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2008-2009 Assessment Plan Report 1 PROGRAM ASSESSMENT REPORT AY 2008‐2009 Report Date: August 15, 2009 School/College: School of Nursing Department/Program: MSN program Person completing the Report: Dr. Susan Prion, Associate Professor and Chair, DNP Program (formerly chair, Leadership and Advanced Practice Program) 1. Overview Statement: Briefly summarize the assessment activities that were undertaken this academic year, indicating: a. which program learning outcomes were assessed this year. b. who in your department/program was involved in the assessment of the above learning outcomes Because this is a unique master's entry option program for students with baccalaureate degrees in subjects other than nursing, we are fortunate to have dedicated, very capable students who come to us with a wealth of work and life experience. For the Clinical Nurse Leader (CNL) program, the performance of students on the HESI Exit and NCLEX exams, and the CNL certification exam provide rich feedback about the overall curricular effectiveness of our program. In addition, because it is such an accelerated and intense learning experience (6 semesters total), we look carefully at student progression patterns, aggregate grades per course, student course evaluations, and any other indications of disruptions in the normal student progression pattern. All of these evaluation activities were undertaken under the direction of the SON Program Evaluation committee, the Leadership and Advanced practice Department, and the CNL Curriculum Task Force. The SON Academic Standards Committee reviewed any student grade appeals or applications for reinstatement after academic disqualification. 2. Please Answers the Following Questions for Each of the Student Outcomes Assessed: a. What did you do? Describe clearly and concisely how you assessed the learning outcomes that were evaluated this year (e.g., measures, research methods, etc.). [please use bullet points to answer this question] The HESI, NCLEX and CNL certification exams provide detailed individual and aggregate feedback about the performance of our students on these tests of

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2008-2009 Assessment Plan Report

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PROGRAMASSESSMENTREPORTAY2008‐2009

ReportDate: August15,2009 School/College: SchoolofNursingDepartment/Program: MSNprogramPersoncompletingtheReport: Dr.SusanPrion,AssociateProfessorandChair,DNPProgram(formerlychair,LeadershipandAdvancedPracticeProgram)1. OverviewStatement:Brieflysummarizetheassessmentactivitiesthatwereundertaken

thisacademicyear,indicating:a. whichprogramlearningoutcomeswereassessedthisyear.b. whoinyourdepartment/programwasinvolvedintheassessmentoftheabove

learningoutcomesBecausethisisauniquemaster'sentryoptionprogramforstudentswithbaccalaureatedegreesinsubjectsotherthannursing,wearefortunatetohavededicated,verycapablestudentswhocometouswithawealthofworkandlifeexperience.FortheClinicalNurseLeader(CNL)program,theperformanceofstudentsontheHESIExitandNCLEXexams,andtheCNLcertificationexamproviderichfeedbackabouttheoverallcurriculareffectivenessofourprogram.Inaddition,becauseitissuchanacceleratedandintenselearningexperience(6semesterstotal),welookcarefullyatstudentprogressionpatterns,aggregategradespercourse,studentcourseevaluations,andanyotherindicationsofdisruptionsinthenormalstudentprogressionpattern.AlloftheseevaluationactivitieswereundertakenunderthedirectionoftheSONProgramEvaluationcommittee,theLeadershipandAdvancedpracticeDepartment,andtheCNLCurriculumTaskForce.TheSONAcademicStandardsCommitteereviewedanystudentgradeappealsorapplicationsforreinstatementafteracademicdisqualification.2. PleaseAnswerstheFollowingQuestionsforEachoftheStudentOutcomesAssessed:

a. Whatdidyoudo?Describeclearlyandconciselyhowyouassessedthelearningoutcomesthatwereevaluatedthisyear(e.g.,measures,researchmethods,etc.).[pleaseusebulletpointstoanswerthisquestion]TheHESI,NCLEXandCNLcertificationexamsprovidedetailedindividualandaggregatefeedbackabouttheperformanceofourstudentsonthesetestsof

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nursingandleadershipskillsandknowledge.TheCNLCurriculumTaskForceandtheLAPDepartmentdidthefollowing:

• DiscussedaggregateperformanceoneachHESIspecialtyandExitexamforCNLstudents

• ReviewedNCLEXperformancebysubjectareaaftereachadministration• Reviewedindetailindividualstudentperformancesonthewrittenand

casestudysimulationsectionsoftheCNLcertificationexam• MonitoredprogressionpatternsforeachadmittedCNLcohort• ReceivedtherecommendationsoftheAcademicStandardscommittee

aboutprogressionissuesandindividualstudentprogressionconcerns• Reviewedstudentcourseevaluationresponses• Conductedacurriculummappingofcurrentcoursesandstudentlearning

outcomesagainstCNLcertificationexamblueprint

b. Whatdidthefacultyinthedepartmentorprogramlearn?Summarizeyourfindingsandconclusionsasaresultoftheassessmentindicatingstrengthsandweaknessesinstudentlearningdemonstratedbythisassessment.

