“gateway to the future: implementation of a statewide concept-based nursing curriculum” rural...

“Gateway to the Future: Implementation of a Statewide Concept-Based Nursing

Curriculum”

Rural Community College Alliance Annual Conference- 2014

Dr. Rose Beebe, MSN RN and B. Kent Wilson, MSN RN CLNC EdDc

Application Process

Topical Outline

Historical Perspective

CTCS and Partnering Institutions

Curricular Changes / Concept-Based Curriculum

Challenges and Opportunities

Where to From Here? Looking Ahead…..

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• Background• Robert Wood Johnson (RWJ) Foundation• Institute Of Medicine Report- IOM (2010)• American Association of Community Colleges (AACC)-

2011 Convention / Chancellor Skidmore• Elected Officials• West Virginia Community and Technical College System

(WVCTCS)

Overview

West Virginia Consortium for Associate Degree Nursing

• Medical Model • Concept-Based Education

… Transforming Nursing Education

Forward Thinking…


• Organizational Meeting• Chancellor Skidmore• Associate Degree Nursing Program Directors / Deans / Chairs /

Coordinators• WVCTCS Council Members• West Virginia Board Of Examiners for Registered Professional

Nurses (WVBOERN) Executive Director• West Virginia Licensed Practical Nursing Board Executive

Director• West Virginia Center for Nursing Executive Director

……. Associate Degree Nursing (ADN) Task Force formed

Taking a Bold Move

Participating Schools

Blue Ridge CTC, Bluefield State CTC, BridgeValley CTC,

Eastern CTC, Southern West Virginia CTC, WV Northern CTC, WVUP, New River CTC

Others Invited

PREVIOUS ADMISSION PROCESSES AND

CURRICULUM

• NCLEX Success

• Graduation and Attrition

• Employment

• Graduate and Employer Surveys

NCLEX Exam

• State’s Adoption

• $$$

• 60-credit hours

THE FUTURE

Changes were coming…….

Why Change a Good Thing?

Articulation Agreements• Meet

admission criteria

• Can transfer without loss of time or credits

List Serves• Grading

policies• Scales• Requirements

Reduction in Costs

Academic Freedom

Advantages

Common Curriculum, a Good thing for Faculty and Students

Transfer students• Meet

admission criteria

• Can transfer without loss of time or credits

Standardized• Grading

policies• Scales• Requirements

Faculty Collaboratio

n

Grant and Research

Advantages

Rationalizing a Reason for a Common Curriculum


• Monthly meetings • Numerous Retreats• Development and Re-Development of Curriculum• Implementation Team• Presentations

WVCTCS and the Presidents

Memorandum of Understanding


The mission of the West Virginia Consortium of Associate Degree Nursing Programs is to prepare students for professional nursing practice while promoting a knowledge base for career mobility and further academic study. These programs are committed to providing accessible, high-quality

nursing education to meet the diverse and changing health-care needs of the community and beyond

A Common Goal: Mission


• The WVCTCS Consortium of Associate Degree Nursing

Programs is committed to a quality educational environment.• The educational philosophy of the WVCTCS Consortium of

Associate Degree Nursing Programs incorporates the seven core values of the National League for Nursing Competencies Framework which includes caring, diversity, ethics, excellence, holism, integrity, and patient centeredness (NLN, 2010). We believe that “all nurses should display integrity, respect diversity in all forms, uphold given legal and ethical responsibilities and strive for excellence while promoting caring, holistic, patient centered care” (NLN, 2010).

A Common Goal: Philosophy


• The Consortium supports education as a life-long process incorporating a spirit of inquiry, supported by evidence based research. The faculty believe that students need to develop nursing judgment in their practice, develop a professional identity as a nurse, and learn to support patients and families in development of their ongoing growth as human beings. Life-long learning consists of acquiring knowledge, demonstrating proficient skills, and developing ethical attitudes and values.

A Common Goal: Philosophy


1. Collaborate with the patient or designee to plan and provide nursing care that respects the patient’s individual values and needs.2. Generate safe and effective patient centered care using the nursing process.3. Incorporate effective communication strategies to reduce risk and injuries in the healthcare environment.4. Create caring relationships with patients and support systems consistent with the ANA Standards of Nursing Practice and the Code of Ethics.5. Evaluate the utilization of healthcare system resources to efficiently and effectively manage care.6. Integrate current best practices to plan and implement safe and effective patient care.

