Mission Statement: Program Goals:

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1 Program: School of Nursing and Health Sciences BSN Program Assessed by: Date: Mission Statement: The purpose of the BSN Nursing program at Malone University is to provide an education that produces a nurse generalist who is qualified to complete the National Council Licensure Exam (NCLEX-RN). The curriculum is founded in the Malone philosophy of Christian faith. Graduates are equipped to care for persons with needs through professional competence and Christ-like compassion. Program Goals: 1. Understand and critically engage those bodies of knowledge and cultural influences that have shaped the world. 2. Understand the biblical, historical, and theological foundation of the Christian faith. 3. Think critically and communicate effectively in multiple contexts. 4. Attain expertise in at least one profession or academic discipline and lay the foundation for meaningful work or further studies at the graduate level. 5. Explore the implications of the Christian faith for all areas of living, including intellectual, spiritual, and community pursuits. 1 P age

2 1. Synthesize theoretical and empirical knowledge from the liberal arts, sciences, humanities, Christian faith, and nursing as a source for making nursing practice decisions in a variety of nursing contexts and settings. (Meets Goals #1 and #4) NCLEX-RN- A computer adaptive test developed by the National Council of State Boards of Nursing. The test ranges from multiple choice and alternative item questions. The passing of this exam is required for RN licensure. It is not a scored exam; test takers receive a pass or fail. Benchmark is for the program pass rate for the calendar year to be at or above 95% of the National Average pass rate. Pass rate is based on first-time test takers. OBN Annual Report: For the 2011 NCLEX-RN, the national pass rate was 87.90% and Ohio s requirement (95% of national pass rate) was 83.50%. N = 56 Malone 85.96% pass rate, per OBN report, released March OBN Annual Report: For the 2012 NCLEX-RN, the national pass rate was 90.34% and Ohio s requirement (95% of national pass rate) was % N = 56 Malone 87.5% pass rate, per OBN report, released March OBN Annual Report: For the 2013 NCLEX-RN, the national pass rate was % and Ohio s requirement (95% of national pass rate) was %. (Data pending at the time of this report) This score is reviewed by faculty in light of results from standardized baccalaureate exams taken during students junior and senior years. The 2011 pass rate meets or exceeds the required 95% of national pass rate, but is below the national average of 87.9%. The 2012 pass rate (87.5%) meets or exceeds the required 95% of national pass rate, but is below the national average of 90.34%. Data showing areas of weakness was compiled from the NCLEX feedback about students who did not pass the exam the first time. This was shared with faculty in order to increase focus on these areas. N = 63 Malone pass rate, per OBN report, to be released March P age

3 1. Synthesize theoretical and empirical knowledge from the liberal arts, sciences, humanities, Christian faith, and nursing as a source for making nursing practice decisions in a variety of nursing contexts and settings. (Meets Goals #1 and #4) Health Education Systems, Inc. (HESI) HESI RN Exit Exam- One of several specialty exams designed to measure the student's ability to apply concepts related to specific clinical nursing content areas. Typically, specialty exams consist of 50 test items. Test blueprints for these exams are developed by HESI nurse educators whose clinical practice area is congruent with the exam being developed. Test items that measure nursing knowledge and competencies within the specific clinical specialty area are selected from the HESI database. Benchmark set at 800 with desired to be 850 or higher HESI mean scores Composite scores: HESI I = 788 (N=59) HESI II = 872 (N=56) Composite scores: HESI I = 817 (N=54) HESI II = 852 (N=56) Composite scores: HESI I = 822 (N=63) HESI II = 906 (N=63) Any student scoring below the benchmark of 800 was required to complete prescribed remedial work prior to HESI II. The format for an online preparation course (N. 462) course was changed slightly for the class of 2013 with good results. Plans are to continue the revised format. Post-graduation live review was presented by faculty members. Topics included pharmacology, psychiatric/mental health, endocrine pathophysiology, and study/test-taking strategies for NCLEX success. Scores for HESI I reflect program completion. This score is 5 points over the class of Scores for HESI II reflect additional student preparation during a NCLEX preparation session presented by faculty. This preparation session increased HESI scores by 10% Faculty will continue to present a NCLEX preparation session after graduation P age

