Program Review: Nursing (BSN) 2005



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The baccalaureate curriculum is an upper division course of study based on a liberal education and essential core competencies, knowledge, values and role development, preparing the professional nurse to: A.1.4 Strategy: Prepare future nurses and enhance the knowledge and skills of nurses so that they will be able to take on ever-expanding roles in the delivery of health care and in educating patients. SON Quality Evaluation Plan (QEP). Achievement Measures Changes Made Budget Achievement Measures Data Collection 2005 Graduates Strategy: (See Column 2) A. 1.4.1 Increased enrollment of generic students; 1.4.2 UTMB Hospital and SON developed residency program for graduates selecting employment at UTMB. 1.4.3 Initiated accelerated program for individuals with a previous degree (Bacc2) cooperatively with UT Houston (Format: Theory is taught on-line, seminar is taught face to face seminar for integration). Strategy 1.4.1 Increased demand for classroom and clinical faculty. There is a shortage of faculty. 1.4.2 20% of one faculty the first year 10% thereafter. Core Competencies: 1.Critically apply assessment, diagnosis, planning and evaluation and other processes for decision-making and intervention. 1.i. Make accurate clinical judgments to plan and implement nursing care. ii. Assess and evaluate treatment results, medication results, psychosocial interventions. i. Licensing Exam: NCLEX-RN pass rate > or = state and national results. i. Licensing Exam - BSN 91.6% pass rate; (classroom) - Bacc2 100% pass rate. (online BSN program for individuals with a degree in another field) - RN-BSN. (on-line BSN program for individuals with an Associate Degree & RN license) 1.4.3 On line accelerated program still requires intense technology, and faculty time for courses, grading and clinical. Currently share 50% of program with UT Houston to offset costs. Prepared by the Office of Effectiveness

2. Provide safe and competent nursing care to individuals, families, groups and communities based on theory and evidence from research and other ways of knowing. 2.i. Perform, teach, delegate, and supervise essential skills with safety and competence. ii. Deliver care to individuals and groups based on core theoretical and scientific principles. iii. Seek and evaluate information. ii. Educational Benchmarking Inc (EBI) student exit survey: program meets or exceeds EBI select 6, Carnegie class or all institutions benchmarks. The BENCHMARKS are Satisfaction with: (a) Quality of Nursing Instruction, (b) Course Lecture and Interaction, (c) Classmates, (d) Work and Class size, (e) Core Competencies, (f) Professional Values, (g) Technical Skills, (h) Core Knowledge, (i) Role Development, (j) Facilities and Administration, and (k) Overall Satisfaction with the Program Effectiveness. Achievement Measures Changes Made Budget ii. Exit Survey of Program & Satisfaction: Educational Benchmarking (EBI). Program meets or exceeds EBI select 6, Carnegie Class or all institutions Benchmarks. Frequency: Yearly -BSN met all EBI Core Essentials but did not meet overall satisfaction criteria. (classroom) -Bacc2 met all EBI criteria. (on-line) -RN-BSN exceeded all criteria. (on-line) ii. EBI Survey Results 2005 Graduates: Action Plan implemented by BSN Team to address low satisfaction of BSN students. Recorded in Evaluation plan cost: Educational Benchmarking Inc. contract is $895 per year for senior exit, $1095 for Alumni and $795 for BSN Team minutes 2005-employer surveys. Exit 2006. Exams and Review course: Contracting with outside agencies for a Review course and normed exams adds additional items to students' fees. 3. Use effective oral and written communication to facilitate information sharing, care giving, professional relationships, and collaboration. 3.i. Write clear, accurate, iii Exit exam. Score = to relevant documentation o passing set by f interventions and standardized exam. outcomes ii. Demonstrate therapeutic nurse-patient communication iii. Master electronic communication iv. Provide relevant health education information and counseling to patients and families v. Communicate effectively within an interdisciplinary team. iii. Exit Exam: HESI exam pass is 850, predicts average probability of passing NCLEX-RN. Yearly. Pass or Incomplete with remediation and retest. 95% met the 850 cutoff by graduation Interdisciplinary studies would continue to be enhanced if the calendars among the various schools coincided. Interdisciplinary interactions and studies would continue to be enhanced if we shared one objective regarding the same in common. Core Knowledge: Prepared by the Office of Effectiveness

