P a g e 1 TABLE OF CONTENTS

Transcription

1 NEW MEXICO BOARD OF NURSING PRE-LICENSURE NURSING PROGRAMS ANNUAL REPORT FISCAL YEAR 2016

2 P a g e 1 TABLE OF CONTENTS Introduction.. 2 General Nursing Program Information... 3 NCLEX Results... 7 Accreditation Data...10 NMBON Program Approval Status Simulation Data...13 Students...15 Faculty...18 Curriculum..22 Program Outcomes..25

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4 P a g e 3 General Nursing Programs Information NM-BON Approved Pre-Licensure Nursing Programs and Accreditation Status FY16 2 Practical Nurse Programs Albuquerque Public Schools 807 Mountain Rd. Albuquerque, NM N = 60 Connie Baker MSN, RN ext baker_c@aps.edu December 2016 ACEN: Spring 2023 with Conditions Follow-up Report Spring 2017 Computer Career Center, A Division of Vista College 850 N. Telshor, Suite K Las Cruces, NM N = 0 Carol Kleinman PhD, RN Interim ext.1424 cklienman@vistacollege.edu December 2017 ACEN: N/A 5 Practical Nurse One Year/Associate Degree Two Years: Career Ladder Programs Clovis Community College 417 Schepps Blvd. Clovis, NM N =175 Shawna McGill, MSN, RN McGill@clovis.edu September 2017 ACEN: Spring 2017 Luna Community College 366 Luna Dr. Las Vegas, NM N = 40 Susan Olson-Smith, Ed, MSN, RN solson@luna.edu BON approval: Conditional Approval December 2017 ACEN: Spring 2016 New Mexico State University Carlsbad 1500 University Dr. Carlsbad, NM N=27 Claudia Estrada, MSN, RN cestrada@nmsu.edu April 2018 ACEN: June 2019

5 P a g e 4 New Mexico State University Dona Ana Community College MSC-3DA Box Las Cruces, NM N = 43 Tracy Lopez, MSN, RN trlopez@nmsu.edu April 2020 ACEN: Spring 2020 Northern New Mexico College 921 Paseo de Onate Espanola, NM N=27 Theresa Lopez, MSN, RN talopez@nnmc.edu July 2018 CCNE: Spring Associate Degree Programs Breckinridge School of Nursing & Health ITT Technical Institute 5100 Masthead St. NE Albuquerque, NM N =133 Terri Tewart, MSN, RN ttewart@itt-tech.edu February 2018 ACEN: Pre- Candidacy May 2015 Brown-Mackie College Copper Ave. NE Albuquerque, NM N=55 Esperanza Villanueva, EdD, MSN, RN evillanueva@brownmackie.edu BON approval: Conditional and Voluntary Closure July 2017 Nursing Accreditation: N/A Carrington College 1001 Menaul Blvd. NE Albuquerque, NM N=26 Karen Fuss-Sommer, MSN, RN Dean of Nursing KFuss-Sommer@carrington.edu October 2017 ACEN: July 2015 Central New Mexico Community College 525 Buena Vista SE Albuquerque, NM N =365 Diane Evans-Prior, DNP, MSN, RN Academic Affairs Director, Nursing devansprior@cnm.edu August 2017 ACEN: Fall 2022 with Conditions Follow-up Report Spring 2017

6 P a g e 5 Eastern New Mexico University/Roswell PO Box 6000 Roswell, NM N=67 Susan Golden, MSN, RN susan.golden@roswell.enmu.edu April 2018 ACEN: Spring 2017 New Mexico Junior College 5317 Lovington Highway Hobbs, NM N=51 Delores Thompson, MSN, FNP, RN dthompson@nmjc.edu October 2018 ACEN: Fall 2018 Pima Medical Institute 4400 Cutler Ave. NE Albuquerque, NM N=146 Shevonne Scott, MSN, RN sscott@pmi.edu BON approval: Conditional October 2017 Nursing Accreditation: N/A San Juan College 4601 College Blvd. Farmington, NM N=120 Nisa Bruce, MS, RN brucen@sanjuancollege.com August 2020 ACEN: Spring 2020 Santa Fe Community College 6401 Richards Ave. Santa Fe, NM N=144 Susan Winter, MSN, RN susan.winter@sfcc.edu March 2022 ACEN: March 2022 University of New Mexico/Gallup 200 College Rd. Gallup, NM N=65 Sabrina Ezzell, MSN, RN khead@unm.edu July 2019 ACEN: July 2019 University of New Mexico/Taos 1157 CR #110 Rancho de Taos, NM N=6 Melissa Wohltman, MA, RN moffenha@unm.edu April 2019 ACEN: Initial July 2017

