Ira D. Pruitt Division of Nursing

Ira D. Pruitt Division of Nursing Detailed Assessment Report 2015-2016 Mission / Purpose The mission of the Ira D. Pruitt Division of Nursing is to provide a quality educational program which prepares competent, caring and culturally sensitive graduates who have the knowledge and ability to meet the diverse and changing health care needs of a global society. The Division of Nursing strives to fulfill the mission by valuing the development of independent thinking, respecting the ideas of others, promoting the development of personal integrity and character as well as pursuit of knowledge. I. Goals and Student Learning Outcomes/Objectives, with Any Related Measures, Targets, Findings, and Action Plans A. Goal: Address the educational, social, and cultural needs of the overall student body. Address the educational, social, and cultural needs of the overall student body. 1. Outcome: Function as a member of the health care team. Function as a member of the health care team in organizing care for patients with complex wellness stressors. a. Measure: Student performance in clinical indicates ability to function as a team member. Performance appraisal of students by faculty in the clinical setting will indicate ability to function as a member of the health care team in organizing care for patients. Comparing level 1 fundamental HESI scores and level 2 Management HESI scores, student achievement will improve and overall class mean will reach the 850 benchmark by 2nd level. Overall mean for the fundamental HESI/Management HESI improved from level 1 to level 2 and met the 850 benchmark. 2. Outcome: Students will utilize the nursing process and critical thinking. The students will have the knowledge, skills and values to apply the nursing process and critical thinking in providing care for patients. a. Measure: Student performance on Fundamental HESI will demonstrate the ability to utilize the nursing process and critical thinking. Student performance on Fundamental HESI will demonstrate the ability to utilize the nursing process and critical thinking. Performance on second Fundamental HESI will improve by 25% when compared to initial Fundamental HESI score. Student scores on the Fundamental HESI improved by 25%. Students achieved a mean score of 894, which was above the 850 benchmark. Page 1 of 7

3. Outcome: Students will exhibit professional behaviors. The students will have the knowledge, skills, and values to exhibit professional behaviors essential to effectively manage the delivery of nursing care. a. Measure: Faculty and preceptor evaluations indicate students exhibit professional behaviors. Faculty and preceptor clinical evaluations of students indicate that students are knowledgeable and exhibit professional behaviors while providing care. Comparing level 1 fundamental HESI scores and level 2 Management HESI scores, student achievement will improve and overall class mean will reach the 850 benchmark by 2nd level. Overall mean for the fundamental HESI/Management HESI improved from level 1 to level 2 and met the 850 benchmark. II. Goals and Other Outcomes/Objectives, with Any Related Measures, Targets, Findings, and Action Plans A. Goal: Address the educational, social, and cultural needs of the overall student body. Address the educational, social, and cultural needs of the overall student body. 1. Objective: Prepare students to pass national licensure exam The Division of Nursing will prepare students to pass the national licensure exam (NCLEX). a. Measure: Licensure exam pass rate will be at or above the national mean The program's three year mean for the licensure exam pass rate will be at or above the national mean for the same three-year period. Using the mean pass rate from the years of 2013, 2014, and 2015, the mean passing rate will be at or above the national mean. The 2013, 2014, and 2015 UWA mean pass rate was 80.47. The national mean pass rate was 83.12. The 2013 mean pass rate lowered the overall mean. 3. Action Plan: Implement various learning strategies After the 2013 mean pass rate was reported, the Division implemented various learning strategies to increase the mean pass rate. These strategies include: assigning all nursing students a mentor; providing remediation; and purchasing a book package which included adaptive learning and quizzing. These strategies have continued thus far, and the Division will implement all of the above strategies in the 2016-2017 academic year along with simulation and clinical skill online products. Established in Cycle: 2015-2016 Relationships (Measure Outcome/Objective): Measure: Licensure exam pass rate will be at or above the national mean Outcome/Objective: Prepare students to pass national licensure exam Page 2 of 7

