Normandale Community College

2002-2003 Annual Report Form for Academic Disciplines

Discipline:

Nursing

Date: May 15, 2003

1. State discipline mission

 

The Normandale Community College Nursing Program prepares graduates for full participation as members of health care teams in diverse communities. Graduates are qualified to take National Council Licensure Examination (NCLEX) for Registered Nurse Licensure. We are committed to quality, integrity, active life-long learning, student success, alliances and community service.

2. Please use this space to reflect on ways that your discipline has assessed student learning during the last year. Be as specific as possible as to your efforts to assure that you are satisfying your mission within the college. You might include: decisions to make changes to common course outlines, discussions held to reach common understanding of desired outcomes in multi-section courses, data gathering (concerning perhaps tracking of students through a sequence of courses), time devoted to learning about assessment and sharing assessment practices. We need evidence to indicate that time has been spent by your discipline trying to understand and articulate the goals we have for student learning, measure the achievement of the goals and/or devise improvements based on what has been learned. You may attach additional pages as needed.

The nursing department has made efforts to assess student learning during the last year in the following ways:

  • Nursing courses are team-taught. Each team of faculty meet weekly to discuss course issues. Typical items for discussion include consistent grading of course assignments; point values assessed and deducted during lab tests; assessment of the learning activities conducted in each lab; review of theory and lab test items that have poor or negative discrimination or that large numbers of students answered incorrectly; and review and comparison of scores in clinical rotations. Documentation of these discussions can be found in the team meeting minutes.
  • There seemed to be distinct differences among the mean scores of the second year students in the content specific rotations. Data was collected to verify this trend and to determine the degree of differences. This formed the basis of a discussion regarding what would be reasonable means for the rotation scores.
  • Monthly, faculty received updates from our representative to the SOAC committee regarding the college wide issues related to assessment. Documentation of these reports can be found in the nursing faculty meeting minutes.
  • Attrition of students was tracked throughout the program. Reasons for withdrawal from nursing courses were tracked. Trends were discussed in faculty meetings. All faculty receive the quarterly reports from the Minnesota Board of Nursing on the first time pass rates of graduates from the program. This data was considered during these discussions. An example of how this data was used is the recent change in the passing grade for the nursing courses. Recent trends have shown a decrease in the percent of students passing the NCLEX-RN exam and an increase in the number of students who received a "D" in a nursing course. The grading policy was changed. This year’s NCLEX-RN results will be compared to past years to see if the change in the grading policy reflected an increase in the first time pass rates.
  • In January 2003, a new nursing lab opened that was equipped with state or the art technology to enhance the learning environment. Faculty are learning all the capabilities of the equipment but have already noticed that students are more comfortable in the environment and are more engaged in the learning activities. Lab usage by students was tracked this year for comparison with past years. More formal assessment will be considered as faculty develops more confidence with the technology.
  • As part of the National League for Nursing accreditation process, assessment criteria for critical elements of nursing programs must be identified and assessed. At the conclusion of each semester, the nursing teams meet to revise and collect this data. The results can be found on the nursing share drive. It was recognized that the Nursing 1130 – Transition Course did not have these elements developed. The course is conducted each summer and the criteria and date will be collected this year for that course.
  • In response to market changes and student demand, the nursing department began offering the state approved Nursing Assistant Program in Fall 2002. We are in the process of collecting information about the success of these students on the NA-R registry exam. Information is incomplete at this time. Many students have not yet taken the exam and the testing reports should be complete on all students by the end of the summer. We are collecting information about the number of students who completed the program and were successful on the NA-R exam, as well as the details regarding which sections of the exam our students failed. While the program curriculum is regulated by the state, different teaching strategies, practice and testing strategies might be altered to increase success in the areas of the exam that students from our program are failing.

3. Please fill in at least three goals for student learning (Educational Outcomes) for the year that your discipline has assessed or is assessing, together with how the goal was assessed (Assessment Criteria), Results, and appropriate Analysis/Actions for each. You may want to refer to the list of definitions and examples provided. You may make extra copies of pg3 as needed.

Educational Outcome:

Nursing students will successfully complete the nursing program.

Assessment Criteria:

85% of the incoming first year nursing students will exit the program within two years.

95% of re-admitted students will exit the program.

Results

For the class graduating in 2003, 79 students entered the class in Fall 2001. One student joined the class with advanced placement and 11 entered as LPN transition to RN students for a total N=91. Seventy of these students will graduate May 2003. Of the incoming students, this represents a 76.9% retention rate. Of the 21 students not completing the program within the 2 years, 8 students have been re-admitted, 7 were dismissed for academic reasons and chose not to return, and 6 left for either medical or personal reasons.

 

 

 

 

 

 

There were 4 students who were re-admitted to the nursing program. Three of the 4 (75%) completed the program.