7 P a g e 6 University of New Mexico/Valencia 280 La Entrada Los Lunas, NM N=32 Marjorie Campbell, MSN, RN CNE marjic@unm.edu December 2020 ACEN: Candidacy July 2015 Western New Mexico University PO Box 680 Silver City, NM N=69 John Scarbrough, PhD, PT, RN, CNE Associate Dean, School of Nursing John.scarbrough@wnmu.edu December 2017 ACEN: 2016 CCNE: Spring Bachelor s Degree Programs Brookline College Accelerated 4201 Central Ave. NW, Suite J Albuquerque, NM N =48 Dianna Johnston, DNP, MSN, RN, NE-BC Dean of Nursing djohnston@brooklinecollege.edu July 2019 ACEN: July 2019 Brookline College - Traditional 4201 Central Ave. NW, Suite J Albuquerque, NM N=49 Dianna Johnston, DNP, MSN, RN, NE-BC Dean of Nursing djohnston@brooklinecollege.edu December 2018 ACEN: July 2019 Grand Canyon University 6700 Jefferson St. NE Building D, Suite D1 Albuquerque, NM N=62 Heidi Orehek, MSN, RN Heidi.Orehek@gcu.edu December 2017 CCNE: June 2026 National American University 4775 Indian School Rd. NE, Suite 200 Albuquerque, NM N=20 Jennifer Drexler, PhD(c), MSN, RN jdrexler@national.edu BON approval: Initial Expiration March 2015 Pending Graduation of First Class CCNE: March 2016

8 P a g e 7 New Mexico State University MSC 3185 Box Las Cruces, NM N=345 Pamela Schultz, PhD, RN pschultz@nmsu.edu July 2022 CCNE: 2022 University of New Mexico MSC Albuquerque, NM N=251 Judy Liesveld, PhD, CPNP, RN Undergraduate Program Director jliesveld@salud.unm.edu December 2022 CCNE: December 2022 *N = total number of students in each nursing program reported in FY16 NCLEX Results The NCLEX exam was developed by the National Council of State Board of Nursing, Inc. (NCSBN) as a means to test the nurses skills, knowledge and abilities that are essential to safe and effective nursing practice within United States. The NCSBN has two licensure examinations, the national licensure examination for registered nurses (NCLEX -RN) and the national council licensure examination for practical nurses (NCLEX -PN) that are used by state and territorial boards of nursing to assist in making licensure decisions. The state NCLEX -PN pass rates for New Mexico PN graduates taking the exam for the firsttime, January 1 through December 31 during the last three years, were 92.21% ; 93.46% and 91.08% The national NCLEX -PN pass rates for the same period were 84.63%, 82.16% and 81.89%. Both NM state and national NCLEX -PN pass rates are higher and above the required national NCLEX -PN pass rate of eighty percent in both urban and rural nursing programs. The NCLEX -RN pass rates for New Mexico RN graduates taking the exam for the first-time, January 1 through December 31 in the last three years, were 79.21% ; 80.72% and 83.02% The national NCLEX -RN pass rates were for the same period 83.04%, 81.79% and 84.51%. The overall average from January 1 through December 31 in the last three years NM NCLEX -RN pass rates is 83.11% and above the required national NCLEX -RN. RN and BSN nursing programs have a variable NCLEX pass rate performance regardless of their geographic location. Figure 1a-1b depicts the New Mexico NCLEX pass rates for first-time writers are above the national average and figure 1c shows summative NCLEX data for first time candidates in NM.

