Time/ Frequency of Assessment. Person Responsible. Associate Dean and Program Chair. Every 3 years Or accompanying curriculum change

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1 MERCY COLLEGE OF NORTHWEST OHIO SYSTEMATIC PLAN FOR ASSOCIATE DEGREE NURSING PROGRAM EVALUATION AND ASSESSMENT OF OUTCOMES (REVISED: FALL 2007) I. Mission and Governance: There are clear and publicly stated mission and/or philosophy and purpose appropriate to post secondary or higher education in nursing. 1 - NLNAC OBN Congruence of nursing mission/philosophy with college mission and philosophy objectives are congruent with program philosophy -Clear - Publicly Accessible -Appropriate to Legal Requirement and Scope of Practice Commitment to cultural, racial, and ethnic diversity of the community in which the institution and nursing education unit exist. for distance learning congruent with mission and philosophy Systematic Plan ADN Revised Fall 2007 College Catalog College Publications Web site Student handbook minutes of the Nursing Division, AND Course objectives: Syllabus of nursing course, clinical evaluations, course evaluations of ADN Nursing Definition: NLNAC Mission and/or philosophy of the nursing education unit is congruent with that of the governing organization, or differences are justified by the nursing education unit purposes. OBN - The curriculum for the nursing education program shall include a philosophy, conceptual framework or organizing theme, program objectives or outcomes, course objectives or outcomes, teaching strategies, and evaluation methods that are developed by faculty, internally consistent, and implemented as written. Level of Achievement: There is demonstrated consistency and congruence between the college mission/philosophy and the mission/philosophy, program objectives and course objectives of the nursing education unit. Associate Dean and Chair Review by Division faculty Frequency of Every 3 years Or accompanying curriculum change : Review of Mission and Philosophy Statement Comparison Table outlining College Mission/Philosophy, Philosophy, Objectives and Course Objectives This review and comparison will determine the level of agreement between and among documents. Including Actual Level of Achievement

2 NLNAC - Criterion 2 Definition: NLNAC -, administrators and students participate in governance as defined by the parent organization and the nursing education unit. OBN Administrative Participation in governing organization and nursing education unit Participation in governing organization and nursing education unit Student Participation in governing organization and nursing education unit College By-laws Student Senate Bylaws Committee Minutes Nursing Division Minutes OBN - The program shall have and implement a plan of organization and administration which clearly delineates relationship, lines of authority, responsibility, and channels of communication. The program shall be administered by a registered nurse administrator who shall have and assume the authority and responsibility for the administration, planning, implementation, and evaluation of the program. Level of Achievement: There is clear evidence that nursing faculty participate in the governance of the parent institution (at least 75% of full time nursing faculty serve on college committees) and the nursing unit (100% of full time faculty participate). Students have the opportunity to participate in the governance of the parent institution. Nursing Appointed Committee Every 2 years : Verification of attendance Review committee appointments. Review of committee bylaws yearly. Review of student government bylaws Review of minutes Level of participation can be determined by review of documents discussed.

3 NLNAC - Criterion 3 Definition: NLN Nursing education unit is administered by a nurse who is academically and experientially qualified, and who has authority and responsibility for development and administration of the program. OBN Qualifications of Nursing Unit Administrator -Graduate Degree in Nursing -Experience and knowledge of -Authority and Administrative Responsibilities Documented -Adequate time to fulfill role responsibilities nel Files Curriculum Vitae Transcripts Organizational Charts OBN - the program shall be administered by a registered nurse who meet qualifications set by the Board of Nursing. Level of Achievement: demonstrates 100 % compliance, nursing division administrator has appropriate education and experience as well as authority and responsibility for administration of the nursing unit. appointed representative Q3yrs or with hire of new administrator : Review of personnel file Review of job description Analysis of Organizational Structure Review of job description and personnel file provide sufficient information to determine level of achievement.

