1. 1 NURS 325: Context of Health Care Delivery I Nina Trocky, MSN, RN Vanessa P. Fahie PhD, RNC University of Maryland, Baltimore School of Nursing

2. 2 NURS 325 Redesign Replacement Model Decreased the number of in-class sessions Added technology enhancement Added active learning project Replaced individual learning activity with group project

3. 3 The Plan Chunked Content into Modules Lectures replaced by on-line modules Poster Fair- n=3 Group activity Faculty/Teaching Assistant Consultations Clarified module content and facilitated group activities Immediate knowledge checks with non- graded quizzes Tests- n=3

4. 4 Challenges Faculty Perspectives Course Competition Assessment of Content Team Composition No TA Workload-3 Posters Student Perspectives Course Format Project Deliverables and Timeline Group Assignments

5. 5 Successes Meeting Course Objectives 65% responded to a survey rating the instructional techniques as effective or very effective: Group poster project 90% Non-graded quizzes 83% Tests 79% On-line modules 77% Group consultations with faculty 76%

6. 6 Successes (cont.) Course content “refreshed” Student feedback invaluable Group poster project a “winner” Technology enhancements effective

7. 7 Proposed Changes Refine/revise on-line modules Add weekly threaded discussion board sessions One face to face meeting every 5 weeks Case scenarios, Q & A, concept maps Add explanation for incorrect responses on non-graded quizzes

8. 8 Proposed Changes (cont.) One poster presentation with predetermined deliverables and peer evaluations Add grading rubric for participation in discussion board sessions Add peer review form to group project Offer multiple topics for poster project

9. 9 In Retrospect... Complete modules, quizzes, tests and evaluation methods before implementation Discuss rationale of hybrid format with students are the beginning of the course Notify students of new course format before 1 st day of class Compare on-line course and blended courses for consistency

10. 10 Next Steps: Upgrades Revisions to be made during the summer semester All NURS 325 faculty (on-line and blended) to evaluate revised course Review CEQs when available Prepare manuscripts to disseminate redesign course processes and outcomes Implement revised course in the fall Collect data and measure outcomes