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411c Associate Degree Nursing Plan

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Associate Degree Nursing Program Mission/Purpose Statement:

The mission of the Associate Degree Nursing program is to provide individuals with the knowledge
and skills to provide nursing care to children and adults.

Associate Degree Nursing Program Commitments:

    1. Maximize Learning – The associate degree nursing program will strive to maximize
       learning in all situations by providing quality, current, and relevant instruction appropriate to
       the registered nurses’ scope of practice and insure success on the National Council
       Licensure Examination for Registered Nurses (NCLEX-RN).
    2. Ensure Continuance – The associate degree nursing program will meet all regulatory and
       fiscal requirements necessary to operate/grow.

Student Learning Outcomes:

    1. Practices Professional Nursing - Practices professional nursing behaviors incorporating
       personal responsibility and accountability for continued competence. (Lifelong Learning)
    2. Communicates Professionally - Communicates professionally and effectively with
       individuals, significant support person(s), and members of the interdisciplinary healthcare
       team. (Demonstrate College-Level Communication Skills)
    3. Integrate Knowledge - Integrates knowledge of the holistic needs of the individual to
       provide an individual centered assessment based on the unique needs of individuals from
       different cultures. (Global/Cultural Awareness)
    4. Incorporates Informatics - Incorporates informatics to formulate evidence-based clinical
       judgments and management decisions. (Information Literacy)
    5. Caring Interventions - Implements caring interventions incorporating current research
       (best practice) for individuals in diverse settings.(Scientific Literacy)
    6. Teaching Plan - Develops a teaching plan for individuals and/or the nursing team,
       incorporating teaching and learning principles and based on the principle of sound ethical
       and legal reasoning. (Ethical/Legal)
    7. Collaboration - Collaborates with the interdisciplinary healthcare team to advocate for
       positive individual, organizational, and community outcomes.
       (Engagement/Community Involvement)
    8. Manages Healthcare - Manages health care for the individual using cost-effective nursing
       strategies, quality improvement processes, and current technologies.
       (Quantitative Literacy)
    9. Critical Thinking – Demonstrates the ability to use the accepted model for critical thinking
       in nursing (the nursing process) to provides effective care and mitigate error.

Developed by the Nursing Faculty Administration, Fall 2009

Internal and External Stakeholders Consulted:
Bladen County Hospital                                Brunswick Community Hospital
Columbus County Health Department                     Columbus Regional Healthcare Systems
Liberty Commons Rehabilitation Center                 Local Physicians’ Offices
Loris Community Hospital                              McLeod Medical Center-Dillon
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New Hanover Regional Healthcare System                        North Carolina Board of Nursing
North Carolina Community College System                       Shoreland Healthcare and Retirement Center
Seacoast Medical Center                                       South Carolina Board of Nursing
Southeastern Regional Medical Center                          National League of Nursing


Critical Issues Identified for 2010-2015:

    1. Satisfactory performance on State Licensing Exam (NCLEX-RN)
    2. Increased student retention
           a. Decreased attrition
           b. Improved 3-year on time completion

Measures and Performance Levels Associated with Commitments
    1. Maximize Learning – The associate degree nursing program will strive to maximize
       learning in all situations by providing quality, current, and relevant instruction appropriate to
       the associate degree nurse’s scope of practice and to insure success on the national licensure
       examination (NCLEX-RN).

              a. Percentage of students achieving the benchmark on the proctored Comprehensive
                 Predictor examination.
                   (Overall rate <85%= low performance; >95% = high performance)
              b. Percentage of “first time takers” attaining a passing score on the ADN licensure
                 examination (NCLEX-RN)
                   (Overall rate < 85% = low performing; overall rate >95% = high performing)

    2. Ensure Continuance - The associate degree nursing program will meet all regulatory and
       fiscal requirements necessary to operate/grow.

              a. Satisfactory evaluation of program by students (RN Graduate Questionnaire)
                   (Overall rate < 75% = low performance; >85% = high performance)
              b. Level of NLN accreditation.
                   (Level < Candidate = Low; Level – Fully Accredited = High)
              c. Percentage of employers reporting satisfactory performance of graduates. Employer
                 evaluations of graduates.
                   (Overall rate <70% = low performance; >80% = high performance)

