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Educational
Program Review
August 2011- May 2012
Program: ASDN
Associate Science Degree Nursing
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Purpose of Program Review
Program review is part of Florida Gateway College’s (FGC) ongoing institutional effectiveness process to achieve its mission and goals through strategic planning, research, evaluation, and the use of information and data to guide decisions and actions. Academic programs, administrative support, and academic and student support departments are systematically reviewed as part of the process.
The purpose of program review is to evaluate the quality of education, efficiency of services and processes, and adequacy of institutional resources. It is also a tool used to document the
achievement of goals and objectives. The results of evaluation are analyzed and actions are taken to address areas that need improvement.
There are two parts to the Program Review Process
 Comprehensive Program Review, occurring approximately every five years, focuses on each area’s courses, pedagogy, assessment plan, and future goals and objectives related to the improvement of student learning.
ď‚· Annual Program Review Update asks each area to address its needs for resources (faculty, space, equipment, etc.) and to provide a report on outcomes assessment activities for the prior year. SACS Comprehensive Standard 3.3.1
The institution identifies expected outcomes, assesses the extent to which it achieves these outcomes, and provides evidence of improvement based on analysis of the results in each of the following areas:
3.3.1.1 educational programs, to include student learning outcomes 3.3.1.2 administrative support services
3.3.1.3 academic and student support services 3.3.1.4 research within its mission, if appropriate
3.3.1.5 community/public service within its mission, if appropriate. (Institutional Effectiveness)
Contact:
Department of Research and Institutional Effectiveness Becky van Hoek, Coordinator of Planning & Accreditation Ext. 4491
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Academic Program
Recommended Program Review Timeline
October Section 1- Overview
November Section 2– Collaboration
December Section 3– Resources
January Section 4– Accomplishments
February Section 5 – Learning Outcomes
March Section 6 - Student Performance
April Section 7 – Summary – Strengths & Weaknesses
May Section 8 – Goals
June Section 9 – Action Plan
July Final Reports Due to RIE
July-August-September Report Validations
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The Program Review should reflect the consensus of the faculty and staff within the program or department. It is meant to provide a broad understanding of current trends related to student learning and how the program or department serves to meet the overall mission and goals of Florida Gateway College.
Section 1: Overview
Mission: a statement defining what the program is supposed to accomplish on a daily basis. The program mission is related to the Institutional mission and forms the basis for goals and outcomes. It may help to ask the following questions when forming the mission statement: Who are we? What are we trying to do? Who do we serve?
The mission of Florida Gateway College is to provide superior instruction, nurture individual development, and enrich the community through quality higher education programs and lifelong learning opportunities.
Florida Gateway College Associate Degree of Nursing Mission is to educate entry level nurses who are prepared to pass the NCLEX-RN (National Council Licensure Exam-Registered Nurses).and to become safe competent clinical nurse.
Description:a brief description of the program, including degrees and certificates offered
The Florida Gateway College Associate Degree Nursing Program prepares entry-level bedside clinical nurses. Upon program completion the program, the graduates are able to take the NCLEX-RN (National Council Licensure Examination-Registered Nurse) exam. With successful completion, the graduates are licensed as a Registered Nurse (RN). There are several components of the ASDN program including the Traditional RN, LPN-RN Traditional Bridge, LPN-RN Fast-Track Bridge, and starting Summer 2013 Paramedic to RN Bridge. These programs are accredited by National League for Nursing Accrediting Commission (NLNAC) 3343 Peachtree Rd. NE, Suite 500, Atlanta, Georgia
Section 2: Collaboration
Internal: Relationships with other college departments and programs. What collaborative efforts have you undertaken with other departments and educational programs?
The Nursing program worked with the FGC Emergency Medical Services program to develop the Paramedic to RN Bridge program. The program is to start Summer 2013 with 8 students.
External: Community Service/Outreach Activities. List activities or projects you have undertaken with other educational institutions, the community, or business/industry. How do you assess the effectiveness of these activities?
5 Community Service/Outreach
Activity
How do you know the activity is effective?
Outcome Retired Nurses’ Luncheon:
The Freshman ASDN students coordinate the event for the exchange of information between retired nurses and themselves.
Received positive feedback from students and participants
Students had the opportunity to gain industry information from experienced participants..
The event is held every year in fall semester # Participants for each event has been equal or greater than 45
Senior Emphasis Week: Sophomore ASDN students present information on relevant health care topics to the
community. Guest speakers are also invited.
Participant Satisfaction Survey and Request for Suggested Future Topics.
