Academic Program Review

ACADEMIC YEAR	2014-2015	Basic Skills Transfer Career Technical Education (CTE)
PROGRAM	Associate Degree Nursing (RN)
DESCRIPTION/PURPOSE	Provides the education necessary for licensure eligibility and practice as a Registered Nurse
DIVISION	Health and Sciences
DEPARTMENT	Nursing and Allied Health
SUBMITTED BY:	Susan Carreon

INSTITUTIONAL GOAL 1	INSTITUTIONAL GOAL 2	INSTITUTIONAL GOAL 3	INSTITUTIONAL GOAL 4
INSTITUTIONAL MISSION AND EFFECTIVENESS – The College will maintain programs and services that focus on the mission of the College supported by data-driven assessments to measure student learning and student success. 1.1 Develop systems and procedures that establish the mission of the college as the central mechanism for planning and decision making. 1.2 Develop an institutional score card to assess student learning that drives integrated planning and resource allocation. 1.3 Develop systems and procedures to ensure that the college maintains a collegial and self-reflective dialogue that improves effectiveness. 1.4 Develop systems that are inclusive, cyclical, and understood by all stakeholders.	STUDENT LEARNING PROGRAMS AND SERVICES – The College will maintain instructional programs and services which support student success and the attainment of student educational goals. 2.1 Ensure that all instructional programs, regardless of location or means of delivery, address and meet the current and future needs of students. 2.2 Review program learning outcomes annually (or biennially) to assure currency, improve teaching and learning strategies, and raise student success rates. 2.3 Ensure that all Student Services programs, regardless of location or means of delivery, address and meet the current and future needs of students. 2.4 Ensure that all Student Services programs engage in a process of sustainable continuous quality improvement by annual review of Service Area Outcomes, and annual Program Review. 2.5 Ensure that the Library meets as closely as possible that “Standards of Practice for California Community College Library Faculty and Programs” of the Academic Senate for California Community Colleges. 2.6 Ensure that instructional labs continue to collaborate in sharing financial and human resources, thus maintaining continuous quality improvement.	RESOURCES – The College will develop and manage human, technological, physical, and financial resources to effectively support the College mission and the campus learning environment. 3.1 Develop and implement a resource allocation plan that leads to fiscal stability. 3.2 Implement a robust technological infrastructure and the enterprise software to support the college process. 3.3 Build new facilities and modernize existing ones as prioritized in the facility master plan. 3.4 Design and commit to a long-term professional development plan. 3.5 Raise the health awareness of faculty, staff, and students.	LEADERSHIP AND GOVERNANCE – The Board of Trustees and the Superintendent/President will establish policies that assure the quality, integrity, and effectiveness of student learning programs and services, and the financial stability of the institution. 4.1 Review all Board policies annually to ensure that they are consistent with the College mission statement, that they address the quality, integrity, and effectiveness of student learning programs and services, and that they guard the financial stability of the institution. 4.2 Maintain a clearly defined Code of Ethics that includes appropriate responses to unprofessional behavior. 4.3 Ensure that the Board of Trustees is informed and involved in the accreditation process. 4.4 Ensure that processes for the evaluation of the Board of Trustees and the Superintendent/President are clearly defined, implemented, and publicized. 4.5 Establish a governance structure, processes, and practices that guarantee that the governing board, administration, faculty, staff, and students will be involved in the decision making process.

I. INSTITUTIONAL GOALS

II. PROGRAM GOALS

PAST – EVALUATION OF PREVIOUS CYCLE OBJECTIVES/PROGRAM GOALS (SET IN PREVIOUS YEAR)

List your previous objectives/goals and associated Institutional Goals. All program goals must address at least one of the institutional goals.