Implementation Description: Assign mentors. Provide remediation. Use book package with electronic products. 2. Objective: Prepare students to successfully complete program The Division of Nursing will prepare students to successfully complete the program of study. a. Measure: Students admitted to the program will complete/graduate program Students admitted to the program will complete/graduate within 36 months of initial admission into NS101. 55% of students admitted to the program will complete/graduate within 36 months of initial admission into NS 101. 54.6% of students admitted to the program completed the program within 36 months of initial admission into NS 101. 3. Objective: Ensure program satisfaction of graduates The Division of Nursing will ensure program satisfaction of graduates. a. Measure: Graduates will indicate program satisfaction Graduates will indicate program satisfaction on the graduate survey administered six to twelve months post-graduation. 90% of graduate respondents will indicate they are "prepared" to achieve the competencies of the associate degree nurse. 100% of graduate respondents indicated they are "prepared" to achieve the competencies of the associate degree nurse. 4. Objective: Prepare students to assume the role of the registered nurse The Division of Nursing will prepare students to assume the role of the registered nurse. a. Measure: Graduates will find employment in nursing position Graduates of the program will find employment in a nursing position by six months postgraduation. 80% of graduates will be employed in a nursing position six months after graduation. 95.1% of graduates were employed in a nursing position three months after graduation. Information was collected from graduate satisfaction survey. III. Other Plans for Improvement: A. Maintain continuing education/professional development of faculty Maintain continuing education/professional development of faculty as mandated by state and national accrediting agencies. Established in Cycle: 2010-2011 Page 3 of 7

Implementation Description: Each faculty member will attend September 30, 2010 development of faculty as mandated by state a minimum of two, six-hour and national approval/accrediting agencies. Budget Amount Requested: $900.00 (recurring) 10/11/2016 Faculty are utilizing an on-line subscription to Nurse Tim, Inc. to view webinars and earn continuing education credits. Each faculty is encouraged to attend a national nurse educator conference annually. Faculty also attend the two CE conferences held on campus. B. Maintain membership in professional organizations Maintain membership in professional organizations Established in Cycle: 2010-2011 Budget Amount Requested: $300.00 (recurring) 10/11/2016 As required, the Division of Nursing is a member of the National League for Nursing, National Organization for Associate Degree Nursing, Accreditation Commission for Education in Nursing, and Alabama Council of Administrators of Professional Nursing Education Programs. C. Sponsor a minimum of two continuing education workshops for nurses within the service area Sponsor a minimum of two continuing education events for nurses within the service area Established in Cycle: 2010-2011 Additional Resources Requested: $500 to cover printing costs, refreshments, etc. Budget Amount Requested: $500.00 (no request) 10/11/2016 The Division of Nursing provided two continuing education workshops which were held in April and September 2016 for the nurses in the local area. This provision of continuing education allows nurses to maintain education for licensure. D. Percentage of graduates passing the NCLEX-RN will be at or above the national average The percentage of graduates who pass the NCLEX-RN on the first attempt will be at or above the national average. Established in Cycle: 2013-2014 Relationships (Measure Outcome/Objective): Measure: Percentage of graduates passing the NCLEX-RN will be at or above the national average Outcome/Objective: Students will demonstrate preparation to function as RNs Implementation Description: The faculty will implement content review sessions with the students. The students will be required to submit a certain number of computer questions weekly. The faculty will review the theoretical content being taught to ensure correlation with NCSBN NCLEX-RN test plan. The faculty will review statistical data of tests administered and make necessary changes. Responsible Person/Group: Chairperson/faculty Additional Resources Requested: None Page 4 of 7

