University of Hawaii Community Colleges
Instructional Annual Report of Program Data (ARPD)

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Review Year: College: Program:

College: Hawaii Community College
Program: Nursing: Associate Degree

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The last comprehensive review for this program can be viewed at:
http://hawaii.hawaii.edu-program-unit-review/docs/2011_nurs_adn_comprehensive_instructional_program_review.pdf
STEM Program

Program Description

The mission of Hawaii Community College's Associate Degree in Science program is to provide a continuous and adequate supply of registered nurses for employment in the health care delivery system of Hawaii County, the State of Hawaii, the Pacific Basin and the nation.

The program provides graduates with a high wage professional career.  In order to promote islandwide access, classes are offered in both Hilo and Kona utilizing HITS, online classes, face to face seminars and clinical experiences.  Thirty students in Hilo and ten students in Kona are admitted once a year.  Students gain experience in clinical facilities in Hilo, Honokaa, Waimea and Kona. 

Part I. Quantitative Indicators

Overall Program Health: Cautionary

Majors Included: NURS

Demand Indicators Program Year Demand Health Call
09-10 10-11 11-12
1 New & Replacement Positions (State) 272 306 305 Unhealthy
2 *New & Replacement Positions (County Prorated) 34 39 33
3 *Number of Majors 422 486 396
4 SSH Program Majors in Program Classes 1,238 1,431 1,311
5 SSH Non-Majors in Program Classes 38 18 59
6 SSH in All Program Classes 1,276 1,449 1,370
7 FTE Enrollment in Program Classes 43 48 46
8 Total Number of Classes Taught 12 14 14

Efficiency Indicators Program Year Efficiency Health Call
09-10 10-11 11-12
9 Average Class Size 24.8 24.6 23.5 Healthy
10 *Fill Rate 81% 82% 79%
11 FTE BOR Appointed Faculty 14 11 11
12 *Majors to FTE BOR Appointed Faculty 30.1 44.1 36.0
13 Majors to Analytic FTE Faculty 247.4 267.5 217.9
13a Analytic FTE Faculty 1.7 1.8 1.8
14 Overall Program Budget Allocation $955,119 $1,031,096 $938,702
14a General Funded Budget Allocation $944,422 $1,023,944 $883,988
14b Special/Federal Budget Allocation $10,697 $7,152 $0
14c Tuition and Fees Not Reported Not Reported $54,714
15 Cost per SSH $749 $712 $685
16 Number of Low-Enrolled (<10) Classes 0 2 2

Effectiveness Indicators Program Year Effectiveness Health Call
09-10 10-11 11-12
17 Successful Completion (Equivalent C or Higher) 93% 90% 89% Unhealthy
18 Withdrawals (Grade = W) 9 5 16
19 *Persistence (Fall to Spring) 76% 77% 59%
20 *Unduplicated Degrees/Certificates Awarded 19 28 23
20a Degrees Awarded 19 28 23
20b Certificates of Achievement Awarded 0 0 0
20c Advanced Professional Certificates Awarded 0 0 0
20d Other Certificates Awarded 0 0 0
21 External Licensing Exams Passed Not Reported Not Reported Not Reported
22 Transfers to UH 4-yr 9 17 19
22a Transfers with credential from program 1 0 2
22b Transfers without credential from program 8 17 17

Distance Education:
Completely On-line Classes
Program Year  
09-10 10-11 11-12
23 Number of Distance Education Classes Taught 5 5 5  
24 Enrollment Distance Education Classes 96 88 86
25 Fill Rate 88% 76% 80%
26 Successful Completion (Equivalent C or Higher) 99% 94% 95%
27 Withdrawals (Grade = W) 0 0 4
28 Persistence (Fall to Spring Not Limited to Distance Education) 87% 100% 85%

Perkins IV Core Indicators
2010-2011
Goal Actual Met  
29 1P1 Technical Skills Attainment 90.10 96.61 Met  
30 2P1 Completion 45.00 50.85 Met
31 3P1 Student Retention or Transfer 56.00 73.20 Met
32 4P1 Student Placement 51.00 58.54 Met
33 5P1 Nontraditional Participation 16.25 16.14 Not Met
34 5P2 Nontraditional Completion 15.15 20.00 Met
Last Updated: August 6, 2012
Glossary | Health Call Scoring Rubric

Part II. Analysis of the Program

The unhealthy/demand call is based on erroneous data.  Students who are taking prerequisite courses are listed as NURS majors but most will never be admitted to the program.  There is huge interest in the nursing program but limited spaces.  Forty students are admitted in Hilo and Kona each year in preparation for the huge need in the future.  Our graduates have not had problems finding employment due to the reputation of the program.  The unhealthy/effectiveness call reflects the difficulty of the nursing program as well as the complexity of the students lives in that the attrition rate is high. 

