Systematic Plan for Associate of Science in Nursing ... · Plan for ASN Program Evaluation 2016-2017 This plan was constructed using a ACEN template for assistance in developing systematic

Plan for ASN Program Evaluation 2016-2017

This plan was constructed using a ACEN template for assistance in developing systematic plan for program evaluation when addressing the ACEN Standards and Criteria 2013. It should be noted that the wording has been changed to accommodate the Associate of Science in Nursing Program’s plans and term inology.

Systematic Plan for Associate of Science in Nursing Program Evaluation

The Health Sciences Division’s systematic plan for the Associate of Science in Nursing Program evaluation and assessment of outcomes includes the following: timelines; appropriate methods; expected levels of achievement; collection and analysis of data that is aggregated and trended over time; verification that the findings are used for development, maintenance, and revision of the program.

STANDARD 1: MISSION AND ADMINISTRATIVE CAPACITY The mission of the nursing education unit reflects the governing organization’s core values and is congruent with its mission/goals. The governing organization and program have administrative capacity resulting in effective delivery of the nursing program and achievement of identified program outcomes. Plan Implementation Criterion Expected Level

of Achievement (ELA)

Frequency of Assessment

Assessment Method/s* Results of Data Collection and Analysis

Actions for Program Development, Maintenance, or Revision

1.1 The mission and philosophy of the nursing education unit are congruent with the core values, mission, and goals of the governing organization.

The mission/philosophy and outcomes of the nursing education unit are congruent with the core values, mission, and goals of the governing organization.

June Meeting minutes. ELA met In Spring 2017, the mission and values were reviewed and approved by LSBN.

Interpretation of Results: The mission, vision, and values of the division and/or program support the mission, vision, and goals of Fletcher. Actions for Maintenance: The ASN documents for Fall 2017 include the new mission, vision, and values. Faculty continue to review the mission annually for congruence.

1.2 The governing organization and nursing education unit ensure representation of the nurse administrator and nursing faculty in governance activities; opportunities exist for student representation in governance activities.

Faculty: At least one full-time faculty member from the department to participate in faculty senate. All full-time faculty present at faculty meetings Dean serves on the Executive Committee, academic affairs, accelerating opportunities and executive staff council.

Every Month Committee sign-in sheets or review of meeting minutes

Faculty ELA met A faculty member from the ASN program sits on all college committees. Faculty members are invited to give input into career day and open house. Faculty meetings are held once a month and as needed with all faculty members’ participation mandatory. Meeting minutes are available. Dean serves on the Executive committee meeting and serves as the liaison between the department and college

Faculty: Interpretation of Results: The program demonstrates evidence in achievement in meeting this criterion by representation of students, faculty and administration in governance activities. Actions for Maintenance: Continue to encourage faculty to serve on college committees and attend departmental meetings in order to ensure active participation and representation in organization and division governance Continue to encourage student participation in SGA, faculty meetings, and advisory committee meetings through flyers and emails.



Students: Student input is accessed through surveys, faculty meetings, student representation on advisory committee, and SGA.

administration Students ELA met The evaluations are assessed after each course is completed. Students are reminded of SGA meetings and activities via email. Advisory meetings are held two times a year with participation encouraged. Nursing student representative was also invited to faculty meeting beginning in spring 2016 due to a rec from ACEN.

Students: Interpretation of Results: The program demonstrates evidence in achievement of meeting this criterion. Actions for Maintenance: Continue to perform course evaluations using data to improve program outcomes. Faculty and staff will continue to encourage student participation in SGA activities, faculty meetings, and advisory committee through flyers, email notification, verbal notification and information board in lobby.

1.3 The assessment of end-of-program student learning outcomes and program outcomes is shared with communities of interest, and the communities of interest have input into the program processes and decision-making.

Faculty of the program will host two advisory meetings and post program outcomes and end of program student learning outcomes to the website.

March & September

Meeting minutes Posting to website

ELA met Meeting minutes available for November 2016 and March 2017.

Interpretation of Results: The program demonstrates evidence in achievement in meeting this criterion. Actions for Maintenance: Continue to hold advisory committee meetings biannually and survey committee members for input into program improvements and community needs through satisfaction surveys. Plans to hold a social for advisory council outside of the two formal meetings.

1.4 Partnerships that exist promote excellence in nursing education, enhance the profession, and benefit the community.

Faculty of the program will maintain a minimum of 3 partnerships with community benefit.

October Review of active community partnerships; Advisory meetings

ELA met Fletcher ASN program had the following partnerships this year

Ochsner Blood Bank Nov

2016

Ochsner Blood Bank April

2017

BP screenings at spring

open house in fall.

Nicholls RN to BSN

transfer agreement

LSUHSC RN to BSN to

MSN

Northwestern RN to BSN

Interpretation of Results: The program demonstrates evidence in achievement in meeting this criterion. Actions for Maintenance: Continue to encourage partnerships with local healthcare facilities and community to increase the diversity of the clinical experience while assisting the community and medical profession to achieve their goals.



1.5 The nursing education unit is administered by a nurse who holds a graduate degree with a major in nursing.

The Dean and/or the Department head will possess a minimum of a graduate degree in nursing

Prior to appointment

Review of official transcripts

ELA met The Dean of Nursing has graduated from Loyola University with a DNP program in May 2014

Interpretation of Results: The program demonstrates evidence in achievement in meeting this criterion. Actions for Maintenance: Review of official transcripts and CV will be done prior to the appointment of a new Dean.

1.6 The nurse administrator is experientially qualified, meets governing organization and state requirements, and is oriented and mentored to the role.

The Dean of Nursing will meet the state and governing organizations requirements and be mentored to the role.


Review of job description, Louisiana State Board of Nursing(LSBN) criteria as well as CV of the Dean of Nursing.

ELA met The Dean of Nursing is a Registered Nurse of greater than 3 years with a DNP. The LSBN requires a program head have a minimum of graduate degree in nursing and shall have a minimum of three years experience in the area of teaching and three years in clinical practice (LSBN 3515.B2) The Dean was mentored by the Vice Chancellor of Academic Affairs for 6 months prior to assuming her role and has been in her current role.

