“Gateway to the Future: Implementation of a Statewide Concept-Based Nursing Curriculum” Rural Community College Alliance Annual Conference- 2014 Dr. Rose.

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“Gateway to the Future: Implementation of a Statewide Concept-Based Nursing Curriculum” Rural Community College Alliance Annual Conference 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….. Item 1 Item 2 Item 3 Item 4 Item 5 Item 6

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

West Virginia Consortium for Associate Degree Nursing 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 Collaboration Grant and Research Advantages Rationalizing a Reason for a Common Curriculum

West Virginia Consortium for Associate Degree Nursing Monthly meetings Numerous Retreats Development and Re-Development of Curriculum Implementation Team Presentations

WVCTCS and the Presidents Memorandum of Understanding

West Virginia Consortium for Associate Degree Nursing 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

West Virginia Consortium for Associate Degree Nursing 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

West Virginia Consortium for Associate Degree Nursing 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

West Virginia Consortium for Associate Degree Nursing 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

West Virginia Consortium for Associate Degree Nursing Collection of Data Ongoing Assessment and Sustainability Other Common Goals

West Virginia Consortium for Associate Degree Nursing Conceptual-Based Education ……. and the use of Exemplars Skills What is it?

West Virginia Consortium for Associate Degree Nursing 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

Curricular Changes Now and Then…… an example

West Virginia Consortium for Associate Degree Nursing 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 B. Kent Wilson, MSN RN CLNC- BVCTC Questions? West Virginia Consortium of Associate Degree Nursing

West Virginia Consortium for Associate Degree Nursing