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Program Review Guidelines – Missouri State University Revised 05/12

Annual Reviews: Department of Nursing for 2014

The primary purpose of the annual reviews is to recognize the accomplishments of the unit. Special attention should be focused on assessing the progress made in accomplishing the goals and objectives of the strategic plan. As a result of this assessment, it may be necessary to revise the plan in light of changing internal and external conditions. Please base the reviews on the academic year (summer-fall-spring).

The annual reviews should include information and analysis pertaining to all facets of the unit’s efforts. In those instances when the situation remains unchanged from one year to the next, it is unnecessary to repeat the information. After the initial annual review, it is necessary to include only new

information relevant to the specific year.

1. Academic Programs – Baccalaureate and Graduate. Majors

 Bachelor of Science in Nursing (BSN)

 Bachelor of Science in Nursing Completion Program for RNs (BSNC)  Master of Science in Nursing (MSN) – Family Nurse Practitioner  Master of Science in Nursing (MSN)– Nurse Educator

 Doctor of Nursing Practice (DNP) – Family Nurse Practitioner  Doctor of Nursing Practice (DNP) – Post Masters

Minor

 Healthcare Management Minor

a. Evaluate all of the unit’s contributions to the General Education program (e.g., general education courses, First-year experience course, etc.). [Source: Program Unit]

BSN and BSNC program – NUR 472 Writing II Nursing Research and Scholarly Writing (meets Writing II Foundations Requirement).

 Taught Fall (online), Summer (online), Spring (seated and online).

 Enrollment: Spring 14 – 37 (seated), 43 (online); Summer 14-9 (online); Fall 14 – 28 (online); Total for 2014 – 117 students; 351 student credit hours.

b. Evaluate all of the unit’s academic programs (majors, minors, certificates, etc.). [Source: Program Unit] In this evaluation, you should include:

See Table 1 Nursing Data by Program for I, ii, iii,

i. The number of students in each program for each of the past 5 years. [Source: AIM Dashboard]

ii. The number of undergraduate and graduate students who completed the program for each of the past 5 years. [Source: AIM Dashboard]

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iii. The enrollments and student credit hours generated by each program for each semester (including summer school) [Source: AIM Dashboard]

iv. Assessment results and analysis (e.g., scores on major field achievement tests, results of licensure/certification tests, department assessment measures, etc.) [Source: AIM Dashboard, Program Unit, Assessment website]

a. Discuss how this information has been used to improve the quality of academic programs.

BSN

 BSN – NCLEX- RN First time pass rate – 89.5% for 2014.  Kaplan Standardized Exam

o Midcurricular – 6 did not meet benchmark and did mandatory remediation over the summer.

o Final Exam – 6 did not pass any of the three exams and those six did not pass the boards on the first attempt.

The BSN Program analyzed the data and identified areas of weakness. We instituted mandatory summer remediation. When interviewing students who failed, all accepted jobs immediately after graduation and did not plan to study for the NCLEX-RN until after they started their jobs. The Program Instituted a new policy that students who did not pass the first 2 comprehensive exams, would get an incomplete in the NUR 478 Senior Seminar Course, until a seated NCLEX Review Course was taken, and then the third course was passed by achieving the benchmark. This year, only 4 out of 57 did not achieve the benchmark on the first 2 exams, which is much higher.

MSN – FNP

 First time pass rate on the National FNP Certification Exam (ANCC or AANP) was 100%. No changes.

 Gave the FNP Standardized Inventory to graduating students in January (to graduate in May). Our students doing well in all areas, and well above the national average for other schools.

DNP – had an initial CCNE site visit for Accreditation – All standards met with no comments in the preliminary program. Waiting for the CCNE Board to approve final report. (Late May, Early June)

v. Evaluate any modifications made to the curriculum (additions, deletions, revisions, etc.) and why those modifications were initiated. [Source: Program Unit]

Curriculum Changes

1. BSN – Changes in policies to reflect changing requirements of the clinical areas. We designed a General Nursing Honors Program and an Accelerated Honors Program which was approved by the Honors College and started spring 2015. The number of simulations has increased in the BSN program to increase an emphasis on

application of knowledge and skills – including priority setting and delegation – two areas that need improvement on as perceived by faculty.

2. BSNC – Changes in policies (increased minimal admission GPA to 3.75), to reflect clinical requirements, and required attendance at program orientation on campus.

