1. Innovative Hybrid On-Line/On Site Instruction:
Leveraging Technology to Improve Learning Success

2. “In times of drastic change, it is the learners who inherit the future
“In times of drastic change, it is the learners who inherit the future. The learned usually find themselves equipped to live in a world that no longer exists.” (Author Unknown)

3. Objectives: Identify the evolution of the on-line nursing programs
Discuss development of strategies to infuse technology in an on-line and on-ground nursing program
Describe the implementation of on-line nursing programs for student success
Explore lessons learned when implementing on-line programs

5. CCBC School of Health Professions
14 Nursing and Allied Health Programs
Nursing
RN Program on Catonsville – Day
RN Program on Essex Campus – Day
RN Evening/Weekend Program - Essex Campus
RN Evening/Weekend FSH Cohort – Essex Campus
RN Online – Catonsville Campus
Paramedic to RN online
LPN to RN
PN Program

6. Applicants On-Ground Nursing On-Line Nursing Applications - 404
Total Accepted- 176
Qualified Applicants Not Admitted- 113
Applications- 48
Total Accepted- 34
Qualified Applicants not Admitted- 0
W/D Application- 3
Rejected- 11
Declined- 5

7. Demographics On-Ground On-Line Mean age – 29 Mean age – 30 Race Race
66% Caucasian
17% African-American
9% Asian
1% Hispanic
7% other
GPA
Mean age – 29
Race
71% Caucasian
25% African-American
0% Asian
4% Hispanic
0% other
GPA

8. Evolution of the On-Line Nursing Program- Rationale
Classroom Space
Clinical Sites
Student Work Schedules
Demand for Innovative Scheduling Options
Student Financial Constraints
Nursing Shortage

10. Grant Funding Paramedic to RN Online-
Health Service Cost Review Commission Grant- Nurse Support Program II
Nursing Program Online Dept of Health and Human Services Health Resources and Service Administration (HRSA Grant)
MLT Program Online
(Dept of Labor Grant)

11. Strategies for Successful Development and Implementation
Dialogue with Ocean County College
Faculty release time
Faculty development
Conference attendance
College training centers
User friendly software, i.e. Soft Chalk
Instructional designer
Designate group of faculty to work on a course

12. Engaging Essential College Resources
Enrollment management and students services are essential partners
On-line from application to program completion
Discussions need to be honest and open
The challenge is to deal with internal resistance to outside suggestions

13. Instructional Designers and Online Learning Management
CCBC Partnered with SunGard Higher Education (SGHE)
SGHE Instructional designers are a major key to success
Faculty development
Templated appearance and design
Consistent navigation tools

14. Nursing Program Online
Funded by the Health Resources and Services Administration (HRSA)

15. St. Agnes
Franklin Square
Union Memorial

16. Online Nursing Program Objectives
Recruit and Enroll 96 students (Emphasis on recruitment of minority populations)
24 in Year One
32 in Year Two
40 in Year Three
Redesign existing CCBC nursing curriculum for online format
Modify delivery to allow for one-day-per-week clinical experience

17. Nursing Program Online
Hybrid Program
One day a week – face to face
Clinical
Nursing Lab
Simulation scenarios
Seminars
Didactic content online
Same curriculum with expanded calendar

18. Online Nursing Program Admission Requirements
Completion of all 33 non-nursing credits
Completion of pre-entrance exam- Test of Essential Academic Skills (TEAS)
Minimum GPA of 2.5
Recent direct patient care experience
Successful interview/writing sample
Computer and internet access

19. NURN 151 Foundations of Nursing Concepts
F2F Successful Rate
82%
Online Success Rate
87%

20. NURN 152 Foundations of Nursing Concepts
F2F Successful Rate
82%
Online Success Rate
71%

21. What are the positive things about being an on-line student?
Student Perspective
What are the positive things about being an on-line student?

22. Student Perspective
“I am still able to work and go to school, it fits my schedule”
“I can read the material as often as I want and at my own pace”
“You don’t have to physically go to school as much”
“It is flexible”

23. What things did you find difficult or didn’t work for you?
Student Perspective
What things did you find difficult or didn’t work for you?

24. Student Perspective -Negatives
“It is hard to pick out the most important points without the face to face lecture”
“The 12 hour day was too long, we didn’t function well after clinical”
“Finding time for lab practice was hard”
“I miss the personal stories and examples given by the lecturer”

25. Lessons Learned- Development
Presentation of content online
Content must be congruent with identified learning outcomes
Lack of experience with online delivery of nursing content
Time constraints

26. Example Module Soft Chalk

27. Lessons Learned- Implementation
One day a week requirement
Student orientation
Seminars
Skills testing and lab time
Acculturation to the nursing profession
Assimilation with nursing students
Access to nursing program resources
Health care experience requirement

28. Positive Outcomes Faculty
Increased knowledge of pedagogy related to on-line delivery of content
Transfer of innovative pedagogy to face to face format
Fostered creativity and alternative teaching methods
Impact on nursing shortage

29. Positive Outcomes Students Access Similar Outcomes
Increased writing opportunities
Self paced learning
Valued the flexibility
Cohesive and supportive of peers

30. Paramedic to RN Program

31. Maryland Health Services Cost Review Commission (HSCRC Grant)
“Distance Education for Paramedic to RN Students” -- $295,005
Purpose – to address Initiative 1 to expand Maryland’s nursing capacity through shared resources
Partnership with Allegheny College and Chesapeake College

32. Paramedic to RN Online Hybrid Online course
Initiated Paramedic to RN Online course Summer 2008

33. Paramedic to RN Online
Access for Central, Eastern, and Western regions of the State of Maryland

34. Paramedic to RN Online Hybrid Program Clinical Nursing Lab
Simulation scenarios
Seminars
Didactic content online

35. Paramedic to RN Online Credit for experience and prior knowledge
Credit for the course
Advanced standing
Schedule options for second year of program
Advanced standing -- students enter second year of nursing program upon successful completion of the course
Option to continue second year in online, evening/weekend, or day program

36. Paramedic to RN Online Pitfalls and Challenges
Difficult to guarantee a specific number of students
Lack of Initial “pipeline” for Admissions
Resistance from Firehouses
Content delivery
Role Change

37. CCBC Template

38. Questions