Interpretation of Results: The program demonstrates evidence in achievement in meeting this criterion. Actions for Maintenance: Review of job description as well as CV will be done in the event of the appointment of a new Dean is required.

1.7 When present, nursing program coordinators and/or faculty who assist with program administration are academically and experientially qualified.

Academically and experientially qualified faculty act as Program coordinator for the ASN program.


Review of Job Description Review of Louisiana State Board of Nursing(LSBN) Criteria Review of CV of program coordinator.

ELA met The program coordinator has a Masters in Nursing with 6 years of teaching experience and certified nurse educator.

Interpretation of Results: The program demonstrates evidence in achievement in meeting this criterion. Actions for Maintenance: Review of job description, LSBN criteria and CV will be performed in the event a new ASN coordinator is required.

1.8 The nurse administrator has authority and responsibility for the development and administration of the program and has sufficient time and resources to fulfil the role responsibilities.

The Dean of Nursing will maintain the authority and responsibility for the development and administration of the program and has sufficient time

May Review Job Description Annual evaluation of performance and workload Nursing schedules

ELA met Job description documents that the Dean of Nursing has authority and administrative responsibility for the Department of Nursing. Annual evaluations document the Dean has adequate time to fulfill the

Interpretation of Results: The program demonstrates evidence in achievement in meeting this criterion. Actions for Maintenance: Continue to monitor job description and annual evaluation.



and resources to fulfil the role responsibilities.

role. Teaching load excludes the Dean

1.9 The nurse administrator has the authority to prepare and administer the program budget with faculty input.

The Dean of Nursing will maintain the authority to prepare and administer the program budget with faculty input.

April Review of Job description Review of departmental budget.

ELA met Job description documents that Dean has the authority to prepare and administer program budget. The nursing budget from 2016-2017 has decreased due to statewide budget cuts, but resources have been supplemented through grants, donations and the Fletcher Foundation (Nest Egg) to not only preserve the ASN program standards but to enhance our current resources.

Interpretation of Results: The program demonstrates evidence in achievement in meeting this criterion. Actions for Maintenance: Continue to monitor departmental budget to ensure sufficient resources are available for maintenance and growth of the department.

1.10 Policies for nursing faculty and staff are comprehensive, provide for the welfare of faculty and staff, and are consistent with those of the governing organization; differences are justified by the purpose and outcomes of the nursing program.

Faculty and staff maintain and update policies that are comprehensive, provide for the welfare of faculty and staff, and are consistent with those of the governing organization. Differences are justified by the purpose and outcomes of the nursing program.

March Faculty meeting minutes Faculty Handbook Nursing Faculty Handbook Fletcher Student Handbook Nursing Student Course and Clinical Handbooks

ELA met. The Department of Nursing possess a separate faculty handbook in addition to the Fletcher faculty handbook and Fletcher Employee handbook however the policies in the department of nursing handbook supports the governing organization. The nursing faculty handbook is reviewed and revised by faculty and staff annually to assure policies support those of Fletcher Technical Community College and Louisiana State Board of Nursing (LBSN).

Interpretation of Results: The program demonstrates evidence in achievement in meeting this criterion. Actions for Maintenance: Current departmental and ASN program policies will be reviewed to ensure they continue to support those policies of all governing organizations. As new policies for the department of nursing are created they will be evaluated to ensure alignment with the policies of the governing organization.



1.11 Distance education, when utilized, is congruent with the mission of the governing organization and the mission/philosophy of the nursing education unit.

The Department of Nursing follows the policies on distance education of the governing organization.

August End of Course surveys evaluate all distance learning activities.

ELA met. The online learning management system (LMS), Canvas, is utilized by Faculty for online support such as posting grades, posting schedules, notes and other assignments as well as proctor exams and additional readings. The system used for online Professionalism course. The Evolve Learning System (ELS) is used by students to supplement the text books. HESI practice test and case studies are used by students to enhance critical thinking skills. HESI proctored tests to evaluate whether student learning outcomes were met. Facebook used as a means for communication to students and to reach students through social media.

Interpretation of Results: The program demonstrates evidence in achievement in meeting this criterion. Actions for Maintenance: The Learning management system(LMS), ELS and HESI practice test, case studies and proctored testing will continue to be used by the ASN program faculty for efficient and effective support for class work and communication. Faculty plan to begin using Kaplan for Capstone course and Live Review with fall 2017 admit class.



STANDARD 2: FACULTY AND STAFF Qualified and credentialed faculty are sufficient in number to ensure the achievement of the student learning outcomes and program outcomes. Sufficient qualified staff are available to support the nursing education unit. Plan Implementation Criterion Expected Level of

Achievement (ELA) Frequency of Assessment

Assessment Method/s* Results of Data Collection and Analysis

Actions For Program Development, Maintenance, or Revision

2.1 Full-time faculty hold educational qualifications and experience as required by the governing organization, the state, and the governing organization’s accrediting agency, and are qualified to teach the assigned nursing courses.

Full-time faculty members of the ASN program have earned a graduate degree in nursing while there are less than 5 full time faculty on staff.

October Review of official transcripts and CV

ELA met All full-time faculty members have earned a master’s degree. (Allison, Chantell, Danielle, Olivia)

Interpretation of Results: The program demonstrates evidence in achievement in meeting this criterion. Actions for Maintenance: Credentials will be review prior to appointing full time faculty and yearly to assure compliance with LSBN regulations for practicing as a nurse.

2.2 Part-time nursing faculty hold educational qualification and experience as required by the governing organization, the state, and the governing organization’s accrediting agency, and are required to teach the assigned nursing courses.

Part-time faculty members have a graduate degree in nursing while there are less than 5 full time faculty on staff.

October Review of official transcripts and CV

ELA met Currently there are 3 part-time instructor as of Summer, 2017 (Annie, Matt, Heather)

Interpretation of Results: The program demonstrates evidence in achievement in meeting this criterion. All part-time faculty hold a minimum of graduate degree. Actions for Maintenance: Credentials will be reviewed annually and prior to appointment on all part-time faculty as needed.