Progress has been made on action plan items from 2011.  The new Nursing Learning Resource Center in Kona has been occupied and is in the process of being completely equipped.  The ASN to BSN MOA with UHH Nursing is in process subsequent to meetings between nursing faculty from the two programs. 

Part III. Action Plan

1.  Recruit, hire and mentor new nursing faculty to replace faculty who retire.  These actions contribute to the college's mission by assuring that there are qualified faculty who continue to foster excellence in teaching. 

2.  Move the entire nursing program faculty and staff into the renovated Hale ALoha building during fall 2013.  This action contributes to the college's mission by assuring that there are adequate physical facilities to support the nursing program.

Perkins Core Indicator that was not met was:  non traditional participation.  Currently there are 21.6% males in the first year of the program and 16.7% in the second year of the program.  Males are increasingly interested in the program and encouraged to enroll.

Part IV. Resource Implications

Resources will be needed to equip the new Hale Aloha building.  In addition, the two high fidelity patient simulators will need to be replaced within the next one or two years at a cost of around $45,000 apiece.  Resources will be needed to maintain the NLRC building and grounds in Kona.

Program Student Learning Outcomes

For the 2011-2012 program year, some or all of the following P-SLOs were reviewed by the program:

Assessed
this year?
Program Student Learning Outcomes

1

Yes
The student will retrieve, integrate, and apply relevant and reliable information, concepts from multiple disciplines, and standards of nursing as the basis for evidence based nursing care.

2

Yes
The student will utilize the nursing process as an ongoing framework for critical thinking to assess, plan, priotize, implement and evaluate safe and effective nursing care for healthy individuals and individuals with complex disorders who need the expert care of a professional nurse.

3

Yes
The student will demonstrate caring and compassion by developing and maintaining therapeutic relationships based upon mutuality and respect for the health and healing practices, beliefs and values of the individual and community.

4

Yes
The student will demonstrate the ability to function and communicate in a collaborative manner as a member of a multidisciplinary health care team to effectively manage care for individuals, families and groups of individuals in a variety of settings.

5

Yes
The student will demonstrate the abilty to plan and deliver effective health education as an integral part of promotion, maintenence and restoration of health, management of chronic conditions and end of life care.

6

Yes
The student will demonstrate professional behaviors and practice within the legal and ethical framework of professional nursing.

7

Yes
The student will use self-reflection to evaluate their nursing effectiveness and personal experiences for ongoing learning and professional growth.

A) Evidence of Industry Validation

The Associate of Science in Nursing program was reaccredited by the National League for Nursing Accrediting Commission for 8 years in February 2011. 

B) Expected Level Achievement

Faculty have set an ideal benchmark of 100% of students achieving level 2 or above on all ati tests.

C) Courses Assessed

Nursing:  151, 153, 158, 157, 254, 255, 257, 251, 260, 258

D) Assessment Strategy/Instrument

ATT online proctored exams:  Fundamentals, Pharmacology, Mental Health, Maternal Newborn, Nursing Care of Children, Adult Medical Surgical and Management

E) Results of Program Assessment

 

Course

Assessment Instrument

Benchmarks

Results

Next Steps

Nurs 151

ATI Fundamentals Proctored Exam: Fundamentals

100% score at level 2 or higher

84% scored at level 2 or higher

Alerted students to mental health content in practice exam for fundamentals

Nurs 153

ATI Fundamentals

"

"

Added simulations on safety, asepsis & infection control

Nurs 158

ATI Fundamentals

"

"

Alerted students to legal & ethical content in practice exam for fundamentals

Nurs 254

ATI Maternal Newborn

"

100% scored at level 2 or higher

Added simulation seminars as part of clinical hours

Nurs 255

ATI Care of Children

"

61.6% scored at level 2 or higher

Added simulation seminars on various diseases, conditions and pain management

Nurs 157

ATI Pharmacology

"

48.1% scored at level 2 or higher

Preclinical med test administered; students alerted to areas of pharmacology on practice exam that may not have been covered in medical surgical nursing

Nurs 251

ATI Mental Health

"

68% scored at level 2 or higher

Nurs 257

ATI Adult Medical‐Surgical

"

69.2% scored at level 2 or higher

HITS lectures to include case studies & problem based learning

Nurs 258

ATI Leadership

"

64% scored at level 2 or higher

Increase emphasis on ethical dilemmas in the course

Nurs 260

ATI Leadership

"

"

Use QSEN competencies for problem based learning using case studies on : team work, case management and quality assurance  

F) Other Comments

PLOs are also assessed via the Clinical Evaluation Tool for each clinical course.  The Clinical Evaluation Tool is based on the PLOs so students do not pass clinical if they do not meet the PLOs. 

G) Next Steps

See previous table under Results of Program Assessment.