UNIVERSITY OF ARKANSAS AT MONTICELLO SCHOOL OF NURSING ANNUAL REPORT

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1 UNIVERSITY OF ARKANSAS AT MONTICELLO SCHOOL OF NURSING ANNUAL REPORT

2 SCHOOL OF NURSING ANNUAL REPORT Mission of the UAM School of Nursing The mission of the Bachelor of Science (BSN) program in the School of Nursing (SON) is to strive for excellence in the preparation of professional nurse generalists. This mission is accomplished through: The preparation of graduates to provide nursing care for individuals, families, and communities within a variety of health care settings. Encouraging critical thinking to guide nursing interventions that promote, maintain, and restore health. The development of accountability through a commitment to professional nursing practice and lifelong learning. The mission of the Associate of Applied Science in Nursing (AASN) program in the SON is to strive for excellence in the preparation of technical nurse graduates. This mission is accomplished through: Preparation of graduates to provide nursing care for individuals, families, and families in communities in structured settings. Encouraging critical thinking to guide therapeutic nursing interventions that promote, maintain, and restore health. The development of accountability through a commitment to the practice of technical nursing and lifelong learning. Vision of the UAM School of Nursing The SON vision is to prepare technical and professional nursing graduates who are competent to effectively function in health care settings to meet society s need for safe nursing care to promote, maintain, and restore health. UAM School of Nursing Conceptual Framework and Philosophy The conceptual framework of the SON includes five strands based on Roy s adaptation model. The Roy model is based upon two theories, systems and adaptation. Systems theory includes the concepts of holism, interdependence, and complexity. Adaptation theory includes the concepts of behavior as dynamic and adaptive, a function of stimuli and adaptation level. These concepts are organized around five curricular stands: critical thinking, research, nursing process, teaching/learning, and leadership/management. Roy s model and the curricular strands are woven throughout the AASN and BSN curricula and measured via six student learning outcomes in each degree program. The faculty holds beliefs about the following concepts: person, environment, health, professional and technical nursing (nursing s meta-paradigm) and professional and technical nursing education. Person o An individual, family, and/or community o A holistic adaptive system o In constant interaction with a changing environment

3 o A complex & developing system with both common and unique needs throughout the lifespan o These needs guide the person to use innate & acquired coping mechanisms in four adaptive modes to produce responses that promote adaptation and need integrity Environment o All internal & external stimuli that affect development & responses o Influences the person to produce responses that promote adaptation & need integrity Health o Being & becoming an integrated holistic person by adapting to change Influenced by stimuli & adaptive responses o Adaptive responses Enhance adaptation and need integrity to promote, maintain, and/or restore health Are on a continuum throughout the lifespan Professional and technical nursing o An art and a science o Goal is to assist the client to develop adaptive responses that promote, maintain, &/or restore health throughout the lifespan Professional nursing education o Based on liberal arts and sciences. o Forms basis for practice of professional nursing as a generalist. o Provides a foundation for graduate nursing programs. Technical nursing education o Builds upon the foundation of fundamental nursing knowledge and skills acquired at the level of education of the licensed practical nurse (LPN) and integrates the concepts and principles of the natural and social sciences. o Prepares students for entry level practice in structured settings and provides a foundation for baccalaureate study.

4 Table 1 Full-Time Equivalent SSCH Credit Hours by Term Faculty Full-time Equivalent SSCH Credit Hours by Term SON SSCH Faculty Member Name Summer II 2011 Fall 2011 Spring 2012 Summer I 2012 Total Bryant, Jacqueline Denton, Charlotte Evans, Laura Felts, Christine Gouner, Pamela O Fallon, Leia Shaw, Anita Walters, Sharon Wells, Belinda Total SSCH

