomas (2013) observe that creative approaches to educating nursing students assist students in critical thinking, problem-solving, and improves communication techniques. Integrating engaging activities into didactic education creates NURSING EDUCATION PRACTICUM 10 another way for students to view concepts in a way that allows them to carry the concept forward with gaining a deeper understanding of the concepts. Examples given of arts-based nursing education include the use of art forms to develop visual cues, creative writing to explore cultural differences, a museum visit to explore observational techniques and integration of nursing diagnosis, using expressive arts to increase empathy, and using art forms to increase understanding of mental illness (Rieger & Chernomas, 2013). These approaches engage the student to explore concepts in ways that not only integrate the concept into a pattern of thinking, but allows the student to extrapolate the concept more broadly: evidence of critical thinking. Assessment and Evaluation The National League of Nursing’s third competency for nurse educators is the ability to use assessment and evaluation strategies (NLN, 2012). Assessment is defined by Billings and Halstead (2012) as the gathering of information for a specific purpose. The specific purpose of assessment in education is the gathering of pertinent information to determine student learning (Billings & Halstead, 2012). Evaluation is a term that implies judging performance or knowledge: this takes assessment beyond the gathering of information and into the realm of decision making regarding a student’s ability to progress within a program or to practice nursing safely (Billings & Halstead, 2012). In order to determine student level of understanding educators use multiple methods of assessment. Opportunities to evaluate student understanding and integration of concepts include quizzes, exams, papers, journals, assessment of skills in the laboratory setting and in the clinical setting, and assessment of critical thinking and prioritization of care in the simulation setting and the clinical setting. Using a variety of assessment methods allows the educator to obtain a clearer picture of how material is assimilated in a student population. Assessment across the didactic, laboratory, and clinical settings allow educators to see how students carry information gathered and/or experienced in multiple settings into their practice. MacDonald (2013) indicates that assessment is an integral part of meeting instructional objectives and learning outcomes. Not only does assessment and evaluation gauge students’ learning but also allows educators to look at the teaching objectives and methods to gauge whether the objectives are realistic and the methods are effective. NURSING EDUCATION PRACTICUM 11 Evaluation also allows for the implementation of appropriate and supportive feedback to the students (Halstead, 2007). The nurse educator has a responsibility to not only assess students learning but to clearly communicate what is required for success (MacDonald, 2013). Poindexter (2015) explores authentic assessment, in which there is a shift from evaluating students’ knowledge to assessing students’ application of knowledge and thinking in real situations. According to the authentic assessment model, the assessment must challenge the student, require a performance or product, require demonstration of transference of knowledge and metacognition, is it relatable to the workplace, and is student feedback and collaboration a part of the assessment (Poindexter, 2015). The authentic assessment model is highly applicable to the clinical setting and to simulation. The assessment of learner centered activities as described in the previous section would also be a form of authentic assessment. Nursing educators have the responsibility to engage learning not only of the nursing profession but to guide students in the ability to interpret NCLEX questions in preparation for the licensure exam. In order to prepare students for the NCLEX, nursing educators predominantly use NCLEX style questions in quizzes, tests, and exams. The Ferris State University School of Nursing pre-licensure testing policy (2014) states that a primary objective outcome measurement is graduate NCLEX pass rates. “Students must be prepared for this licensure exam within the context of the Nursing program, with consistent testing practices that reflect the NCLEX-RN” (FSU Programs of Nursing testing policy, 2014. p. 1). The testing policy allows for a leveled, progressive evaluation of Safe, Effective Care Environment, Physiological Integrity, Psychosocial Integrity, and Health Promotion and Maintenance (FSU Programs of Nursing testing policy, 2014). The policy further recommends that at least 74.45% of the grade in the “testing” courses be tied to NCLEX style testing. The difficulty in assessment and evaluation based upon these guidelines lies in choosing statistically reliable questions within the listed categories while progressing from knowledge based questions to application based questions. Carrick (2011) states that the assessment and evaluation of student performance in a variety of settings provides a link between teaching and learning. This assists the educator in determining the NURSING EDUCATION PRACTICUM 12 effectiveness of the educational delivery. McDonald (2013) states that the nursing educator can help prepare students for the NCLEX by learning to write exam questions that evaluate students’ higher-order thinking and critical reasoning abilities. As stated above, nurse educators have a responsibility to clearly communicate what is needed for success: in the case of NCLEX style questions, the nurse educator must stress that the questions are designed to test an individual’s thinking, not an individual’s memory (McDonald, 2013). Application to Practicum The resource list can be found in Appendix A. Using Benner Novice to Expert theory allows the graduate student to begin again in mastering a new professional role while gauging progress through the mastery levels. This theory also assists the post graduate student in assessing and evaluating the students with whom he or she works. The addition of a preceptor into the final practicum allows the student to remain a student during immersion in the professional role of nurse educator. Frequently touching back on this theory allows the post graduate student to value mastery gained while respecting mastery to come. Learner centered teaching challenges the fledgling nurse educator to explore engaging learning activities that teach students to take control of their own learning while maintaining the teaching objectives and learning outcomes. Keeping the communication and negotiation aspects of learner centered learning firmly at the fore front allows the nurse educator to recognize the stake the student has in the process and prevents the educator from carrying over perceptions of previous students and casting them on current students. Using engaging activities that are multi-dimensional in learning outcomes allows a simple group activity to teach collaboration, teamwork, sharing of evidence based practice and knowledge, and critical thinking. Keeping the resources related to learner centered teaching at hand allows self-redirection if the balance of power shifts in the didactic setting. Exploration of authentic assessment in the classroom and clinical allows the post graduate student to learn to assess the application of knowledge and the students’ reasoning in a real world situation. The text by McDonald will walk the graduate student through assessing and evaluating, writing NCLEX style questions, and statistical analysis of tests to reveal weak questions. Working with the preceptor ensures NURSING EDUCATION PRACTICUM 13 that the students will be assessed and evaluated fairly while the post graduate student practices these skills. Setting and Preceptor The Masters education practicum will take place within the confines of Muskegon Community College (MCC) in Muskegon, Michigan. This community college currently offers an Associates of Applied Science in Nursing, is accredited by the Accreditation Commission in Nursing, and historically experiences an NCLEX pass rate which is higher than the national average (MCC, 2015). MCC is in a semi-urban setting with a diverse population which is well represented in the student demographic. The students are predominantly female within the nursing program, however there is a representation of male students in every cohort. The ethnicity of the student population includes Caucasian (75%), Black or African American (9%), Hispanic (4%), and multiracial (3%) (MCC, 2014). The ages of the students range widely from under 21 to over 40, although the nursing program has a large concentration of 20-30 year olds. My preceptor is Mary Dyke, MSN, RN, CNE, curriculum coordinator for MCC. Ms. Dyke has been at MCC for a number of years. She has received continuing education in NCLEX question evaluation and creation and has written question for the NCLEX and the NLN. Ms. Dyke will be lead instructor for the first semester nursing students in the OB class. Ms. Dyke has provided me with education materials regarding assessment and evaluation. She is planning on allowing me to present lectures on OB emergent situations, as well statistically analyzing NCLEX style test questions, evaluating questions for validity and variability, and eventually writing NCLEX style questions. The studentpreceptor-site agreement can be viewed in Appendix B. Evaluation Evaluation of the graduate student will be completed by the preceptor midway through the semester (formative) and at the conclusion of the practicum (summative). The formative evaluation will guide the graduate student in what areas need growth while recognizing the accomplishments to date. The dual evaluation by the preceptor and the student allows for the comparisons of perception of progress. NURSING EDUCATION PRACTICUM 14 The summative evaluation will reflect the completed practicum and highlight the areas within the didactic education setting on which the student needs to focus. The evaluation tools