A Common Goal: Learning Outcomes


• Collection of Data • Ongoing Assessment and Sustainability

Other Common Goals


• Conceptual-Based Education ……. and the use of• Exemplars• Skills

What is it?


• Simulation• Case Studies• Adaptive Quizzing• Adaptive Learning

• ……………… “Think Like a Nurse,” from DAY ONE!

More importantly, “Active Learning”

• Accrediting Commission for Education in Nursing (ACEN, formerly the NLNAC) Accrediting Body

• WVBOERN• National Council Licensing Examination - RN Blueprint

• National League for Nursing (NLN)• Quality and Safety Education Nursing (QSEN)

Constructing a curriculum…

• Caring• Diversity• Ethics• Excellence• Holism• Integrity• Patient- centeredness

Constructing a curriculum… Core Values

• Context and environment• Knowledge and Science• Personal and Professional Development• Quality and Safety• Relationship-Centered Care• Teamwork

Constructing a curriculum… Integrated Concepts / Common Threads

• Pharmacology• Life Span and Development

Constructing a curriculum… Common Threads

• Prior to 2014• Eligibility for Institutional Admission• Grade Point Average• Minimal Scores on the Admission Exams• Variations

• 2014 and Beyond• Eligibility for Institutional Admission• 2.50 Grade Point Average (3.0 for HS Students)• Minimal Composite Score on the TEAS V / HESI• Eligibility for English 101 and College-level Math• Flexibility in Scoring of Applicants

No worries!

Admission Criteria

First Semester

Second Semester

Third Semester

Fourth Semeste

r

ENG 101- 3 hours

MAT 110 / 140- 3 hours

PSY 210- 3 hours

ENG 102- 3 hours

CIT 106 / BST 240- 3 hours

CHM 105- 1 hour

BIO 290- 3 hours

NUR 221- 5 hours

BIO 285- 4 hours

BIO 286- 4 hours

BIO 295- 3 hours

NUR 222- 3 hours

NUR 101- 2 hours

NUR 125- 3 hours

NUR 217- 3 hours

NUR 223- 4 hours

NUR 102-2 hours

NUR 114- 3 hours

NUR 218- 3 hours

NUR 224- 1 hour

NUR 103- 2 hours

NUR 115- 3 hours

NUR 219- 3 hours

NUR 116- 3 hours

16 credit hours

20 credit hours

18 credit hours

16 credit hours

First Semester

Second Semester

Third Semester

Fourth Semester

A&P I- 4 hours

A&P II- 4 hours

Restricted Science

Elective- 3 hours

Professional Nursing & Health Systems

Concepts- 3 hours

Drug & Dosage

Calculations I- 1 hour

Drug & Dosage

Calculations II- 1 hour

ENG 101- 3 hours

Synthesis of Nursing Concepts-

9 hours

Health Assess and Diagnostics I- 2 hours

Health Assess and Diagnostics II- 1 hour

Nursing Concepts of

Health & Illness II- 9

hours

Intro to Nursing

Concepts- 8 hours

Nursing Concepts of

Health & Illness I- 9

hours

Intro to Psychology-

3 hours

18 credit hours

15 credit hours

15 credit hours

12 credit hours

Curricular Changes

Now and Then…… an example


• WVBOERN Approval• ACEN Approval• Partnering Institutions (curriculum)• Faculty participation• “Above the line and blow the line”• …..and then again, some things won’t change…..

The following 6 months….. The WVCADN

Individual Institutions

• Nursing Handbook• Protecting Individuality

Minimal Criteria Set

Changing Direction

• Impacts all Divisions at all Colleges / Student Services / Adult Basic Education

• Pre-Nursing• LPN-RN Bridge • Faculty• Transition Period• Scheduling

Challenges

Substantive Change

• WVBOERN Approval• ACEN Substantive Change Reports• Professional Development for Faculty

Over the Past Year

Under Construction

• First Semester Implementation- a Change of Pedagogy

• Technology, Technology, Technology!• Active Learning• Spring 2015 Integration• Continuing Professional Development

Fall 2014

Opened Doors

• TEAS V / HESI Test Administration

Institutional / Program Opportunities

Looking Long-Term

• Assessment and Data Collection• Analysis• LPN-RN Bridge Opportunities

A Look Ahead

Jim Skidmore, Chancellor West Virginia Community and Technical College System

Special thanks to…..

Rose Beebe, EdD MSN RN- WVUP

[email protected]

B. Kent Wilson, MSN RN CLNC- BVCTC

[email protected]

Questions?

West Virginia Consortium of Associate Degree Nursing

mailto:[email protected]



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