5 Number of Majors by Term Table 2 Number of Majors by Term BSN and AASN Fall Fall School of Nursing School of Nursing Nursing, BSN Nursing, AASN Freshman 170 Freshman 8 Sophomore 47 Sophomore 7 Junior 35 Junior 13 Senior 52 Senior 14 Pre-Freshman Pre-Freshman Special* Special* Post Bachelor 3 Post Bachelor Total 307 Total 42 Total Unit 349 Job Placement of Majors The May 2012 Senior Survey (results indicate that 37% (15/41) of the 2012 SON graduates reported that they had secured a full-time nursing position, 5/41 (12%) were not seeking employment, and 21/41 (51%) were seeking employment. Table 3 Job Placement Location/Number of Graduates* Jefferson Regional Medical Center 4 Siloam Springs Memorial Hospital 1 St. Vincent Infirmary, Little Rock 1 Delta Regional Medical Center 1 Hospice Angels 1 Chicot Memorial Medical Center 1 Warren Kidney Center 1 Monroe Hospital 1 Baptist Health 1 McGehee Hospital 2 *One did not indicate job location

6 Course Enrollment by Term Term Course Number Enrolled 2011 Summer II NURS 1015 Principles of Nursing Care I 20 NURS 3333 Health Assessment 13 Fall NURS 124V Principles II 18 NURS 311V Concepts I 23 NURS 399V Special Topics 2 NURS 444V Concepts III 30 NURS 3103 Nursing Skills 23 NURS 4153 Community Health Spring NURS 225V Principles III 15 NURS 332V Concepts II 15 NURS 399V Special Topic 8 NURS 452V Concepts IV 28 NURS 4473 Nursing Research 15 NURS 4504 Leadership and Management 28 Intercession NURS 1034 LPN-RN Transition 11 NURS 2003 Intro to Nursing 29 Summer I NURS 2211 Basic Skills Check 11 NURS 3073 Role Transition 1 NURS 3333 Health Assessment 14 NURS 3404 Health Promotion 1

7 SON Curricula Table 4 Major Course Requirements by Program BSN RN-BSN LPN-BSN LPN-RN (AASN) NURS 2003 Introduction to Nursing NURS 3064 Healthy Aging NURS 2003 Introduction to Nursing NURS 1034 LPN-RN Transition Concepts and Roles Concepts and Roles NURS 3103 Nursing Skills NURS 3073 Role Transition NURS 3103 Nursing Skills NURS 1015 Principles of Nursing Care I NURS 311V Concepts in Nursing Care I NURS 3333 Health Assessment NURS 311V Concepts in Nursing Care I (credit or course)* NURS 124V Principles of Nursing Care II NURS 322V Concepts in Nursing NURS 3404 Health Promotion NURS 322V Concepts in Nursing NURS 2211 Basic Skills Check Off Care II Care II NURS 3333 Health Assessment NURS 4153 Community Health NURS 3333 Health Assessment NURS 225V Principles of Nursing Care III NURS 4153 Community Health Nursing NURS 4473 Nursing Research NURS 4153 Community Health Nursing NURS 444V Concepts in Nursing Care III NURS 4504 Leadership & Management in Professional Nursing NURS 444V Concepts in Nursing Care III NURS 4473 Nursing Research NURS 4473 Nursing Research NURS 452V Concepts in Nursing Care IV NURS 452V Concepts in Nursing Care IV NURS 4504 Leadership & Management in Professional Nursing NURS 4504 Leadership & Management in Professional Nursing *LPNs/LPTNs may receive credit for 11 semester hours for NURS 311V if they have graduated from LPN/LPTN school within 24 months. After 24 months a validation examination must be passed with a score of 74% to obtain advanced placement credit for NURS 311V (see UAM Catalog).