2.3 Non-nursing faculty hold educational qualification and experience as required by the governing organization, the state, and the governing organization’s accrediting agency, and are required to teach the assigned nursing courses.

General education instructors hold at least 18 hours of graduate credit at Fletcher Technical Community College.

October Review of official transcripts

ELA met All instructors teaching ASN program pre recs meet the SACS, BOR and Fletcher requirements of 18 hours of graduate work.

Interpretation of Results: The program demonstrates evidence in achievement in meeting this criterion. Actions for Maintenance: Credentials will be reviewed annually and as needed prior to appointment on all faculty members.

2.4 Preceptors, when utilized, are academically and experientially qualified, oriented, mentored, and monitored, and have clearly documented roles and responsibilities.

The ASN program does not currently use preceptors.

October Review of official transcript and CV

ELA met. Preceptors are currently not being used.

Interpretation of Results: The program demonstrates evidence in achievement in meeting this criterion. Actions for maintenance: Practice will be maintained.



2.5 The number of full-time faculty is sufficient to ensure that the student learning outcomes and program outcomes are achieved.

Didactically Faculty/student ratio does not exceed 1:25 Clinical faculty/student ratio does not exceed 1:10

August, January, and June

Class and Clinical Schedules Rosters

ELA met Current ratio of faculty to students is 1:11 in classroom and 1:6 in clinical

Interpretation of Results: The program demonstrates evidence in achievement in meeting this criterion. Actions for Maintenance: Practice will be maintained and reassessed when more faculty members are hired.

2.6 Faculty (Full and part-time) maintain expertise in their areas of responsibility, and their performance reflects scholarship and evidence-based teaching and clinical practices.

ASN faculty members maintain expertise in areas of teaching through professional development activities.

October Review of CEU and certification documentation

ELA met ASN faculty members maintain a minimum of 5 CEUs annually. CEUs are strongly encouraged in a faculty members area of expertise or best teaching practices. Faculty use NurseTim subscriptions purchased by the department.

Interpretation of Results: The program demonstrates evidence in achievement in meeting this criterion. Actions for Maintenance: Practice will be maintained and NurseTim has been renewed for the 2017-18 school year.

2.7 The number and qualifications of staff within the nursing education unit are sufficient to support the nursing program.

The ASN program staffs an administrative assistant to the Dean of Nursing and a student worker.

August Review of transcripts and curriculum vitae

ELA met The department of nursing currently has one (1) staff member, who serves in an administrative assistant role and one (1) student worker.

Interpretation of Results: The program demonstrates evidence in achievement in meeting this criterion. Actions for Maintenance: Non-nursing staff will continue to be utilized in an administrative support role.

2.8 Faculty (full and part time) are oriented and mentored in their areas of responsibilities

When new ASN faculty members are hired, orientation in areas of responsibility is provided.

Upon hire and as needed

Orientation documents and checklist Nursing schedules.

ELA met New instructors are partnered with an existing faculty for mentoring in both theory instruction and clinical instruction. Mentoring lasts a school semester and will be extended if the instructor is in need of additional mentoring.

Interpretation of Results: The program demonstrates evidence in achievement in meeting this criterion. Actions for Maintenance: New faculty will continue to be oriented and mentored in their areas of responsibilities. As changes occur within the department or institution all faculty members are provided with necessary training.

2.9 Faculty (full and part-time) performance is regularly evaluated in accordance with the governing organization’s

All ASN faculty members will be evaluated by the Dean of Nursing and by the students through end of

May and each semester

Review performance evaluations Student course and program evaluations

ELA met All full and returning part-time faculty members were evaluated. Course evaluations were completed

Interpretation of Results: The program demonstrates evidence in achievement in meeting this criterion. Actions for Maintenance: All faculty members will continue to be evaluated annually. All



policy’/procedures, and demonstrates effectiveness in assigned area(s) of responsibility.

course and end of program evaluations.

per college policy. Course evaluations were completed in Fall 2016, Spring 2017, Summer 2017

nursing courses will continue to be evaluated each semester.

2.10 Faculty (full and part time) engages in ongoing development and receives support for instructional and distance technologies.

All full and part-time faculty members are encouraged engage in ongoing development and receive support for distance technologies.

October and as needed.

Emails regarding conference opportunities Invitations to college trainings LMS support portal Perkins budget

ELA Met. Full and Part-time instructors are notified of educational opportunities that would directly enhance teaching and evaluation methods in their area of expertise. Instructors are encouraged to attend. Learning management system training performed each semester and faculty are notified by email of dates and times. HESI and Evolve leaning updates are held annually and faculty are notified of scheduled updates via email from Elsevier and representative. Faculty also receives simulation training updates annually to assure proper use of the simulation lab and equipment in achieving program and student outcomes. Faculty are required to participate in an online teaching certification prior to teaching an online course to assure the student learning outcomes and course objectives are effectively met.

Interpretation of Results: The program demonstrates evidence in achievement in meeting this criterion. Actions for Maintenance: Faculty will continue to be notified of upcoming educational opportunities and encouraged to participate.



STANDARD 3: STUDENTS Student policies and services support the achievement of the student learning outcomes and program outcomes of the nursing unit. Plan Implementation Criterion Expected

Level of Achievement (or program terminology)


Assessment Method/s*

Results of Data Collection and Analysis (Including actual level/s of achievement)


3.1 Policies for nursing students are congruent with those of the governing organization, as well as the state when applicable, and are publicly accessible, non-discriminatory, and consistently applied; differences are justified by the end-of-program

The nursing department policy for ASN students is congruent with those of the governing organization. They are publicly accessible, non-discriminatory, and consistently applied. differences are justified by the end-of-program.

March, April and as policy changes.

Fletcher Student Catalog and Handbook Department of Nursing Faculty and Student Handbook ASN Admissions Guide

ELA met Student policies are consistent in the Student Catalog, college Handbook and Associate of Science in Nursing Student Handbook and publicly accessible through the Fletcher website. Some differences in school admissions policy and the nursing department admission policies are necessary to fulfill state board, ACEN, and clinical facility requirements.

