1. Dec. 8, 2011 Deborah Navedo, PhD, CPNP, CNE NEASC Annual Meeting CIHE Assessment Forum 1

2. ◦ Navedo’s employer is accredited by NEASC. ◦ Otherwise none. 2 2

3. 3 3 Simulation-based Assessment and NEASC Standards

4.  *Physical Therapy, Medical Imaging, and Communication Science and Disorders (CSD)  # Includes post-professional Certificate programs such as Health Professions Education. http://www.mghihp.edu/files/about-us/fact-sheet-fall-2010.pdf 4 4 Enrollment 2010 Masters Students Doctoral Students Other Nursing44668%10%22% School of Rehab. Sciences* 44335%47%18% Non- Degree # 150--- Simulation-based Assessment and NEASC Standards

5. The Total Knee Replacement (TKR) home visit for nursing students… 5 5 “Expectations are graduated by degree level …” (4.4)

6. Medication reconciliation activity (Sample) 6 6 Group (Scenario) GoalAssessment BSN StudentsMedications are being taken as ordered Effective interview skills Inspects medications MSN StudentsManages side effects Identifies and manages common complications, following established protocols Plans medication adjustments based on history and physical findings Follows appropriate protocols “Expectations are graduated by degree level …” (4.4)

7. BSN Students 7 7 Confirm the right ones are there “Expectations are graduated by degree level …” (4.4)

8. 8 8 Recognize context and environmental cues Can’t reach medications from recliner High sugar foods for diabetic Identify and manage complications Signs of confusion from pain medication Signs of blood clots from immobility MSN Students

9. Student Outcomes examples :  Skills checklists  Procedural compliance  Time to completion 9 9 “Direct and Indirect measures of learner performance” (4.54) Simulation-based Assessment and NEASC Standards

10. Student outcome examples.  Comprehensive physical assessment  Avoidance of common complications  Documentation (such as medical record)  Clear communication of problem 10 “Direct and Indirect measures of learner performance” (4.54) Summative Assessments Simulation-based Assessment and NEASC Standards

11. “Direct and Indirect measures of learner performance” (4.54) 11 “ Graduates … demonstrate competence in … the capability for continuing learning” (4.19) Simulation-based Assessment and NEASC Standards Can this be applied to formative assessment? Assessment for Learning

12. 12 Simulation-based Assessment and NEASC Standards “Graduates … demonstrate competence in … the capability for continuing learning” (4.19) “Students … are provided with regular and constructive feedback designed to help them improve their achievement” (4.53).

13. ◦ Debriefing that emphasizes Reflection  Supportive environment  Fosters student self-evaluation and life-long learning skills.  Facilitator as guide, not judge ◦ Adult learners (Knowles, 2005)  Autonomous and self-directed (internally motivated)  Need to connect learning with their own experiences  Goal-oriented  Need to see relevancy of learning  Need immediate feedback on progress 13 Simulation-based Assessment and NEASC Standards “ Graduates … demonstrate competence in … the capability for continuing learning” (4.19)

14. 14 How is the efficacy of simulation being studied? Simulation-based Assessment and NEASC Standards “… encourages experimentation with [teaching] methods to improve instruction.” (5.18)

15. Study coordinated by National Council of State Boards of Nursing  Randomized controlled longitudinal study, replacing parts of hospital-based clinical experience with structured simulation experience (up to 50%). 15

16. 16 https://www.ncsbn.org/2094.htm

17.  Assessment of student outcomes and teaching methods are evolving  Curricular and instructional reform 17 Interprofessional Education Team-based competencies

18.  Robust approach to assessment  Variety of methods and perspectives  Emphasis on improving learning outcomes 18

19. Assessment for Learning Debriefing Simulation 19 The real potential for simulation may be formative…

20. ◦ Popham, W. J. (2008). Classroom assessment: What teachers need to know (5th ed.). Boston: Allyn & Bacon. ◦ Knowles, M., Holton, E. F., III; Swanson, R. A. (2005). The adult learner: The definitive classic in adult education and human resource development (6th ed.). Burlington, MA: Elsevier ◦ National Council of State Boards of Nursing, Simulation Study https://www.ncsbn.org/2094.htmhttps://www.ncsbn.org/2094.htm 20