8 Facilities Along with the Personnel Office and four Arts and Humanities faculty members, the SON is housed in Sorrells Hall. Excluding the Personnel Office area and the SON reception area, Sorrells Hall has fourteen potential offices, twelve of which are currently in use. One office is currently in use as a storage room for the Student Nurses Association; the other is currently empty. However, the SON has one vacant faculty position. The interim dean hopes to fill this position by the beginning of the Fall academic year. Sorrells Hall has two large and one small classroom, and a Skills/Simulation laboratory. The office and classroom facilities are adequate for the current enrollment and faculty positions and allow for moderate growth. The SON uses multiple health care facilities and preceptors for clinical, community, and preceptored student experiences (see Tables 5, 6, and 7). Because the UAM SON programs compete with other area nursing programs, the clinical facilities are sometimes inadequate to meet the students needs. Therefore, the SON faculty plans to begin using simulation experiences in the Skills/Simulation laboratory for part of the clinical practica. The Arkansas State Board of Nursing is currently considering the percentage of clinical practica that may be substituted with simulation. The SON will comply with the Board s decision on the percentage of clinical practica that may be substituted with simulation. Boards of nursing in other states allow up to 25% of clinical practica to be substituted with simulation experiences. Until the Arkansas State Board of nursing makes a ruling, the SON faculty will substitute no more than two clinical weeks with simulation experiences per semester and will incorporate simulation exercises into the didactic portions of the concepts courses and use simulation learning system, software for remediation. This is consistent with the practices of other schools of nursing throughout Arkansas and the United States.

9 Table 5 AASN Clinical Facilities Name of Institution Location (City) Approved by Areas Utilized Type of Experience Number of Preceptors Jefferson Regional Medical Center Pine Bluff Medical Center of South Arkansas El Dorado Arkansas Children s Hospital Little Rock Arkansas State Hospital Little Rock Ashley County Medical Center Crossett Bradley County Medical Center Warren South Arkansas Regional Health El Dorado Southeast Arkansas Behavioral Health Pine Bluff CASA New Beginnings Warren The Centers for Youth & Families Monticello Delta Counseling Lake Village, Warren, McGehee Approved by: JCAHO 1 Areas used: Type of Experience: ASHD 2 All 1 Direct 1 OLTC 3 Med/Surg 2 Observation 2 Other 4 Maternal/Infant 3 Other 3 Peds 4 Psych 5 Outpatient

10 Table 6 BSN Clinical Facilities Name of Institution Location (City) Approved by Areas Utilized Type of Experience Number of Preceptors Ashley County Medical Center Crossett Drew Memorial Hospital Monticello Bradley County Medical Center Warren Jefferson Regional Pine Bluff Medical Center Medical Center of South Arkansas El Dorado Arkansas State Hospital Little Rock Chicot Memorial Medical Center Lake Village Arkansas Children s Hospital Little Rock Wagnon Place Nursing Home Warren Ouachita County Medical Center Camden Kid s First Warren South Arkansas Kidney Center El Dorado Monticello Dialysis Monticello Ashley Women s Services Crossett 2 3,6 1 0 South Arkansas Women s Clinic El Dorado 3,6 1 0 Approved by: JCAHO 1 Areas used: Type of Experience: ASHD 2 All 1 Direct 1 OLTC 3 Med/Surg 2 Observation 2 Other 4 Maternal/Infant 3 Other 3 Peds 4 Psych 5 Outpatient 6 Other 7 10

11 Table Preceptor Profile Year of Birth Name License # Race Gender Degree in Nursing Month & Year of Graduation Area of Experience Time worked in area Employer # Students Precepted at one time # Hours for each Clinical Experience # Times Precepting per month 1957 Rebecca Kersten / Allison Jones / Brenda Hopson / Christin / Tara Olivi / Dian / Carrie Lee / Dana Sawyer / Monica Stell / Zoe Hackett / Sonya Peterson /

12 Year of Birth Name Licen se # Race Gend er Degree in Nursing Month & Year of Graduation Area of Experience Time worked in area Employe r # Students Precepted at one time # Hours for each Clinical Experience # Times Precepting per month 1969 Marina Henry / Martha Crane / Kim White / Thomas Turner / Heidi Hogue / Beth Perkins / Joe Cobb / Angel Whillhite / Ginger Jeffers / Donna Couvion / Marva LaGrant /