are based directly upon the National League for Nursing’s competencies reflected in my learning plan: Facilitate Learning, Facilitate Learner Development and Socialization, Use Assessment and Evaluation Strategies, and Engage in Scholarship (NLN, 2012). The practicum activities are connected directly to the NLN competencies utilizing verbiage found in Bloom’s Taxonomy of Measurable Verbs (Paul D. Camp Community College, 2012) and Iowa State University’s A Model of Learning Objectives (n.d.). A five point rating scale was chosen and was based upon the examples provided by CPS Human Resource Services, (n.d) and Alberta College of Occupational Therapists, (2009). The summative evaluation contains objectives beyond the formative as some activities will be conducted closer to the end of the semester. By basing the evaluation on the NLN competencies, there is a direct link to requirements of the nurse educator as well as a direct tracking of practicum activities that correlate to the competencies. The evaluation tools can be viewed in Appendix C. Summary The Masters of Nursing: Education program at Ferris State University provides an opportunity for the graduate student to be immersed within the chosen specialty under the guidance of a preceptor. The preparation for this practicum allows the graduate student to reflect and review the areas in which she or he needs growth and prepare a plan to meet these needs. The plan must be based in a the guiding precepts of a governing body directly related to the specialty; in this case the governing body is the National League of Nursing Education and the guiding precepts are the Nurse Educator Competencies. Literature review allows the student to explore nursing and non-nursing theory applicable to the chosen practicum as well as develop a resource list to guide the practicum. Evaluation of the graduate student guides the student’s focus in refining and improving the educational process to meet the objectives and goals of the practicum. NURSING EDUCATION PRACTICUM 15 Reference List Alberta College of Occupational Therapists. (2009). Competency Assessment Form. Retrieved from https://fsulearn.ferris.edu/bbcswebdav/pid-899183-dt-content-rid5817518_1/courses/50381.201505/Example%20Competency_assessment_form.pdf Benner, P. (1982) From novice to expert. American Journal of Nursing, 402-407. 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NURSING EDUCATION PRACTICUM 18 Marshall, E. (2011), Transformational leadership in nursing: From expert clinician to influential leader. (1st ed.) New York: Springer Publishing Company, LLC Moch, S. D., Cronje, R. J., & Branson, J. (2010). Part 1. Undergraduate Nursing Evidence-Based Practice Education: Envisioning the Role of Students. Journal of Professional Nursing, 26(1), 5–13. doi:10.1016/j.profnurs.2009.01.015 National League for Nursing. (2012). The Scope of Practice for Academic Nurse Educators. New York: National League for Nursing. Paul D. Camp Community College. (2012). Bloom’s Taxonomy of Measurable Verbs. Retrieved July 6, 2015 from http://www.pdc.edu/wp-content/uploads/2012/01/Bloom-Taxonomy_2012.pdf Poindexter, K. (2013). Novice nurse educator entry-level competency to teach: A national study. Journal of Nursing Education, 52(10). 559-566. doi:10.3928/01484834-20130913-04 Poindexter, K., Hagler, D., & Lindell, D. (2015). Designing authentic assessment: Strategies for nurse educators. Nurse Educator, 40(1). 36-40. doi:10.1097/NNE. 0000000000000091 Quality and Safety Education for Nurses Institute. (2014). Graduate KSAS. Retrieved from http://qsen.org/competencies/graduate-ksas/ Rieger, K. L & Chernomas. (2013). Arts-based learning: analysis of the concept for nursing education. International Journal of Nursing Education Scholarship 10(1). 53-62. doi: 10.1515/ijnes-20120034 Robinson, B. K., & Dearmon, V. (2013). Evidence-Based Nursing Education: Effective Use of Instructional Design and Simulated Learning Environments to Enhance Knowledge Transfer in Undergraduate Nursing Students. Journal of Professional Nursing, 29(4), 203–209. http://doi.org/10.1016/j.profnurs.2012.04.022 Rovai, A. P. (2004). A constructivist approach to online college learning. The Internet and Higher Education, 7(2). 79-93. doi: 10.1016/j.iheduc.2003.10.002 Schiller, S. Z. (2009). Practicing learner centered teaching: Pedagogical design and assessment of a second life project. Journal of Information Systems Education, 20(3). 