4 NLNAC - Criterion 4 OBN Definition: NLNAC - Policies of the nursing education unit are consistent with those of the governing organization, or differences are justified by nursing education unit purposes. OBN - The program shall have and implement a plan of organization and administration which clearly delineates: involvement in the implementation of academic and program policies Level of Achievement: 95% of all faculty agree that policies for faculty in the nursing education unit are consistent with the policies of the governing institution. Differences are justified. Staff Policies Non-discrimination appointment Academic Rank Grievance Promotion Salary/Benefits Tenure Rights/ Responsibilities Termination Workload Accessibility of nursing education unit policies. Rationale for policies that differ from governing organization. Policy and Procedure Manual Minutes of Affairs Minutes of Rank and Promotion Appointed committee (to include those who serve on the committees named in the documentatio n column) Q3years and with new policy implementation : Review of Current policies Table comparing policies which provides justification for any policy which differs for nursing unit faculty and staff Review by faculty appointed committee which includes those nursing unit faculty who serve on Affairs and Rank and Promotion Committees will provide adequate evaluation

5 II. : There are qualified and credentialed faculty, appropriate to accomplish the nursing education unit purposes and strengthen its educational effectiveness. SYSTEMATIC PLAN FOR PROGRAM EVALUATION AND ASSESSMENT OF OUTCOMES NLNAC - Criterion 5 OBN Definition: NLNAC - members (full and part time) are academically and experientially qualified and maintain expertise in their areas of responsibility. OBN - Minimum qualifications and preparation for administrative, faculty and instructional personnel meet qualifications as determined by the Board. Education Level Master s Degree with major in Nursing Rationale for acceptance of other than a Masters Degree Expertise and Maintenance of same in areas of reaching, service, clinical practice, and / or scholarship nel Files Curriculum Vitae Plan of study for BSN to MSN faculty Data Sheets evaluation materials submitted yearly Level of Achievement: At least100% of full time faculty are prepared at the Master s Level and have experience in their primary teaching responsibility. Those who are not prepared at Master s level are currently completing Master s programs and have a plan of study on file with the Director. 100% of part time adjunct faculty posses an undergraduate degree with a major in nursing. 100 % of faculty are licensed to practice nursing in the State of Ohio Associate Dean and Chaiar Yearly and as new faculty are hired Done in conjunction with yearly evaluations : Review of personnel files and vitae. Review of Plans of Study on File for completing MSN requirements Licensure Validation Review files for evidence of faculty practice, certification, conference attendance, plans of study Review of transcripts and viewing of current license validate information in faculty files. Review of evaluation materials submitted yearly verify current practice

6 NLNAC - Criterion 6 OBN ,19 & 20 Definition: NLNAC - Number and utilization of full and part-time faculty meets the needs of the nursing education unit to fulfill its purpose. OBN - The faculty meet qualifications and job tasks as set forth by the Board. teaching a nursing course shall provide a syllabus or outline, design and implement teaching strategies that will assist the nursing student to meet the course objectives, and evaluate each nursing student s achievement and progress. will plan the clinical experiences and supervise and evaluate the student s clinical performance. Level of Achievement: workload will not exceed standards set for all full time college faculty. /Student ratios will be maintained at no more than 1:50 in the classroom and 1:8 in clinical. Ratio of full time to part time will be no more than 2: 1 (2 full time to 1 part time) /Student Ratios in the classroom and supervised clinical practice are sufficient to insure adequate teaching, supervision, and evaluation. Utilization of Part Time and Full Time faculty consistent with mission / philosophy and purposes of nursing education unit Number and type of faculty are adequate to carry out the purposes and objectives of the program. Class Rosters and Clinical Group Assignments Number of Part Time contracts Student Evaluations of Classroom and Clinical Experiences Clinical Experience Evaluations submitted by clinical agencies Chair Yearly : Review student numbers and faculty needs. Review number of adjunct contracts. Review Student and Clinical Agency Evaluations Review of rosters and clinical assignments will demonstrate maintenance of set ratios Review of student evaluations will identify problem areas: inadequate supervision, need for more assistance