13 Hours Working Table 8 Preceptor Profile Key Race Gender Highest Nursing Degree Area of Experience Time Worked in Area Employer code # Students Precepted Full time 1 White 1 Female 1 LPN 1 All 1 Less than 1 year 1 Hospital 1 One 1 Part time 2 African American 2 Male 2 AND 2 Med/Surg 2 1 to 2 years 2 Long Term Care 2 Two 2 Adjunct 1 Hispanic 3 Diploma 3 Maternal/Infant 3 2 to 3 years 3 Physician s Office 3 Native American 4 BSN 4 Pediatric 4 3 to 4 years 4 Community Clinic 4 Asian 5 MSN 5 Psychiatric 5 5 years of more 5 Other 5 Other 6 Doctorate 6 Outpatient 6 Unknown 7 Other 7 13

14 Equipment The SON has adequate office equipment to meet the needs of faculty and students. The Skills/Simulation laboratory has adequate equipment to meet many students needs (see Table 9). However, if competition for clinical sites continues to increase as it has in recent years, the faculty will need additional equipment in the laboratory to meet students needs. Activities Faculty members and students participated in numerous activities during the academic year (see Table 10 for faculty activities). Representatives of the Student Nurses Association (SNA) attended state and national conventions and won both state and national awards, including the state Chapter of Excellence and national Stellar Chapter awards. The SNA members participated in fundraisers for several humanitarian projects. Senior BSN students conducted a community diabetes fair for citizens of the Warren/Bradley County area. All nursing students participated in a University Wellness Fair. Thirteen BSN students attended and presented at the annual Research Day conference hosted by Sigma Theta Tau International, the Association of Women s Health, Obstetric, and Neonatal Nurses, the University of Arkansas for Medical Sciences College of Nursing, the University of Arkansas for Medical Sciences, and the Central Arkansas Veterans Healthcare System, competing with schools of nursing from across the state. A three-person group of presenters from the UAM SON won the student presentation award for best evidence-based practice poster. One junior BSN student was inducted into Alpha Chi and five senior BSN students were inducted into Sigma Theta Tau International, the nursing honor society. 14

15 Table 9 Skills-Simulation Laboratory Inventory: ITEM UAM# QUANTITY STATUS COMMENTS Breast Examination Model 1 Good Green Case Breast Examination Model 1 Fair Black Case Breath & Heart Sounds Model 1 Good Black Case Cart 1 Good Cervical Dilation/Effacement Model Good Chest Drainage Dual Manometer 1 Good Computer Keyboard 1 Good Computer Monitor 1 Good Computer Table Perkins Grant # Good Computer Table Perkins Grant # Good Computer Tower Dell Good Computer Tower Dell 1 Unknown Not being used. Crutches Metal 1 Good Crutches Wooden 1 Good CPR Annie 8 Good Gray Cases Diabetes Education 1 Good Brown Wooden Case Enema Administrator Simulator Good Blue Case Ear Examination Kit Good Electronic Sphygmomanometer 1 Female Catheterization Simulator Good Blue Case Fracture Bedpan 5 Glucometers 11 Fair-good 2 are old and outdated Hospital Bed Good Hospital Bed Good Hospital Bed Good Hospital Bed Good Hospital Bed Good Hospital Bed Good Hospital Bed 1 Good Hospital Blankets 14 Good-fair Some old and frayed. Injectable Training Arm 4 Good Blue Case 3;Black Case 1 Injection Teaching Model 1 Good Purple Case Intradermal Injection Simulator 1 Good Blue Box Intramuscular Injection Simulator Good Blue Case 15