369-381. Retrieved from NURSING EDUCATION PRACTICUM 19 http://0-web.b.ebscohost.com.libcat.ferris.edu/ehost/detail/detail?sid=5aec9ebc-2c49-46ba-a7f6889ca3ac4c8e%40sessionmgr112&vid=0&hid=107&bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d %3d#db=eft&AN=508100798 NURSING EDUCATION PRACTICUM 20 Appendix A Clinical Practicum II Learning Plan NLN Standards of Practice: Academic Nurse Educator NLN Competency I: Facilitate Learning (NLN, 2012, p. 14) Outcome Criteria: (taken from the NLN Competencies) Activities to Achieve Outcome. (sufficient in number, measurable, and realistic to achieve each outcome) Resources needed to be successful Implementing a variety of learner centered teaching strategies (NLN, 2012, p.14) Creation and use of case studies Printing capabilities and/or access to Blackboard Recognizing multicultural, gender, and experiential influences (NLN, 2012, p.14) Engaging in self-reflection and continued learning to improve teaching Creation and use of interactive questioning opportunities such as Jeopardy style games Creation and use of concept maps to assist in assimilation of key concepts (Horsfall, Cleary, & Hunt, 2012) Support male students within the obstetrical clinical experience Encouraging experiential sharing by students Exploring multicultural approaches to perinatal care and delivery Journaling as a means to track and reflect upon the teaching experience Timeline (Identify semester for now. In NURS 792, you will add in detail and specifics dates) Fall 2015 Multi-media for PPP Teaching plan appropriate for introduction to obstetrics Clinical staff support Fall 2015 Engaged students in an open milieu Access to multicultural information and expertise Access to my mentor Fall 2015 NURSING EDUCATION PRACTICUM practices (NLN, 2012. p. 14) Facilitate Learner Development and Socialization (NLN, 2012. p. 16) Identifies individual learning styles and unique learning needs of diverse learners (NLN, 2012. p. 16) Provides resources to diverse learners (NLN, 2012. p. 16) Exploring reflections with my mentor as well as seeking feedback from her To meet this objective, I will meet with students experiencing difficulty within the course Explore learner support systems in place within the college Seek guidance by the experiences of educators within the program in assisting students 21 An office or place to meet students Fall 2015 MCC email and Blackboard access Access to college student support systems Fall 2015 Access to faculty and their experience Access to Blackboard and supportive educational material Create educational opportunities that support multiple styles of learning: on line learning opportunities, case studies, and supplemental supportive material Recognizes the influence of teaching styles interpersonal interactions on learner outcomes (NLN, 2012. p. 16) Presenting an engaging classroom milieu through enthusiasm, knowledge, and drawing the students into the learning experience Teaching plan with adequate time for engaging students in learner centered activities Maintaining availability outside of the classroom MCC email and Blackboard access An office or place to meet students Fall 2015 NURSING EDUCATION PRACTICUM Use Assessment and Evaluation Strategies (NLN, 2012. p. 17) Uses extant literature to develop evidence-based assessments and evaluation practices (NLN, 2012. p. 17) My mentor is providing me with information and education on creating and evaluating NCLEX style questions I will have the opportunity to evaluate/assess levels of learning with assignments within the didactic setting Uses a variety of strategies to assess and evaluate learning in the cognitive, psychomotor, and affective domains (NLN, 2012. p. 17) The creation of a variety of learner center teaching opportunities will create the need to evaluate the effectiveness of the opportunities as well as the level of learning achieved by the students. 22 Access to my mentor, as well as her teaching tools regarding NCLEX questions Fall 2015 Access to the evaluation tools and policies of the nursing program Access to the evaluation tools and policies of the nursing program Fall 2015 Access to my mentor, as well as her teaching tools regarding NCLEX questions Fall 2015 Evaluation of the case studies and concept maps Assessment of student knowledge during questioning games Assessment of cultural and experiential bias through student sharing of experiences Engage in Scholarship (NLN, 2012. p. 21) Draws on extant literature to design evidence-based education an evaluation Using evidencebased education practices to create and evaluate NCLEX style questions NURSING EDUCATION PRACTICUM 23 practices (NLN, 2012. p. 21) Using evidencebased education practices in the presentation of learner centered teaching opportunities Teaching plan with adequate time for engaging students in learner centered activities Exhibits a spirit of inquiry about teaching and learning, student development, and evaluation methods (NLN, 2012. p. 21) Seeking continuous feedback from my mentor on the effectiveness of my teaching Advice and guidance from my mentor Embracing a discipline outside my comfort zone to increase my own knowledge base Continuous validation of teaching concepts by mentor and by extant literature Fall 2015 NURSING EDUCATION PRACTICUM 24 Appendix B Student-Preceptor Agreement The overall objective of this experience is to provide an on-site setting in which a student, with the preceptor (professional employee of a health care agency), can further develop his/her understanding and skills related to an advanced nursing role specialty. Agency name: Muskegon Community College Student name: Ann E Bancroft Student Telephone # 231-450-0018 Preceptor name: Mary Dyke, MSN RN Preceptor’s Title: Curriculum