Interpretation of Results: The program demonstrates evidence in achieving this criterion. Actions for Maintenance: The ASN Handbooks, website, brochures, and catalog pages will continue to be reviewed annually by faculty and staff. The handbooks will also be published on the Fletcher website in order to increase student access. Updates are made as necessary and reviewed annually with policy changes clearly posted to the website and updated in all student handbooks and catalog as necessary.

3.2 Public information is accurate, clear, consistent and accessible, including the program’s accreditation status and the ACEN contact information.

Department of nursing provides consistent, clear and accurate information on all information regarding the programs accreditation status.

March ACEN and LSBN communication and the ASN website including all documents posted to the website.

ELA Met. ACEN contact information and program accreditation status are available on public information as of April 2016. All public information is accurate, clear and consistent. Errors are corrected immediately.

Interpretation of Results The program demonstrates evidence in achieving this criterion. Actions for Maintenance: Continue to monitor all published documents to assure compliance with criterion.

3.3 Changes in policies, procedures, and program information are clearly and consistently communicated to students in a timely

The nursing department clearly communicates changes in policies and program information in

June and as needed

Orientation schedule ASN handbook Website Closed

ELA met. Policies and procedures concerning existing students are communicated effectively through the learning management system, student email, handouts and a closed Facebook page.

Interpretation of Results: The program demonstrates evidence in achieving this criterion. Actions for Maintenance: Continue to monitor all avenues used to communicate policies, procedures and program information to potential and existing students. Continue to monitor for clarity and consistency.



manner. a timely manner.

Facebook pages Policies concerning potential students are published on the Fletcher website.

3.4 Student services are commensurate with the needs of nursing students, including those receiving instruction using alternative methods of delivery.

Students in the ASN program have student services available through multiple avenues in person, email and phone.

August and as needed

Hours student services are available. Appointment sign-up sheet. Website

ELA Met. Students have knowledge of support services and hours of operation through, orientation, electronic communications via email, the learning management system, and the Fletcher website. The website has links to

Advising,

Counseling Center

Accommodations & Disability and Grievances

Records and Registration Forms

Requesting a Transcript

Graduation

Academic Learning Resource Center

Bookstore/Booklists

Louisiana Transfer Degree

Career Services Financial Aide

Interpretation of Results: The program demonstrates evidence in achieving this criterion. Actions for Maintenance: Practice will be maintained. Services offered at both Main Campus and St. Charles street will be evaluated if method of program delivery or class times conflict. Efforts are in place to expand services offered at St. Charles.

3.5 Student Educational records are in compliance with the policies of the governing organization and state and federal guidelines.

Department of nursing maintains student educational records in accordance with the policies of the governing organization and state and federal guidelines.

July Internal audit of student files in accordance with LSBN guidelines and Fletcher Record Retention Policy.

ELA Met. Review of educational records revealed no discrepancies. All ASN student files are kept in fire proof water proof locked filing cabinets/faculty offices/vault/secure servers.

Interpretation of Results: The program demonstrates evidence in achieving this criterion. Actions for Maintenance: Practice will be maintained.

3.6 Compliance with the Higher Educational Act Title IV eligibility and certification requirements is maintained, including default rates and the results of financial or compliance audits.

Fletcher will remain compliant with the higher ed Title IV.

August or as directed by federal guidelines

External and Internal Audits PPA document

ELA met Instances of non-compliance in 2015 Louisiana’s audit have been resolved. The program Participation Agreement signed with the Dept. of Ed is effective until 2019.

Interpretation of Results The program demonstrates evidence in achieving this criterion. Action for Maintenance Practice will be monitored to ensure no other issues.

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3.6.1 A written, comprehensive student loan repayment program addressing student loan information, counseling, monitoring, and cooperation with lenders are available.

Fletcher Technical Community College publishes a written, comprehensive student loan repayment program per federal and state guidelines

August Review of policies in student handbook and on the financial aid website.

ELA met Fletcher began its loan program in Fall 2015 due to the increase in student population. Policies are accessible to students.

Interpretation of Results: The program demonstrates evidence in achieving this criterion. Actions for Revision: Faculty members will continue to review policies are available.

3.6.2 Students are informed of their ethical responsibilities regarding financial assistance.

Students will be informed of their ethical obligations in regards to financial assistance.

August Review of policies as listed in the student catalog, website and handbook.

ELA met. The student catalog and handbook address financial aid student rights and responsibilities as well as financial aid code of conduct.

Interpretation of results: The program demonstrates evidence in achieving this criterion. Actions for Maintenance: The student catalog and handbook will be evaluated annually to ensure the policies are congruent with federal regulators.

3.6.3 Financial aid records are in compliance with the policies of the governing organization, state and federal guidelines.

Financial Aid records of ASN students remain in compliance with policies of Fletcher, State and Federal Guidelines.

August Review of student financial aid records and posted policies in the catalog and state and federal guidelines.

ELA met All ASN student financial aid records are in compliance with all policies and maintained in Banner/Lola by the Financial Aid department.

Interpretation of Results: The program demonstrates evidence in achieving this criterion. Actions for Maintenance: Continue to monitor state and federal regulations and keep in close contact with the Fletcher Financial Aid department to ensure compliance with this standard.

3.7 Records reflect that program complaints and grievances receive due process and include evidence of resolution.

All program grievances and complaints received by the department of nursing are given due process with evidence of resolution.

Per occurrence

Procedure outlined in the current student handbook and catalog. Documented evidence of resolution/out-come

ELA met All issues have been equitably resolved in the formal and informal process and have documented evidence of resolution in the Dean of Nursing’s office. There were no formal grievances during the academic year.

Interpretation of Results: The program demonstrates evidence in achievement in meeting this criterion. Actions for Maintenance: All complaints and grievances will continue to be addressed according to the policy and procedure stated in the current student handbook. Documentation of complaints is maintained on site.

3.8 Orientation to technology is provided and technological support is available to students.

ASN students are oriented to all technology used in the Department of Nursing and support is available.