Measures and Performance Levels Associated with Student Learning Outcomes:
      1. Practices Professional Nursing - Practices professional nursing behaviors incorporating
         personal responsibility and accountability for continued competence. (Lifelong Learning)
             a. Proportion of students demonstrating behaviors consistent with professional nursing
                NUR courses with clinical components.
                   (Overall performance <80% = low performance; >90% = high performance)
              b. 1st attempt pass rate on Lifelong Learning assessments in CIS 110
                   (Overall performance <80% = low performance; >90% = high performance)




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      2. Communicates Professionally - Communicates professionally/effectively with individuals,
         significant support person(s), and members of the interdisciplinary healthcare team.
         (Demonstrate College-level Communication Skill)
             a. 1st attempt pass rate on writing assessments in ENG 111.
                   (Overall performance <80% = low performance; >90% = high performance)
              b. 1st attempt pass rate on writing/speaking assessments in ENG 114
                   (Overall performance <80% = low performance; >90% = high performance)
              c. Proportion of students demonstrating the ability to communicate effectively in NUR
                 courses with clinical components.
                   (Overall performance <80% = low performance; >90% = high performance)

      3. Integrate Knowledge - Integrate knowledge of the holistic needs of the individual to
         provide an individual centered assessment based on the unique needs of individuals from
         different cultures. (Global/Cultural Awareness)
            a. 1st attempt pass rate on Global/Cultural awareness assessment in NUR 213.
                   (Overall performance <80% = low performance; >90% = high performance)
              b. Proportion of students demonstrating the ability to integrate the components of an
                 individual, client centered assessment in NUR courses with clinical components.
                   (Overall performance <80% = low performance; >90% = high performance)


      4. Incorporate Informatics - Incorporate informatics to formulate evidence-based clinical
         judgments and management decisions based on “best practice”. (Information Literacy)
            a. 1st attempt pass rate on information Literacy assessments in ENG 114.
                    (Overall performance <80% = low performance; >90% = high performance)
              b.    Proportion of students demonstrating the ability to formulate evidence-based
                    clinical judgments incorporating “best practice” in NUR courses with clinical
                    components.
                    (Overall performance <80% = low performance; >90% = high performance)


      5. Caring Intervention - Implement caring interventions incorporating documented best
         practices for individuals in diverse settings.(Scientific and Quantitative reasoning)
            a. 1st attempt pass rate on scientific literacy assessments n BIO168/169.
                    (Overall performance <80% = low performance; >90% = high performance)
              b.    Proportion of students demonstrating the ability to integrate the components of an
                    individual, client centered assessment in NUR courses with clinical components.
                    (Overall performance <80% = low performance; >90% = high performance)
              c.    1st attempt pass rate on Medication Calculation Competency measures.
                    (Overall performance <80% = low performance; >90% = high performance)
              d.    1st attempt pass rate on medication assessments in NUR 117.
                    (Overall performance <80% = low performance; >90% = high performance)

      6. Teaching Plan - Develop a teaching plan for individuals and/or the nursing team,
         incorporating teaching and learning principles and based on the principle of sound ethical
         and legal reasoning.
            a. Proportion of students demonstrating the ability to develop teaching plans that
                integrate ethical legal issues that may be present in NUR courses with clinical
                components.
                    (Overall performance <80% = low performance; >90% = high performance)


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              b.    1st attempt pass rate in HUM 115 with associated measure for ethical behavior.
                    (Overall performance <80% = low performance; >90% = high performance)

      7. Collaboration - Collaborate with the interdisciplinary healthcare team to advocate for
          positive individual, organizational, and community outcomes.
          (Community Involvement/Engagement)
            a. Proportion of students demonstrating the ability to collaborate with the
                  interdisciplinary healthcare team to advocate for positive individual, organizational,
                  and community outcomes in NUR courses with clinical components.
                    (Overall performance <80% = low performance; >90% = high performance)
              b.    1st attempt pass rate in ACA 115 which includes 5 hours of engagement
                    (Overall performance <80% = low performance; >90% = high performance)
              c.    1st attempt pass rate in ENG 111 which includes 5 hours of engagement
                     (Overall performance <80% = low performance; >90% = high performance)
              d.    1st attempt pass rate in ENG 114 which includes 5 hours of engagement
                    (Overall performance <80% = low performance; >90% = high performance)
              e.    1st attempt pass rate in PSY 150 which includes 5 hours of engagement
                    (Overall performance <80% = low performance; >90% = high performance)

      8. Manage Healthcare - Manage health care for the individual using cost-effective nursing
         strategies, quality improvement processes, and current technologies.
            a. Proportion of students demonstrating the ability to manage health care for the
                 individual using cost-effective nursing strategies, quality improvement processes,
                 and current technologies.
                    (Overall performance <80% = low performance; >90% = high performance)