16 ITEM UAM# QUANTITY STATUS COMMENTS Intravenous Poles 4 Fair-good One has unstable base. Intravenous Pumps (Baxter) 4 Good IV Arm Model 4 Good-fair Laerdal High-Tech Simulation Manikin with Extra Body Parts 1 Good Purchased Fall 2011 Laerdal High-Tech Simulation Manikin with Perkins Grant # Good Purchased Fall 2011 extra body parts Linen Cart 1 Good Lower Extremity Amputation Model 2 Good Low-tech Simulation Manikins with Extra Body Parts 6 Fair-good Some mannequins have body parts missing or damaged Male Catheterization Simulator 1 Good Blue Case Manikins - Babies Laerdal 5 Good Blue Duffle, Small Mattress Pads 5 Good Mobile Vitals Good Nasogastric Feeding Pump 1 Fair Old and outdated. Ostomy Care Simulator Good Blue Case Otic Thermometer (Thermoscan) 2 Good Blue Oto-ophthalmoscope #2 1 Being Transferred Form Submitted 06/25/2012 Oto-ophthalmoscope #5 Complete w/3 1 Good Heads Oto-ophthalmoscope #6 Complete 1 Good Oto-ophthalmoscope 1 Good #9 Complete Oto-ophthalmoscope #4 Complete 1 Good 16 No head on handle, 2 heads. Nonrepairable. Oto-ophthalmoscope Small #1 - #7 7 Good #6 Otoscope handle has loose connection, will work if tightened. Over-bed tables 5 Oxygenation Manikin 1 Good Black Duffle, MPL Peds Injectable Training Arm Good Blue Case Pelvic Exam Simulator Good Pelvic Exam Simulator 1 Good Privacy Screens 4 Good Prostate Exam Simulator Good

17 ITEM UAM# QUANTITY STATUS COMMENTS Pulse Oximeter 1 Reflex Hammers RED 8 Good. Reflex Hammers BLACK 7 Good. Resusci Annie RECORDING 2 Good Large Gray Cases Resusci-Annie Little (Laerdal) 4 Good Blue Duffle Resusci-Annie Baby 2 Good Gray Cases Resusci Junior 2 Good Gray Cases Scales 1 Good Sharps Container Clear 1 Poor No lid. Sharps Container Red 4 Good Sharps Container Red SMALL 2 Good Sharps Container Tan 1 Good Skeleton (multi-color) 1 Good Skin Caliper 1 Steno Chair 1 Good Stethoscopes 6 Good Stethoscopes (Instructor) 7 Good Suction Machine 1 Fair Old model. Suture Model Good Sphygmomanometers 2 Fair Testicular Examination Model 1 Good Tracheostomy Care Simulator Good Tuning Forks 12 Good. LARGE Tuning Forks 10 Good. SMALL Tuning Forks (Round Ends) 12 Good TV Cart 1 Good TV Panasonic Good Upper Extremity Amputation Model 2 Good Urinal 6 Utility cart 1 Vascular Access Teaching Model 1 Good Black Case 17

18 Table SON Faculty Activities Faculty Member Name Faculties Activities Bryant, Jacqueline Attended Weevil Welcome 2011 Parent-Family Appreciation 2011 Orientation for 2012 BSN graduates employed at Chicot Memorial Medical Center Completed 30 continuing education contact hours Denton, Charlotte Appointed to the State Prevention Enhancement Policy Consortium by Governor Mike Beebe. Attended the Strategic Prevention Framework State Prevention Enhancement Planning meeting, Ferndale, AR Attended 39th Annual Behavioral Health Institute: Focus on Recovery, Hot Springs Convention Center, Hot Springs, AR Evans, Laura 2012-Gamma Xi chapter of Sigma Theta Tau International (STTI) faculty advisor. Attended the STTI induction ceremony in Little Rock-five senior BSN students were inducted. Attended STTI/UAMS/AWHONN/CAVHS annual Research Day Conference with 13 BSN students-a group of three students won the student research award for an evidence-based practice research poster. Published-Evans, L. K. (2011). Rural black women s thoughts about exercise. Applied Nursing Research,24,4, served on Arkansas Nursing News editorial board 2009-present- Applied Nursing Research & Journal of Nursing Scholarship manuscript peer reviewer-reviewed three manuscripts for Journal of Nursing Scholarship and three for Applied Nursing Research during Felts, Christine Student Nurses Association faculty advisor Attended the Arkansas Student Nurses Association convention in October 2011 Attended the National Student Nurses Association convention in April 2012 Attended Leadership and Management conference in El Dorado, AR Attended Parent-Family Appreciation Day O Fallon, Leia Attended Leadership and Management conference in El Dorado, AR Shaw, Anita Supervised a diabetes fair at Warren, AR with senior BSN students in November 2011 Attended BSN Sharing Day March 2012 Walters, Sharon Currently reviewing 1 st draft manuscript for McGraw-Hill s Pharmacology for Nursing Developed clinical guidelines: Focused/Bedside Assessment; Clinical Data Collection; Clustering of Data According to the Roy Model; Algorithm for Nursing Care Plan Decision-Making; & Nursing Process and Care Plan Attended Leadership and Management conference in El Dorado, AR Wells, Belinda Attended BSN Sharing Day March