1	PAST PROGRAM GOAL #1	INSTITUTIONAL GOAL(S) (Select one primary goal.)
Identify Program Goal and Budget request, if any, from the Program Review completed in 2013-2014 (Section II C): Replace 3 Faulty lost to retirement	1 Mission & Effectiveness 1.1 1.3 1.2 1.4 2 Student Learning Outcomes 2.1 2.4 2.2 2.5 2.3 2.6 3 Resources 3.1 3.4 3.2 3.5 3.3 4 Leadership & Governance 4.1 4.4 4.2 4.5 4.3
Met	Partially Met	Not Met
Describe how this program goal increased student achievement and/or program effectiveness in 2014-2015: Two faculty hires were approved but only 1 position was successfully filled due to lack of applicants. The second position was for psychiatric/med-surg nursing. Currently, with the newly approved curriculum, the need is more for a pediatrics/med-surg faculty. Our current faculty member with expertise in pediatrics is needed to teach content in a different semester (4th) than where the peds content now is (3rd), hence the need for a faculty to teach peds/med-surg in third semester.

2	PAST PROGRAM GOAL #2	INSTITUTIONAL GOAL(S) (Select one primary goal.)
Identify Program Goal and Budget request, if any, from the Program Review completed in 2013-2014 (Section II C): Develop Succession plan for future Director of Nursing	1 Mission & Effectiveness 1.1 1.3 1.2 1.4 2 Student Learning Outcomes 2.1 2.4 2.2 2.5 2.3 2.6 3 Resources 3.1 3.4 3.2 3.5 3.3 4 Leadership & Governance 4.1 4.4 4.2 4.5 4.3
Met	Partially Met	Not Met
Describe how this program goal increased student achievement and/or program effectiveness in 2014-2015: Screening for a permanent Assoc. Dean for Nursing & Allied Health occurred during fall 2013 and the new permanent person was hired and began January 1, 2014.

3	PAST PROGRAM GOAL #3	INSTITUTIONAL GOAL(S) (Select one primary goal.)
Identify Program Goal and Budget request, if any, from the Program Review completed in 2013-2014 (Section II C): Continue curriculum review to incorporate current content	1 Mission & Effectiveness 1.1 1.3 1.2 1.4 2 Student Learning Outcomes 2.1 2.4 2.2 2.5 2.3 2.6 3 Resources 3.1 3.4 3.2 3.5 3.3 4 Leadership & Governance 4.1 4.4 4.2 4.5 4.3
Met	Partially Met	Not Met
Describe how this program goal increased student achievement and/or program effectiveness in 2014-2015: Completed curriculum revision reflecting current nursing competency standards and reduced total units. Curriculum has been approved by the State Chancellor’s office and by the CA BRN . Curriculum now reflects more current content and requires few units to complete

4	PAST PROGRAM GOAL #4	INSTITUTIONAL GOAL(S) (Select one primary goal.)
Identify Program Goal and Budget request, if any, from the Program Review completed in 2013-2014 (Section II C): Increase Cohort Retention rate	1 Mission & Effectiveness 1.1 1.3 1.2 1.4 2 Student Learning Outcomes 2.1 2.4 2.2 2.5 2.3 2.6 3 Resources 3.1 3.4 3.2 3.5 3.3 4 Leadership & Governance 4.1 4.4 4.2 4.5 4.3
Met	Partially Met	Not Met
Describe how this program goal increased student achievement and/or program effectiveness in 2014-2015: Cohort retention rates for the classes graduating in Spring and Fall 2013 have averaged 78.2% with attrition at 21.7%. These numbers are better than the BRN specified minimums of 75% for retention and less than 25% for attrition. We would like to increase cohort retention to 80% or better with attrition at 20% or less. In a recent grant application the BRN counted students who had dropped the program but were readmitted during the reporting year and, in that case, our attrition was 2.4%, rendering us ineligible for funds to decrease attrition.

5	PAST PROGRAM GOAL #5	INSTITUTIONAL GOAL(S) (Select one primary goal.)
Identify Program Goal and Budget request, if any, from the Program Review completed in 2013-2014 (Section II C): Successfully meet all BRN recommendations from Spring 2013 Approval visit.	1 Mission & Effectiveness 1.1 1.3 1.2 1.4 2 Student Learning Outcomes 2.1 2.4 2.2 2.5 2.3 2.6 3 Resources 3.1 3.4 3.2 3.5 3.3 4 Leadership & Governance 4.1 4.4 4.2 4.5 4.3
Met	Partially Met	Not Met
Describe how this program goal increased student achievement and/or program effectiveness in 2014-2015: All BRN recommendations have been met. Therefore students can be assured that they will graduate from a fully compliant program.

