Program Review-Nursing

AP Full Official:Associate of Science in Nursing

Campus: National Campus

Completed by: Paul Dacanay

AP Review Submission Date:March 2014

AR Review Cycle: 2011- 2013

1. Program Mission

   To educate students to serve the health care needs of the people of Micronesia as certified nursing assistant, practical nurses, and associate degree nurses in community based health care sites, across the Federated States of Micronesia

2. Program Goals

   1. Model personal and professional actions based on self-reflection, core nursing values, and lifelong growth integrating new knowledge, ethical principles, and legal standards for safe, quality nursing practice.
   2. Incorporate nursing knowledge to assess, plan, deliver, and evaluate care within the context of the inter-professional health team.
   3. Make evidence-based nursing judgments in the delivery of safe, holistic nursing care.
   4. Demonstrate a spirit of inquiry to manage and improve the quality of care and outcomes for individuals, families, and communities.
   5. Practice relationship-centered communication and incorporate health technology as a member of the inter-professional team.
   6. Advocate for a caring, culturally safe, and flourishing environment that reflects the values and needs of Micronesian families and communities.
   7. Practice and contribute to the primary care and public health care systems in Micronesia to promote family and community wellness.

3. Program History

   The Nursing program constitutes an academic response to the health staff situation in Micronesia and has taken account the current academic realities of the region. There has been a recognized chronic shortage of health workers coupled by the marked under-training of those workers, who have, in large part, learnt through "on-the-job" training, frequently from predecessors also trained "on-the-job".

   The college added the Nursing Program to its program offerings in Fall of 2009.

4. Program Descriptions

   The Nursing program is a multi-entry, multi exit program that prepares practical nurses and registered nurses with the theoretical and clinical foundations for educational and career mobility in nursing, including advanced placement for currently licensed practical nurses. The Associates of Science degree prepares nurses with the fundamentals to articulate into baccalaureate and masters degree education. The program prepares graduates to practice nursing in a variety of health care settings in the Pacific Islands. The core-competencies integrate evidence based practice with health promotion, acute, and chronic care of individuals across the lifespan, families, villages and communities. The emphasis on culture and caring is adapted from the work of American Indian tribal college nursing program.

5. Program Admission Requirements

   Certificate of Achievement or Completion as a Nursing Assistant or
   a "Pass" on a written Nursing Assistant validation test (80%) and skills test (100%) and medical terminology test (80%)
   
   AND
   
   Demonstration of computer literacy skills (CA 100 or equivalent)
   
   AND
   Completion of all nursing prerequisites with a grade of "C" or better

6. Program Degree Requirements

   Total credit required:    72-82 Credits

   General Education Core requirements: (24 credits)
   

   EN 120a: Expository Writing I (3)
   EN 120b: Expository Writing II (3)
   PH 109: Math for Health Science or
   MS 100: College Algebra (3)
   SC 122a : Anatomy and Physiology I with Lab (4)
   SC 122b: Anatomy and Physiology II with lab (4)
   SC 180 Microbiology with Lab (4)
   PH 131: Food and Nutrition in the Lifecycle (3) or
   PH 231: Food and Nutrition and Lifestyle Disease (3) or
   SC 112: Introduction to Human Nutrition (3)

   General Education Courses During the Program: (10 credits)
   ED/PH 201: Human Growth and Development (3)
   SS 150: History of Micronesia (3)
   Exercise Sports Science Course (1)
   Humanities (3)

   Major Course Requirements: (38 credits)
   

   NU 123: Writing Research in Nursing Lab (1)
   NU 125: Health Promotion in Nursing with Lab (7)
   NU 133: Pharmacology (3)
   NU 134: Pathophysiology (3)
   NU 135: Health and Illness in Nursing I with Lab (7)
   NU 225: Health and Illness in Nursing II with Lab (7)
   NU 235: Health and Illness in Nursing III with Lab (7)
   NU 245: Leadership in Clinical Practice Capstone (3)
   

   Major Course Electives: (10 credits)
   

   NU 121: Study and Test Taking Skills in Nursing I (2)
   NU 122: Math Skills in Nursing I (2)
   NU 131: Study and Test Taking Skills in Nursing II (2)
   NU 132: Math Skills in Nursing II (2)
   NU 221 Study and Test Taking Skills in Nursing III (2)
   NU 222: Math Skills in Nursing III (2)
   NU 231: Study and Test taking Skills in Nursing IV (2)
   NU 246: NCLEX RN Prep (3)

7. Program Courses and Enrollment

   Course	Number of section/s	Course Enrollment	Section fill-rates
   NU 121: Study and Test Taking Skills in Nursing I	3	18	30.0%
   NU 122: Math Skills in Nursing I	3	21	35.0%
   NU 123: Writing Research in Nursing with Lab	3	19	31.6%
   NU 125: Health Promotion in Nursing with Lab	3	20	33.3%
   NU 132: Math Skills in Nursing II	1	2	10.0%
   NU 133: Pharmacology	3	20	33.3%
   NU 134: Pathophysiology	2	9	22.5%
   NU 135: Health and Illness in Nursing I	1	8	40.0%

8. Program Faculty

   Instructor	Position	Degrees Held	Status
   Paul Dacanay	Division Chair Assistant Professor	Doctor of Medicine Bachelor of Science Degree Major in Biology	Full time Faculty
   Kathleen Benjamin	Instructor	Masters in Public Health Registered Nurse Bachelor of Science in Nursing	Full time Faculty
   Rudelyn Dacanay	Instructor	Registered Nurse Bachelor of Science in Nursing	Full time Faculty
   Mitsuko Miyai	Instructor	Masters in Public Health Registered Nurse	Part-time Instructor

9. Program Indicators

   1. Assessment of course student learning outcomes of program courses

   Target Outcome:
   Nursing students demonstrated self-awareness of personal and workplace actions based on the role of the nursing assistant & practical nurse, core nursing values, standards of practice and ethical-legal principles
   
     Data Source
         Class Record, peer evaluation
   
     Analysis:
         Successful completion of this objective will be indicated by more than 80% of students receiving a C grade or higher.