Coordinator, Instructor Preceptor Telephone #: 231-777-0281 Preceptor email: mary.dyke@muskegoncc.edu The following learning outcomes and activities will be completed by the student during this project/practicum. The student designs and presents to the preceptor case studies, interactive questioning opportunities such as Jeopardy style games, and an assignment and rubric for a concept map to assist in assimilation of key concepts. The student implements these learner centered techniques in the classroom setting. The student continuously explores, supports and teaches multicultural approaches to perinatal care through empathetic listening, seeking clarification, and encouraging experiential sharing by students. The student maintains a journal as a means to track and reflect upon the teaching experience and shares reflections with preceptor The student collaborates with the undergraduate students to assist with learning challenges and test reviews. The student demonstrates appropriate referral to college wide learning resources, seeks and integrates advice from established faculty, and designs and presents supportive learning opportunities to the preceptor as needed. The student presents an engaging classroom milieu through enthusiasm, knowledge, and drawing the students into the learning experience The student maintains availability to the undergraduate students outside of the classroom NURSING EDUCATION PRACTICUM 25 The student demonstrates understanding of evaluation of NCLEX style questions, implements statistical analysis of NCLEX style questions, and distinguishes reliability and variability of NCLEX style questions. The student is able is to determine the relevance of the statistical analysis of NCLEX style questions. The student creates NCLEX style questions that are well constructed and supported by literature. The student creates an appropriate rubric for one or more of the learning opportunities she presents. The student implements evidence-based education practices to create and evaluate NCLEX style questions The student executes evidence-based education practices in the presentation of learner centered teaching opportunities SIGNATURE SIGNIFYING AGREEMENT TO THE TERMS OF THIS PRECEPTOR AGREEMENT: Student _________________________________________ Date ___________________ Preceptor(s) _______________________________________ Date ___________________ NURSING EDUCATION PRACTICUM 26 Student-Agency Agreement . Agency name Muskegon Community College Student name Ann E. Bancroft Student Telephone # 616-450-0018 Agency representative Mary Dyke, MSN RN Agency representative Title Curriculum Coordinator, Instructor Agency representative Telephone # 231-777-0281 email mary.dyke@muskegoncc.edu The following learning outcomes and activities will be completed by the student during this project/practicum. The student designs and presents to the preceptor case studies, interactive questioning opportunities such as Jeopardy style games, and an assignment and rubric for a concept map to assist in assimilation of key concepts. The student implements these learner centered techniques in the classroom setting. The student continuously explores, supports and teaches multicultural approaches to perinatal care through empathetic listening, seeking clarification, and encouraging experiential sharing by students. The student maintains a journal as a means to track and reflect upon the teaching experience and shares reflections with preceptor The student collaborates with the undergraduate students to assist with learning challenges and test reviews. The student demonstrates appropriate referral to college wide learning resources, seeks and integrates advice from established faculty, and designs and presents supportive learning opportunities to the preceptor as needed. The student presents an engaging classroom milieu through enthusiasm, knowledge, and drawing the students into the learning experience The student maintains availability to the undergraduate students outside of the classroom NURSING EDUCATION PRACTICUM 27 The student demonstrates understanding of evaluation of NCLEX style questions, implements statistical analysis of NCLEX style questions, and distinguishes reliability and variability of NCLEX style questions. The student is able is to determine the relevance of the statistical analysis of NCLEX style questions. The student creates NCLEX style questions that are well constructed and supported by literature. The student creates an appropriate rubric for one or more of the learning opportunities she presents. The student implements evidence-based education practices to create and evaluate NCLEX style questions The student executes evidence-based education practices in the presentation of learner centered teaching opportunities SIGNATURE SIGNIFYING AGREEMENT TO THE TERMS OF THIS AGREEMENT: Student _________________________________________ Date ___________________ Agency representative _______________________________________ Date ________ NURSING EDUCATION PRACTICUM 28 Appendix C Evaluation Tools Formative This is an assessment tool to evaluate