4 1. Synthesize theoretical and empirical knowledge from the liberal arts, sciences, humanities, Christian faith, and nursing as a source for making nursing practice decisions in a variety of nursing contexts and settings. (Meets Goals #1 and #4) BSN Program Evaluation A Program evaluation survey of 33 items developed by Malone School of Nursing. The survey is administered to students just prior to program completion. A1-4 scale for rating with four being exceptional and 1 being marginal. Benchmark: Set at 3 or above. The program outcome is rated and selected items for each of the five program outcomes are assessed. Aggregate mean rating scores from BSN Program Evaluation survey. Program Outcome One = 3.2 = 3.3 = 3.2 Overall preparation for actual nursing practice. = 3.4 = 3.1 = 3.2 These ratings are by students and the survey has been used for more than 10 years. Each year the ratings are compared to prior class s scores. The class of 2013 rated their preparation slightly higher than the class of The class of 2013 rated their ability to utilize scientific knowledge slightly lower than the class of 2012 but the standardized test scores for the class of 2013 were higher than the class of For 2013, it was decided to continue with the survey given its history. Going forward, this survey will continue to be reviewed for considerations of relevance, meeting of needs, insertion of unique items that may facilitate program growth and improvement. 4 P age

5 2. Utilize Christian values, ethics, and caring qualities in nursing practice in such a way that personal values are maintained while respecting the rights and dignity of persons with varying physiological, psychological, socio-cultural, developmental, and spiritual needs. (Meets Goals #1 and #5) HESI RN Exit Exam HESI Specialty exams Benchmark: Set at 800 with desired to be 850 or higher. HESI I and II mean scores Core knowledge HESI I = 791 HESI II = 866 HESI I = 833 HESI II = 911 Compared to scores for the, 2013 HESI scores improved on core knowledge and patient centered care. The use of SIM learning in the CCL continues to be strengthened and broadened. The requirement of a 2.5 CGPA remains in place. Reported at curriculum meetings. HESI I = 854 HESI II = 922 Patient centered care HESI I = 766 HESI II = 835 HESI I = 837 HESI II = 819 HESI I = 825 HESI II = P age

6 2. Utilize Christian values, ethics, and caring qualities in nursing practice in such a way that personal values are maintained while respecting the rights and dignity of persons with varying physiological, psychological, socio-cultural, developmental, and spiritual needs. (Meets Goals #1 and #5) BSN Program Evaluation Benchmark: The criteria is to be 3 or above. Aggregate mean rating scores from BSN Program Evaluation survey. Program Outcome Two = 3.3 = 3.3 = 3.1 Communication Skills = 3.3 = 3.3 = 3.2 Conflict Management = 3.1 = 3.1 = 2.8 Caring for culturally diverse clients = 3.2 = 3.3 = 3.1 Program outcomes and select item ratings are consistently above 3. Higher ratings are desired, thus content student learning in the NURS 402, 432, 442 courses continue to be assessed for possible areas of improvement. 6 P age

7 3. Assess health status and health potential, diagnose, plan, implement, and evaluate holistic nursing care in collaboration with clients (person, family, group, community, and society) and others in health care settings (Meets Goal #1, #3, and #4) HESI RN Exit Exam - HESI Specialty exams Benchmark: Set at 800 with desired to be 850 or higher. HESI I and II mean scores Nursing Process HESI I = 794; HESI II = 872 HESI I = 810; HESI II = 853 HESI I = 822; HESI II = 901 Client Needs HESI I = 787; HESI II = 863 HESI I = 822; HESI II = 843 HESI I = 834; HESI II = 901 Critical Thinking HESI I = 788; HESI II = 872 HESI I = 815; HESI II = 853 HESI I = 820; HESI II = 906 Therapeutic Communication HESI I = 734; HESI II = 838 HESI I = 876; HESI II = 837 HESI I = 855 ; HESI II = 763 Therapeutic Nursing Intervention HESI I = 793; HESI II = 876 Compared with 2011 and 2012, scores for selected items except therapeutic communication were higher. All students are being held to the 2.5 gpa requirement Faculty have had extensive discussions about assisting students to apply communication principles. Overall the ratings are above 7 P age