7 NLNAC - Criterion 7 OBN (I) Definition: NLNAC - performance is periodically evaluated to assure ongoing development and competence OBN - the administrator of the program shall establish a written policy related to the evaluation of faculty, instructional personnel, and staff, and shall implement the policy as written. Level of Achievement: 100 % of faculty are evaluated on a yearly basis according to the policies of the governing institution Process for Performance Evaluation Evaluation of faculty is in keeping with the mission and philosophy of the nursing education unit and includes areas such as: teaching, scholarship, service and practice. Policies and Procedures Manual nel Files Associate Dean and Chair Every three years and whenever there is a change to the existing evaluation procedure. : Review completed evaluations to make sure all faculty have been evaluated and have had the opportunity to participate fully in the evaluation process. Classroom observation by director or coordinator Review Evaluation Policy to determine need for revision Associate Dean and Chair review faculty evaluation materials to verify standards are met and evaluate faculty performance Student feedback provides information on teaching effectiveness

8 NLNAC - Criterion 8 Definition: NLNAC The collective talents of the faculty reflect scholarship through teaching, application, and the integration and discovery of knowledge as defined by the institution and the nursing education unit. Level of Achievement: >80% of faculty (full time) will demonstrate involvement in a variety of experiences that enhance and improve the delivery of the overall nursing program. Scholarship as defined by the institution and nursing education unit. record of scholarship Profile Form. Credentials / CV Yearly evaluation materials submitted by faculty Associate Dean and Chair Yearly with evaluation : Review evaluation materials submitted yearly will validate actual experiences in which they have been involved over the past year credentials, continuing education, awards, recognition of excellence in teaching, community, or professional service or practice.

9 III. Students: The teaching and learning environment is conducive to student academic achievement. SYSTEMATIC PLAN FOR PROGRAM EVALUATION AND ASSESSMENT OF OUTCOMES NLNAC - Criterion 9 OBN Student Policies of the Governing Institution Student Policies of the Nursing Unit -Non-discrimination -Selection and admission -Academic progression -Student evaluation and grading -Retention -Withdrawal/dismissal -Graduation requirements -Grievance/complaints and appeal process. -Financial aid -Transfer of credit -Recruitment -Health requirements -Validation of prior learning/articulation Process by which policies are changed and communicated to students. Admission and academic progression policies are established by faculty who teach in the associate degree program and are congruent with the nursing education unit purposes and governing organization. Student handbook College Catalog Nursing Handbook Definition: NLNAC - Student policies of the nursing education unit are congruent with those of the governing organization, publicly accessible, non-discriminatory, and consistently applied; differences are justified by the nursing education unit purposes OBN - The administrator of the program and faculty shall establish and implement policies as set by the Board. Level of Achievement: Comparison of the policies has shown that all policies of the nursing unit are in congruence with those of the governing institution. Differences that are program related are justified. appointed Committee with Student representation (assigned by Student Senate) Every three years and after any policy changes : Review and Demonstrate (table) congruence of nursing student policies to those of the governing institution. Any differences are justified by the nursing unit as program related Review will compare standing policies to make sure that policies are administered equally. Policies that are different will be identified and justified because of program requirements Including Actual Level of Achievement

10 NLNAC - Criterion 10 OBN Definition: NLNAC - Students have access to support services, administered by qualified individuals that include, but are not limited to: health, counseling, academic advisement, career placement, and financial aid. OBN - Policies shall exist that speak to health services, guidance and counseling services. Level of Achievement: 90% of students surveyed report having access to all support services that are available to general student population. All individuals providing student services are educationally and experientially qualified. Student Support Services Academic and Experiential Qualifications of Student Services nel Distance education students have access to appropriate range of student services. Student Handbook Handbook College Catalog Publications of Student Services Offices Listing of qualifications of student services personnel. Evaluation of student services appointed committee with student representation (appointed by student senate) Every 3 years or as policies are updated or initially implemented : Review student evaluations of student services. Review listing of services provided in catalog, handbooks, publications, and listing of student services personnel. Determine student perception of efficacy of student services, utilization of services and evaluation of same. Evaluate qualifications of student services personnel.

