Course: NURS 210 Health Promotion Across the Lifespan Date: 5/12/14 Author: Janice Ferguson & Patricia Taylor Course Learning Report PROGRAM OUTCOME Evaluate nursing care based on the legal and ethical framework of the state in which they practice and the American Nurses Association Standard of Practice and Code of Ethics. Competency Assessment Method Expected Level of Achievement What: Developing ethical, legal, 100% of students professional will pass rubric for concepts and Professionalism and behavior in clinical Safety weekly practice. clinical reflection papers. Competency 1: Identify the legal and professional standards and ethical concepts while delivering basic nursing care across the lifespan. How: Clinical weekly self evaluation/ Reflection Journal regarding concepts of Professionalism. Rubric provided Results of Assessment Results: 96% of the students who completed the course submitted weekly reflection papers. Passing score on rubrics met. While delivering nursing care to long term care clients in clinical, ethical, legal and professional standards and concepts were addressed by students and evidenced by weekly reflection papers. Professionalism and Safety rubrics earned passing score for completing the Next Steps * Fall 2014: Continue to use Professionalism as weekly clinical self- reflection papers. Continue to utilize the rubric. Re-evaluate end of fall 2014 semester, Dec 2014
course. One (1) student deceled from course. Describe and analyze episodes of clinical practice and self-care; and identify areas of strength and those requiring development. Competency 2: Identify own responsibility for reflective practice in a performance based curriculum. What: Self reflection of individual practice and performance in clinical. How: Clinical weekly self evaluation/ Reflection Journal regarding individual practice and performance using Professionalism reflection papers. Rubric Midterm and final clinical evaluation; meet earn passing score on weekly Professionalism reflection papers using rubric meet earn passing score on Midterm and final clinical evaluation using rubric Therefore, percentage of students passing rubrics was 96%. Results: 100% of the students who completed the course submitted weekly reflection papers with passing scores on the rubrics for Professionalism, Safety, Mid-term and Final Clinical evaluations. One (1) student withdrew from course. Therefore, percentage of students passing rubrics was 96%. Rubrics were helpful in evaluating expected outcomes. Students recognized areas of weakness through selfevaluation. Students implemented steps to Use individual Student Success Contracts that align with the course Student Learning Outcomes in order to better promote student responsibility for own learning and practice. Student Success Contracts facilitated collaborative planning by instructor and student to assess areas of weakness, develop a targeted plan of action, implement, and date of reevaluation Schedule clinical days in LTC facilities. Schedule clinical days in Acute Care
improve their practice and performance. Some students required more than average assistance with priority setting and organization in their practice and performance of nursing care. rotation. Implement evidence-basedpractice by locating and evaluating the best available evidence in making clinical decisions; and engage in ongoing professional growth and selfdirected learning in the practice of professional nursing. Competency 3: Learn how to seek and evaluate information to gain the nursing knowledge and skills necessary to promote health across the life span. What: Learn how to seek information in order to implement evidence-based practice in the community and long term care clinical settings. How: Health Promotion group project using evidence-based practice; rubric Weekly nursing care plan based on evidenced based practice information; nursing care plan form successfully complete Health Promotion project using rubric. weekly prepare evidenced based nursing care plan for their long-term care clients. pass Mid-Term and Final Clinical evaluations; rubric students met passing rubric score for Health Fair Project, weekly nursing care plan, Mid-. One (1) student deceled from course and did not complete assignments. Students developed a weekly plan of care for their patient utilizing academic evidence based resources. Student were able to determine long term & short term goals; implement interventions and re- Clinical Instructors will continue to provide weekly written and verbal feedback to students regarding information and evidence based practice references. During Post Conference, clinical instructors will review students assigned clients and their clinical decision making based on relevant and current knowledge and information.