June Evaluations and review of orientation records

ELA met The learning management system and Banner training is provided to new students at the beginning of each semester. Technical support is provided by Fletcher’s IT department and the LCTCS department. Library personnel provide an orientation of library services to students during the beginning of each semester to our

Interpretation of Results: The program demonstrates evidence in achieving this criterion. Actions for Maintenance: Students will continue to be oriented as technology advances. Canvas was implemented in fall 2015. Students were oriented to the process prior to implementation. Technical support is provided 24/7 through Fletcher’s Falconnet page. Kaplan, ShadowHealth and OER will be implemented Fall 2017



students at our location. The students have access to many databases including LOUIS, Proquest, CINDAL, and OER Evolve/Elsevier/HESI resources are explained to students on day one classes in the fall semester by the Product Representative. Faculty answer questions as they arise and both faculty and students have access to the technical support number 24/7.

3.9 Information related to technology requirements and policies specific to distance education is clear, accurate, consistent, and accessible.

Fletcher’s ASN program has policies for distance education that is clear, accurate, consistent, and accessible.

June and as needed.

Review policies related to technology including closed Facebook pages, Evolve/Elsevier/HESI, the learning management system, and Banner/Lola.

ELA met The college has a social media policy which was implemented in 2010 and covers all types of social media. The college also has a use of technology resources policy located in the Fletcher student handbook. The department of nursing has policies regarding social media and the use of Evolve/HESI learning management system, which are published in the nursing student handbook.

Interpretation of Results: The program demonstrates evidence in achieving this criterion. Actions of Maintenance: Technology requirements and policy will continue to be reviewed annually and updated as technology advances. Students will continue to be notified of changes in policies or use of technology via email, Banner and Fletcher website. The department of nursing will continue to monitor the polices of use. Kaplan, ShadowHealth and OER will be implemented Fall 2017



STANDARD 4: CURRICULUM The curriculum supports the achievement of end of program student learning outcomes and program outcomes and is consistent with safe practice in contemporary healthcare environments.

Plan Implementation Criteria Expected Level of

Achievement (ELA) Frequency of Assessment

Assessment Method/s* Results of Data Collection and Analysis (Including actual level/s of achievement)


4.1 Consistent with contemporary practice, the Curriculum incorporates established professional standards, guidelines and competencies, and has clearly articulated end of program student learning outcomes.

Fletcher TCC ASN Program Curriculum is consistent with contemporary nursing practice, incorporates established professional nursing standards, guidelines, and competencies, and has clearly stated end of program student learning outcomes.

February & March

Faculty review of curriculum organizing framework, curriculum, and course syllabi faculty meeting minutes Faculty review of Fletcher Student Catalog & Handbook, ASN Student Handbook, and the College website

ELA met The following professional standards, guidelines, and competencies are incorporated into the curriculum:

(1) ANA Scope and Standards are presented throughout the curriculum.

(2) National Council of State Boards of Nursing (NCSBN) NCLEX-RN detailed test plan further guide the curriculum (3) Quality and Safety Education for Nursing (QSEN) competencies

End of program student learning outcomes are published in student handbooks.

A. Interpretation of Results: The program shows evidence in meeting the criteria Actions for Improvement: QSEN competencies, ANA scope and standards provide, and NCLEX RN plan provides the curriculum with professional standards, guidelines, and competencies which are consistent with contemporary practice.

4.2 The end of program student learning outcomes are used to organize the curriculum, guide the delivery of instruction & direct learning activities.

The faculty of the ASN program use end of program student-learning outcomes to organize the curriculum, guide delivery of instruction and direct learning activities.

June, August, January

Course Syllabi Course Exams End of course HESIs Exit Exams Clinical Evaluations Faculty Meeting minutes

ELA met All material used in the ASN program are aligned with the student learning outcomes.

Interpretation of Results: The program shows evidence in meeting the criteria Actions for maintenance: Faculty updated course exams after the Item Writing seminar in January. Faculty review exam statistics and end of course exams periodically and make changes accordingly.

4.3 The curriculum is developed by the faculty and regularly reviewed to ensure integrity, rigor and currency

The faculty members of the ASN program review and revise the curriculum to ensure integrity, rigor, and currency.

June, August, January, April

Faculty meeting minutes Clinical evaluations and Skills check off sheets Booklist End of course HESIs Exit Exam Results

ELA met Fletcher’s Associate of Science in Nursing Program maintains integrity through the acquisition of skills necessary to be successful as an RN. The ASN program maintains rigor by the exit exam results maintain above 850 in each criteria of the NCLEX RN. The ASN program maintains currency by updated booklist and teaching materials. Faculty of the ASN program began giving all unit exams online and analyze them for statistical

Interpretation of Results: The program shows evidence in meeting the criteria Actions for Maintenance: Faculty members will continue to review program materials for integrity rigor and currency. Exit exams will continue to be discussed in faculty meetings. Unit exams will continue to be reviewed and questions rewritten accordingly.



significance and rigor. Benchmarks for questions were set at a p value of 0.25.

4.4 The curriculum includes general education courses that enhance professional nursing knowledge and practice.

The ASN program uses general education courses to enhance nursing knowledge and practice.

February Curriculum review in faculty minutes

ELA met: English, Algebra, Statistics, Fine Arts, and Humanities are included to fulfill BOR requirements. Anatomy and Physiology, Microbiology, and Psychology provide the foundation for learning necessary to fulfill student learning outcomes in the ASN program.

Interpretation of Results: The program shows evidence in meeting the criteria Actions for Maintenance: Practice will be maintained. Curriculum will be reviewed annually to assure general education requirements are enhancing the student’s professional knowledge and practice.

4.5 The curriculum includes cultural, ethnic, and socially diverse concepts and may also include experiences from regional, national, or global perspectives.

The ASN curriculum includes cultural, ethic and socially diverse concepts including experiences from regional, national, and global perspectives.

April Course syllabi Books Clinical evals Meeting Minutes

ELA met Faculty ensures course objectives and learning activities relate concepts that are culturally, ethnically, and socially diverse. All course objectives and learning activities can be reviewed in the course syllabi.

Interpretation of Results: The program shows evidence in meeting the criteria Actions for Maintenance: Practice will be maintained.