Analysis/Actions

The groups of students being assessed were admitted to the program on a first come basis. All met minimum admission requirements but the competition to enter the program was minimal. A ranking system is now being used to rate students prior to acceptance into the program and the top applicants are accepted. The high attrition rates may also be related to the changes in the grading policy. Students must have a "C" to progress in the program. Previously, students were allowed to progress with a "D" in nursing courses. The class entering Fall 2003 will be a mix of students who were admitted on a first come basis and who were ranked. Comparative data related to success in the program of these two groups will be collected.

When the 95% rate was set as the assessment criteria for this category, faculty failed to consider that the "N" for this group is usually small. Faculty will reevaluate these criteria to determine if adjustments should be made.

 

Other categories of groups of students to track for success were discussed. Possible future tracking may include the LPN transition to RN versus the generalist groups, the advanced placement students transferring from other institutions, and the students entering the program directly from high school.

A more careful look at the reasons students leave the program is planned. The Department Chair will contact each student who leaves during the next year to discuss the reason for leaving. Findings will be discussed with faculty to determine if there are specific suggestions for changes to curriculum of the admission policy.

 

 

Educational Outcome:

Students will be prepared to work as members of the health care team.

Assessment Criteria:

100% of the class will score at least "3" or above on all criteria of the Nursing 2220 Clinical Evaluation Tool.

Results

There were 73 students in the Nursing 2220 course this year and 100% scored at least "3" or above on all criteria on the Clinical Evaluation Tool.

Analysis/Actions

This tool is intended to measure the clinical proficiency of students upon exiting the program. A score of "3" means that students may still require assistance with skills but meet minimum safety expectations for practice in accordance with the State Board of Nursing guidelines.

Faculty will look at other measures that might be used to assess readiness to meet the workplace practice expectations, like the HESI test or ATI testing capstone or comprehensive achievement tests.

Also discussed for future consideration was a survey of the clinical facilities that employ our graduates to determine employer satisfaction with our graduates’ performance as registered nurses.

Since the Nursing Assistant Program is new to this campus, it might be helpful to see how many of our students in this program go on and enter nursing programs or just take the course to enter the workforce.

 

 

Educational Outcome:

Students will be successful on the NCLEX-RN licensure examination.

Assessment Criteria:

92% of the students in the graduating class of 2003 will pass the NCLEX exam on the first attempt.

Results

These results are not available at this time. Students are expected to take the examination over the upcoming months and the quarterly reports from the State Board of Nursing received over the next year should reflect these results.

Analysis/Actions

The pass rate for this examination for the class of 2002 was between 88-90%. Faculty felt that there should be a modest increase in the NCLEX results for this class since the grading policy was changed. The analysis and any actions will be reported toward the end of Spring 2004 semester.

 

 

4. What action that your department is planning/ recommending based on your assessment results (#3) do you expect to most improve student learning in your program?

 

Assessment data received from a comprehensive, standardized test used at the end of the program should provide faculty with the greatest amount of information about the strengths and weaknesses of our graduates. With this data, we should be able to identify specific content areas that may need to be improved in the program.

 

 

5. As a result of assessment completed by those directly providing instruction and services, actions requiring budget support will be identified. Your department and division will have to establish budget priorities for the coming year. Will the actions you recommend based on your assessment require new or reallocated funding eg) staffing, professional development, equipment etc.? If so, explain.

 

Funding for the testing will need to be provided. This type of testing had been conducted in the past but was dropped because of lack of funding and poor correlation of the results with NCLEX pass rates. There are more effective testing measures available at this time and the correlation of the results from these tests with the pass rates on the NCLEX is higher. We need to re-institute these measures to help our graduates have a better understanding of their individual strengths and weaknesses as they prepare for the NCLEX and for the faculty to direct program revisions to maintain a high quality program.

 

6. What institutional data (transfer, satisfaction, employment, graduate, placement) does your program need to assist it to assess its success.

 

Institutional support with managing the data bases and to help with the data collection to track the volume of information requested would be extremely valuable to assist faculty to make more informed decisions about curriculum and program changes to improve student success. We have only informal reporting mechanisms at present to track the number of students who continue on to complete higher degrees. We have limited time and resources to survey graduates and employers about program satisfaction. More formal research with selected groups of our students to determine success factors or barriers to success in our program would be welcomed and valued.

 

7. What, if any, concerns/insights in relation to student learning did you identify from your assessment activities?

 

Assessment of students is not a new concept for the nursing department. The program is accountable to the State Board of Nursing and the National League for Nursing and has had to include assessment in our reports to these agencies for many years. What this process has done for the nursing faculty is to help us consider different measures to look at student success and to identify additional data that might be helpful as future curriculum or program revision is planned.

 

 

 


 
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