the MSN student, Ann E Bancroft, in the nursing education teaching practicum, focusing upon four National League for Nursing competencies: Facilitate Learning, Facilitate Learner Development and Socialization, Use Assessment and evaluation Strategies, and Engage in Scholarship (NLN, 2012). Numeric evaluation: 1: Not applicable or unable to assess (please provide reason) 2: Unsatisfactory: does not demonstrate minimum criteria 3: Satisfactory: meets minimum expectations 4: Good: demonstrates good knowledge base and/or application of knowledge 5: Excellent: exceeds expectations PROJECT PRACTICUM PRECEPTOR PRECEPTOR STUDENT STUDENT GOALS ACTIVITIES EVALUATION: EVALUATION: SELFSELFNUMERIC (1- NARRATIVE EVALUATION: EVALUATION: 5) NUMERIC (1- NARRATIVE 5) NLN The student Competency I: designs and Facilitate presents to the Learning preceptor case Implementing studies, a variety of interactive learner questioning centered opportunities teaching such as strategies Jeopardy style (NLN, 2012, games, and an p.14) assignment and rubric for a concept map to assist in assimilation of key concepts Recognizing The student multicultural, continuously gender, and explores and experiential supports influences multicultural (NLN, 2012, approaches to p.14) perinatal care through empathetic NURSING EDUCATION PRACTICUM Engaging in self-reflection and continued learning to improve teaching practices (NLN, 2012. p. 14) Facilitate Learner Development and Socialization Identifies individual learning styles and unique learning needs of diverse learners (NLN, 2012. p. 16) Provides resources to diverse learners (NLN, 2012. p. 16) listening, seeking clarification, and encouraging experiential sharing by students. The student maintains a journal as a means to track and reflect upon the teaching experience and shares reflections with preceptor The student collaborates with the undergraduate students to assist with learning challenges and test reviews. The student demonstrates appropriate referral to college wide learning resources, seeks and integrates advice from established faculty, and designs and presents supportive 29 NURSING EDUCATION PRACTICUM Use Assessment and Evaluation Strategies Uses extant literature to develop evidencebased assessments and evaluation practices (NLN, 2012. p. 17) Uses a variety of strategies to assess and evaluate learning in the cognitive, psychomotor, and affective domains (NLN, 2012. p. 17) Engage in Scholarship Exhibits a spirit of inquiry about teaching and learning, student development, and evaluation methods (NLN, 2012. p. 21) learning opportunities to the preceptor as needed. The student demonstrates understanding of evaluation of NCLEX style questions, implements statistical analysis of NCLEX style questions, and distinguishes reliability and variability of NCLEX style questions. The student creates an appropriate rubric for one or more of the learning opportunities she presents. The student collaborates closely with the preceptor, presenting evidence-based education practices, and seeking feedback continuously. Student Signature___________________________________________________ Date____________________ 30 NURSING EDUCATION PRACTICUM Preceptor Name (please print)_________________________________________________________________ Preceptor Signature__________________________________________________Date____________________ 31 NURSING EDUCATION PRACTICUM 32 Summative This is an assessment tool to evaluate the MSN student, Ann E Bancroft, in the nursing education teaching practicum, focusing upon four National League for Nursing competencies: Facilitate Learning, Facilitate Learner Development and Socialization, Use Assessment and evaluation Strategies, and Engage in Scholarship (NLN, 2012). Numeric evaluation: 1: Not applicable or unable to assess (please provide reason) 2: Unsatisfactory: does not demonstrate minimum criteria 3: Satisfactory: meets minimum expectations 4: Good: demonstrates good knowledge base and/or application of knowledge 5: Excellent: exceeds expectations PROJECT PRACTICUM PRECEPTOR PRECEPTOR STUDENT STUDENT GOALS ACTIVITIES EVALUATION: EVALUATION: SELFSELFNUMERIC (1- NARRATIVE EVALUATION: EVALUATION: 5) NUMERIC (1- NARRATIVE 5) NLN The student Competency I: designs and Facilitate presents to the Learning preceptor case Implementing studies, a variety of interactive learner questioning centered opportunities teaching such as strategies Jeopardy style (NLN, 2012, games, and an p.14) assignment and rubric for a concept map to assist in assimilation of key concepts. The student implements these learner centered techniques in the classroom setting. Recognizing The student multicultural, continuously NURSING EDUCATION PRACTICUM gender, and experiential influences (NLN, 2012, p.14) Engaging in self-reflection and continued learning to improve teaching practices (NLN, 2012. p. 14) Facilitate Learner Development and Socialization Identifies individual learning styles and unique learning needs of diverse learners (NLN, 2012. p. 16) Provides resources to diverse learners (NLN, 2012. p. 16) explores, supports and