11 NLNAC - Criterion 11 OBN Definition: NLNAC Policies concerned with educational and financial records are established and followed. OBN - The administrator of the program shall develop and maintain a record retention plan which includes all elements as specified in Board rules. Level of Achievement: Records surveyed are maintained according to written policy. Guidelines are in place regarding contents, time frames for maintenance, security and safety of educational and financial records Student educational and financial records Financial Aid Files Registrars Files Nursing Unit student files appointed committee Every three years : Review files and policies in place to determine compliance with set guidelines Review of files against set guidelines will help determine if policies are followed and students files are secure

12 IV. Curriculum and Instruction: The curriculum is designed to accomplish its educational and related purposes. SYSTEMATIC PLAN FOR PROGRAM EVALUATION AND ASSESSMENT OF OUTCOMES NLNAC - Criterion 12 OBN Definition: NLNAC - Curriculum developed by nursing faculty flows from the nursing education unit philosophy and mission through an organized framework into a logical progression of course outcomes and learning activities to achieve desired program objectives/outcomes. OBN - The curriculum for a professional nursing education program shall be implemented by the administrator and faculty as written and shall include all elements identified by the Board. Level of Achievement: The curriculum is based on a stable organizing framework. Relationship of Philosophy and mission to the program outcomes is easily demonstrated. Curriculum developed from an organized framework College catalog ADN Student Handbook Curriculum worksheets Course Syllabi, Outlines, Evaluations Curriculum Tracking Nursing Minutes Associate Dean and Chair Nursing Appointed Committee Every 3 years or when curriculum changes implemented : Review of framework with any curriculum revision. Analysis of Course evaluation tools. Curriculum tracking. will use a variety of methods to assess and evaluate curriculum.

13 NLNAC - Criterion 13 OBN (C) Definition: NLNAC - design provides opportunities for students to achieve program objectives and acquire knowledge, skills, values, and competencies necessary for nursing practice. OBN - Curriculum that spans a minimum of two academic or calendar years of full time study. Consists of a total number of units of credit or clock hours in the curriculum areas set forth in the Board rules to ensure sufficient preparation for the safe and effective practice of nursing as a registered nurse. Level of Achievement: 50% of total students entering complete program in 5 semesters. 60% of total students complete in 1-1 ½ times the program length. Curriculum provides: knowledge and skill sets in current practice, community concepts, health care delivery, critical thinking, communications, therapeutic interventions, and current trends in health care. leads to development of professional ethics, values, and accountability. Student can achieve objectives in established program length. College catalog Curriculum worksheets ADN Student Handbook Registrar s Stats Graduate Employer Surveys (Division Secretary) Associate Dean and Chair Annually : Review of Ohio Board of Regent s requirement and Ohio Board of Nursing requirements. Compare to Mercy College s credit hours. Review of graduate and employer surveys. Comparative analysis will reveal actual credit hours and length of program. Surveys will address graduates preparation for safe/effective practice. Total credits in program semester hours and 1:1 contact hour ratio for theory and 1:3 credit hour of clinical learning

14 NLNAC - Criterion 14 OBN (C) Definition: NLNAC - Practice learning environments are selected and monitored by faculty and provide opportunities for a variety of learning options appropriate for contemporary nursing. OBN - Nursing science is related to nursing practice in a variety of settings where health care can occur. Learning environments Agreements and contracts with practice sites are current and specify expectations and responsibilities for all parties. Clinical resources support sufficient numbers and varieties of associate degree level experiences. Minutes Course evaluations Student & Evaluation of clinical facilities Nursing secretary Level of Achievement: Associate Dean and Chair Nursing Appointed Committee Assessed Each Term and Reviewed Annually 90% of students and faculty will evaluate learning environments (class, lab, and clinical) are appropriate for learning at the end of each semester in the course evaluations. : Review Course evaluations and evaluations of clinical facilities. Review of minutes Review of facility contracts Review of all evaluations will help faculty evaluate student satisfaction of learning environments and improve areas of dissatisfaction.