PRESENT – DATA ANALYSIS AND PROGRAM HEALTH – ACCREDITATION

Summarize and analyze all disaggregated data by day, evening, gender, ethnicity, and distance education. Narrative only. Submit electronic excel file with graphs or trend data.

Enrollment and Fill Rates

Discuss the trends in enrollment and fill rate for each program by day and evening at the program level.

The RN program is an impacted program with more qualified applicants than space allowed. Clinical classes are limited by hospital safety requirements. The nursing courses have enrollments at or near cap. Small variances may be due to minimal failure/withdrawals and/or re-admittances. Most RN classes are offered during the daytimes Monday through Friday, with a few short term clinical classes offered in the evenings due to clinical space limits and multiple needs of this and the VN program. Enrollment in the RN program has been stable but there has been a downward trend in number of qualified applicants in recent application cycles. Potential student applicants report difficulty getting into and successfully passing the pre-requisite science classes.

Productivity

What are the trends in productivity?

Nursing classes traditionally have a very low WSCH/FTEF due to BRN and affiliating hospital requirements for a low faculty/student ration in clinical classes (typically 1:10 or less). However, nursing is the most prevalent major at the college and potential nursing students are present in very large numbers in many of our pre-requisite classes and thus contribute to overall productivity indirectly. We do have a concern that there is a “bottleneck” in some of our pre-requisite science classes (both in the ability to enroll and the ability to be successful) that is negatively impacting the number of qualified applicants from which to select students who will be successful in the nursing program.

Success and Retention

Discuss the success and retention rates by day, evening (extended day), and online classes in each program and identify gaps.

See above

Success and Retention by Ethnicity

Discuss the success and retention rates by demographic diversity of students.

The RN program has consistently very high success and retention rates. No significant differences are noted between ethnic groups or by gender.

See above

Degrees and Certificates

Discuss the trends in the number of degrees and/or certificates awarded.

Essentially all students complete the program with the ADN awarded.

Program Changes

What program changes, if any, do you expect to have a positive effect on students?

The last program review and the BRN approval visit in 2013 recommended a review and revision of the curriculum to reflect current standards. The RN program faculty have since completed a major total curriculum revision. This revision included significantly reducing total program units and a curriculum based upon QSEN (Quality and Safety Education for Nursing) competencies which is recommended by most major nursing organizations. The faculty are also planning to incorporate new teaching methodologies (“Flipped classroom”) which will strengthen student independent preparation and learning while in the classroom. Also, once newly proposed Transfer Model Curriculum for Nursing is fully approved we will need to decrease units for the AND and delete some current college GE requirements as well as delete some pre-requisites to the science pre-requisites. This will ensure that students complete the ADN in less time. Also we will need a faculty member with expertise in pediatric nursing to teach third semester of the new curriculum.

Summarize revisions, additions, deletions, and alternate delivery methods to courses and/or program based on the last program review.

See above. Also, since a majority of our graduates are co-enrolled in SDSU Calexico’s BSN program and are substituting their equalivalent course for our Trends class, the enrollment in our Trends class is very low. Faculty have just voted to delete the Trends course and incorporate content into the fourth semester theory content. This will decrease the total nursing units from 3.5 to 37.5

Evaluate the program’s viability by addressing program completion, size (FTES), projections (growing/stable/declining), and quality of outcomes.

Our program consistently graduates an average of 20 students each semester or 40 per year. All students must pass the NCLEX-RN in order to become Licensed and employed as an RN. Our NCLEX RN pass rates have averaged from 86.2% to 100% for first –time takers during the past 2 years.

Though the difficulty level of the NCLEX-RN increased in spring 2014, our pass rates are trending higher.

