ATI facilitating the learning process for students Assessments for current rn students: nclex-rn readiness; mastery of concepts in content areas and guidance for remediation p. Fogleman – csu, San Marcos faculty 2017

NCLEX RN examination- 2016 Test plan for the national council licensure examination for RN’s: Developed by the National council of state boards of nursing (ncsbn) Candidate version Test plan reviewed every three years – latest version april, 2016 The nclex-rn 2016 detailed test plan is based on the results of a nationwide rn job analysis survey conduction by the national council of state boards of nursing (ncsbn) in 2014. The nclex-rn is a variable-length (75 – 265 items), computer adaptive test that allows for some fluctuation in the percentage of items a candidate may receive across the major client needs categories. 2016 Nclex-rn detailed test plan - candidate version

ATI RN 2016 The Ati rn content specifications are directly based on those of the nclex-rn test plan. Each of the Rn (content mastery series) cms 2016 assessments is a fixed-length test comprised of a specific number of scored items and 10 unscored pretest items. The goal of the rn cms 2016 tests is for the content specifications across all nine tests to align as closely as possible with the nclex-rn content specifications. Technical manual for the rn content mastery series (cms) 2016. pg. 5

2016 nclex-rn detailed test plan major content areas– candidate version

Rn 2016 outcomes definitions ati rn 2016 outcomes definitions

Ati Rn 2016 assessments: Nine clinical areas Fundamentals Adult medical surgical Maternal newborn Mental health Nursing care of children Leadership Community health Pharmacology nutrition

Nclex and ati test content specifications – Technical manual for RN Content Mastery Series 2016

Score ranges for ati recommended cut scores Technical manual for the rn content mastery series (cms) 2016

Percentage of students in each proficiency level Technical manual for the rn content mastery series (cms) 2016

Recommended Proficiency levels: ATI benchmarks for student performance technical manual for the rn content mastery series (CMS) 2016

ATI Proficiency Level Expectations technical manual for the rn content mastery series (CMS) 2016

Csusm school of nursing - ati best practice policy approved by curriculum evaluation committee: 03-15-2016 Research evidence for ati: Proven to increase nclex pass rates – csu, san marcos 2016/2017 # taken; % pass – #149; 95.97% 2015/2016 # taken; % pass – #154; 94.81% 2014/2015 # taken; % pass - # 170; 97.06% Reduce attrition rates in nursing programs when implemented consistently Benefits both faculty and students

Csusm school of nursing - ati best practice policy Provides rewards for student remediation Rewards for time spent = student accountability resulting in success Focused reviews Tutorials Practice assessments

Csusm school of nursing - ati best practice policy Fostering faculty investment promotes effective teaching Supports evaluation of the teaching – learning process of all stages of the curriculum

Csusm school of nursing - ati best practice policy Determinant of effectiveness of the nursing education system Student outcomes related to: Test scores Grade point average Attrition Standardized assessment test scores Nclex-rn performance of graduates

Csusm school of nursing – ati best practice policy traditional program TBSN Semester Course Assessment Practice Proctored 1 200 Fundamentals Nurse Logic: Beginners x   Fundamentals (practice A) Fundamentals (practice B - as Proctored) 2 212A Pharmacology Made Easy (6 Modules) Pharmacology (practice A or B) 220 Targeted Medical-Surgical (turn in 5/9) 260 Mental Health 3 230 Maternal Newborn (practice A or B) Maternal Newborn 4 212B Pharmacology 222 Medical-Surgical (practice A or B) Fundamentals 5 320 Medical-Surgical 6 232 Nursing Care of Children (practice A or B) Nursing Care of Children Nutrition 7 450 Leadership 8 440 Community Health 490 Comprehensive Predictor

Csusm school of nursing – accelerated program ati best practice policy ABSN Semester Course Assessment Practice Proctored 1 300 Fundamentals Nurse Logic: Beginner x   Fundamentals (practice A) Fundamentals (practice B - as Proctored) 2 316A Pharmacology Made Easy (6 Modules) Pharmacology (practice A or B) 322 Targeted Medical-Surgical (turn in 5/9) Medical-Surgical (practice assessment A) Fundamentals 360 Mental Health (Practice A or B) Mental Health 3 330 Maternal Newborn 316B Pharmacology 324 Medical-Surgical (practice assessment B) Medical-Surgical 4 332 Nursing Care of Children (Practice A or B) Nursing Care of Children Nutrition 450 Leadership 5 440 Community Health 490 Comprehensive Predictor

Csusm school of nursing – ati best practice policy ati comprehensive predictor policy for nurs 490 Students taking nurs 490 have 3 attempts to meet ati benchmark for the comprehensive predictor Benchmark is 77.3% on individual score = 98% probability of passing the nclex-rn exam If unsuccessful on 3rd attempt, student receives no credit for the course Student permitted to repeat nur 490 only one time in immediate subsequent semester regardless of past course failures

Ati total points for a course The number of ati points for proctored assessments should not exceed 15% of the total points for the course.

Csusm school of nursing – ati best practice policy Course quality improvement process – fostering faculty investment Faculty review of practice and proctored group assessments and generation of reports, providing data for analysis of the content and topics to review and assisting in planning improvements to the course Consideration given to low scoring content areas and activities created to address the content deficits: after practice assessments and during the current course – formative assessments after proctored assessments and for future courses – summative assessments Faculty review of individual student report Facilitates details of individual student results to assist with personal plans for improvement

Focused review www. atitesting Focused review www.atitesting.com > my results > assessments > focused review Remediation plan to help focus specific review of content; based on identified knowledge deficits Student: All topics Missed topics below a desired percentage Variety of resources for different learning styles Books Video content Active learning templates or three critical points Animations graphics Use of a Remediation notebook to be used throughout the nursing program Assists faculty: Determine student’s time spent on focused reviews course quality improvement and curriculum revision

Active learning template sample: heart failure

Ati products Online Practice assessments Targeted medical surgical assessments Proctored assessments Comprehensive predictor: capstone with coach; virtual ati for nclex prep with coach

Ati products Tutorials Ati plan – student orientation (new) Learning systems 2.0 Pharmacology made easy 3.0 Skills modules 2.0 Dosage calculations Achieve Nurse logic 2.0 Video case studies rn (new)

Other ati products comprehensive review books – hard copy and e-books Active learning templates Live review – 2 or 3 day Faculty resources Products and integration of ati assessment and remediation solutions Curriculum management and alignment with placement of ati products Assessment builder analytics Faculty development Seminars and continuing education

Where do we go from here? Integration best practices Implement ati products consistently Communicate expectations clearly with students and faculty Periodically evaluatr ati policy Reward active learning through remediation Encourage student accountability through tracking of personal efforts Foster faculty investment through involvement with policy creation

Ati content mastery series grading rubric

Thank you! Pam Fogleman RN BSN PHN csu, San Marcos lecturer ATI champion/resource Nursing 490 ati Capstone