      9. Critical Thinking – Demonstrates the ability to use the accepted model for critical thinking
          in nursing (the nursing process) to provides effective care and mitigate error.
             a. Proportion of students demonstrating the ability to use the nursing process to
                  provides effective care in NUR course with clinical components.
                    (Overall performance <80% = low performance; >90% = high performance)
              b.    1st attempt pass rate on critical thinking assessment in HUM 115.
                    (Overall performance <80% = low performance; >90% = high performance)

Methodology

Establishment of Mission:
The U.S. healthcare system is currently experiencing a persistent nursing shortage that threatens the
quality of patient care. According to experts, an estimated 116,000 registered nurse positions are
unfilled at U.S. hospitals and nearly 100,000 jobs go vacant in nursing homes. Vacancies in the
North Carolina healthcare system mirror those of the United States. The shortage is expected to
worsen in coming years as the 78 million people in the post-World War Two baby boom generation
begin to hit retirement age. An aging population will require more care for clients with chronic
illnesses in acute care, rehabilitative, and long-term-care settings. Adequate number s of registered
nurses that are capable of providing safe and effective care to the public in accord with legally
defined outcomes for licensure expected of an entry level nurse are needed. The mission statement
was written by the nursing faculty to indicate that the associate degree nursing program exists to
meet these needs to the best of our ability




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Establishment of Commitment Measures:
The associate degree nursing program at SCC maintains an ongoing dialogue with all clinical
facilities, physicians' offices, and public health facilities utilized as clinical training sites for our
students as well as those that are or may be identified as potential employers. These include but are
not necessarily limited to those listed as stakeholders. Dialogue may occur through electronic mail,
scheduled meetings with individual facilities, group stakeholder meetings, or via telephone as
necessary. Dialogue with this set of stakeholders reveals the desire for SCC nursing programs to
produce graduates that are capable and qualified according to the state board of nursing and the
accrediting body to provide safe and effective care.

 The SCC nursing programs are monitored and reviewed by the North Carolina State Board of
nursing and the Southern Association of Colleges and Schools. The comprehensive review process
includes documented proof that the programs meet or exceed the required recommendations in the
areas of administration, faculty, curriculum, facilities, students, and resources. In addition, North
Carolina Administrative Code 21, chapter 36 requires that all schools of nursing acquire
accreditation by an accepted accrediting agency (National League of Nursing) by December 2015.

As stakeholders are aware of the state and national accreditation requirements for continued
approval of the nursing programs, it was decided that outcomes needed to be based on meeting or
exceeding these requirements. To this end a program advisory group (PAG) consisting of the V.P.
of Curriculum, Morgan Phillips; Division Dean, Peggy Blackmon; Department Chair, Arthur West;
and selected nursing faculty was formed to oversee the process and make recommendations as
necessary.

Determination of Critical Issues:

       1. Satisfactory performance on State Licensing Exam (NCLEX-RN)
           SCC Practical nursing program must maintain a three year average at or above 95% of the
           national pass rate for licensure on the first writing of the National Council for Licensure
           Examination for Practical Nurses (NCLEX-RN)
        2. Increased student retention
            At this time, retention rate for the SCC practical nursing program students is less than
            50%. Program retention must be improved to allow for expansion as the need arises.
             a. Decreased Student Attrition
                 At the present time, the attrition rate for students in the SCC practical nursing
                 program exceeds the acceptable parameters set by the state board of nursing.
                 Possible causes/reasons for the increased attrition must be identified, examined, and
                 rectified.
             b. Improve 3-year On Time Completion Rate
                 Decreasing attrition must be mirrored by an increase in the three-year on-time
                 completion rate in order to meet acceptable guidelines.

Determination of Goals/Objectives
The program advisory group will meet regularly to review goals and objectives, address critical
issues, and revise the plan as necessary. The nursing faculty will be assigned roles to address the
issues related to the accreditation process. The date set to review and submit the Candidacy package
for consideration by the NLNAC is January 1, 2010. This plan will be reassessed and revised as
necessary as information is received from the accrediting body.