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4. BSN to DNP –FNP – Revised major curricular courses to type of care (acute, chronic, emerging/episodic) from population-based to address improvements in clinical assignments that have family care, as opposed to specialty care. Courses to start fall 16. Will accept part-time DNP students beginning fall 2015 to address retention issues due to family/work interruptions.

vi. Evaluate any steps designed to improve student success (persistence, engagement)? How will the unit measure the level of success of these efforts? [Source: Program Unit] DNP

- will allow students in the BSN to DNP to enroll part-time until they get to the clinical specialization. This was popular in the MSN-FNP, and will allow students to work full-time until they start the FNP specialization courses. (We track retention and graduation in the Department). Especially in the Post-Masters DNP in which students will stay in same job, the motivation to continue is low if conflicts with work or family.

MSN – Mandatory Orientation aim and information and resources to promote student success. Success will be measured by the retention and graduation rate of students. BSNC – the required orientation has improved retention in the BSNC Program. Also, the requirement that students must be fully admitted before taking any classes in the program has helped as well. Success will be measure by the retention and graduation rate of students.

BSN-

-Requiring students to meet a benchmark (predictive of NCLEX-RN passing score) on the Kaplan standardized exam before graduating. Continuing with remediation with

students in the senior seminar NUR 478, and after for those who do not pass.

- Last year we had students required to take an on-campus remediation course if they did not achieve the benchmark. This year all students passed the benchmark, which is the highest passing rate ever on the mid-curricular standardized exam. Success is measured by the first time NCLEX-RN Pass Rate, and Graduation Rate.

vii. Evaluateany steps taken to improve student access? [Source: Program Unit, course data also available in AIM Dashboard]

1. Via technology (including distance learning) – Many faculty taking Blackboard Blackbelt series, and doing well online. Course evaluations are high in online courses across programs. We also have hybrid courses – which are evaluated every semester by students and faculty. We frequently change the % of online in these classes, or go completely back to classroom.

2. Via off-campus programs – N/A

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viii. How does the unit ensure that the public affairs mission is a part of each student’s experience (e.g., incorporated into course content, service learning experiences, community outreach activities, etc.)? [Source: Program Unit]

ix.

Involvement in Public Affairs

o Study away tours, service learning, etc

 All students in the undergraduate program take at least 6 credit hours of integrated service learning courses in (BSNC –NUR 442-6); (BSN – NUR 442-6, and NUR 482-6), and all FNP students take 1 credit hour of service learning with underserved populations.

 All students in BSN and FNP work with underserved populations.  The FNP students all rotate through MSU Care – our grant-funded NP

clinic at the Kitchen Medical Clinic.

 A study away program planned to Jamaica in spring 2013 led by faculty o Incorporation into curriculum

 The Department has required service learning courses in all programs, except the MSN-Nurse Educator.

 Population health service learning course is in the BSN to DNP curriculum, focuses on health disparities and the underserved.  The DNP program has a focus on community leadership and health

disparities.

 All FNP students go through MSU Care, the MFH funded grant at the Kitchen Medical Clinic serving the homeless and uninsured. The clinic is being continued as a joint effort with CHHS and Mercy Health System. The FNP students are mentored by the MSU Faculty NPs who provide primary care there.

x. Include any special recognition or awards received by the students in the unit (e.g., acceptances into graduate or professional school, scholarships, grants, assistantships, undergraduate research, student/faculty co-authorships, etc.) [Source: Program Unit]

 Alexandra Altenhofen (BSN Student) received a prestigious VALOR internship from the Kansas City Veterans Administration in summer 2014.

 Two junior students accepted for the VALOR Internship for summer 2015  Felicilda-Reynaldo, R.F.D., & Backes, K. (2014). Botox for overactive bladder:

A look at the current state of evidence. MEDSURG Nursing Journal, 23(1), 30-33. (Backes was a BSN senior).

 McGinn-Perrryman, K., Berg, S., & Hope, K. (October, 2014). Promoting

evidence-based antibiotic prescribing. American Association of Nurse

Practitioners National Conference. New Orleans, LA. Accepted for poster

presentation June, 2015. (Mc-Ginn-Perryman graduated from DNP in

2014).

 Randall-Arell, J. L., & Utley, R. (2014). The adolescent female’s lived-experience of obesity. The Qualitative Report, 19(45), 1-16. Retrieved from

http://www.nova.edu/ssss/QR/QR19/randall-arell45.pdf. ( Arell was a MSN graduate in 2014)_

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BSN – We have approximately 42 undergraduate students in the Honors College in the BSN program. Each year, approximately $28,000. In scholarships go to the BSN Students. Three outstanding BSN Seniors were selected by the Department to be Undergraduate Lab Assistants for the 2014-2015 year.