   Target Outcome:
   Nursing students communicate effectively, using interpersonal, documentation, and technology both in the class & clinical sites?
   
     Data Source
         Coordinator & instructor records
   
     Analysis:
         Successful completion of this objective will be indicated by more than 80% of students receiving a C grade or higher

   2. Assessment of program student learning outcomes

   Associates of Science Degree in Nursing

   What we looked at:

   The Nursing Program assessment focused on PSLO 1. Students who are taking courses related to PSLO1 presents a report at the end of the term and these are graded based on a clinical evaluation tools and skills check off. Successful completion of this objective will be indicated by more than 80% of students receiving a C grade or higher.

   What we found:

   PSLO #1:    Students must demonstrate knowledge about legal-ethical principles and safe and quality nursing practice.     NU 125       Total number of students    9         No. of students with a grade of "C" or higher    9        Number of students who failed    0

   NU 135        Total number of students    8        No. of students with a grade of "C" or higher    8        Number of students who failed   0

   3. Program enrollment

   Program	Term	Sections	Maximum Enrollment	Enrollment	Enrollment Ratio	Enrollment Average
   Associate of Science in Nursing	Fall 2011	0	0	0	0.0%	0.0%
   	Spring 2012	5	100	22	22.0%	4.4
   	Fall 2012	4	80	17	21.5%	4.5
   	Spring 2013	7	140	56	40.0%	8.0
   	Fall 2013	3	60	22	36.6%	7.3

   4.Course Completion Rate

   Course completion rate were based on passing a course with a grade of ABC or D.

   As noted in the trend of enrollment, there was a low course completion rate and high withdrawal rate. This is due to the fact that most students enrolled in the program then later on was notified that they do not have enough scholarship grants to continue and thus withdraw. Steps was taken to advise students in enrolling only for courses needed by the program.

   Program	Term	Course	Number of Students	Passing Rate	Withdrawals
   Associate of Science in Nursing	Fall 2011
   		-	0	0.0%	0.0%
   		-	0	0.0%	0.0%
   		-	0	0.0%	0.0%
   		-	0	0.0%	0.0%
   		-	0	0.0%	0.0%
   		-	0	0.0%	0.0%
   		-	0	0.0%	0.0%
   	Spring 2012	NU 121	5	60.0%	40.0%
   		NU 122	5	60.0%	40.0%
   		NU 123	2	50.0%	50.0%
   		NU 125	3	66.7%	33.3%
   		NU 133	7	71.4%	14.3%
   	Fall 2012	NU 121	3	100%	0.0%
   		NU 122	3	100.0%	0.0%
   		NU 123	4	75.0%	0.0%
   		NU 125	7	85.7%	0.0%
   	Spring 2013	NU 121	10	80.0%	10.0%
   		NU 122	13	92.3%	7.7%
   		NU 123	13	92.3%	7.7%
   		NU 125	10	90.0%	10%
   		NU 132	2	100%	0.0%
   		NU 133	5	100.0%	0.0%
   		NU 134	3	100.0%	0.0%
   	Fall 2013	NU 133	8	100.0%	0.0%
   		NU 134	6	100.0%	0.0%
   		NU 135	8	100.0%	0.0%

   5. Success rates on licensing or certification exams

   There is no current licensing or certification examination for Public health at FSM.

   6. Graduation Rate

   The first group of students to graduate with an Associate of Science Degree in Nursing is scheduled in Fall 2014

   7. Cost of duplicate or redundant courses, programs or services

   There are no duplicated or redundant courses for Public Health

   8. Students' satisfaction rate

   No data is currently available

   9. Alumni data

   No present data available

   10. Employment data and employer feedback

   No data is currently available

   11. Program added or cancelled at nearby regional institutions (PCC, GCC, Hawaii schools, UOG, CMI, NMC)

   No data is currently available

   12. Transfer Rate

   No data is currently available

10. Analysis and Recommendation

    Low enrollment rate

    The AS in Nursing is on their 2th year and there is a slow increase in the number of students declaring Nursing as their major.

    Recommendation:

    Undertake a more aggressive recruitment and information drive activities. This should be done in all FSM States once every academic year.

    Recruitment of HCOP graduates to enroll in the program since most of these students already fulfilled the needed pre-requisite courses

    High number of withdrawal rate
    

    The high number of withdrawal was due to lack of Pell credit grants available for continuing students. Most of these students would enroll full-time in Nursing program and would later found out they do not have enough credits left in their grant and they do not have any other scholarship grants available for them.

    The program is relatively new and most students enrolled are those who usually have 2 or more major on their record.

    Recommendation:

    Good academic advisement prior as to what courses should be taken since the program requires a lot of credit to be filled.

    Encourage student to enroll only in courses needed by the program. E

    Improvement of Program and course assessment

    In addition to the present program and course assessment strategy, a comprehensive assessment/exam to evaluate the overall knowledge/skills the students gained should be done. Starting SY 2014, a comprehensive exam will be given to students every after the semester and contents will be based on their level.