The event received a rating of Good-Excellent.
Suggestions were made for future topics. The event is held every year in fall semester # Participants for each event has been equal or greater than 45
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Section 3: Resources
Faculty:List faculty/staff; indicate status - full-time/part-time, courses taught, and their qualifications.
Name
FT/
PT
Courses Taught
Qualifications
Brenda Berryhill FT Pharmacology MSN
Pat Davis FT Foundations, OB Health and Mental
Health Nursing MN
Mary Hill FT DNP
Joanne Otto FT Foundations, Nursing Process I,
Mental Health Nursing MSN
Ruby Steeley FT MSN
Toni Lindsey FT Foundations, Pediatrics MSN
Willie Rivers PT NP I & II, Mental Health BSN
Molly Frazier PT NPI&II, MSN
Fran Sanders PT Foundations, Mental Health MSN
Chris Redsicker PT Peds, OB, NP II BSN
Tinia McCleese PT Foundations BSN
Penny McElveen PT Foundations MSN
Susan Espenship PT Foundations BSN
Paula Grimstead PT MSN
Professional Development:List professional development activities of department staff
Name
Professional Development Activity
ALL Full time Faculty Enhancing Simulation across the Curriculum Brenda Berryhill Conferences/Workshops:
ď‚· Simulation, Nursing & Health Florida Communities: An Imperative For Change January 2011
ď‚· Concept Based Curriculum and Conceptual Teaching Workshop March 2011
ď‚· Fostering A Professional Presence: The Future of Quality & Effectiveness In Healthcare March 2011
ď‚· Development of An ADN Curriculum Utilizing 2010 National League For nursing Outcomes And Competencies October 2012
ď‚· Quality & Effectiveness For Todays Nursing Student 2012 Web Based Learning:
 Emotional Intelligence: The EQ Factor – Nursing 2013  Polypharmacy In the Elderly 2013
7 ď‚· Developing Your Leadership Potential
ď‚· Arterial Blood Gas Analysis 2011 ď‚· Communication Strategies 2011
Pat Davis Conferences/Workshops:
ď‚· End-of-Life Nursing Education Consortium,
ď‚· INR day conference on Anxiety and Mood Disorders, ď‚· Hospice Foundation of America day conference, ď‚· NCLEX Regional Workshop.
CE: HIV, Domestic Violence, Substance Abuse, and Medical Errors.
Facilities, Equipment & Technology:Describe facilities, equipment, and technology and the extent to which they meet program needs.
Facilities
The Medical Technology Building (103) is 32,303 net square feet. The classrooms and student success labs are shared by the various Nursing and Health Science Programs. A dedicated lab with a total square footage of 1652 feet, plus 2 check-off rooms of 188 individual square feet serve the nursing program. Eight bed set-ups are maintained in the large lab along with one in each check-off room.
Labs are open for practice: 8:00 AM-8:00PM. Monday – Thursday.
Three lecture rooms seat 24, 30, or 60 students and are adequate to support the program. Each classroom is equipped with desks or table and chairs, a computer and sympodium. The auditorium is utilized for larger classes as necessary. The auditorium is equipped with the standard classroom equipment. The auditorium has a seating capacity of 150. The atrium can be used as a reception area for 105 persons.
The conference room is 324 square feet and seats 15. It is equipped with a dry erase board, and internet access.
The student success lab has three computers one television with DVD VCR set up. There are also a microwave ovens and refrigerator.
There is a state of the art simulation lab that houses 8 Human-patient simulators. The simulators are from pre-birth across the lifespan. This simulation lab and staff were initially funded through grant dollars.
Individual offices are provided for full-time faculty. Part-time faculties share two to an office. Each office is equipped with desk units, which include storage shelves, file cabinet, bookshelf and computer for full-time faculty. Each computer is linked to the campus main frame, which provides access to the internet, e-mail, student information
8 services and word processing. A faculty lounge completes the faculty wing. Administrative staff has an office and a reception area.
Equipment
Auditorium technology in each classroom enhances the active learning of the associate degree-nursing students, which develops critical thing skills.
Technology
The simulation mentioned in the 2006 report has grown to occupy 10% of the clinical hours within the ASDN program.
Other
Clinical facilities used throughout the nursing program include the 3 local hospital, Nursing homes in the surrounding counties and three hospitals in Gainesville, Florida.
Academic and Student Support:Describe academic and student support services and the extent to which they meet students/program needs.