teaches multicultural approaches to perinatal care through empathetic listening, seeking clarification, and encouraging experiential sharing by students. The student maintains a journal as a means to track and reflect upon the teaching experience and shares reflections with preceptor The student collaborates with the undergraduate students to assist with learning challenges and test reviews. The student demonstrates appropriate referral to college wide learning resources, 33 NURSING EDUCATION PRACTICUM seeks and integrates advice from established faculty, and designs and presents supportive learning opportunities to the preceptor as needed. Recognizes the The student influence of presents an teaching styles engaging interpersonal classroom interactions milieu through on learner enthusiasm, outcomes knowledge, and (NLN, 2012. p. drawing the 16) students into the learning experience Use Assessment and Evaluation Strategies Uses extant literature to develop evidencebased assessments and evaluation practices The student maintains availability to the undergraduate students outside of the classroom The student demonstrates understanding of evaluation of NCLEX style questions, implements statistical analysis of NCLEX style questions, and distinguishes reliability and variability of 34 NURSING EDUCATION PRACTICUM (NLN, 2012. p. 17) Uses a variety of strategies to assess and evaluate learning in the cognitive, psychomotor, and affective domains (NLN, 2012. p. 17) Engage in Scholarship Draws on extant literature to design evidencebased education an evaluation practices (NLN, 2012. p. 21) NCLEX style questions. The student is able is to determine the relevance of the statistical analysis of NCLEX style questions. The student creates NCLEX style questions that are well constructed and supported by literature. The student creates an appropriate rubric for one or more of the learning opportunities she presents. The student implements evidence-based education practices to create and evaluate NCLEX style questions The student executes evidence-based education practices in the presentation of learner centered teaching opportunities 35 NURSING EDUCATION PRACTICUM Exhibits a spirit of inquiry about teaching and learning, student development, and evaluation methods (NLN, 2012. p. 21) The student collaborates closely with the preceptor, presenting evidence-based education practices, and seeking feedback continuously. Student Signature___________________________________________________ Date____________________ Preceptor Name (please print)_________________________________________________________________ Preceptor Signature__________________________________________________Date____________________ The completed form will be submitted to the supervising faculty of Ferris State University School of Nursing: Master’s Program. This form can be completed and submitted electronically. Email form to MaryAlkire@ferris.edu or Fax to 231-591-2325 36 NURSING EDUCATION PRACTICUM 37 Appendix D Resource List Benner, P. (1982) From novice to expert. American Journal of Nursing, 402-407. Retrieved from http://files.eric.ed.gov/fulltext/ED384695.pdf#page=130 Berragan, L. (2013). Conceptualizing learning through simulation: An expansive approach for professional and personal learning. Nurse Education in Practice, 13(4), 250-255. doi:10.1016/j.nepr.2013.01.004 Berragan, L. (2014). Learning nursing through simulation: A case study approach towards an expansive model of learning. Nurse Education Today, 34(8), 1143–1148. doi:10.1016/j.nedt.2014.03.005 Billings, D. M., & Halstead, J. A. (2012). Teaching in nursing: A guide for faculty (4th ed.). St. Louis, MO: Elsevier Blackman, A. (2012). The immediate feedback assessment technique (IF-AT): An innovative teaching technique for human resource management students. The Business Review, Cambridge, 20(2), 59-72. Retrieved from http://0search.proquest.com.libcat.ferris.edu/docview/1268720278?accountid=10825 Blum, C. A., Borglund, S., & Parcells, D. (2010). High-fidelity nursing simulation: Impact on student self-confidence and clinical confidence. International Journal of Nursing Scholarship, 7(1). 2-14. doi:10.2202/1548-923X.2035 Carrick, J. A. (2011). Student achievement and NCLEX-RN success: problems that persist. Nursing Education Perspectives, 32(2), 78+. Retrieved from http://go.galegroup.com/ps/i.do?id=GALE%7CA255990124&v=2.1&u=lom_ferrissu&it=r&p=IT OF&sw=w&asid=f870359fdde0b2e1c0a3ae16f59d17abCleary, M. Happel, B., Lau, S. T, & Mackey, S. (2013). Student feedback on teaching: Some issues for consideration for nurse educators. International Journal of Nursing Practice, 19(1). 62-66. doi:10.1111/ijn.12018 Colley, S. L. (2012). Implementing a change to a learner centered philosophy in a school of nursing: NURSING EDUCATION PRACTICUM 38 faculty perceptions. Nursing Education Perspectives, 33(4). 