4.6 The curriculum and instructional processes reflect educational theory, interprofessional collaboration, research and current standards of practice.

The ASN program faculty will continue to implement a curriculum with instructional process that reflects educational theory, interprofessional collaboration, research and current standards of practice.

March Faculty meeting minutes Review of mission/vision/values Review of curriculum organizing framework Review of EBP regarding teaching styles. Review of community and clinical activities of faculty and staff

ELA met Educational theory: Faculty is aware of the multiple learning styles students possess and incorporate activities and methods that touch on all learning styles through Bloom’s taxonomy. Interdisciplinary Collaboration: ASN Students interact with a variety of disciplines in the clinical experience and in the community Research and current standards of practice: Evidenced-based practice is incorporated in teaching and policy construction. A listing of EBP articles used is maintained and updated on the S drive.


4.7 Evaluation methodologies are varied, reflect established professional and practice competencies, and measure the achievement of

The ASN program faculty incorporates a variety of evaluation methods that reflect professional and practice competencies, which measure the achievement of end of program student

March Course Exams with Analysis reports HESI Course Final Exams Clinical Math exams results Skills Check off forms Clinical Evaluation Forms

ELA met Course level evaluation methodologies include Knowledge level evaluation: - Written examinations including critical

thinking assessment questions. Test analysis is used to assure students understand content and questions are reliable and valid.

- Formal written papers on topics relevant




end of program student learning outcomes.

learning outcomes. and clinical paperwork HESI Exit exam results NCLEX pass rates for nation and Fletcher ASN program

to nursing practice; - Oral presentations - Article summaries and literature searches - Poster/PowerPoint presentations; - Assessment testing held during the

completion of each course component - Math calculation exam before each

clinical semester

Skills level evaluation: - Skills laboratory check offs; - Clinical evaluation templates that

incorporate the ANA Scope and Standards and QSEN standards.

Program outcome level evaluation: - Licensure exam pass rates as compared

to the national average. 4.8 The total number of time and credit/quarter hours required to complete the defined nursing program of study is congruent with the attainment of the identified end of program student learning outcomes and program outcomes, and consistent with the policies of the governing organization the state and the governing organization’s accreditation agency.

The total number of time and credits required to complete the ASN program at Fletcher TCC congruent with the attainment of identified end of program student learning outcomes and program outcomes, which are consistent with the policies of Fletcher TCC, LSBN, and SACS.

February/ March

Review of BoR and LCTCS requirements Review of Fletcher College requirements, policy and procedures. Review of LSBN requirements Review of ACEN requirements Review of faculty meeting minutes

ELA met Fletcher ASN program requires 69 credit hours and 1320 clock hours. Clock /credit hour ratio followed by the ASN curriculum is as follows: 1 credit hour lecture= 15 clock hours 1 credit hour lab- 30 clock hours 1 credit hour clinical= 45 clock hours

Interpretation of Results: The program shows evidence in meeting the criteria Actions for Maintenance: Faculty will continue to review the curriculum for consistency of length of time and credit hours required to complete the program and its effects on the student’s attainment of student learning outcomes and program outcomes.

Interpretation of Results: The program shows evidence in meeting the criteria Actions for Maintenance: Faculty will continue to review practice learning environment needs continually and annually to assure the practice learning environment is adequate to achieve student learning and program outcomes.



practice & nationally established patient health & safety goals and support the achievement of end of program student learning outcomes.

health and safety goals and support the achievement of end of program student learning outcomes.

Review facility contracts and talk with facility administrators.

Skills laboratory on campus contains two labs and 8 beds and mannequins as well as other necessary equipment for students to achieve learning outcomes. The simulation lab contains both adult and baby simulators for students to achieve learning outcomes. Each facility currently in use by ASN students is accredited by either JCAHO and/or DHH and works closely with the nursing department in securing clinical scheduling which aid in achieving student learning and program outcomes. Each facility incorporates national standards including Patient Safety goals, CARF, ANCC, AHRQ etc.

Interpretation of Results: The program shows evidence in meeting the criteria Actions for Maintenance: Clinical facilities will continue to be monitored for their ability to provide students with clinical experiences that reflect evidence based practice.

4.10 Written agreements for clinical practice agencies are current, specify expectations for all parties, and ensure the protection of students.

The ASN program maintains written agreements for clinical practice that are current, specify expectations for all parties, and ensure protection of students.

October Review of clinical facility contracts.

ELA met Seventeen clinical facility contracts are currently in effect and being utilized by the ASN program, which are on file in the Nursing Department and approved by LSBN. Facilities utilized have active contracts which are renewed per facility guidelines. Students are given orientation to all clinical facilities in safety, HIPPA, hospital policy and procedure, computer documentation, as well as medication administration procedure prior to their clinical experience.

Interpretation of Results: The program shows evidence in meeting the criteria Actions for Maintenance: Written agreements for clinical practice will be reviewed annually and as needed to add facilities in order to accommodate student population.

4.11 Learning activities, instructional materials, and evaluation methods are appropriate for all delivery formats and consistent with end of program student learning outcomes.

Learning activities, instructional materials, and evaluation methods are appropriate for all delivery formats and consistent with end of program student learning outcomes.

February, March, April

Learning/Instructional: Classroom environment Booklist Faculty meeting minutes Online LMS Facebook Evolve Learning System Evaluation methods: Written Examinations Projects and Rubrics Skills Laboratory Check off

ELA met. Learning activities/instructional material: The classroom environment provided to students includes equipment to enhance learning with Elmo, audio/visual aids such as TV and computer as well as wifi internet access. Textbooks are reviewed Online LMS has been utilized to enhance classroom and clinical instruction through posting grades, proctoring exams, additional readings, posting notes, and participation in discussion boards which allows students to have interaction with faculty and fellow classmates outside of classroom setting. Facebook is used by faculty for additional readings and to enhance communication

Interpretation of Results: The program shows evidence in meeting the criteria Actions for Maintenance: Faculty will use learning activities, instructional material and evaluation methods that reflect ANA standards and QSEN Competencies to assure learning activities and instructional materials are appropriate for all student learning styles enhancing student success. Faculty will be changing the OB book to a higher level learning book. Faculty will no longer require eBooks for the first semester.



forms Clinical evaluation forms HESI proctored exams

among faculty and students. Evolve learning system provides students with supplemental instruction, evaluation, and remediation of learning through case studies and practice test.