15 V. Resources: Resources are sufficient to accomplish the nursing education unit purposes. SYSTEMATIC PLAN FOR PROGRAM EVALUATION AND ASSESSMENT OF OUTCOMES NLNAC - Criterion 15 OBN (B-1) (C-4) Definition: NLNAC - The fiscal resources are sufficient to support the nursing education unit purposes and are commensurate with resources of the governing organization. OBN - The program administrator provides input into the budget process. Level of Achievement: 1. Fiscal resources are adequate to support the nursing program. 2. are sufficient in number to achieve the program outcomes. Fiscal allocations & resources Responsibility and authority of the nurse administrator and involvement of the nursing faculty in budget preparations are evident. Support personnel Resources to support faculty development and instruction. Mercy College operating budget Information from: College President Associate Dean Chief Financial Officer Chair Associate Dean Annually : Review and analysis of the College budget. Review and analysis of support personnel duties. Review and analyze faculty numbers. Analysis will establish level of fiscal allocation to determine adequacy/inadequacy of support to nursing program. Analysis will identify areas of adequate/inadequate support. Reviews will identify adequate faculty needs.

16 NLNAC - Criterion 16 OBN - As stated in Criterion 15 Definition: NLNAC- support services are sufficient for the operation of the nursing education unit. Level of Achievement: All nursing faculty have adequate access to clerical services 1. Administrative services are available as needed. 2. Clerical services are available there is a full time secretary assigned to the nursing division. Administrative services are available as needed. survey to determine needs Associate Dean and Chair Every 2 years : Review satisfaction with administrative services provided. Clerical services are available as needed. Nursing Appointed Committee Review satisfaction with clerical services provided. Review of satisfaction with administrative services and clerical services will reveal adequacies/ inadequacies.

17 NLNAC - Criterion 17 Definition: NLNAC - Learning resources are comprehensive, current, developed with nursing faculty input, and accessible to faculty and students. OBN Level of Achievement: 1. Students will rate library resources as current, available and accessible. 2. Software and hardware are available and accessible to student and faculty. 3. Nursing faculty will collaborate annually on requested resources. 4. Students will rate the skills lab as current, available and accessible. 5. The Student Success Center is available to support the goals/objectives of the nursing program. Instructional aids, technology, software and hardware, and technical support available and sufficient to meet program objectives and support teaching methods. Learning Resources current and comprehensive, adequate and accessible. -Library -Nursing Skills Lab -Computer Lab -Student Success Center have input into the development and maintenance of learning resources Director of Library Services Computer Lab Associate Dean of Nursing s Mercy College Catalog Informational Brochures Nursing Skills Lab Nursing Secretary Nursing Appointed Committee Frequency of Annually : Analysis of current resources. Review of Student Resources listed in the college catalog and brochures. Review of graduate surveys and skills lab evaluations. Reviews will note adequacies/inadequacies. Review will show that services are available and students perceptions of adequacies/inadequacies of services are available.

18 NLNAC - Criterion 18 OBN - As stated in Criterion 15 Definition: NLNAC - The physical facilities are appropriate to support the purposes of the nursing education unit. Level of Achievement: Majority of students rate facilities as available and adequate for their learning needs. 1. Technology available for each classroom. 2. A computer lab is available for the students. 3. Conference room space is available at clinical facilities. 4. Student Success Center 5. Office Space Office space Classroom/Clinical and Nursing lab Computer/media lab Clinical Conference room space Access to library, information system, and communication systems Student Success Center College Directory Registrar s Office: Student Rosters and Schedules Library Computer Lab Agency Contracts Associate Dean Chair Nursing Appointed Committee Every 2 years : Review office space use. Analysis of student numbers in classroom, clinical and lab in each section. Review of Student Course and Clinical Evaluations. Review faculty input to available clinical conference room space. Review of office space will reveal adequacies/ inadequacies. Review of numbers will reveal adequacies / inadequacies. Evaluations will address the use of the labs as well as any needs unmet. Determine needs of clinical conference space.