9 P a g e 8 NCLEX pass rates for individual pre-licensure nursing programs and can be retrieved at: % Figure 1a. NCLEX-PN PASS RATES FOR STATE AND NATIONAL AVERAGE IN FY % 92.00% 90.00% 88.00% 86.00% STATE NATIONAL 84.00% 82.00% 80.00% % 84.00% Figure 1b. NCLEX-RN PASS RATES FOR STATE AND NATIONAL AVERAGE IN FY , 84.51% 83.00% 2013, 83.04% 2015, 83.02% 82.00% 81.00% 80.00% 2014, 81.79% 2014, 80.72% STATE NATIONAL 79.00% 2013, 79.21% 78.00%

10 P a g e 9 Figure 1c. NATIONAL COUNCIL LICENSURE EXAMINATION (NCLEX) PROGRAM SUMMARY OF FIRST TIME CANDIDATES IN NEW MEXICO NM Board Approved Nursing Programs 2013 NCLEX Pass Rate 1/1/ /31/ NCLEX Pass rate 1/1/ /31/ NCLEX Pass rate 1/1/ /31/2015 Albuquerque Public Schools/PN Breckinridge at ITT Technical Institute/RN Brookline Accelerated College/BSN Brookline Traditional College/BSN N/A N/A Brown Mackie College/ADN N/A Carrington College/ ADN Carrington College/ PN N/A Central New Mexico Community College/ ADN Central New Mexico Community College/BSN N/A N/A 50.0 Clovis Community College/ADN Clovis Community College/PN Computer Career Center/Vista College/PN Dona Ana Community College/ADN Dona Ana Community College/PN Eastern New Mexico University Roswell/ADN Grand Canyon University/BSN Luna Community College/ADN Luna Community College/PN National American University/BSN N/A N/A N/A New Mexico Junior College/ADN New Mexico Junior College/PN N/A New Mexico State University Carlsbad/ADN New Mexico State University Carlsbad/PN New Mexico State University Las Cruces/BSN Northern New Mexico College/ADN Northern New Mexico College/PN Pima Medical Institute/ADN Pima Medical Institute/PN N/A San Juan College/ADN Santa Fe Community College/ADN University of New Mexico Albuquerque/BSN University of New Mexico Gallup/ADN University of New Mexico Taos/ADN N/A 100 N/A University of New Mexico-Valencia/ADN Western New Mexico University/ADN RN Failure Taking PN NCLEX N/A State Average PN State Average RN National Average PN National Average RN

11 P a g e 10 Accreditation Data The Board of Nursing evaluates and grants various approvals based on program s ability to demonstrate minimum standard requirements. Four levels of programmatic approval were available until October 1, 2016 when the new rules were promulgated by the Board and six levels of approval were implemented. These new levels of programmatic approval are defined as: Initial approval status can be granted by the board when a new established nursing program has met all the minimum standards for nursing programs in accordance with rule NMAC Initial approval is valid from the time granted through the graduation of the first nursing class. Initial approval with warning shall be granted by the Board when a nursing program under initial approval fails to meet any minimum standards for nursing programs with the initial graduating class during the scheduled site visit. Full approval status shall be granted after the Board verifies through a site visit that the minimum standards for nursing programs have been met. Full approval for a continuing period may not exceed ten years and, shall be granted by the Board to nursing programs with full national accreditation. Full approval with warning shall be granted to any nursing program that has any identified deficiencies of the minimum standards not met. Full approval with warning shall not exceed two years. Conditional approval status shall be granted to a nursing program when there is evidence of substantial non-compliance with the minimum standards for nursing programs and shall not exceed two years. Nursing programs under conditional approval status shall cease admissions. Additionally, failure to correct deficiencies within the designated time period will result in withdrawal of approval and involuntary closure of the program by the Board. Conditional approval is not renewable. National accreditation is granted by the Commission on Collegiate Nursing Education (CCNE), The Commission for Nursing Education Accreditation (CNEA) or the Accreditation Commission for Education in Nursing (ACEN). CCNE ensures the quality and integrity of baccalaureate graduates and residency programs in nursing. The CNEA accredits nursing programs across the academic spectrum including LPN/LVN, diploma, associate, bachelor, master s, and clinical doctorate degree programs, as a U.S Department of Education designated Category 2, non-title IV, and accrediting body. The difference between ACEN and CCNE organizations is that CCNE accredits BSN nursing programs and ACEN accredited PN, diploma and two year RN programs. For ACEN and CCNE accreditation, please refer to the websites listed below:

12 P a g e 11 Twenty out of the 26 NMBON-approved pre-licensure nursing programs are nationally accredited. Three programs are in pre- or candidacy status. The remaining three programs have reported that they will be seeking national accreditation. In FY16, two NMBON-approved nursing programs completed their national accreditation follow-up visit with the Accreditation Commission for Education in Nursing (ACEN). One program completed its visit with the commission on Collegiate Nursing Education (CCNE). NMBON regulations require all board-approved nursing programs to have national nursing accreditation by January 1, Figure 2. Nursing programs and accreditation status can be retrieved at: Figure 2. NATIONAL ACCREDITATION STATUS FOR PRE- LICENSURE NURSING PROGRAMS IN FY16 NO ACCREDITATION CANDIDACY/INITIAL-ACEN ACEN & CCNE CCNE PN PN/RN MOBILITY ADN BSN ACEN NM-BON Programs Approval Status Currently, the NMBON has approved 26 pre-licensure nursing programs. In FY16, nine onsite visits were completed. The board granted approval to the following programs: Full Approval (full approval status is granted when a nursing program meets all minimum standard requirements): Carrington College, - Albuquerque Central New Mexico Community College, - Albuquerque Computer Career College a Division of Vista College, - Las Cruces Grand Canyon University, - Albuquerque

13 P a g e 12 Luna Community College, - Las Vegas Western New Mexico University, - Silver City Conditional Approval (Conditional approval is granted when there is evidence of substantial non-compliance with the minimum standards for nursing programs as specified in the rules): Brown Mackie College, - Albuquerque (and voluntary closure in FY16) National American University, - Albuquerque. Pima Medical Institute, - Albuquerque Figure 3a-3b. All pre-licensure nursing programs have been assessed and shall maintain minimum standard requirements for nursing programs. Figure 3a. NURSING PROGRAMS IN FULL APPROVAL STATUS BSN PROGRAMS, 7 PN PROGRAMS, 2 PN TO ADN PROGRAMS, 5 ADN PROGRAMS, 9 Figure 3b. NURSING PROGRAMS ON CONDITIONAL APPROVAL STATUS BSN PROGRAMS, 1 ADN PROGRAMS, 2

14 P a g e 13 Simulation Data Simulation is an experience that imitates the real patient care environment, requiring individuals to demonstrate the procedural techniques, decision-making, and critical thinking needed to provide safe and competent patient care. Simulation provides opportunities for the application of nursing knowledge and demonstration of clinical competency and the transferability of learning from the simulation laboratory to the clinical setting. In FY16, there were no promulgated regulations that addressed simulation. However, the proposed new rules and language for the use of simulation learning experience in pre-licensure nursing programs will allow nursing programs to substitute up to 50% of the clinical hours for simulation. This rule was approved by the Board on October 1, Simulation learning may include the use of low, medium, and high fidelity learning activities and will help alleviate the shortage of clinical sites following the new rules that were promulgated by the Board. Simulation use in pre-licensure programs in FY16 was defined as clock hours that are counted the same as clinical hours and substituted for live patient clinical experiences. In 2015, one of two PN programs used simulation experiences for 1-20% of clinical clock hours. Four of five 1+1 PN & ADN programs utilized 1-20% of clinical time for simulation and the fifth program used simulation experiences for 21 to 30% clock hours in simulation. Eleven of 13 ADN programs used one to 20% and two programs used 21 to 30%. Four BSN programs used one to 20% of clinical clock hours for simulation. In 2016, one of two PN programs used 1-20% of clinical clock hours for simulation. Four of five 1+1 PN & ADN programs utilized 1-20% of clinical time for simulation and the fifth program used 21 to 30%. Twelve of 13 ADN programs used simulation for 1-20% of clinical hours and one programs used 21 to 30%. Three BSN programs used 1-20% of clinical clock hours for simulation. Figures 4a-4d presents the percentage of clinical clock hours used for simulation by New Mexico nursing programs during