Occupational Employment Projections 2008-2018

Imperial County

http://www.labormarketinfo.edd.ca.gov/CommColleges/

Employment Trends (Faculty Assessment):

Employment currently stable in Imperial County region( as compared to decreases in other CA areas)

Affordable Care Act expected to greatly increase need for nurses

C. FUTURE – LIST OF “SMART” (SPECIFIC MEASURABLE ATTAINABLE RELEVANT TIME-LIMITED) PROGRAM OBJECTIVES FOR NEXT ACADEMIC YEAR TO ADDRESS PROGRAM IMPROVEMENT, GROWTH, OR UNMET NEEDS/GOALS. ALL PROGRAM GOALS MUST ADDRESS AT LEAST ONE OF THE INSTITUTIONAL GOALS.

FUTURE PROGRAM GOALS (Describe future program goals. List in order of budget priority.) You are not required to list 3 goals. Only list/identify goals that are viable in one year’s time or can be carried over a number of program cycles.	INSTITUTIONAL GOAL(S) (Select one primary institutional goal)
1	2015-2016 PROGRAM GOAL #1 Budget Priority #1	INSTITUTIONAL GOAL(S)
Identify Future Global Goal: Sucessfully complete full implementation of newly revised ADN curriculum	1 Mission & Effectiveness 1.1 1.3 1.2 1.4 2 Student Learning Outcomes 2.1 2.4 2.2 2.5 2.3 2.6 3 Resources 3.1 3.4 3.2 3.5 3.3 4 Leadership & Governance 4.1 4.4 4.2 4.5 4.3
Objective: Implement semesters 3 and 4 of new curriculum
RESOURCE PLAN (Check all that apply.)
Facilities Marketing Technology Professional Development Staffing
Task(s)
Hire a faculty BRN qualified for pediatrics/med/surg
Timeline: summer 2015
Expense Type	Funding Type	Budget Request
One-Time Recurring	General District Categorical (Specify)	$___80,000_____________
Secure clinical sites for pediatric nursing
Timeline: summer 2015
Expense Type	Funding Type	Budget Request
One-Time Recurring	General District Categorical (Specify)	$________________
How will this objective be measured? Faculty will be successfully hired to teach pediatrics/med-surg. Contracts for clinical sites for peds will be secured and utilized
How will the completion of tasks identified improve student/program success? The new curricululum will be fully implemented and will reflect current competency based Q-SEN content.
Who are the responsible party(ies) and assigned user(s)? Susan Carreon and Nursing Faculty
FUTURE PROGRAM GOALS (Describe future program goals. List in order of budget priority.) You are not required to list 3 goals. Only list/identify goals that are viable in one year’s time or can be carried over a number of program cycles.	INSTITUTIONAL GOAL(S) (Select one primary institutional goal)
2	2015-2016 PROGRAM GOAL #2 Budget Priority #1	INSTITUTIONAL GOAL(S)
Identify Future Global Goal: Ensure preparation for newly proposed Transfer Model Curriculum	1 Mission & Effectiveness 1.1 1.3 1.2 1.4 2 Student Learning Outcomes 2.1 2.4 2.2 2.5 2.3 2.6 3 Resources 3.1 3.4 3.2 3.5 3.3 4 Leadership & Governance 4.1 4.4 4.2 4.5 4.3
Objective: Begin curricular changes necessary prior to implementation of TMC
RESOURCE PLAN (Check all that apply.)
Facilities Marketing Technology Professional Development Staffing
Task(s)
A. Meet with impacted departments to inform them of needed changes (science, math, PE, History nursing ) and secure cooperation
Timeline: Spring 2016
Expense Type	Funding Type	Budget Request
One-Time Recurring	General District Categorical (Specify)	$________________
How will this objective be measured? Curriculum changes in impacted departments will be consistent with requirements of TMC
How will the completion of tasks identified improve student/program success? Implementation of TMC will ensure ease of BSN transfer for students and will shorten time for completion to achieve the ADN
Who are the responsible party(ies) and assigned user(s)? Susan Carreon and Nursing Faculty

(WSCH/FTEF) The goal is 525 as per state guidelines. A low number means that we are below target levels for productivity. For example, in a small class that has a mandated cap of 15 students, the fill rate may be 100% but the productivity number (WSCH/FTEF) will be very low. A class with a cap of 40 students with a 100% fill rate will have a productivity number close to or above 525.