Mid-term and Final Clinical evaluation tool; rubric ; evaluate plan for effectiveness As students advanced in clinical rotation, they became more confident to apply information and evidence based practice in clinical setting. Employ leadership skills in implementing and/or delegating the delivery of safe nursing care to clients and client systems. Competency 4: Discuss nursing care situations that require delegation and leadership decisions. What: Delegation and leadership skill building. How: Weekly clinical submission of self reflection papers regarding Professionalism concepts using a rubric. ; submit weekly reflection papers for Professionalism; and pass rubric students earned a passing score for weekly self reflection Professionalism papers. Leadership and delegation focused on promoting professionalism and client safety in long term care setting as evidenced in weekly self reflection papers on Professionalism. Continue the weekly reflection papers. Continue to reassess in the Fall 2014 Students demonstrated initiative without prompting; applied the elements of safe care by reporting all abnormal assessment findings to clinical
instructor and/or Primary nurse. Submitted thoughtful reflections that included focused descriptions of a problem along with a potential plan of action by considering delegation and leadership skills. Collaborate with the multidisciplinary team to advocate for clients, client systems, and groups in meeting their health care needs. Competency 5: Identify roles and functions of each member of the health care team. What: Identify roles and functions of members of the health care team in long term care clinical settings in order to provide comprehensive and collaborative care to clients. How: Learn about the roles and functions of members of the health care team through interaction and special laboratory sessions conducted by KCC allied health programs such as PTA, OTA, Exercise & Sport. Reflection paper written after each laboratory session; rubric be able to identify roles and functions of the health care team in reflection papers after each allied health laboratory session; rubric 100% Weekly clinical reflection paper about collaboration with health care team in Professionalism and Safety reflection papers; rubric students satisfactorily met reflection paper rubrics for OTA, PTA, and observation clinical days at the Rehabilitation Hospital of the Pacific. Course curriculum was supported with the incorporation of interactive skills labs with the KCC allied health programs: OTA, PTA, & observation clinical days at the Rehabilitation Hospital of the Pacific. Reflection paper about their experiences with Allied Health Sciences labs (OTA, PTA, & Continue to integrate laboratory sessions with allied health program students to learn from each other. Clinical instructors and students will continue to seek the support and utilization of health care team members as resources in the clinical setting
Contribute to the improvement of the health care system through involvement in interdisciplinary activities and choose from a variety of tools in accessing, interpreting, and providing costeffective nursing Competency 6: Describe the components of the health care delivery system in the U.S. Consult and observe health care team members provide specialize care on the clinical unit: Physical therapists, Speech Pathologist, and Occupational Therapists, Nutritionists and Wound Care nurses. Students will write about their experiences in the weekly clinical self reflection papers regarding Professionalism and Safety; rubric Who : All students; What: Components of healthcare delivery system How: Class discussion of health care delivery systems. Orientation to LTC & clinical in LTC. Clinical evaluation of clinical site by students; rubric be oriented to long term care facility. 100% will evaluate the long term care facility as being a satisfactory to excellent site to learn and practice in a health care delivery system: rubric. 100% of clinical observation clinical days at Rehab.). wrote about their experiences in the weekly clinical self-reflection papers regarding Professionalism and Safety; rubric Students wrote that they consulted with and observed health care team members provide who specialize care on the clinical unit: Physical therapists, Speech Pathologist, and Occupational Therapists, Nutritionists and Wound Care nurses. Results: 100% of students were oriented to a LTC facility at the beginning of the course. One student withdrew from the course and did not complete clinical evaluations. evaluated the LTC facility as being a satisfactory to Counsel incoming students regarding expectations and rigors in health care delivery systems.
care. Clinical facility staff evaluation of students preparation, orientation, performance, and ability to function in a long term care setting; rubric Who :all students When: Spring 2013 facility staff will evaluate students as being able to function and perform in a long term care setting; rubric excellent clinical site to learn and practice in a health care delivery system; rubric. 100% of clinical facility staff evaluated students as being able to function and perform in a long term care setting; rubric Develop therapeutic relationships based on mutuality, respect, cultural sensitivity, caring, and the beliefs and value systems with the client, client systems and community. Competency 7: Discuss the elements of client centered care in promoting health across the lifespan. What: Client centered care in clinical practice How: Plan nursing care for new client weekly using the client plan (NCP). All elements of the CIS and NCP must be completed. Mid- Clinical evaluation; complete client plan (NCP) weekly and satisfactorily in order to engage in clinical experience. 100% will pass all elements in the Mid- ; students completed plan (NCP) weekly and satisfactorily before each clinical day. 96% passed all elements in the Mid- using rubric. Continue client centered clinical forms. Continue to use Mid- using rubric. Communicate professionally, clearly and Competency 8: Practice effective oral and written What: Practice effective oral and written satisfactorily complete Results: satisfactorily Great projects to
therapeutically in all interactions. Demonstrate clinical judgment communication with clients, peers and faculty. Competency 9: Utilizes a systematic communication with clients, peers, and faculty. How: In class, complete written and oral presentation of Patient Education Project; rubric In class, oral group presentations of Health Promotion Project; rubric provided Complete process recording and interview; rubric In clinical, oral and written communication with peers, clients, health care team members, and faculty. Mid-Term and Final Clinical evaluations; rubric What: Utilize a systematic process to Patient Education Project using rubric satisfactorily complete oral group presentations of Health Promotion Project using rubric provided satisfactorily complete process recording and interview using rubric satisfactorily pass Mid- using rubric completed Patient Education Project using rubric Target audiences were elementary school children & young adults. satisfactorily completed oral group presentations of Health Promotion Project using rubric Students developed teaching brochures to hand out on hand hygiene, bicycle safety, & nutrition. Participatory board games to promote good nutrition and exercise. completed process recording and interview satisfactorily using rubric satisfactorily passed Mid- using rubric students completed reach out to the community. Continue to do these projects. Continue to develop more Patient Education projects and teaching within the communities. Continue clinical forms and
in the delivery of safe, costeffective, quality care, using information and patient care technologies to diverse clients across a wide range of settings. AND Utilize health promotion, disease prevention, and restoration theory in assisting clients and client systems to maintain independence. process to develop and deliver a plan of care. develop and deliver client centered care in long term care clinical practice. How: Plan nursing care for new client weekly using the client plan (NCP). All elements of the CIS and NCP must be completed. Mid- Clinical evaluation; When: Spring 2013 complete client plan (NCP) weekly and satisfactorily in order to engage in clinical experience. 100% will pass all elements in the Mid- ; plan (NCP) weekly and satisfactorily before each clinical day. 96% passed all elements in the Mid- using rubric. evaluation tools. Plan to increase number of clinical days in Fall 2013 in order to provide more opportunity to develop and deliver nursing plan of care to long term care clients. Date: Dec. 13 *Next steps can include revision to syllabi, curriculum, teaching methods, student support, and other.