Library:
The new library building houses many needed resources, including study room, and individual computers for the students use. The online service links the students to even more books and journals. The library staff are extremely helpful and they offer live and web-based tutorials to assist the students and faculty.
Advising:
The advising department guides the students in their course of study until they are admitted into the nursing program. Once the students are admitted the faculty and appropriate staff in Nursing and Health Science guides the students to the associate degree in nursing completion.
Admissions:
The Admissions Department works with new students to ensure that they meet the regulatory requirements to be admitted into the college, including having the students provide appropriate identifying information and necessary transcripts.
Registration:
The Registration office maintains adequate courses for matriculation of the nursing students. The registration office is the official record keeper for students’ files and transcripts.
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Section 4: Accomplishments
Response to Prior Review Recommendations/Action Plan:
Action Plan:
Goal
Tasks/Activities
Outcomes/Results
1. Incorporate new technologies into instructions
1.1 All faculty use
PowerPoint in classroom 1.2 All courses are set up in
the Blackboard learning management system. 1.3 Incorporate Human
Patient Simulators into instruction.
1.1 Students use PowerPoint presentations as a learning tool. 1.2Improve use of announcement in
Blackboard
1.3Human Patient Simulation was introduced in 2006, and is now used for ten percent of the Associate Degree Nursing
students’ clinical experience. There is a full-time simulation instructor and other faculty members have gone through formal training for simulation. 2. Implement procedures to increase the number and diversity of applicant pool
2.1 Provide a Health Fair for middle school students to expose them to FGC
2.2 Revise the admission criteria to include increased admission opportunities for students to better represent the service area in the applicant pool.
A health fair is done each year in the spring semester. There is equal or greater than 10 participant each year. The number of Blacks increased by 2.8% in 2011-2012 school year, but there was a decline by 2.5% in this same population in the 2012-2013 school year. The number of Hispanic students enrolled remained steady from 2010-2012, however there was an increase in 2012-2013 from .6% to 2.3% of the total ASDN enrollments. 3. Increase student
completion rate to 75%
4. Maintain NCLEX pass rate at the current level (2004 84.9%)
Nursing Retention plan: 4.1 Implementation of HESI
product throughout the curriculum
4.2 Increase simulation throughout the curriculum.
4.3 Increase adjunct clinical instructor training. 4.4 Initiated faculty
mentoring for each nursing
student-The curriculum was revised to include the strategies in the retention plan. The results indicate the retention rate has increased – from 61% to 70% in 2012. Results also indicate success on the NCLEX exams have increased above the expected goal to 97.37 % in 2012.
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student scoring less than 75 on a unit exam. 4.5 Utilize Smarthinking for
remediation and tutoring-mandatory for any student scoring less than 75 on a unit exam.
Other Significant Changes/Improvements: List significant changes and improvements that have occurred within the last 3 – 5 years that were not identified on the prior review. This includes curricular improvements, improvements in the efficiency of department processes, integration of new technology, more effective assessment processes, etc.
The curriculum was reviewed and revised. Nursing Process I (NP I) and Nursing Process II (NP II) had high attrition rates. These courses were offered as minimester courses. The content of Nursing process NP I and NP II were combined with a few changes. NP I and NP II became NP I. NP III became NPII. NP I and NP II are full semester courses. This change was effective in Spring 2011. Retention has improved from 61% in 2010 to 74.3% in 2013.
The retention plan for the nursing program includes the incorporation of faculty mentoring, HESI testing, HESI case studies and the use of Smarthinking into the program.
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Section 5: Learning Outcomes Assessment
Plan:
Intended Learning Outcome
Related Courses
Evaluation
Method/Tool
(Research Paper, Speech, Essay, Departmental Exam National Exam)
Performance
Standard
(How will you measure successful outcome
achievement) 1.As provider of care the ASDN
students will effectively
communicate with member of the discipline.
NUR1020C, Nursing Foundations NUR1213C, Nursing Process I NUR1520C, Mental Health NUR2241C, Nursing Process II NUR 2420C, Maternal Health NUR 2310C, Pediatric Health
HESI Custom Exam M/S Spring NLNAC
therapeutic Communication
HESI Custom Exam M/S Spring NLNAC therapeutic Communication 850 or greater is the desire threshold
2.As a member of the nursing discipline, the associate degree-nursing student will function within legal parameters of professional practice.