Evaluation Methods: Online examinations given in the ASN program evaluate student knowledge through Bloom’s Taxonomy. Exams contain a variety of question types including mathematics, completion, multiple choice, true/false, and multiple multiples. Exams are analyzed for accuracy and consistency with student learning outcomes using the statistical data provided by the LMS. HESI final exams are used in the ASN program with Fundamentals, Nutrition, Pharmacology, Medical Surgical I, and II, Mental Health, Obstetrics, and Pediatrics as well as a comprehensive exit exam to evaluate student learning outcomes were met. Skills laboratory check-off forms evaluate the student’s ability to perform skills prior to clinical entrance. Clinical evaluation forms are used to evaluate student performance within the clinical setting and are based on the ANA standards and QSEN competencies.





STANDARD 6: OUTCOMES Program evaluation demonstrates that students have achieved the end of program student learning outcome & each program outcomes. The nursing program has a current systematic plan of evaluation. The systematic plan of evaluation contains

a) Specific, measurable expected levels of achievement for each end of program student learning outcome and each program outcome. b) Appropriate assessment method(s) for each end of program student learning outcome and each program outcome. c) Regular intervals for the assessment of each end of program student learning outcome and each program outcome. d) Sufficient data to inform program decision-making for the maintenance and improvement of each end of program student learning outcome and each program

outcome* e) Analysis of assessment data to inform program decision making for the maintenance and improvement of each end of program student learning outcome and each

program outcome.

f) Documentation demonstrating the use of assessment data in program decision making for the maintenance and improvement of each end of program student learning outcome and each program outcome.

Plan Implementation

Criteria Expected Level of Achievement


Assessment Method/s*

Results of Data Collection and Analysis (Including actual level/s of achievement)


6.1 The program demonstrates evidence of student’s achievement of each program outcome. There is ongoing assessment of the extent to which students attain each end of program student learning outcome. There is analysis of assessment data and documentation that the analysis of assessment data is used in program decision making for the maintenance and improvement of students’ attainment of each end of program student learning outcome.

The ASN program demonstrates evidence of achievement in NCLEX pass rates, program completion rates, and job placement rates.

July and January

Class tracking report for graduation rates. NCSBN report for NCLEX passes rates. Email, phone, and Facebook communication for employer input and satisfaction

ELA Met: Performance on Licensure Pass Rate: Jan 2016- December 2016= 81.8% Program Completion rate: Admits Fall 2016 Grads 2017= 11/20 = 55% pending July completion Job Placement Rate: Summer 2016 grads= 100%

Interpretation of Results The program demonstrates evidence of meeting all of the five program outcomes. Actions for Maintained: Practice will be maintained and data will continue to be monitored.

6.2 The program demonstrates evidence of graduates’ achievement on licensure examination. The program’s most recent annual licensure examination pass rate will be at least 80% for all first time test-takers during the same 12-month period. There is ongoing assessment of the extent to which graduates succeed on the licensure examination.

The ASN program’s first time NCLEX-RN first time pass rate from January 1 to December 31 each year will be at or above 80%.

October or as classes complete

Annual exam pass rates are published on the NCSBN website at. https://www.ncsbn.org/exam-statistics-and-publications.htm

ELA Met National 2015= 82.00% 2016 = 80.86% 2017 (March) = 85.34% Fletcher 2013 = 100% 2014 = no testers 2015 = 93.3%

Grad Fall 14 = 100%

Grad Sp 15 =100%

Grad Su 15 =80%

Interpretation of Results: The program demonstrates evidence of licensure exam pass rates above the national mean. Actions for Maintenance: Assessment process will continue to be monitored and re-evaluated to assure continued student success.

https://www.ncsbn.org/exam-statistics-and-publications.htm







There is analysis of assessment data and documentation that the analysis of assessment data is used in program decision making for the maintenance and improvement of graduates’ success on licensure examination. There is a minimum of the three (3) most recent years of available licensure examination pass rate data, and data are aggregated for the nursing program as a whole as well as disaggregated by program option, location, and date of completion.

2016 = 81.8% 2017 = Test after July The ASN programs rate is over 80%

6.3 The program demonstrates evidence of students’ achievement in completing the nursing program. The expected level of achievement for program completion is determined by faculty and reflects student demographics. There is an ongoing assessment of the extent to which students complete the nursing program. There is analysis of assessment data and documentation that the analysis of assessment data is used in program decision making for the maintenance and improvement of students’ completion of the nursing program. There is a minimum of the three (3) most recent years of annual program completion data, and data are aggregated for the nursing program as a whole as well as disaggregated by program option, location, and date of completion or entering cohort.

The Fletcher TCC ASN program completion rate will be 60% or more students entering into the clinical nursing course will complete the program in three semesters.

July or as cohorts complete

Employment follow-ups via phone or mail.

ELA Not Met Program Completion rate: Summer 2015 = 11/19 =52.63% Summer 2016= 11/18=61.11% Summer 2017 = 11/20 = 55% The ASN program will not meet the program completion rate for the summer 2017 graduates. Plans of action were submitted to LSBN and ACEN in May 2017.

Interpretation of Results: The program demonstrates evidence of achievement in meeting the program outcome of program completion. Actions for Maintenance: Fletcher ASN faculty members made program changes in January, February, March, and April to increase completion rates for fall 2017 admits. Faculty members are adding medical terminology workshops, faculty lead lab hours, the elimination of eBooks, a limit on repeated courses for admissions, a change in the final exam calculation for NURS 1300, and cohort specific exit interview. Faculty members have also voted to revise the curriculum for Fall 2019 to split NURS 1300 into two leveled courses based on student feedback. Data will continue to be collected.

6.4 The program demonstrates evidence of graduates’ achievement in job placement. The expected level of achievement for job placement is determined by faculty and reflects program demographics.