19 Strengths, Weaknesses, Opportunities for Growth, and Threats to Effectiveness The SON is dedicated to the education and development of technical nurses and registered nurse generalists from diverse cultural backgrounds who are competent, caring, and dedicated to meeting the diverse health care needs of a multi-cultural environment in a dynamic health care system. Strengths The School of Nursing: BSN program is accredited by the National League for Nursing Accrediting Commission. AASN and BSN programs are approved by the Arkansas State Board of Nursing Faculty members are dedicated to student nurses education, several are advanced practice nurses, and all are experts in their areas of practice. Partners with numerous health care facilities in an effort to provide the best possible clinical experiences for our students. Is creating a state-of-the-art simulation laboratory to enhance and reinforce didactic and clinical teaching. Weaknesses The simulation laboratory has not been used to its fullest potential and the simulation learning system has not been used at all. The simulation laboratory does not have a full-time faculty coordinator. Participation in scholarly activity continues to be limited. The SON experienced internal upheaval during and before the academic year. The attrition rate for junior BSN students was unacceptably high. The AASN NCLEX-RN pass rates for and were unacceptably low. The SON faculty has been unaware of the Quality and Safety Education in Nursing (QSEN) standards and the resources for ensuring the SON meets the standards. Opportunities for Growth The SON faculty and interim dean have the opportunity to: Continue to develop and implement a retention plan to increase retention and graduation rates. Creatively develop the simulation laboratory to enhance both didactic and clinical learning to achieve student learning outcomes and improve graduation and NCLEX-RN pass rates. Recruit an excellent faculty member to enhance the SON in teaching, service, and scholarship. Improve attention to advising and remediation to enhance retention. 19

20 Revise the curriculum to reflect the current NCLEX-RN test plan, the Arkansas State Board of Nursing Regulations for Nursing Education, and QSEN standards for nursing education. Write a grant to help fund the simulation laboratory. Examine/modify the admissions criteria to recruit students who have the potential to successfully complete the nursing program and pass the NCLEX-RN. Use the resources provided by QSEN to educate nursing students who will be safe health care providers. Threats to Effectiveness Threats to effectiveness include: The National Council State Boards of Nursing increased the NCLEX-RN passing score in o The AASN NCLEX-RN pass rate was below acceptable levels in 2011 and While the SON needs increased funds to support the simulation laboratory development and faculty to enhance student retention, higher education budgets are being decreased during the current declining economy. Ensuring that all faculty members receive necessary faculty develop to facilitate optimal usage of the simulation laboratory and simulation learning system. The SON experienced internal upheaval during and before the academic year and the faculty members/son may experience some related negative consequences. 20

UNIVERSITY OF ARKANSAS AT MONTICELLO SCHOOL OF NURSING ANNUAL ASSESSMENT REPORT

UNIVERSITY OF ARKANSAS AT MONTICELLO SCHOOL OF NURSING 215-216 ANNUAL ASSESSMENT REPORT 1. What are the Student Learning Outcomes (SLOs) for your unit? How do you inform the public and other stakeholders