Welearnedthatweweregenerallypreparingstudentswellfortheirroleasaregisterednurse,butwerenotaseffectiveinpreparingfortheClinicalNurseLeaderRole.PassratesonHESIspecialty,HESIexitandNCLEXexamsremainextremelyhigh(100%)butstudentswerelesssuccessful(about75%)inattainingtherequiredminimalpassingscoreontheCNLcertificationexam.WealsolearnedthatnoteverygraduatewassittingfortheexambecauseitisnotrequiredforlicensureasaRN,butweexpecteditofourgraduates.

c. Whatwillbedonedifferentlyasaresultofwhatwaslearned?

Discusshowcoursesand/orcurriculawillbechangedtoimprovestudentlearningasaresultoftheassessment.Includeadiscussionofhowthefacultywillhelpstudentsovercometheirweaknessesandimprovetheirstrengths.

AthoroughreviewoftheCNLcontentofthecurriculumwascompletedduringtheFallandspringsemesters.Specifically,the5one‐unit“CNLRoles”courseswereexaminedingreatdetailthroughthelensoftheprogramoutcomesandtheAACNWhitePaperontheRoleoftheCNL.Wereviewedstudentcourseevaluationcommentsforthesecourses,andalsoconductedrudimentarycontentanalysesofassignmentscompletedinthesecourses.Afteraseriesoffaculty‐studentdiscussions,weproposedandwasultimatelyapprovedacompleterestructuringoftheCNLrolescourses.Forexample,the“IntroductiontotheCNLRole”coursewasinitiallyscheduledforthesecondsemester,witharolescourseoccurringsemesters2‐6.Feedbackfromthesesourcesconvincedusthataninitialintroductiontotherole,withadditionalexposuretotheevidence

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validatingtheCNLrole,wasessentialduringthefirstsemester.Theoriginal1‐unitcourseinsemester2wasreplacedbya1‐unitclassinsemester1,andculminatingina2‐unitcourseinsemester6.TheCNLinternshiphasbeenredesignedtoincludeamoreexplicitfocusonCNLroleintegrationandthesupportingdocuments(syllabus,internshipevaluation,assignments)havebeenupdatedtoreflectthisenhancedemphasisontheopportunitiesoftheCNLrole.

3. Attachacopyofthecomponentsofthedepartment/programassessmentplanthathave

beenmodifiedsinceitsinitialsubmission:a. ProgramMissionb. ProgramLearningGoalsc. ProgramLearningOutcomesd. ProgramLearningRubricsalignedwithoutcomese. Curriculummapthatshowsthecoursesthatpertaintotheoutcome

Pleasereturnto:ProvostOfficebyJune1,2009YoucansendyourrepliesaseitheraWordattachment(to:[email protected])orasahardcopyto:ProvostOffice,LoneMountainRossiWing4thfloor.Ifyouhaveanyquestions,pleasecontact:WilliamMurry,DirectorofInstitutionalAssessment([email protected]).

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ApprovedbyLeadershipandAdvancedPracticeDepartment4/27/09&SONFullFaculty5/4/09

ThesecoursesarefortheMODELC(Post‐baccalaureatestudents/master’sentry)CNLProgram

N6xx:CNLRolesCourse:IntroductiontoCNLRole(1unit)

Coursedescription:ThiscourseintroducestheroleoftheClinicalNurseLeader(CNL)incontrasttotheregisterednurse.ThehistoricalcontextforthedevelopmentoftheCNLrolewillbediscussed.

