Nursing2007-09 Assessment Report
Outcome 1 / MeasurableCriteria / Measurement
Tool / Time Frame
The Program will have 90% pass rate on NCLEX for all ADN graduates. For first year students electing to take the NCLEX PN that pass rate will be 90%. / NCLEXPass rates / State reports and/or credential verification / Second and fourth quarter
Results:
The NCLEX pass rate for practical nursing has been 98.1 for the past two years.
The NCLEX pass rate for registered nursing was 97% for June 2007. Since that time, the pass was below the target for December 2007, June of 2008, and December of 2008 of 90%.
Analysis and Action:
With implementation of the PN option in Fall 2005, students have a choice in applying to take this text. With few exceptions, all students continue on to second year. The RN NCLEX pass rate has been much more variable. A report was submitted to WSQNCA May 31, 2009 discussing the decline in pass rate. Several factors were identified that may have contributed to this decline including: student expectations that RN NCLEX would be similar to the PN NCLEX, student’ anticipation of receiving the minimum number of questions, lack of preparation for an RN NCLEX that could require the full six hours and 256 questions, difference in nursing student cohorts, effect of work (working more than half time and lack of studying for course work related to area of employment, faculty’s role in student preparation, faculty’s use of NCLEX style test questions according to NCLEX Test Plan, faculty turn over and lack of tenured faculty teaching second year, and curriculum evaluation. Both the NCLEX Program reports and ATI predictor scores help to provide information for curriculum revision. The faculty participated in a retreat in which the curriculum was reviewed in detail. The detailed NCLEX blueprint is being as a resource to make sure necessary content areas are included. Faculty is developing a high risk student policy for early intervention. In September, the first S. O. S. (Socialization, Orientation, and Success) was given to the incoming first and second year students. The goal is provide more information and discussion prior to the start of the program to promote student success. Work continues with use of the TEAS ATI test and entrance critical thinking test that may provide useful information. Outcome 1 will be retained. Early indications from June 2009 graduates indicate a much improved passing rate. The third quarter report has not been released.
Outcome 2 / Measurable
Criteria / Measurement
Tool / Time Frame
Students will demonstrate proficiency in written communication. / All students will achieve a satisfactory or higher level on major written assignments in all theory/lecture classes of 3 credit hours or more. / Nursing program grading rubric / Each quarter
Results:
The following courses use grading rubric for evaluation of written work. The percentage of students receiving satisfactory or higher grade is : Spring 2009 Nursing 149 90 % ; Fall 2008 Nursing 240 66% ; Winter 2009 for Nursing 240 is 77%; In Spring 2009 Nursing 255 94%; Summer 2009 Nursing 92 % .
Analysis and Action:
The results vary from course to course. For second year courses, there is a definite improvement between beginning of the fourth quarter and written work done during the fifth and sixth quarter. Use of a grading rubric is new for many faculty. During the past two years, faculty have developed grading rubrics for evaluation major written assignments for courses that are 3 credits or more. Writing rubrics have been used for the following courses Nursing 141, 144, 149, 240, 248, and 255. Data for all of these courses was not available at the time of this report. There is variability in grading rubrics. Some emphasize the ability to write a formal paper according to APA format more than others. Further work needs to be done in this area by comparing rubrics used by different faculty, revising rubrics to provide common criteria to better enable comparisons, comparing students’ writing abilities with ATI TEAS data. Collaboration with writing faculty needs to be discussed to refine the process for the 2009-2011 assessment cycle.
Outcome3 / Measurable
Criteria / Measurement
Tool / Time Frame
Critical thinking: Students shall show evidence of critical thinking per Nursing Program definition for both didactic and clinical application. / Each nursing graduation cohort will meet or exceed ATI set score for critical thinking of 69.1%.
Critical thinking will be evidence in student writing portfolios and simulation reflection evaluation journals. / Critical Thinking ATI Tests
College-wide Critical Thinking Rubric / Bi-Annual for first year admission. Annual for second year admissions.
Quarterly
Results:
The ATI critical thinking exit test results are as follows: June 2007 76.8 %; December 2007 70%; June 2008 74.4%; December 2008 74%; and June 2009 77.3%.
Critical thinking has been measured in select writing assignments and reflections journals. Nursing 147 reflective journal indicated 35% and 71% of students usually or fully met criteria for Outcome C and D respectively. For Nursing 251, 36 out of 75 journal entries were addressed one or more of the outcome statements. Outcomes B, C, and D were addressed by most students. 48 entries were rated as beginning to and 11 were rated as usually. There were 29 journal entries that did not address outcomes. Nursing 255 June 2009, 15/17 students met outcome C at fully addressed.
Analysis and Action:
The first criteria has been met for all graduating cohorts for the 2007-2009 cycle. We are currently measuring the pre-entrance critical thinking test to see how this compares to the exit exam. This will allow better interpretation of the results exit results. (Has critical thinking change over time? Are any of the sub-categories changed? How does this compare with the ATI comprehensive results?) The second criteria has been partially met. The criteria as stated does not indicate at what level. This needs to be further developed as well as a tracking method for data collections. This will be presented to the faculty for discussion.
Natural and Applied Sciences1