15 P a g e 14 Figure 4a. PERCENTAGE OF SIMULATION USE IN PN PROGRAMS IN FY % 1-20% 21-30% 31-40% 5 Figure 4b. PERCENTAGE OF SIMULATION USE IN 1+1 PN & ADN PROGRAMS IN FY % 1-20% 21-30% 31-40%

16 P a g e 15 Figure 4c. PERCENTAGE OF SIMULATION USE IN ADN PROGRAMS IN FY % 21-30% 1-20% % Figure 4d. PERCENTAGE OF SIMULATION USE IN BSN PROGRAMS IN FY % 1-20% 21-30% 31-40%

17 P a g e 16 Students Student admission and total numbers were defined as follows: Number of students; total number of students actively taking courses on April 1 of the current year. Total number of students admitted from January to December of last year. Total number of students enrolled in nursing courses per program track and location on April 1 of the current year. New Mexico pre-licensure nursing programs have a total of 2,414 nursing students. Figures 5-6 show that 1,252 students were enrolled in associate programs, 110 in associate to baccalaureate programs, 832 in baccalaureate programs, 183 in practical nursing programs and 43 in the PN to RN mobility career ladder programs. Student demographics in FY16 show the majority of nursing students 1, 979 (82%) of the 2,426 admitted were female and 447 (18%) were male. The NM male nursing students population is higher than the 7.9% nationwide. A total of 982 (41%) were ages <25 years, 909 (37%) were ages years, 367 (15%) were ages years, 136 (6%) were ages years, 26 (one percent) were ages 55-64, none (0%) were ages >= 65 years of age and six students (0%) were unknown or unreported as shown in figure 6a-6b. Figure 5. TOTAL NUMBER OF NURSING STUDENTS ADN ADN TO BSN BSN PN PN TO RN

18 P a g e 17 Figure 6a. NEW MEXICO STUDENTS BY AGE GROUP < >=65 unknown or unreported 1% 0% 0% 15% 6% 41% 37% Figure 6b. TOTAL NUMBER OF FEMALE AND MALE NURSING STUDENTS Male 18% Female 82% The majority of New Mexico nursing students are non-white female students. Data reveal that 44% of all nursing students are Hispanic, 37% are white or non-hispanic, seven percent are

19 P a g e 18 American Indian or Alaska Native, three percent are Black or African American, three percent are Asian or Pacific Islander and four percent are unknown or unreported. Data show that two percent belong to the other category. Figure 7. Figure 7. PERCENTAGE OF STUDENTS BY RACE AND ETHNICITY 2% 4% 7% 3% 3% American Indian or Alaska Native 37% Asian or Pacific Islander Black or African American 44% Hispanic White/ Non-Hispanic Other Unknown or Unreported Faculty Nursing programs annually report faculty related data. This data includes: faculty employment, open positions, workload, education and employment barriers. The below parameters were used to collect faculty data: Number of full-time (FT) and part-time (PT) pre-licensure faculty on April 1 of the current year Unfilled FT pre-licensure faculty positions on April 1 of current year and unfilled PT prelicensure faculty positions on April 1 of current year. FT and PT faculty demographics employed on April 1 of current year. FT and PT faculty workload was defined by the number of teaching clock hours per week. The number of clock hours for all pre-licensure nursing programs varies widely from clock hours per week. Three nursing programs have faculty assigned clock hours that exceed required FT contact hours. A total of 345 nurse educators of which 191 FT and 154 PT are employed in