DNP – Two students had Graduate Assistantships in 2014-2015.

xi. Include the results of any accreditation efforts. [Source: Program Unit]

DNP – had a successful site visit for initial accreditation for the DNP program. The preliminary report had all criteria met and no comments. Waiting for final report with CCNE Board approval in late May or June.

xii. Has the unit supported any international education initiatives? [Source: Program Unit]

2. Faculty Teaching and Advising

a. What percent of the general education classes, classes in the major and graduate classes are taught by ranked faculty; by per course faculty; by graduate teaching assistants? (Source: AIM Dashboard]

% of general education classes taught by ranked faculty – 100% (occasionally Visiting Instructor with PHD co—teaching NUR 472.

Table. % of Classes in the Major at Undergraduate and Graduate Levels by Faculty Type.

Faculty Type Graduate Undergraduate

Tenured/Tenure Elig 44% 22%

Other Regular 32% 61%

Supplemental 24% 17%

GAs 0% 0%

b. What steps does the unit take to support the teaching efforts of non-ranked faculty?

[Source: Program Unit] All faculty in the Department are mentored and co-teach with other faculty in the Department. All are encouraged to take online teaching courses and attend teaching conferences and workshops. We have peer-evaluation of all faculty each semester for new faculty, and each year for all.

c. How does the department evaluate teaching effectiveness? [Source: Program Unit] Feedback from: Student Course Evaluations, Student Advisory Board Feedback, Faculty Peer Evaluations, Merit Portfolios reviewed by the Department Personnel Committee each year. d. What is the typical advising load of faculty? [Source: Program Unit]

The Department Head typically has 30 Honors College Advisees

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The BSNC Program Director and one BSNC faculty advise all the BSNC students. (80-100) The BSN Faculty have 12-15 BSN advisees.

The Department Advisor (full-time and part-time) have approximately 350 pre-nursing advisees.

e. Include any special recognition or awards received by the faculty for their teaching and/or advising efforts. [Source: Program Unit could use Digital Measures-Activities Insights database to collect and report information]

None.

3. Faculty Research and Scholarship See Attached Scholarship Table for Nursing for a- a. Include any faculty publications – books, book chapters, articles in referred journals

(indicate if the journal is international, national, etc.). [Source: Digital Measures-Activities Insights database]

b. Include any products of creative activity – fine arts, [Source: Digital Measures-Activities Insights database] N/A

c. Include any faculty presentations. Indicate if the presentation was local, regional, national, international, invited, etc.) [Source: Digital Measures-Activities Insights database]

d. Funded Research [Source: Office of Sponsored Research; Program Unit could use Digital Measures-Activities Insights database to collect and report some information]

Describe and evaluate all the proposals submitted for funding.

 The 4-Year Funding from for MSU Care (MFH) NP Clinic stopped in December 31, 2014. That clinic will be merged into the new MERCY – MSU Interdisciplinary Clinic. The funding for 2014 was approx. $147,000.00

 Dr. Susan Sims-Giddens has continued to be a co-PI on the Childcare grant from DESE that funds the MO Pre-School Project. It is resubmitted each year.

 Louise Bigley and Carolyn Graves received an MSU Curriculum Innovation grant for studying the effect of the use of Google Glass on student learning in the Nursing Simulation Lab.

 Maria Kenneally received funding for Graduate Marketing from the Graduate College – to be used for marketing the DNP.

 Carol Daniels submitted three external grants that were all funded to support the medical respite project for homeless or underserved women.

 Include the amount and source of grants and contracts received (see Scholarship Table)

e. Describe how the unit supports and promotes faculty research.

The Department Head provides all tenure track faculty and research active tenured faculty with one day per week for scholarship – without teaching or service commitments. Many of

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the faculty work with other faculty in the Department or in other Departments in the college to publish and present. The senior research faculty mentor the others in scholarship efforts. 4. Service and Community Outreach [Source: Program Unit; some information might be stored in

Digital Measures-Activities Insights database]

a. Describe the unit’s major service accomplishments. Institutional (on campus)

 Maria Kenneally Co-Chair of the Multidisciplinary Forum

 Nursing Faculty manned the Medical Clinic for the overnight homeless awareness event.