NUR1020C, Nursing Foundations NUR1213C, Nursing Process I NUR1520C, Mental Health NUR2241C, Nursing Process II NUR 2420C, Maternal Health NUR 2310C, Pediatric Health
HESI exit exam QSEN scope of Practice NCLEX-RN
HESI QSEN scope of practice threshold of 850 NCLEX-RN at or greater than the state and the national average
Results:
Outcome/Result
What was the actual result of the assessment?
Gap Analysis
Describe the difference between the expected outcome and actual outcome
Use of Result
What strategies will you use to make changes?
1.Communication scores for the HESI Exit exam
Current scores on the HESI exit exams are below threshold With the scores being:
2010 697
2011 798
2012 814
Situation Background Assessment
Recommendation (SBAR) will be introduced in Nursing Foundations and utilized
throughout the program for receiving and giving patient report
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determine by successful completion of NCLEX above the state and national average and QSEN Scope of Practice score on the HESI exit exam being at the 850 threshold
Year HESI NCLEX
2010 789 91.67
2011 795 90.41
2012 848 97.37
Current NCLEX are fine, but the exit HESI score for QSEN are below threshold.
Increase learning activities with a focus on the scope of practice. Numerous gaming ideas will be used throughout the curriculum. Guest speakers with a focus on the
importance of scope of practice with situational examples. Simulations to emphasis nursing scope of practice.
Section 6: Student Performance
Declared Majors by Term:
Program 200710 200720 200730 2006-2007 Total 200810 200820 200830 2007-2008 Total 200910 200920 200930 2008-2009 Total BRFA-AS 9 40 49 BRN-AS 20 15 20 55 25 40 37 102 30 35 4 69 BRNF-AS 6 11 11 28 13 5 19 37 26 4 4 34 BRTA-AS 3 3 6
Fast Track Totals: 26 26 31 83 38 45 56 139 56 42 11 109
NRVA-AS 83 45 128 NRV-AS 440 415 314 1169 421 419 317 1157 427 176 62 665 NRVA Totals: 440 415 314 1169 421 419 317 1157 427 259 107 793 BRFA-AS 20 21 21 62 21 30 27 78 25 27 26 78 BRN-AS 2 2 1 5 1 1 2 2 1 3 BRNF-AS BRTA-AS 4 9 4 17 4 10 7 21 5 8 4 17
Fast Track Totals: 26 32 26 84 25 41 35 101 32 36 30 98
NRVA-AS 94 88 112 294 115 117 103 335 109 104 105 318
NRV-AS 35 25 17 77 25 19 13 57 17 11 4 32
13 # Of Graduates by Term: Program 200710 200720 200730 2006-2007 Total 200810 200820 200830 200840 2007-2008 Total 200910 200920 200940 2008-2009 Total BRFA-AS BRN-AS 1 1 5 5 BRNF-AS 7 7 10 1 11 19 1 20 BRTA-AS NRVA-AS 36 2 38 NRV-AS 36 3 39 45 2 1 48 Grand Total 8 36 3 47 10 46 2 1 59 19 42 2 61 #Graduates: PROGRAM 2006-2007 2007-2008 2008-2009 2009-2010 2010-2011 2011-2012 BRFA-AS 19 21 26 BRN-AS 1 5 BRNF-AS 7 11 20 BRTA-AS 5 2 4 NRVA-AS 36 36 51 46 NRV-AS 39 48
Total AS Degree Nursing: 47 59 61 60 74 76
Program Success Rates Summarized by Academic Year:
Registered Nursing AS Total
Enrolled Ws ABC DF W Rate ABC Rate DF Rate Academic Year 2007-2008 650 22 592 36 3% 91% 6% Academic Year 2008-2009 539 22 485 32 4% 90% 6% Academic Year 2009-2010 538 10 503 25 2% 93% 5% Academic Year 2010-2011 546 2 508 36 0% 93% 7% Academic Year 2011-2012 511 5 462 44 1% 90% 9%
14 **For Course Success Rates See Data Reports Attached
Provide a brief analysis of the success data provided in the tables above: ď‚· Using success data and other data used in this report items of interest include: ď‚· Number of RN graduates continues to increase.
ď‚· Success on NCLEX is a strength ď‚· Retention is a weakness
ď‚· Scope of Practice and communication are identified weaknesses
FGC Health Science Nursing Programs Enrollment Demographics:
Years White Black Hispanic Other Unknown
F M Total F M Total F M Total F M Total
AY 2010-11 77.00% 9.60% 86.50% 11.20% 0.60% 11.80% 0.60% 0.00% 0.60% 0.60% 0.00% 0.60% 0.60%
AY 2011-12 75.80% 7.90% 83.70% 14.00% 0.60% 14.60% 1.10% 0.00% 1.10% 0.60% 0.00% 0.60% 0.00%
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Section 7: Summary
Strengths and Weaknesses: Based on the information in the review, summarize the strengths and weaknesses of the program.