Coursepre/co‐requisites:EnrolledinCNLMSNprogramandcompletedallpre‐MSNcoursework

Courseobjectives:Atthecompletionofthecourse,thestudentwillbeableto:

1. CompareandcontrasttheroleoftheCNLandtheroleoftheregisterednurseinvarioushealthcaresettings.

2. ExamineroletheorytoprovideafoundationofCNLknowledgeandskills.3. Analyzeprofessionalstandardsrelatingtonursingpracticeandtheimplementationof

theCNLrole.4. Describetheeffectsofaccreditingagenciesonnursingeducation,therolesofthenurse

andtheprovisionofhealthcareininstitutions.5. Exhibitconsistentprofessionalbehavior,performance,accountability,andresponsibility

withintheparametersofthenursingstudentrole.

N6xx:CNLRolesCourse:TeamManagerandLeader(1unit)

Coursedescription:ThiscourseexpandsontheclinicalleadershipaspectsoftheCNLrole,emphasizingtheimportanceofcommunication,alliance‐buildingandaccurateassessmentoftheabilitiesandscopeofpracticelimitationswithinahealthcareteam.Conceptsrelatedtomicrosystemleadershipandcoordinationofnursingteamswillbeintroduced.

Coursepre/co‐requisites:EnrolledinCNLMSNprogramandcompletedsemester1,2and3coursework.ConcurrentenrollmentinSemester4courses.

Courseobjectives:Atthecompletionofthecourse,thestudentwillbeableto:

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1. DifferentiatethelegalscopeofpracticeinCaliforniaforRNs,LVNs,AdvancedPracticeNurses,andotherhealthcareteammembers.

2. Applyprofessionalstandardsinthesupervisionanddelegationofnursingcareinvariousnursingcaredeliverymodels.

3. Analyzehowscopeofpractice,clinicalneeds,organizationalrelationshipsandcommunicationinfluencedelegationdecisions.

4. ExaminetheimportanceanddevelopmentofgroupleadershipinrelationtotheCNLrole.

5. Exhibitconsistentprofessionalbehavior,performance,accountability,andresponsibilitywithintheparametersofthenursingstudentrole.

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ApprovedbyLeadershipandAdvancedPracticeDepartment4/27/90,SONFullFaculty5/4/09

N6xx:CNLRolesCourse:IntegrationandEvaluationofClinicalLeadership(1unit)

Coursedescription:IntroducestheCNLstudenttonursingleadershipandclinicalreasoningnecessaryforpracticeintheclinicalsetting.

Coursepre/co‐requisites:EnrolledinCNLMSNprogramandcompletedsemester1,2,3and4coursework.ConcurrentenrollmentinSemester5courses.

Courseobjectives:Atthecompletionofthecourse,thestudentwillbeableto:

1. Analyzestrategiesforhealthpromotionanddiseasepreventionwithinaselectedpopulation.

2. Evaluatetheeffectivenessofselectedhealthcareinterventionswithinabroadpopulationinanvarietyofsettings.

3. Applycaremanagementskillsandprinciplestodesignclientcarewithinspecificepisodesandacrossepisodesofillnessanddisease.

4. Exhibitconsistentprofessionalbehavior,performance,accountability,andresponsibilitywithintheparametersofthenursingstudentrole.

N6xx:CNLRolesCourse:CNLRoleSynthesis(2units)

Coursedescription:Presentsaframeworkforinterdisciplinaryleadershipandlateralintegrationofcare.Throughtheclinicalimmersionexperience,thestudentwillintegrateleadershipandclinicalmanagementconceptstoprovideacontextforimplementationoftheCNLroleincomplex,adaptivehealthcaresystems.

Coursepre/co‐requisites:EnrolledinCNLMSNprogramandcompletedsemester1,2,3,4and5coursework.ConcurrentenrollmentinSemester6ClinicalInternship.

Courseobjectives:Atthecompletionofthecourse,thestudentwillbeableto:

1. Identifypatternsofcommunicationandrelationshipcharacteristicsofawell‐functioning

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team.2. AnalyzeorganizationalsupportandtechnologynecessaryfortheCNLtoserveasleader

andpartnerinthemultidisciplinaryteam.3. Performclinicalmicrosystemassessmentusingappropriateriskanalysistools.4. Usingevidence‐basedmethods,evaluatetheoutcomeofsystem‐wideprotocolsfor

healthcaredelivery.5. SynthesizeandimplementtheCNLroleinaclinicalmicrosystemsetting.6. Exhibitconsistentprofessionalbehavior,performance,accountability,andresponsibility

withintheparametersofthenursingstudentrole.