 Faculty have been involved in the CHHS LLC

 Faculty involved on major University Task Forces and Committees (Faculty Handbook Revision, Distance Learning Task Force, Chair of Library Committee), etc.)

Off-campus (locally, regionally, statewide, etc.)

 MSU Care clinic – providing care for the homeless and underserved for 2014.  Carol Daniel led the development and funding of the Medical Respite for Women

who are discharged from the hospital and do not have resources to care for themselves.

 The FNP/DNP students and faculty manned the Kids Fishing Day medical clinic in Ava – for underserved kids.

 We have over 130 BSN and BSNC students a year develop Change projects with community agencies that meet the agency’s needs and the underserved populations they serve.

 Both the undergraduate and FNP student organizations active in community service – adopting a family for Christmas, Making care packets for Rare Breed Adolescents, etc. etc.

b. Does the unit participate in any community programs and/or partnerships? If yes, briefly describe the nature of these outreach efforts.

 MSU Care has worked with the Kitchen, Inc. for MSU Care.

 Carol Daniel has worked with the Kitchen , Inc. to house her medical Respite.  All BSN and BSNC students work with community agencies for their change projects.  Cox Health System provides a paid internship every semester for our BSN students

(Approximatley 25 -30 a year).

c. If the unit has an advisory board, what role does it play? How are members selected? Who are the current members?

Nursing does have a community advisory board – it provides feedback to the Department about our programs, and vision for the future. Members are selected previously by our major community partners. We are currently reorganizing the Board and selecting members that will help with fundraising, develop new partnerships, etc., as well as to provide feedback.

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5. Faculty Resources

a. List the number of faculty in the unit by rank and tenure status (include per-course faculty and graduate teaching assistants) [Source: Program Unit, AIM Dashboard]

Table: Faculty Number and Tenure Status by Rank and Level.

Faculty Rank/Level # of Faculty Tenure Status

Professor 3 (Hope, Utley, SSG) Tenured

Associate Professor 2 (Felicilda, Berg) Tenured Assistant Professor 1 (Henry) Tenure track Clinical Assistant Professor 3 (Patterson, Kenneally,

Savinske)

Untenured Clinical Instructor 6 (Adams, Todd, Smith,

Bigley, Graves, Daniel)

Untenured Per Course 3 (Shryack, Bradley,

DeWater)

N/A Graduate Teaching

Assistants

2 (Assist faculty – do not teach courses)

N/A

b. If the unit engaged in any recruitment/hiring activities: [Source: Program Unit]

i. How many searches were successful? Two out of three faculty; one Department Advisor, Two staff- Administrative Assistants -1

ii. How many searches were unsuccessful? Why? One faculty search was not successful. Had qualified candidates but not a good fit for the position or Department needs. iii. Describe any efforts made to increase diversity. Advertised broadly to attract diverse

candidates.. Hired two minority administrative assistants.

c. Does the unit have a mentoring process for new faculty, including per course and teaching assistants? If so, describe this process. [Source: Program Unit]

d.

New faculty – have a formal faculty mentoring program that lasts a year. A written mentoring plan includes a checklist of topics covered, reading assignments, and assigning one or more faculty mentors.

Graduate Assistants – mentored by the BSN Program Director to the role, and mentored by the Department Administrative Assistant for office procedures and personnel issues

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The Per-Course faculty are mentored by the Program Director of the program they teach in. it includes faculty resources (Blackboard, MSU Online, Library), etc.

e. How does the unit support faculty development? [Source: Program Unit]

 It provides travel funds for faculty who are presenting at national or international conferences. (1st priority)

 It provides travel funds for faculty development on a case by case basis if funding available. (2nd priority)

 Faculty who are involved in delivering CPR can use 50% of those funds for travel to conferences.

f. How does the unit assist tenure track faculty prepare for promotion and tenure? [Source: Program Unit]

 The Department Head meets with the tenure track faculty each year to discuss the process, criteria, etc. The Department gives tenure track faculty comments on their portfolio and merit each year as hey work toward promotion and tenure. The Department Head provides specific efforts to focus on for PTR in the annual review. g. Does the unit have open positions for which no active searches are underway.

a. NO.

6. Fiscal (and other) Resources

a. Comment on the unit’s cost benchmarks as revealed in the Delaware data. [Source: AIM Dashboard] Data old – from 2012

b. Comment on the unit’s budget allocations and management. [Source: Program Unit]

The Department uses funds judiciously to cover the activities of each program. The Department monitors each budget fund it has closely and always maintains some cushion for emergencies.