19 VI. Integrity: Integrity is evident in the practices and relationships of the nursing education unit. SYSTEMATIC PLAN FOR PROGRAM EVALUATION AND ASSESSMENT OF OUTCOMES 19 - NLNAC OBN (A-D) Definition: NLNAC Information about the program, intended to inform the general public, prospective students, current students, employers, and other interested parties is current, accurate, clear and consistent. OBN- The administrator of the program and faculty shall establish and implement policies concerning admission, progression, graduation and grading. Published documents about the program are current, accurate, clear and consistent. Information to include: Mission, Philosophy and Purpose, Licensing requirements, Academic calendar, Student services, length, tuition and fees, financial aid. Policies to include: Admission, Nondiscrimination, academic progression, grading, retention, dismissal, graduation requirements, recruitment, advanced placement, College Catalog handbook College Handbook Course syllabi Web site Brochures and Publications Level of Achievement: Admission requirement policies, satisfactory academic calendar, course descriptions, grading policies, and grievance mechanisms are consistent and included in publicly accessible publications. 100% of the documents containing information about the program and policies are current, factual and consistent. NLNAC contact information present and current. appointed committee Annually and ongoing : Compare all documentation for consistency Analysis will identify any areas of inconsistency

20 20 - NLNAC OBN (H) Student Grievance Policy Record of Student Complaints and resolutions Process of complaint resolution is available for review. College Handbook College Catalog Files, Vice President of Administrative Services Office Definition: NLNAC Complaints about the program are addressed and records are maintained and available for review OBN Policy on progression which shall include grievance and appeal Level of Achievement: File for all program complaints is maintained by the Vice President of Administrative Services. Written procedure for complaints is available to all nursing students. All complaints handled in a timely manner according to policy. Associate Dean and Chair Every two years and when changes have been made to the grievance policy : Review policies Review nursing students file of complaints Review will determine if policies have been examined and updated as needed. Review will determine if policies have been followed and what resolution was reached

21 21 NLNAC OBN (E) Higher Education and Reauthorization Act Title IV College Catalog Financial Aid Office Registrar Definition: NLNAC Compliance with Higher Education and Reauthorization Act Title IV eligibility and certification requirements is maintained. OBN- A policy related to fees and expenses associated with program exists Level of Achievement: The college has a written, comprehensive loan repayment plan. Students are informed of their ethical responsibilities regarding financial assistance. Default rates are at an acceptable level (below 10%) appointed committee Yearly : Analysis of program to make sure it offers comprehensive services to students and information regarding financial aid opportunities and assistance Insures the provision of financial aid services

22 VII. Educational Effectiveness: There is an identified plan for systematic evaluation including assessment of student academic achievement. SYSTEMATIC PLAN FOR PROGRAM EVALUATION AND ASSESSMENT OF OUTCOMES NLNAC - Criterion 22 OBN Definition: NLNAC There is a written plan for systematic program evaluation that is used for continuous program improvement. OBN A written systematic plan of evaluation shall be established by the administrator of a program and shall include data collected from faculty, instructional personnel, nursing students, graduates and employers of graduates. Level of Achievement: The faculty of the nursing program will implement the systematic evaluation plan and revise the individual components based on ongoing re-assessment data collected at the designated frequency. Systematic Plan of Evaluation NLN Self-Study Current Systematic Plan Minutes Associate Dean and Chair Nursing Appointed Committee Every 3 years Review total plan And Review as Accrediting Bodies changes Identified within each individual criteria.

23 NLNAC - Criterion 23 Definition: NLNAC Student academic achievement by program type is evaluated by: graduation rates, licensure/certification pass rates, job placement rates and program satisfaction. Level of Achievement: % of students starting the nursing program will graduate in 2years, an additional 10 % will complete in 3 years % of employers will report satisfaction with program graduates (very well satisfied to satisfied) % of those graduates seeking nursing positions will be employed within 3 months of graduation % of graduates will report satisfaction with the nursing program (very well satisfied to satisfied) % of graduates will pass the N-CLEX exam on the first attempt. Student Academic Achievement Current Systematic Plan Minutes N-CLEX pass rate Grad Survey Employer survey Associate Dean and Chair Nursing Appointed Committee Every year Collect data each term and aggregate and trend annually Review N-CLEX results Review ATI results Review and summarize satisfaction surveys Phone survey of graduates