10/11/2016 Students were required to purchase a book package which contained electronic adaptive products. The Evolve Adaptive Learning and Evolve Adaptive Quizzing were utilized in making assignments and for remediation if students scored below the benchmark on module and standardized exams. "SMART" sessions were offered in NS 102 to develop study skills, test taking and introduce the NCLEX test plan. Critical thinking labs were developed and utilized to connect nursing practice to theoretical content. E. Copier The nursing department needs a new copier. Currently, the division has individual copiers in faculty offices, but faculty would like to transition to a centralized copier and would like to purchase a Kyocera Copier from Purvis Machines. Established in Cycle: 2014-2015 Implementation Status: Finished Priority: Medium Relationships (Measure Outcome/Objective): Measure: Enhance simulated learning experiences Outcome/Objective: Increase lab space and improve equipment Implementation Description: Kyocera Copier CS 3051ci with fax software Responsible Person/Group: Faculty Additional Resources Requested: Purvis Business Machines Information Technology Budget Amount Requested: $4,700.00 (one time) 1/27/2015 Copier was purchased in September 2014. F. ACEN Self-Study Form Attend ACEN Self-Study Forum to learn about updated standards, criteria and current policies in accreditation review. Established in Cycle: 2015-2016 Implementation Status: Finished Budget Amount Requested: $3,315.00 (one time) G. Implement various learning strategies After the 2013 mean pass rate was reported, the Division implemented various learning strategies to increase the mean pass rate. These strategies include: assigning all nursing students a mentor; providing remediation; and purchasing a book package which included adaptive learning and quizzing. These strategies have continued thus far, and the Division will implement all of the above strategies in the 2016-2017 academic year along with simulation and clinical skill online products. Established in Cycle: 2015-2016 Relationships (Measure Outcome/Objective): Measure: Licensure exam pass rate will be at or above the national mean Outcome/Objective: Prepare students to pass national licensure exam Implementation Description: Assign mentors. Provide remediation. Use book package with electronic products. H. Updated Computer programs Purchase updated electronic and CAI products for student use in the computer lab and simulated lab setting. This will provide reinforcement of content and familiarity with computer testing and content on NCLEX. Established in Cycle: 2015-2016 Implementation Status: Finished Page 5 of 7

Budget Amount Requested: $3,000.00 (recurring) IV. Analysis Questions and Analysis Answers A. What specific strengths did your assessments show? (Strengths) Utilizing the criteria established by the D.O.N., faculty were able to identify "at risk" students and place them in needed remediation sessions. Assigning each student a mentor was helpful to students. Individual remedial needs were identified and plans were developed. Faculty utilized a variety of active learning strategies each semester. All exams are computer based and the number of alternate format questions were increased each semester. Simulation lab with HPS were incorporated into each clinical course and critical thinking/clinical reasoning sessions were used. Students improved in their ability to answer both alternate format questions and critical thinking questions. Overall, HESI scores for specialty exams improved. NCLEX pass rate in June and July of 2015 and 2016 increased. B. What specific weaknesses or challenges did your assessments show? (Weaknesses) A large number of second level students were identified as "at risk" at the beginning of fall 2015 semester and spring 2016. This required a tremendous amount of mentor time to develop and plan to meet individual needs of students. Even though Faculty were more familiar with the Evolve learning package and resources, the time required to orient students to evolve was a challenge and was time consuming. Students in first and second semester nursing classes have difficulty answering application and alternate format questions. C. What plans were implemented? Faculty recognized the need to identify "at risk" students earlier and assign mentors in NS 102 course. A more formal and uniform plan for mentoring students was developed and utilized by faculty. All courses utilized active learning strategies to engage students. Weekly learning activities including practice questions were provided. Case studies which include application opportunities were utilized. Content review sessions were offered for "At risk" and open to all students. Nursing 110 Test taking strategies was offered as an optional course summer semester 2015. An exit CAT (computerized adaptive test) was included in the Evolve testing package to predict student success on NCLEX. Faculty professional development opportunities were offered, as well as, review of evolve learning package resources. Faculty reviewed trended and aggregated data to determine if students were achieving learning outcomes and to identify weaknesses. D. What plans were not implemented? Some faculty had difficulty implementing active learning and critical thinking sessions in each teaching module. All students do not actively participate in sessions being offered. E. How will assessment results be used for continuous improvement? Faculty will continue to utilize trended and aggregated data to make decisions and improvements. Faculty will use criteria to identify "at risk" students earlier in the program and offer individual mentoring and remediation. Faculty will be updated and oriented to evolve resources as needed in addition to professional development. V. Annual Report Section Responses A. Key Achievements The DON was successful in increasing the pass rate on the National Council Licensure Examination for Registered Nurses (NCLEX-RN) and scored higher than the national mean for graduates of other Associate Degree programs. The pass rate for the DON on the NCLEX-RN was 85% (National mean 84.53) in 2015. The completion rate increased from 49.25% to Page 6 of 7