The Department has its operating budget (approximately $48,000), as well as course fees, and application fees for each program that go into the B fund. The B fund covers such things as the Typhon Student Tracking, Professional liability insurance for the BSN students, Integrated Standardized testing for the BSN students, laboratory supplies, etc.

Major costs from the operating budget include the AACN and CCNE dues each year (over $10,000), three graduating and pinning receptions each year, and a scholarship reception. c. Comment on the unit’s space situation. [Source: Program Unit]

In 2014, the space situation was dire – not enough faculty offices (two full-time faculty sharing an office, Graduate Assistants in the storage room, and no offices for part-time clinical supervisors). There was also very limited space for student labs and simulations, and a poor classroom situation for the BSN due to crowing. The new OCHSC will address student needs, and the addition of the 2nd floor Suite currently occupied by the PAS program will meet Department needs.

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d. Comment on the unit’s equipment and/or technology needs and any plans it has to address those needs. [Source: Program Unit]

The Department has a laboratory (simulation and skills lab) strategic plan which addresses technology needs including maintenance and purchases.

Numerous Departments are using the simulation laboratory, and the Department is considering requiring Department to pay for supplies used.

e. Comment on the adequacy of the unit’s staff resources. [Source: Program Unit]

Staff resources are excellent – One Administrative II for the General Operations, budgeting, personnel, and Department Events. Three Administrative Assistants – One for BSN/pre-nursing, one for BSNC and Department Activities (e.g. CPR), and one for the graduate programs. The Department also has a full-time pre-nursing marketing, retention, recruitment, and advisor, and a part-time pre-nursing advisor.

f. Does the unit engage in fundraising? If so, describe the efforts and the level of success. [Source: Program Unit]

 The Department does CPR classes for students and faculty on campus – which raises money for the Department.

 The Department is currently working with the Foundation and members of the Advisory Board to plan Fundraising events and strategies.

7. Unit Management

a. Describe how the unit fosters collegiality. [Source: Program Unit]

 We have a Faculty Enrichment Coordinator that regularly plans events for faculty, as well as faculty and staff. We celebrate most holidays (Halloween, Valentines, etc.) with a potluck in the Department.

 I try to create a Department in which all ideas are welcome and valued, and consensus of the majority rules (if possible).

b. How is the administrative workload of the unit shared by its members? [Source: Program Unit] The Administrative Workload is distributed between the Department Head, the Program Directors for each program, and the Committees of the Department (Program Committees, Personnel Committee, etc.), and the administrative staff. The Department Head handles the overall functioning and operations of the Department, including scheduling classes, assigning workload, accreditation, overseeing faculty and staff

recruitment, evaluating faculty performance and teaching/learning activities. Each Program Director is responsible for overseeing the quality of their own programs, including

recruiting, admissions, teaching, and student outcomes, The Simulation Lab Coordinator managers the Simulation Lab and skills lab scheduling, activities, and supplies. The Clinical Coordinator works with faculty and serves as the liaison with the acute care clinical sites to schedule clinical experience for students, as well as in the community.

8. Individual Professional Accomplishments

Use this section to note any accomplishments not included in other areas of this review.

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The Department Head and some faculty have worked on the planning and development of the new O’Reilley Health Sciences Center for the last year. This involves approximately one day a week. The Department Head and Susan Berg have been working with the Mercy team and Dr. helen Reid on the planning, and transition of the new MSU Care Multidisciplinary Clinic that will be in the new building.

9. Update to Action Plan developed from previous Program Review

h. The DNP program has been accredited, meeting all criteria with no concerns. i. We have hired two new faculty for the Department, one to teach in the DNP. j. The MSN-FNP was closed.

k. Carolyn Graves has done an excellent job taking over the simulation lab. l. The new building and move to 2nd floor offices will address space issues. m. MSU Care will be maintained and moved to the new OCHSC.

n. Faculty scholarship has been good in 2014. Senior faculty are assisting junior faculty in publishing.

Plan for 2015

A. Coordinate move to second floor and efficient functioning of the Department on two floors.

B. Coordinate the move of the labs and simulation lab to the new building. C. Implement functioning of the new simulation and simulation lab equipment. D. Continue to encourage and support faculty scholarship.

E. Support one faculty getting DNP (Patterson) and one faculty getting her PH.D. in Nursing (Bigley)

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