229-233. Retrieved from http://0go.galegroup.com.libcat.ferris.edu/ps/i.do?ty=as&v=2.1&u=lom_ferrissu&it=search&s=RELEV ANCE&p=ITOF&qt=SP~229~~IU~4~~SN~1536-5026~~VO~33&lm=&sw=w Dale, J. C., Drews, B., Dimmitt, P., Hildebrandt, E., Hittle, K., & Tielsch-Goddard, A. (2013). Novice to Expert: The evolution of an advanced practice evaluation tool. Journal of Pediatric Health Care, 27(3), 195–201. http://doi.org/10.1016/j.pedhc.2011.12.004 DeBrew, J. K. & Lewallen, L. P. (2014). To pass or to fail? Understanding the factors considered by faculty in the evaluation of nursing students. Nurse Education Today, 34(4). 631-636. doi: 10.1016/j.nedt.2013.05.014 Ferris State University, Program of Nursing. (2015). Standardized Testing Policy And Procedure. Retrieved from https://webstorage.ferris.edu/ Flood, L. S., & Robinia, K. (2014). Bridging the gap: Strategies to integrate classroom and clinical learning. Nurse Education in Practice, 14(4), 329–332. http://doi.org/10.1016/j.nepr.2014.02.002 Frank, T., Scharf, L.F.V. (2013). Learning contracts in undergraduate courses: Impacts on student behaviors and academic performance. Journal of the Scholarship of Teaching and Learning, 13(4), 36-53. Gardner, L. (2012). From Novice to Expert: Benner’s legacy for nurse education. Nurse Education Today, 32(4), 339–340. http://doi.org/10.1016/j.nedt.2011.11.011 Gardner, L. (2013). Benner, reflection and expertise: Some further thoughts. Nurse Education Today, 33(3), 183–184. http://doi.org/10.1016/j.nedt.2012.09.013 Gardner, S. (2014). From learning to teach to teaching effectively: Nurse educators describe their experiences. Nursing Education Perspectives, 35(2). 106-111. doi:10.5480/12-821.1 Greer, A., Pokorny, M., Clay, M., et al. (2010). Learner centered characteristics of nurse educators. International Journal of Nursing Education Scholarship, 7(1). 1-15. doi:10.2202/1548-923X.1710 Halstead, J. A. [Ed.] (2007). Nurse Educator Competencies: Creating an Evidence-based Practice for NURSING EDUCATION PRACTICUM 39 Nurse Educators. National League of Nursing. New York, NY Harris, K. (2011). Multifarious instructional design: a design grounded in evidence-based practice. Teaching and Learning in Nursing, 6(1), 22–26. doi:10.1016/j.teln.2010.07.002 Hawkins, A., Frander, E., & Lewis, S. (2012). Cultivating an environment for continued growth in nurse educators. Perspectives in Learning: A Journal of the College & Health Professions. 13 (1). 3945. Retrieved from http://perspectives.columbusstate.edu/v13_i_1/CultivatingAnEnvironment.pdf Henson, K. T. (2003). Foundations for learner-centered education: A knowledge base. Education, 124(1). 5-16. Retrieved from http://web.b.ebscohost.com/ehost/detail/detail?sid=796874a0-1714-44b7aba1ebe458e5c7d1%40sessionmgr111&vid=1&hid=110&bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d %3d#AN=507858656&db=eft Horsfall, J. Cleary, M., & Hunt, G. E. (2012). Developing a pedagogy for nursing teachinglearning. Nurse Educator Today, 32. 930-933. doi: 10.1016/j.nedt.2011.10.022 Keating, S. B. (2010). Curriculum Development and Evaluation in Nursing (2nd ed.). New York: Springer Macdonald, M. E. (2013). The Nurse Educator’s Guide to Assessing Learning Outcomes. (3rd ed). Sudbury, MA: Jones and Bartlett. Marshall, E. (2011). Transformational Leadership in Nursing: From Expert Clinician to Influential Leader. (1st ed.) New York: Springer Publishing Company, LLC Moch, S. D., Cronje, R. J., & Branson, J. (2010). Part 1. Undergraduate Nursing Evidence-Based Practice Education: Envisioning the Role of Students. Journal of Professional Nursing, 26(1), 5–13. doi:10.1016/j.profnurs.2009.01.015 Muskegon Community College. (2014) 2013 Fall enrollment demographics. Retrieved from www.muskegoncc.edu/.../MCC_2013_Dashboard_Work12.pdf National League for Nursing. (2012). The Scope of Practice for Academic Nurse Educators. New York: National League for Nursing. NURSING EDUCATION PRACTICUM 40 Poindexter, K. (2013). Novice nurse educator entry-level competency to teach: A national study. Journal of Nursing Education, 52(10). 559-566. doi:10.3928/01484834-20130913-04 Poindexter, K., Hagler, D., & Lindell, D. (2015). Designing authentic assessment: Strategies for nurse educators. Nurse Educator, 40(1). 36-40. doi:10.1097/NNE. 0000000000000091 Quality and Safety Education for Nurses Institute. (2014). Graduate KSAS. Retrieved from http://qsen.org/competencies/graduate-ksas/ Rieger, K. L & Chernomas. (2013). Arts-based learning: analysis of the concept for nursing education. International Journal of Nursing Education Scholarship10 (1). 53-62. doi: 10.1515/ijnes-20120034 Robinson, B. K., & Dearmon, V. (2013). Evidence-Based Nursing Education: Effective Use of Instructional Design and Simulated Learning Environments to Enhance Knowledge Transfer in Undergraduate Nursing Students. Journal of Professional Nursing, 29(4), 203–209. http://doi.org/10.1016/j.profnurs.2012.04.022 Schiller, S. Z. (2009). Practicing learner centered teaching: Pedagogical design and assessment of a second life project. Journal of Information Systems Education, 20(3). 369-381. Retrieved from http://0-web.b.ebscohost.com.libcat.ferris.edu/ehost/detail/detail?sid=5aec9ebc-2c49-46ba-a7f6889ca3ac4c8e%40sessionmgr112&vid=0&hid=107&bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d %3d#db=eft&AN=508100798