4. Use of standards of practice to manage and coordinate nursing care from birth to death in times of illness and health in order to promote healthy living, maximize function and quality of life, and prevent disease. 4.i. Integrate knowledge iv. Graduation Reportfrom current and previous 85% of students coursework. ii Base complete the program judgments on standards within the maximum of health promotion, risk allotted time for the reduction, disease program. prevention and illness management. iii. Enable patients to achieve optimal function. Achievement Measures Changes Made Budget iv. Graduation Report iv. Graduation Reporttime to complete 85% of students complete the program with the time allotted program: Action Plan: for the program. Grant on "Alliance for 80% met the time allotted. Success..." (Lucke & Loffredo) to develop comprehensive scholarship, work/school, mentoring program. 5. Design nursing care to reflect ethical, legal, and political principles and information and health care technologies from a multicultural perspective. 5. i. Design community partnerships to implement strategies ii. Provide care that reflects patient's holistic needs. iii. Use information technology to evaluate care. iv Demonstrate accountability for practice. v. Apply knowledge of health care systems, policy, accessibility and affordability. vi. Plan for human diversity within the global community. v. Graduates employed: 90% employed or admitted to graduate school at graduation. Graduates pursue higher education: 30%. v. a, Graduates Employed 90% at time of graduation Data will be collected for 2006 graduates. v. b. Graduates who pursue higher education. 30% pursue higher education Data will be collected for 2006 graduates. v. & x. Plans in place to collect data from Employers, graduates employed and Graduates who pursue higher education. 1.4.2 Collaborative relationship between UTMB nursing services and SON. 1.4.3 Collaborative relationship between UTMB SON and UT SON. Prepared by the Office of Effectiveness

Professional Value: 6. Support human dignity and diversity through ethical and compassionate care. 6. i. Show concern about vi. Focus groups. the well being of others, ii. Students meet with the Respect patients' rights, Associate Dean for confidentiality, privacy, ongoing program iii Act with in a code of improvement. Results ethics, iv. Provide communicated to BSN culturally competent care. team. v. analyze ethical vii. Alumni survey (EBI): dilemmas. program meets or exceeds benchmarks; Achievement Measures Changes Made Budget vi. Focus Groups Focus groups of students meet with the Associate Dean to discuss continuous program improvement. vii. Alumni Survey: Program meets/exceeds benchmarks. Collected every 3 years. Program met standard across 15 factors. In 2005-2006 the faculty continued the process by revising and reducing the program from 5 to 4 semesters for implementation in fall 2006. Faculty reviewed and systematically reduced the content laden courses in response to feedback from students in the EBI exit survey. The goal is to support student learning with essential content. In 2005 Team Based learning was introduced in several courses to support the shift in class room teaching. (Process of decision-making recorded in the BSN Team and Curriculum Committee minutes) Prepared by the Office of Effectiveness

Role Development: 7. Practice in partnership with the patient and the interdisciplinary health care team to provide, plan, coordinate and evaluate nursing care. 7. i. Participate in team viii. Formative, meetings ii. Coordinate Summative and self ancillary services to meet evaluation of students: patient needs iii Plan care Clinical performance, in collaboration with the course exams, graded patient/family. iii written assignments, Organize, manage, and practical exams of skills, evaluate a team, unit, and class presentations, plan of care. iv. Delegate group projects. Archived and supervise care while at the end of each retaining accountability. semester. Achievement Measures Changes Made Budget viii. a. Clinical Performance Evaluation: Met standards. Filed in student records b. Course exams* Completed all courses at a C average or above. c. Graded Written Assignments** Completed all graded assignments at a C average or above d. Practical Exams Passed clinical check-offs e. Class Presentations Completed all at a C or above f. Group projects Poster presentations of community intervention by each group. Completed at a C or above g. Capstone Experience: Students manage a group of patients. met 8. Commit to the profession through lifelong learning, self-care, and active participation in nursing and community organizations, leadership and advocacy 8. i. Participate in professional organizations ii. Ability to engage in self care activities and self evaluation iii. Participate in professional development iv. Assume leadership within scope of practice v. Advocate for patients. vi. Adhere to the licensure rules and Regulations vii. Explain current practice issues. vii. Seek evaluation and licensing. ix. Participation in professional organizations: Number of students in SNA. x. Employer survey. xi. QEP used for program improvement: BSN team, curriculum committee, faculty assembly minutes. ix. Participation in Student Pharmacology, organizations Number of students in SNA. X % of students are members of SNA. x. Employer Survey: No data collected in 2005. Survey in 2006 using EBI benchmarks. xi. Quality Evaluation Plan used for Program Improvement QEP data collected yearly. Results used for program improvement. BSN team, curriculum committee, faculty assembly minutes. Data above from 2005 QEP. Pathophysiology, and Certification as a nurse aide will be required prerequisites in fall 2007. (Process of decision-making recorded in the BSN Team and Curriculum Committee minutes) Prepared by the Office of Effectiveness

Achievement Measures Changes Made Budget Prepared by the Office of Effectiveness