8 3. Assess health status and health potential, diagnose, plan, implement, and evaluate holistic nursing care in collaboration with clients (person, family, group, community, and society) and others in health care settings (Meets Goal #1, #3, and #4) BSN Program Evaluation Benchmark: The criteria is to be 3 or above. HESI I = 809; HESI II = 854 HESI I = 820; HESI II = 918 Aggregate mean rating scores from BSN Program Evaluation survey. Program Outcome Three = 3.5 = 3.5 = 3.6 Selected item: Therapeutic intervention = 3.4 = 3.4 = 3.3 the benchmark, there will be continued discussion on use of SIM models in the Center for Clinical Learning (CCL), such that movement towards stronger alignment with national trends in health care technology continues. 8 P age

9 4. Evaluate professional accountability and responsibility for the provision of quality nursing care including research, clinical decision making, and the achievement of outcomes. (Meets Goals # 3 and #4) HESI RN EXIT EXAM HESI Specialty exams Benchmark: Set at 800 with desired to be 850 or higher. HESI I and II mean scores Core categories HESI I = 795; HESI II = 864 HESI I = 833; HESI II = 842 HESI I = 832; HESI II = 879 Evidence based practice HESI I = 786; HESI II = 887 HESI I = 805; HESI II = 858 HESI I = 818; HESI II = 906 Safety HESI I = 799; HESI II = 886 HESI I = 804; HESI II = 885 HESI I = 811; HESI II = 903 Items regarding patient safety, introduced in 2010, continue to be tracked. Efforts to integrate principles of Quality and Safety Education for Nurses (QSEN) throughout the curriculum continue. HESI I scores improved in 2013 for Safety and Evidence based practice. This reflects increased attention to QSEN throughout the program. Faculty will continue with the implementation of QSEN principles. The core categories section did not improve. This section encompasses patient assessment, critical thinking, communication and technical skills. The lowest scoring of those four was critical thinking. There will be increased focus on defining critical thinking for faculty and students along with incorporating strategies for student growth. 9 P age

10 4. Evaluate professional accountability and responsibility for the provision of quality nursing care including research, clinical decision making, and the achievement of outcomes. BSN Program Evaluation Benchmark: The criteria is to be 3 or above. Aggregate mean rating scores from BSN Program Evaluation survey Program Outcome Four = 3.4 = 3.2 = 3.3 Ratings continue to exceed the established benchmark. We will make no change at this time with the exception of increased attention to the area of critical thinking. ( Meets goals #3 and #4) Problem Solving = 3.3 = 3.2 = 3.3 Professional Attitude = 3.5 = 3.4 = 3.5 Critical Thinking = 3.5 = 3.4 = P age

11 5. Utilize management and leadership skills in the provision of care for clients (persons, families, groups, communities) and in the interaction with others in health care settings. (Meets goals #3 and #4) HESI RN EXIT EXAM -HESI Specialty exams Benchmark: Set at 800 with desired to be 850 or higher. HESI I and II mean scores Role Development HESI I = 721; HESI II = 784 HESI I = 820; HESI II = 856 HESI I = 806 ; HESI II = 811 Teamwork and Collaboration HESI I = 772; HESI II = 851 HESI I = 800; HESI II = 845 HESI I = 818 ; HESI II = 881 Role development scores for 2013 decreased from The role content of the senior level courses has been evaluated and some enhancements to those courses will be made. We will continue to require students to complete prescribed remedial work in the Center for Study and Testing (CST). 11 P age

12 5. Utilize management and leadership skills in the provision of care for clients (persons, families, groups, communities) and in the interaction with others in health care settings. (Meets goals #3 and #4) BSN Program Evaluation Benchmark: The criteria is to be 3 or above. Aggregate mean rating scores from BSN Program Evaluation survey Program Outcome Five = 3.3 = 3.2 = 3.1 Leadership Ability = 3.4 = 3.3 = 3.0 Faculty have identified a need to provide students with increased focus on acquiring leadership and management skills. Changes will be made in senior level courses for the class or Additional time in an independent practice role has also been added for the class of Preparation for Participation in Multidisciplinary Teams = 3.0 = 3.1 = P age

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