20 P a g e 19 the nursing programs. Additionally, open faculty positions consist of 19 unfilled FT and 11 unfilled PT. Figure 8. Figure 8. TOTAL NUMBER OF FACULTY POSITIONS Unfilled PT 11 Unfilled FT 19 # PT Faculty 154 # FT Faculty Five factors that contributed to positions remaining unfilled included: Low salaries. Seven of the 26 pre-licensure nursing programs reported low salaries as a contributing factor to unfilled open positions. Reasons cited include that nurses practicing in a clinical setting are paid more per hour than nursing faculty, salaries in rural locations are lower compared to urban schools and low salary constraints make faculty recruitment more difficult. Relocation. In four of the 26 pre-licensure nursing programs, faculty declined relocation. Faculty are less interested relocating to rural areas, especially to areas with low salaries. Additionally, nursing faculty who are willing to relocate lack academic preparation in nursing education. Nurse educators with clinical teaching, but no teaching experience in academia. Faculty are required to teach didactic and clinical at various institutions. However, ten of the 26 nursing programs don t have MSN prepared faculty with didactic teaching experience in academia. This shortage hinders faculty recruitment efforts. Nursing programs reported that new faculty is recruited via word of mouth, nursing journals, publications, school websites, New Mexico News and Views and preceptorship opportunities. Nurse educators without clinical or didactic teaching experience. One program reported that some faculty have MSN degrees, but lack teaching experience in clinical or academia. However,

21 P a g e 20 three of the 26 nursing programs reported (other group) that faculty was well-prepared to teach and complete clinical teaching. Budget shortfalls. One pre-licensure nursing program reported that their allocated nursing budget shortfalls hinder faculty recruitment. No further data was provided in regards to budget, as shown in Figure 9. Nurse educators with clincal teaching, but no teaching experience in academia 4% Budget shortfalls 4% Figure 9. BARRIERS TO FACULTY RECRUITMENT OPPORTUNITES Other 12% Low Salaries 27% Relocation 15% Nurse educators without clinical or didactic teaching experience 38% Faculty demographic data are by highest degrees held, age, gender and ethnicity. The majority,- 243 (70%) of faculty, hold masters of nursing degrees (MSN), 73 (21%) hold BSN degrees, 28 (eight percent) hold doctorate degrees and two (one percent) hold an associate degree. Out of 345 nurse educators, eight faculty are pursuing a master s degree and four faculty are in doctoral programs (Figure 10).

22 P a g e 21 Figure 10. HIGHEST DEGREE HELD Total Number of Faculty and highest degree held DOCTORATE 28 MSN 243 BSN 73 ADN 2 A gap in future nursing faculty is illustrated in the following data: 208 (60%) faculty are ages 45-64, 37 (11%) are over 65 and 100 (29%) are <44 years of age (Figure 11). Besides, the age of faculty is old and about to retire which depicts a nationwide trend that contributes to the nursing shortage. Additionally, Figure 12 shows 310 (89%) faculty are female and 37 (11%) are male. Of these, 261 (75%) are white/non-hispanic, 54 (16%) are Hispanic, 15 (four percent) are Black/African American, eight (two percent) are Asian, five (two percent) are American Indian/Alaska and five (one percent) were unreported (Figure 13). 250 Figure 11. TOTAL NUMBER OF FACULTY BY AGE GROUP Total Number of Faculty by age group 50 0 AGE < >65

23 P a g e 22 Figure 12. PERCENTAGE OF FEMALE & MALE FACULTY 11% FEMALE MALE 89% Figure 13. PERCENTAGE OF NURSING FACULTY BY RACE & ETHNICITY 0% 1% 2% 2% 4% 75% 16% Am Ind/ Alaska Asian Black / Afr Am Hispanic White / non-hisp Other Unreported Curriculum: Clinical Instruction Both proprietary and publicly funded programs provided data regarding concerns encountered with clinical teaching. These include barriers to securing clinical teaching sites, additional clinical experience needs and how clinical experiences are scored with either a letter grade or pass/fail.