54.6%. The Division coordinated and successfully implemented an orientation session for prospective applicants which will become an annual event. B. Faculty Achievements One faculty member completed the ABD and is completing the final stages of the dissertation process for the Nurse Educator, Education Doctoral Degree in Instructional Leadership. Three additional faculty are enrolled in the Ed.D program for Instructional Leadership at the University of Alabama. Ms. Hanks was awarded a nursing education scholarship by the National League for Nurses Foundation to complete data collection for research on lateral violence in nursing. Faculty currently hold certifications as a Nurse Educator (CNE), Clinical Nurse Leader (CNL), Diabetic Educator, Crisis Prevention Institute Instructor for Nonviolent Crisis Intervention, Adult Psychiatric Mental Health Clinical Nurse Specialist, and Family Psychiatric Mental Health Nurse Practitioner. Two faculty served as facilitators for the Registered Nurse Residency Program at DCHR medical center in Tuscaloosa. One faculty served as a delegate to the Mississippi Nurses Association and another served as the Division 2 County Representative for the Alabama State Nurses' Association Board. C. Staff Achievements One staff member created and maintained a database of current applicants to the School of Nursing to review admission criteria data. She also created a database of clinical health requirements for currently enrolled nursing students. D. Public/Community Service The Division of Nursing offered two CE workshops here on campus for area nurses to earn required CE credit. Faculty coordinated and offered an annual Blood Pressure Screening service at areas on campus and in the community. Division of Nursing participated in the UWA health fair on campus at the Hughes Gymnasium and offered information on Healthy Eating Habits. One faculty member is a certified CPR instructor and offered certification classes at an area hospital for staff and community members. Two faculty served as facilitators for the Registered Nurse Residency Program at DCHRMC. One Faculty conducted Tobacco Cessation Programs. Another faculty served as a volunteer member of the Addictions Council Steering Committee. Page 7 of 7

Planning and Assessment Approval Department or Division: Division of Nursing Chair or Director: Ms. Lynn Lashley Dean or Vice President: Dr. Tim Edwards Goals Goals are broad statements describing what the unit wants to accomplish. Goals relate to both the unit's mission and the University's mission. The goal(s) is stated as the University goal(s) a unit is attempting to meet. Outcomes/Objectives Outcomes and objectives are statements that describe in some detail what the unit plans to accomplish. Outcomes/objectives are associated with all applicable goals, strategic plans, standards, and institutional priorities. YES tit_ Objectives are active-verb descriptions of specific points or tasks the unit will accomplish or reach. Outcomes are active-verb descriptions of a desired end result related to student learning and the unit's mission. Measures Measures are statements to judge success in achieving the stated outcome or objective. Measures contain information on the type of evidence and assessment tool that a unit will use to verify if stated outcome/objective has been met. YES /&{_ Achievement Targets Achievement targets are the thresholds that the measures must meet for the unit to detennine that it has been successful in meeting its specified outcomes/objectives. Achievement targets are measurable statements. YES f&}_ ~ou~/; _ ~~~ ~2~ tr-: ()urct'f1<-!l / ~ ID -v-ut-l)yv- fa ~r~~ iaub tci!_ /)~ tm.. 1u>td~t!J(_ fl631..?-ia/ytd~ flf:3s, I tvnd.i Al.:h il -hi I\ I? I II-A,/} ft) /J

Findings Findings are indications whether an outcome/objective was met or not. Findings are put into the system under each achievement target. Findings include an interpretation ofresults, possible uses of results, reflection on problems encountered, indicated improvements/changes and strengths or weakness. Action Plans Action plans are detailed plans created by the unit to meet an outcome/objective that was only partially met or not met or to make improvement to those outcomes/objectives that were met but still need some strengthening. The plan includes a projected completion date, ir.1plementation description, responsible person(s)/group, resources required, and budget amount (if applicable). Action plans created in previous cycles have been updated with implementation notes. Annual Report The Annual Report section contains information on key achievements, faculty and/or staff achievements, and community/public. Analysis Report The unit has reflected on and created narratives for each of the following areas: specific strengths and progress made on outcomes/objectives, specific weaknesses or challenges, plans that were and were not implemented, and how assessment results will be used for continuous improvement. x YES )d;{ Approved by: ~ ~ sigllufe of DeallOfViCePfCSid Date: ~~b'j Received by OIE: --------------------- Signature of Coordinator of Planning and Assessment Date: