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

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Review Year: College: Program:

College: Kapiolani Community College
Program: Nursing: Associate Degree

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The last comprehensive review for this program was on 2009, and can be viewed at:
http://ofie.kapiolani.hawaii.edu/wp-content/uploads/2013/01/Nursing_ComprehensiveProgramReview_09_12-16-09.pdf
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Program Description

Kapiolani Community College
2011 Annual Report of Instructional Program Data

Nursing: Associate Degree

Program Mission:

The Associate in Science degree in Nursing (ANURS/ADN) Program at Kapi’olani Community College is approved by the Hawai‘i State Board of Nursing and accredited by the National League for Nursing Accrediting Commission (NLNAC).  

The ADN Program is taught by Kapi’olani CC faculty each fall and spring at the KCC Diamond Head (DH) campus site and at the Leeward Community College (LCC) satellite campus site.

To graduate with an AS Degree in nursing, students are required to have successfully completed the program prerequisites and be admitted into the ADN program. The degree is a total of 72 credits which can be completedwithin four semesters and one summer term.

Effective fall 2012, the AS degree in Nursing will be aligned with the Bachelor of Science in Nursing (BSN) degree at the University of Hawai‘i at MA�noa via the Hawai‘i State wide Nursing Consortium Curriculum.  The alignment will enable Kapi’olani ADN graduates to continue their nursing education in pursuit of a BSN degree.This also means that program graduates can career ladder into either the BA in Nursing at UH-MA�noa or the UH- Hilo. 

Nursing Program Career Ladder and Licensure

A career ladder model is incorporated into the Associate in Science Degree in Nursing.  Students are able to begin their career ladder by becoming a nurse aide, progressing to become a practical nurse and finally eligible to become a registered nurse.  Students who are accepted into the Associates Degree Program and complete their first semester within the ADN program acquire skills to become a nurse aide.  After successfully completing the first year as well as the paediatric ADN course, students are eligible to take the National Council of Licensure Examination for practical nurses (NCLEX-PN) examination to become licensed practical nurses.  Graduates of the Associate in Science Degree in Nursing Program are prepared to write the National Council for Licensure Examination for registered nurses (NCLEX-RN) examination and to perform as entry level registered nurses. 

The mission of the Nursing Department and the ADN Program

The Nursing Department follows the College Vision of “preparing students for lives of critical inquiry and effective engagement and leadership careers which strengthen the health, well-being and vitality” of all those whom they help including the land and sea that sustains them.  The AND Program mission is to prepares graduates to write the National Council of Licensure Examination for registered nurses (NCLEX-RN), which provides certification to work as a Registered Nurse in that State of Hawai‘i and across the US.

Graduates who have successfully completed the Associate in Science degree in Nursing as well as the NCLEX-RN licensure exam become licensed registered nurses who are able to support the vision of Kapi’olani CC by:

  

Part I. Quantitative Indicators

Overall Program Health: Healthy

Majors Included: NURS

Demand Indicators Program Year Demand Health Call
09-10 10-11 11-12
1 New & Replacement Positions (State) 272 306 305 Cautionary
2 *New & Replacement Positions (County Prorated) 199 232 228
3 *Number of Majors 153 156 156
4 SSH Program Majors in Program Classes 2,885 2,914 2,863
5 SSH Non-Majors in Program Classes 582 456 324
6 SSH in All Program Classes 3,467 3,370 3,187
7 FTE Enrollment in Program Classes 116 112 106
8 Total Number of Classes Taught 37 45 37

Efficiency Indicators Program Year Efficiency Health Call
09-10 10-11 11-12
9 Average Class Size 23.3 17.5 20.3 Healthy
10 *Fill Rate 99% 88% 97%
11 FTE BOR Appointed Faculty 30.2 27.4 21.5
12 *Majors to FTE BOR Appointed Faculty 4.6 5.7 7.2
13 Majors to Analytic FTE Faculty 25.9 19.9 26.1
13a Analytic FTE Faculty 5.9 7.8 6.0
14 Overall Program Budget Allocation $1,573,872 $1,637,298 $1,436,877
14a General Funded Budget Allocation $1,573,872 $1,637,298 $980,035
14b Special/Federal Budget Allocation $0 $0 $0
14c Tuition and Fees Not Reported Not Reported $456,842
15 Cost per SSH $454 $486 $451
16 Number of Low-Enrolled (<10) Classes 3 11 1

Effectiveness Indicators Program Year Effectiveness Health Call
09-10 10-11 11-12
17 Successful Completion (Equivalent C or Higher) 82% 89% 94% Healthy
18 Withdrawals (Grade = W) 75 40 12
19 *Persistence (Fall to Spring) 68% 86% 94%
20 *Unduplicated Degrees/Certificates Awarded 74 61 77
20a Degrees Awarded 74 61 77
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 95%
22 Transfers to UH 4-yr 2 0 3
22a Transfers with credential from program 2 0 1
22b Transfers without credential from program 0 0 2

Distance Education:
Completely On-line Classes
Program Year  
09-10 10-11 11-12
23 Number of Distance Education Classes Taught 0 0 0  
24 Enrollment Distance Education Classes 0 0 0
25 Fill Rate 0% 0% 0%
26 Successful Completion (Equivalent C or Higher) 0% 0% 0%
27 Withdrawals (Grade = W) 0 0 0
28 Persistence (Fall to Spring Not Limited to Distance Education) 0% 0% 0%

Perkins IV Core Indicators
2010-2011
Goal Actual Met  
29 1P1 Technical Skills Attainment 90.10 98.67 Met  
30 2P1 Completion 45.00 76.00 Met
31 3P1 Student Retention or Transfer 56.00 94.20 Met
32 4P1 Student Placement 51.00 81.93 Met
33 5P1 Nontraditional Participation 16.25 27.14 Met
34 5P2 Nontraditional Completion 15.15 16.13 Met
Last Updated: August 6, 2012
Glossary | Health Call Scoring Rubric

Part II. Analysis of the Program

Program Demand


• The number of majors in the nursing program (156) divided by the county new and replacement positions (228), show that the program demand indicator to be .68 or “cautionary”. To be defined as “healthy” the number of majors would need to increase by over 200 to meet the current demand. The data show that the number of new and replacement positions for registered nurses increased by 29 positions between the 2008-09 and 2011-12 ARPD.The last three ARPD reports show that the Kapi’olani CC nursing program like all other state nursing programs, have adjusted the number of students admitted into nursing in order to meet the State workforce needs.


• The county prorated registered nursing positions need to be explained. Currently, new nursing graduates are more likely to obtain either part-time RN positions or work as an LPN and Nurse Aide. Assessment of the county and state nursing workforce indicates that nurses are remaining in workforce rather than retiring as expected due to the economic downturn. This means that full-time positions are not readily available and are not expected to be for 3 to 5 years. To increase the number of nursing majors would potentially increase the number of students in the ADN to BA career pathway or the applications to related health careers. Kapi’olani CC nursing program is aligning the curriculum content with the system-wide consortium as of fall 2012. The alignment will help new graduates unable to find full time work and wishing to continue on in their nursing education.  In the fall of 2012 the ADN program offered the first 3 courses in the Consortium Curriculum.


• The demand for the Kapi’olani CC nursing program is also related to the accreditation status of the program. Department faculty are preparing the self study documentation and related curriculum changes as the 2013 accreditation team will be assessing the program at each campus location.


Program Efficiency


• One of the ARPD efficiency indicators is class fill rate. The ADN program fill rate is 97%, which is approximately a 10% increase in efficiency. The program continues to fall  within the 75 and 100 percent range the program can be considered “healthy” and efficient. The efficiency measure of majors to FTE BOR appointed faculty is 7.2 which means the program is unhealthy. Given the current number of majors of 156 there would need to be 10 faculty teaching within the ADN program to be considered a healthy efficient program.    

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• The data is explained in part by the structure of the nursing program found in the program description of this report. The nursing curriculum is an integrated career pathway program, meaning that faculty members are hired at the highest level of skill, which is the ADN program, but team teach across all nursing programs. The BOR appointed faculty numbers need to be investigated based on which faculty position numbers because there are currently over 20 faculty members teaching in the ADN Program.  


Program Effectiveness


• The effectiveness of the ADN nursing is “healthy” at 49% based on the number of unduplicated degrees awarded (77) divided by number of majors (156). This is a 10% increase over last year's report.  To be considered healthy the program needed to achieve greater than 20%. The second measure of effectiveness is program persistence and is “healthy” at 97%, and increase of over 10% from the last report.  The nursing faculty counselors and teaching instructors continue to work  very hard to increase this indicator. Their work is supported by the data which show that the persistence rate has increased over the last 3  ARPD reports by approximately 30 percentage points.

Perkins Indicators


• To the credit of the ADN nursing program, all six Perkins Core Indicator goals were met; technical skills attainment, completion rate, student retention or transfers, student placement, non-traditional student participation and completion. The non traditional students are represented by males as well as Native Hawaiian students.


• The higher successful completion rate and lower withdrawal rate indicate that actions taken since the last ARPD Report to address the on-time pass rate through curriculum changes which have been successful. Actions included 1) changing the selection criteria to give extra consideration to applicants with health care or care-giving experience; 2) all students who earn a theory exam grade of less than 72,or  who performed poorly in clinical or were absent from class received mandatory remedial assistance from the program counselors and the Nursing Laboratory Resource Center.
• Use of computerized assessment testing continued to be incorporated in all nursing courses.


• Perkins core indicator of student retention/transfer rate increased from 92.76% to 94.2% from the last report which demonstrates the success in part the  system approach to the integrated nursing career pathway. The success is reflected by the number of students progressing through the ADN program at the various campus sites. For example, the spring 2011 cohort students continued on into the fall 2012 DH and LCC sites

• Perkins core indicator of student completion at 76.0% is supported by program faculty teaching at both the main Diamond Head campus and the Leeward CC satellite site. Faculty implemented the last ARDP action plan to meet regularly, prepare for classes and laboratory sessions at each site, and establish a parallel Laboratory Resource Center for students needing to practice their clinical skills and receive remediation help from program faculty.

Part III. Action Plan

Program Action Plan

  1. Currently working on ADN program self study report and curriculum changes as recommended by the last accreditation report and preparing for the 2013 site visits to each campus.
  2. Continue to align and deliver the system-wide consortium curriculum effective fall 2012, including the ADN program student learning outcomes (SLOs) aligned with course competencies.
  3. Completed the simulation laboratory and poly-communication system at the Leeward CC satellite site. Implementation and alignment of the ADN curriculum began in fall 2012 with the program UH-Manoa Bachelor of Science in Nursing (BSN) program via the Hawai‘i State-wide Nursing Consortium Curriculum.  This action will enable ADN graduates to continue their nursing education in pursuit of a BSN degree at UH-Manoa.  The Nursing Department offered the first 3 courses in the consortium Curriculum fall 2012.
  4. The pediatric courses require a simulation baby manekin for skill attainment prior to clinical placement. (See resource implications).
  5. Obtained approval to administer and accept only the Assessment Technology Institute’s Test of Essential Academic Skills (ATI-TEAS) exam.  The exam was approved as a program pre-admissions requirement and effective as of March 20, 2012.  Students applying to the KCC ADN program and the KCC LPN-RN Transition Program are required to meet an individual total score of 78% or higher. This plan will alleviate the lack of resources to administer the previously used NLN pre-admissions exam as well as the current concern that ADN applicants are unable to access or secure their exam scores in a timely manner. 
  6. Obtained approval to eliminate the five-year time limit for the science prerequisite and co-requisite courses for the ADN Program and LPN-RN Transition Program. Effective June 2012 student applications for the ADN Program and LPN-RN Transition Program in the spring 2013 semester. This action parallels the system-wide prerequisites to ADN programs.  In place of the current pre-requisites students will be required to complete the pathophysiology course.
  7. Request permission to hire our 9-month faculty counselor for the summer session. Beginning summer session of 2010, and continued for 2011 and 2012, the nursing counselor has worked in an overload position to provide teaching and student support for the ADN and PCRN Nursing Programs on three campuses.  This work is not manageable by one counselor.  In addition,  well over 200 applications come in for the PN Program at Diamond Head and Windward CC, the ADN program at Diamond Head and Leeward CC, as well as the Surgical Technology Program. To date, the Nursing Department has managed to support the summer student needs by hiring a casual instructor APT, and two nine month faculty – one counselor and one instructor to serve as Nursing Lab Resource Center instructor at the three sites. (See resource implications)
  8. A secretary for the Nursing Department was hired.

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Part IV. Resource Implications

Part IV: Resource Implications

Program Resource Implications

Funding to carry out the action plan includes the following: 

For any additional fiscal resources, the Nursing Department had sufficient funds to purchase necessary office, medical equipment and supplies through College funds and Professional Fees.  The costs of creating a simulation laboratory with simulation mannequin and technology at the LCC satellite site have been funded with Professional Fees. 

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
There are 7 Program SLO's in the old ADN Nursing Curriculum. 1. Evaluate the facts and principles of biological, physiological, sociological, cultural, and spiritual functioning while providing nursing care to clients with needs resulting from altered states of wellness through the life span. 2. Evaluate the effectiveness of the care provided using the nursing process and modify care for clients accordingly. 3. Integrate therapeutic communication techniques in the care of clients with diverse cultural backgrounds. 4. Evaluate teaching plans for clients to foster the maintenance of health, prevention of illness, and to promote recovery of illness.

2

Yes
5. Incorporate time management, decision making, and delegation skills in the care of a small group of clients. 6. Evaluate legal principles, legal standards, and ethical concepts in the management of nursing care of the clients. 7. Assume the role of a member of the profession by demonstrating responsibility and accountability for own practice, meeting learning needs, and engaging in professional activities.

A) Evidence of Industry Validation

The Associate in Science degree in Nursing (ANURS/ADN) Program at Kapi’olani Community College is approved by the Hawai‘i State Board of Nursing and accredited by the National League for Nursing Accrediting Commission (NLNAC).  

Upon successful completion of all ADN courses and clinical practice, g , , ,    raduates of the Associate in Science Degree in Nursing Program are prepared to write the National Council for Licensure Examination for registered nurses (NCLEX-RN) examination and to perform as entry level registered nurses.  

Graduates of the Associate in Science Degree in Nursing Program are prepared to write the National Council for Licensure Examination for registered nurses (NCLEX-RN) examination and to perform as entry level registered nurses.  

Graduates of the Associate in Science Degree in Nursing Program are prepared to write the National Council for Licensure Examination for registered nurses (NCLEX-RN) examination and to perform as entry level registered nurses.  Graduates of the Associate in Science Degree in Nursing Program are prepared to write the National Council for Licensure Examination for registered nurses (NCLEX-RN) examination and to perform as entry level registered nurses.  Graduates of the Associate in Science Degree in Nursing Program are prepared to write the National Council for Licensure Examination for registered nurses (NCLEX-RN) examination and to perform as entry level registered nurses.  Graduates of the Associate in Science Degree in Nursing Program are prepared to write the National Council for Licensure Examination for registered nurses (NCLEX-RN) examination and to perform as entry level registered nurses.  Graduates of the Associate in Science Degree in Nursing Program are prepared to write the National Council for Licensure Examination for registered nurses (NCLEX-RN) examination and to perform as entry level registered nurses.   

B) Expected Level Achievement

100% will pass clinical, midterm and final exams.

C) Courses Assessed

NURS 156

NURS 157

NURS 166

D) Assessment Strategy/Instrument

E) Results of Program Assessment

In the Fall of 2011, there were 38 ADN graduates, 2 decelerated.  In the Spring of 2012 there were 41 ADN graduates, 9 decelerated.

F) Other Comments

In the Fall of 2012 the Nursing Department inplimented the new Consortium Curiculum, a concept-based approach. This, we believe, will increase  student learning, student achievement, and student success resulting in fewer student decelerations.  

NURS 156 has expired as of July 2012, and NURS 157 will expire in December, 2012, both to be replaced with the new Consortium Curriculum. NURS 166 will be expiring at the end of the fall semester, 2012. LPN students who wish to go on and earn their ADN will take NURS 212 and then be integrated into the Consortium Curriculum.

G) Next Steps

With the impiementation of the new Consortium Curriculum we expect fewer students will decelerate from the ADN Program.