Enable 90% of graduates who are actively seeking employment to obtain employment in the field of nursing within

January or as cohorts complete plus six months

Facebook, email phone calls of graduates reporting employment

ELA Met Spring 2014 14/14 students received jobs= 100% Summer 2015 10/10 students received jobs= 100% Summer 2016 11/11 students received jobs = 100% Summer 2017 Pending student completion in July and

Interpretation of Results: The program demonstrates evidence of achievement in meeting the program outcome of job placement. Actions for Maintenance: Assessment process to be carried forward to the next cohort. Next assessment of summer 2017 completers in Jan 2018.



There is an ongoing assessment of the extent to which graduates are employed. There is analysis of assessment data and documentation that the analysis of assessment data is used in program decision making for the maintenance and improvement of graduates being employed. There is a minimum of the three (3) most recent years of available job placement data, and data are aggregated for the nursing program as a whole.

one year of graduation.

tracking in January

Associate of Science in Nursing Program-Student Learning Outcomes Systematic Program Evaluation (SPE) Summer 2016 graduates

Plan Implementation

Component Expected Level of Achievement (or program terminology)


Assessment Methods Results of Data Collection and Analysis (including actual levels of achievements)

Actions for Program Development, Maintenance, or Revision

Learning Outcome 1: Patient-Centered Care: Recognize the patient or designee as the source of control and full partner in providing compassionate and coordinated care based on respect for patient’s preferences, values and needs.

Group score expected to be at or above the acceptable performance level of achievement (850 or greater) as evidenced by the summary report of the HESI exit exam.


Health Education Systems, Inc. (HESI)

Dimensions of Care

Pain

Safety and Quality

Ethical/legal

Effective Communication

ELA Not Met: Dimensions of Care =815 Pain and Suffering= 808 Safety and Quality =833 Ethical/legal = 669 Effective Communication= 955

Interpretation of Results: Students scored below 850 in 3/5 areas for Patient Centered Care. Actions for Improvement: Faculty discussed the drop in low scores at the August 2016 meeting. Implementation of faculty lead lab hours and item writing expected to lead better results for summer 2017 class. Faculty will continue to monitor.

Learning Outcome 2: Teamwork and Collaboration: Function effectively within nursing and inter-professional teams, fostering open communication, mutual respect, and shared decision making to achieve quality patient care.



Health Education Systems, Inc (HESI)

Member of a Team

Scope of Practice

Communication

Systems Function

ELA Not Met Member of a Team = 821 Scope of Practice = 760 Communication = 858 Systems Function = 803

Interpretation of Results: Students scored below 850 in 3/4 areas for Teamwork and collaboration. Actions for Maintenance: Faculty discussed the drop in low scores at the August 2016 meeting. Implementation of faculty lead lab hours and item writing expected to lead better results for summer 2017 class. Faculty will continue to monitor.

Learning Outcome Group score expected to be July or as cohorts Health Education Systems, ELA NOT MET: Interpretation of Results:



3: Evidence-based practice: Integrate best current evidence with clinical expertise and patient/family preferences and values for delivery of optimal health.

at or above the acceptable performance level of achievement (850 or greater) as evidenced by the summary report of the HESI exit exam.

complete Inc. (HESI)

Research and EBP

Research and EBP = 814

Students scored below 850 in all areas of Evidence Based practice. Actions for Maintenance: Faculty discussed the drop in low scores at the August 2016 meeting. Implementation of faculty lead lab hours and item writing expected to lead better results for summer 2017 class. Faculty will continue to monitor.

Learning Outcome 4: Quality Improvement: Use data to monitor the outcomes of care processes and use improvement methods to design and test changes to continuously improve the quality and safety of health care systems.




Quality Improvement

ELA NOT MET: Quality Improvement = 785

Interpretation of Results: Students scored below 850 in all areas for Quality Improvement. Actions for Maintenance: Faculty discussed the drop in low scores at the August 2016 meeting. Implementation of faculty lead lab hours and item writing expected to lead better results for summer 2017 class. Faculty will continue to monitor.

Learning Outcome 5: Safety: Minimizes risk of harm to patients and providers through both system effectiveness and individual performance.

Group score expected to be at or above the acceptable performance level of achievement (850 or greater) as evidenced by the summary report of the HESI exit exam



Basic Safety

Culture of Safety

National Patient Safety Resources

ELA Not MET: Basic Safety = 816 Culture of Safety = 829 National Patient Safety Resources = 810

Interpretation of Results: Students scored below 850 for all areas of Safety. Actions for Maintenance: Faculty discussed the drop in low scores at the August 2016 meeting. Implementation of faculty lead lab hours and item writing expected to lead better results for summer 2017 class. Faculty will continue to monitor.

Learning Outcome 6: Informatics: Use information technology to communicate, manage knowledge, mitigate error and support decision making. .

Group score expected to be at or above the acceptable performance level of achievement (850 or greater) as evidenced by the summary report of the HESI exit exam



Informatics

ELA MET: Informatics = 804

Interpretation of Results: Students scored below 850 for Informatics Actions for Maintenance: Faculty discussed the drop in low scores at the August 2016 meeting. Implementation of faculty lead lab hours and item writing expected to lead better results for summer 2017 class. Faculty will continue to monitor.

Systematic Program Evaluation Summer 2015

Associate of Science in Nursing Program Clinical Evaluation

Plan Implementation

Component Expected Level of Achievement (or program terminology)

Frequency of Assessment Assessment/Methods Results of data Collection and Analysis (including actual levels of achievement)

Actions for Program Development,



Maintenance, or Revision

Clinical performance during clinical experience.

All graduating students must receive a minimum of all satisfactory ratings in the final evaluation of the clinical evaluation form.

Weekly during each learning experience.

Written/graded clinical evaluations.

100% of graduates had a minimum score of 80% on graded evaluations.

Interpretation of Results: Students scored at or above the expected level of performance. Actions for Maintenance: Assessment process to be carried forward to the cohort. Data will be monitored and program changes will be made when needed.

Documents

Systematic Plan for Associate of Science in Nursing ... · Plan for ASN Program Evaluation 2016-2017 This plan was constructed using a ACEN template for assistance in developing systematic