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                                              Program Learning Outcome/Course Matrix
                                                           ACA      BIO      BIO     CIS   ENG   ENG   HUM    PSY   PSY   NUR   NUR   NUR   NUR   NUR   NUR   NUR   NUR
                                                           115      168      169     110   111   114    115   150   241   117   111   112   113   114   211   212   213
    Practices Professional Nursing
                                                            I*                      T/A                                         T/A   A     A     A     A     A     A
    (Lifelong Learning)*
    Communicate Professionally
                                                            I*                             T/A T/A                  R           A     A     A     A     A     A     A
    (College Level Communication)*
    Integrates Knowledge
                                                            I*                                                                  T/A   A     A     A     A     A     A
    (Global/Cultural awareness)*
    Incorporates Informatics
                                                            I*                                   T/A                            T/A   A     A     A     A     A     A
    (information Literacy)*
    Caring Interventions
                                                                   I/T/A T/A                                              A     T/A   A     A     A     A     A     A
    (Scientific/Quantitative Reasoning)
    Teaching Plan
                                                            I*                                         T/A    R     R           T/A   A     A     A     A     A     A
    (Ethical /Legal)*
    Collaboration
                                                            I*                                                                  T/A   A     A     A     A     A     A
    (Engagement/Community Involvement)*
    Manage Healthcare
                                                                                                                           I    T/A   A     A     A     A     A     A
    Critical Thinking                                        I                                         T/A                      R     R     R     R     R     R     R


A = Outcome Assessed, I = Outcome Introduced, R = Outcome Reviewed, T = Outcome Taught




 
 
 
 
                         
                                           

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                                      2010-2012
                    Associate Degree Nursing Program Strategic Plan
                    Critical Issue                                Goal                                          Objectives

Student Performance on Licensing                 1. Improve Performance on                         OBJECTIVE A: Under the direction of the
                                                                                                    Nursing and Visiting Students Department
Examinations                                        Licensing examinations:                         Chair, in conjunction with nursing faculty,
                                                                                                    identify key factors which relate to student
Necessary for:                                                                                      success in program and NCLEX
                                                                                                    examinations, August, 2010.
      Preparing students to work in their    (21 NCAC 35 .0320 (e) The nursing program
       field of study                         shall maintain a three-year average at or
      Achieving state critical success                                                            OBJECTIVE B: Under the direction of the
                                              above 95% of the national pass rate for
       factors                                                                                      Nursing and Visiting Students Department
                                              licensure on the first writing of the licensing       Chair, in conjunction with nursing faculty,
      Achieving satisfactory thresholds to   examination for the calendar year ending on           design a working plan to improve
       guarantee continued SBON and           December 31.)                                         performance on licensing examinations,
       accrediting agency approval                                                                  August, 2011.


                                                                                                   OBJECTIVE C: Under the direction of the
                                                                                                    Nursing and Visiting Students Department
                                                                                                    Chair, in conjunction with nursing faculty,
                                                                                                    implement plan to improve performance on
                                                                                                    licensing examinations, June, 2012.


                                                                                                   OBJECTIVE D: Under the direction of the
                                                                                                    Nursing and Visiting Students Department
                                                                                                    Chair, in conjunction with nursing faculty,
                                                                                                    analyze and revise plan to improve
                                                                                                    performance on licensing examinations,
                                                                                                    May, 2012.




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                                      2010-2012
                    Associate Degree Nursing Program Strategic Plan
                    Critical Issue                       Goal                           Objectives

Student Retention:                           1. Increase overall student     OBJECTIVE A: Under the direction of
Decrease student attrition and                  success in the program(s)      the Nursing and Visiting Students
                                                                               Department Chair, in conjunction with
increase 3-year on-time completion:
                                                                               nursing faculty, Identify student
                                                                               populations at high risk for drop-out/stop-
Necessary for:                                                                 out, December 2010.
    Providing quality service to students
    Addressing needs/trends that would                                      OBJECTIVE B: Under the direction of
      tend to encourage students to stop-                                      the Nursing and Visiting Students
      out or drop-out                                                          Department Chair, in conjunction with
    Maintain enrollment                                                       nursing faculty, evaluate and establish,
    Achieving state critical success                                          as necessary support systems for
      factors                                                                  students identified in Objective A,; June
    Achieving satisfactory thresholds to                                      2011
      guarantee continued SBON and
      accrediting agency approval                                            OBJECTIVE C: Under the direction of
                                                                               the Nursing and Visiting Students
                                                                               Department Chair, in conjunction with
                                                                               nursing faculty, Implement a mentoring
                                                                               system that encourages early contact,
                                                                               mentoring , and tutoring support for
                                                                               students who are identified “at risk” for
                                                                               failure., December 2011.
 




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