I. Intended Learning Outcomes Nurse Aide Program Assessment Plan 2003-2004 Demonstrate entry-level clinical skills required to perform duties within the scope of practice of a nurse assistant. Demonstrate application of clinical skills Achieve certification through the Board of Nursing II. Assessment Measures for 2003-2004 Demonstrate entry-level clinical skills required to perform duties within the scope of practice of the nurse assistant. Certification Exam (NNAAP) Written Skills Demonstrate the application of clinical skills Achieve certification through the Board of Nursing III. Methods of Assessment Exam results will be analyzed on a quarterly basis to track the above listed learning outcomes. The national exam lists 9 content areas of performance for the written examination and 21 content areas of performance for skills. All candidates are tested in all areas of the written exam. The skills exam is administered so that each candidate is tested on 5 randomly selected skills. Each candidate must pass all five skills in order to achieve certification. IV. Description of Format Needed The format is currently in place. All students who wish to become certified to practice in the State of Colorado must pass both the written and skills portions of the National Nurse Aide Assessment Program. V. Budget Requirements No funds will be required to complete this assessment.
Summary of Content Area Performance for Skills Exam CONTENT AREA ACC # Tested ACC # Passed ACC % Passes Statewide % Passed 1 Provides Mouth Care 9 9 100% 87% 2 Assists Client to Ambulate 10 10 100% 98% 3 Clean and Restores Dentures 8 8 100% 92% 4 Makes an Occupied Bed 16 16 100% 96% 5 Provides Foot Care 20 20 100% 97% 6 Wash Hands 89 87 97% 90% 7 Feeds Client Who Cannot Feed Self 32 34 96% 95% 8 Gives Modified Bed Bath 16 15 93% 91% 9 Puts on One Knee-High Elastic Stocking 30 28 93% 94% 10 Dresses Client with Affected Right Arm 13 12 92% 92% 11 Transfer Client from Bed to Wheelchair 20 18 90% 97% 12 Performs Passive ROM for Knee & Ankle 29 26 89% 91% 13 Measures and Records Urinary Output 26 23 88% 89% 14 Provides Catheter Care 7 6 85% 80% 15 Provides Fingernail Care 13 11 84% 94% 16 Measures and Records Weight 6 5 83% 80% 17 Positions Client on Side 10 8 80% 75% 18 Takes and Records Radial Pulse and Respiration 34 26 76% 81% 19 Takes and Records Blood Pressure (One- Step Procedure) 21 13 61% 65% 20 Provides Perineal Care for Incontinent Client 13 8 61% 80% 21 Assists Client with use of Bedpan 21 12 57% 77% Summary of Content Area Performance for Written Exam CONTENT AREA ACC # Tested ACC # Passed ACC % Passes Statewide % Passed 1 Activities of Daily Living 61 61 100% 96% 2 Basic Nursing Skills 61 61 100% 95% 3 Client Rights 61 61 100% 97% 4 Spiritual and Cultural Needs 61 60 98% 97% 5 Communication Needs 61 60 98% 97% 6 Emotional & Mental Health 61 59 96% 93% 7 Legal and Ethical Behaviors 61 58 95% 97% 8 Restorative Skills 61 58 95% 94% 9 Member of Health Care Team 61 57 93% 90%
I. Explanation of Assessment Procedure The Skills Exam The skills exam is a timed test, administered on a 1:1 basis. Each graduate is given a scenario consisting of 5 skills, randomized from a list of 21 skills. The graduate must pass al 5 skills in order to pass the skills portion of the certification exam. The N therefore is sometimes very low which may not give an accurate picture of the overall outcomes for a given class. Of note is that graduates have up to 2 years to take the exam. Some graduates do not take the certification exam for a variety of reasons and the may take it a year later time. We reached or exceeded benchmark in all but four areas (highlighted in green). Skills highlighted in yellow are those skills where our graduates scored lower that the state average. II. Written Exam All written exams include the same content areas. Graduates of this program consistently do well in this part of the national exam. This is also consisted with the high pass rate in the theory segment of the program. The one area that is consistently lower (highlighted in yellow) is an area in which instructors realized they were not using the term restorative care, but instead discussing it term of the concept of independence. We exceeded our benchmark, but scored lower than the state average. How Results will be used 1. Faculty consistently utilizes NNAAP results in evaluating the teaching of basic manual skills. 2. The manual skills practice exam (MSPE) was changed to schedule an evaluator who had very little or no contact with the students so in order to add an element of anxiety to the process to better simulate the actual testing environment. Faculty recently made a decision to change the simulated test (MSPE). Only those areas that are below the State average or have been consistently low will be a part of the exam. Faculty has also devised a lab test to compare/contrast the procedure for #17 and #20. These procedures are confusing to students, and faculty believes that this way of differentiating between the 2 may enhance their knowledge of each. In addition, faculty will link the MSPE to the student s final grade. 3. Faculty continues to encourage students to utilize the college lab for practice outside class time.
4. The program has purchased video s that speak specifically to restorative skills, and we have seen an increase in scares in that area.
Nurse Aide Program Assessment Plan 2004-2005 I. Intended Learning Outcomes Demonstrate entry-level clinical skills required to perform duties within the scope of practice of the nurse assistant. Demonstrate application of clinical skills Achieve certification through the Board of Nursing II. Assessment Measures for 2003-2004 Demonstrate entry-level clinical skills required to perform duties within the scope of practice of the nurse assistant. Certification Exam (NNAAP) Written Skills Clinical Evaluation Demonstrate the application of clinical skills Achieve certification through the Board of Nursing III. Methods of Assessment Exam results will be analyzed on a quarterly basis to track the above listed learning outcomes. The national exam lists 9 content areas of performance for the written examination and 21 content areas of performance for skills. All candidates are tested in all areas of the written exam. The skills exam is administered so that each candidate is tested on 5 randomly selected skills. Each candidate must pass all five skills in order to achieve certification. IV. Description of Format Needed The format is currently in place. All students who wish to become certified to practice in the State of Colorado must pass both the written and skills portions of the National Nurse Aide Assessment Program. Benchmark: At least 80% of students taking the certification exam are expected to pass.