Strengths Weaknesses
Success on the NCLEX-RN remain above the state and the national average
Communication, Number of ASDN graduates continues to
increase.
Retention
Qualified Faculty Identifying Scope of Practice
Community Partnership
Analysis: Provide a brief analysis of the conclusions you draw from the information in this report.
The Associate of Science Degree in Nursing program number of graduates has increased with the addition of the Fast-Track Bridge program. The Paramedic to RN program will enhance this growth. This year the program added additional seat to equate 100 new ASDN students each year in the generic program. The NCLEX-RN pass rate for the graduates of this program is above national average.
Although there is an increase in the number of ASDN graduates, retention remains an issue. The Nursing retention plan will remain in effect to foster a spirit of success for the nursing students.
Weakness of the ASDN students is related to the HESI scores below threshold of 850 in the area of communication and the scope of practice. Both areas of concern are identified on the HESI exit exam. The faculty members have identified learning activities to improve these scores.
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Section
8: Goals
What are the program goals?Which of the college’s strategic priorities do they support? Strategic Priority # 1. Increase student retention to 75% while maintaining success rates on the
NCLEX-RN
#1 2. Improve communication between nursing and other disciplines at clinical
sites.
#1 3. Students will function within scope of practice as a member of the nursing
discipline.
#1
4. Increase community outreach projects #4
5. Increase critical thinking in classroom activities #3
6. Improve mentoring and tutoring process #2
Strategic Plan:
Strategic Priority 1: STUDENT SUCCESS
Strategic Priority 2 – FACULTY, STAFF AND ADMINISTRATION Strategic Priority 3 – INSTITUTIONAL PLANNING AND ASSESSMENT Strategic Priority 4 - COMMUNITY AWARENESS AND INVOLVEMENT Strategic Priority 5 – FINANCIAL MANAGEMENT AND AFFORDABILITY
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9. Action Plan
Based on the program goals and the summary of strengths and weaknesses, develop an action plan. The action plan should focus on objectives and outcomes that will strengthen and improve the department and support the program goals stated above in section 7.
Objectives What are you going to do?
Tasks/Activities
How are you going to do it?
Timeline
When will you do it? Expected Outcome What do you expect to happen because of the action? Assessment Measure How will you know if you are successful?
Resource Needs Do you need additional resources to achieve the objective?
Outcome Faculty /Student mentoring program
Assign each student to a faculty member.
Any student scoring less than 75 on an unit exam will meet with their assigned mentor for remediation and tutoring
Evaluate the retention of the ASDN each semester Increase retention by 2% each year
Compare retention at the end of the spring
semester with the previous spring semester each year and in each class
Faculty mentoring, and HESI resources
Outcome Knowledge
Course unit exam grade averages reviewed
After each exam 90% of students
average exam grades will meet or exceed 75 %
Students not meeting will be monitored and faculty will report to program coordinator
None
Outcome
Critical Thinking
Each course stresses critical thinking as a vital component of professional nursing practice
In all courses Students will
achieve 10 % improvement on HESI Critical Thinking Assessment
Review each semester HESI Critical Thinking Scores
HESI Resources
Outcome Communication
SBAR is to be introduced in foundations during the communication module.
Students will use SBAR to receive and give patient reports.
Communication is to be evaluate during clinicals
Communication score on the HESI exit exam are to increase to the 850 threshold
Review of the HESI exit score during the
curriculum/faculty meeting
SBAR Communication HESI EXIT Exam
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Scope of Practice
Learning activities are to incorporate Scope of practice. QSEN standards will be
incorporated and evaluated during clinical rotations.
Situational issues involving Scope of practice will be utilized in course lectures. Each nursing course will include scope of practice activities. Guest speaker are to be utilized to address scope of practice
Increase scope of Practice on the HESI exam to the 850
NCLEX-RN scores are to remain above state and national level.
HESI exam scope of practice exam scores are to be reviewed during the curriculum/faculty meeting
FGC NCLEX-RN 4th
quarter scores are to be compared to the state and the national level.
GUEST Speakers HESI exam Clinical Evaluations Outcome Community Outreach
Increase student involvement in community healthcare Each semester students will be involved in a community health care project Increase communities knowledge of program
Community when survey will state knowledge of nursing programs community effort.
Community partners Faculty