24 P a g e 23 Barriers to secure clinical opportunities were demonstrated by show that nine programs (37%) reporting a lack of clinical opportunities to meet student learning needs, three programs (12%) reporting lack of available sites, and three programs (13%) reporting lack of specialty units for Pediatrics, OB and Psychiatric nursing. Additionally, three programs (13%) reported lack of requirements by acute care clinical affiliates, three programs (13%) reported lack of BSN prepared preceptors, and one program (four percent) reported that a lack of programmatic accreditation limits access to acute care setting. Finally, one program (four percent) reported lack of qualified faculty in specialty areas and another program (four percent) reported lack of other clinical opportunities as shown in Figure 14. Furthermore, other programs stated that their clinical opportunities are met by traveling to other states, such as Texas. Suggestions to help alleviate barriers to clinical opportunity included having a state-wide, technology-based clinical placement system and extensive use of other community resources like long-term care, schools, day care and public health facilities. lack of Accreditation limits access to acute care setting 4% Figure 14. BARRIERS TO SECURE CLINICAL OPPORTUNITIES lack of qualified faculty in specialty areas 4% Other clinical opportunities 4% lack of BSN prepared preceptors 13% lack of clinical opportunities to meet learning Needs 37% lack of available sites 12% Requirements set by acute care clinical affiliates 13% lack of specialty units (Peds, OB, Psych) 13%

25 P a g e 24 Additional data related to clinical experiences needs data indicated that three specialty courses were challenged to find faculty and clinical experience sites in rural versus urban areas. Eight (31%) nursing programs are lacking pediatric nursing opportunities, four (15%) nursing program need psychiatric clinical experiences, eight (31%) need obstetrics opportunities, and six (23%) nursing programs were content with their faculty numbers and available clinical experiences. Suggestions for alternative clinical experience from other pre-licensure nursing programs included hospice, clinics and community-based, as shown in Figure 15. Community agencies with clinical opportunities that were reported included child development centers, detention center-adult and juvenile schools. One program, which utilizes mental health across the health care system rather than an inpatient mental health system, has no clinical needs Figure 15. NUMBER OF PROGRAMS REPORTING CLINICAL SITE INSUFFICIENCY BY UNIT TYPE Pediatric Nursing, 8 Psych Nursing, 4 Obstetric Nursing, 8 Not reported, Pediatric Nursing Psych Nursing Obstetric Nursing Not reported Clinical experience is part of the grading score in pre-licensure programs. Sixteen (64%) nursing programs reported that clinical is graded with a pass/fail and eight (32%) - offer a letter grade score, as shown in Figure 16.

26 P a g e 25 Figure 16. PERCENTAGE OF HOW CLINICAL EXPERIENCE IS SCORED Pass/Fail Letter grade Not Reported 4% 32% 64% Program Outcomes: Graduate and Employment Rate Numbers Graduate rate numbers were defined as the total number of RN or PN students who graduated per track between January and December of The results show 924 graduates within 150% allotted time, which included: PN programs (83) PN/RN mobility ((19); ADN/BSN programs (17); ADN programs (605) and BSN programs (200) as shown in Figure 17. Graduate employment rate numbers from six to 12 months post-graduation show that 11 prelicensure nursing programs reported between %; four programs reported between 76-85%; one program reported between 51-75%; and six programs reported between one and 50%. Three nursing programs employment rate numbers were not reported, as shown in Figure 18.

27 P a g e 26 Figure 17. TOTAL GRADUATE NUMBERS BSN ONLY ADN/BSN PROGRAMS ADN PROGRAMS PN/RN MOBILITY PN PROGRAMS Total number of PN/RN pre-licensure graduates within 150% of the alloted time Total Number of PN/RN pre-licensure graduates per track between Jan-Dec of the current year Figure 18. NUMBER OF PROGRAMS REPORTING GRADUATE EMPLOYMENT RATES (BY PERCENT EMPLOYED) % 76-85% 51-75% Number of programs reporting Graduate Employment Rates 1-50% unreported