ࡱ> tvopqrs G^bjbj yV(Vff   $ PG!C" /WZ'%=%S%S%S%2&2&2&vVxVxVxVxVxVxV$Z+]vV 2&.&2&2&2&V S%S%V6L'L'L'2&^ S% S%vVL'2&vVL'L'2STS%0pyW &^T.bVVH/WT.]&^]\T] Tl2&2&L'2&2&2&2&2&VVL'2&2&2&/W2&2&2&2&]2&2&2&2&2&2&2&2&2&f o:  Bachelor of Science in Nursing New Degree Proposal Lock Haven University of Pennsylvania College of Education and Human Services Department of Nursing Proposed Implementation Date: (Fall, 2009) Proposal prepared by: Kimberly A. Owens, RN, MS, Chair, Nursing Department Pamela Finalle, RN, MSN, Assistant Professor Amy L. Way, Ph.D., Associate Professor Signature of President or Designee: Date Original Proposal Submitted: December 8, 2006 Date Proposal Revised: March 11, 2009 June 30, 2009 TABLE CONTENTS Page 1. Appropriateness to Mission 3 2. The Need 6 3. Academic Integrity 9 4. Coordination / Cooperation / Partnerships 21 5. Periodic Assessment 22 6. Resource Sufficiency 24 7. Impact on Educational Opportunity 26 Bibliography 27 Appendices: 1. Course Sequence: Full-Time Curriculum 29 2. Course Sequence: Part-Time Curriculum 30 3. Alliance for Nursing Accreditation State on Distance Education Policies 31 4. Student Terminal Learning Goals to Nursing Course Objectives Matrix 32 5. Program Goals Assessment 38 Executive Summary 40 Five-year Budget Table 44 1. Appropriateness to Mission Alignment with State System Mission and Goals The mission, goals and objectives of the Bachelor of Science in Nursing (BSN) program set forth in this proposal are in concert with those of the University and Pennsylvania State System of Higher Education (PASSHE). The addition of a BSN program will serve to strengthen the Universitys position within the Commonwealth by addressing the call from the Chancellor (Fall, 2003) to create new opportunities for students, establish academic programs in fields most in demand from Pennsylvania employers, and form partnerships with communities surrounding PASSHE campuses to improve the economy and quality of life for all Pennsylvanians. Program Purpose, Goals and Objectives The primary purpose of the BSN program is to prepare a generalist nurse who is able to function in a variety of settings: providing care of the sick in and across environments; participating in, planning, implementing and evaluating activities and programs to promote health; and facilitating population-based health care. According to the Essentials of Baccalaureate Nursing Education (AACN, 2008), generalist nurse education occurs at a minimum in baccalaureate degree nursing programs. Baccalaureate generalist education, as defined in the Essentials document, is the foundation upon which all graduate nursing education builds. It is recognized that the role of the baccalaureate-generalist nurse is to: Provide direct and indirect care to diverse individuals, families, groups, communities, and populations; Design, manage and coordinate care across multiple and varied settings; and Be a member of the profession built on the requisite core values and an ethical framework Terminal Student Learning Goals: At the completion of this program, the graduate will be able to: Synthesize theoretical and empirical knowledge from nursing, the humanities, natural and social sciences in the practice of professional nursing. Demonstrate skills in critical thinking and decision making in the use of the nursing process with individuals, families, groups, and communities experiencing complex health problems. Intervene therapeutically to promote, restore, and maintain the maximum health potential of individuals, families, groups, and communities. Manage nursing care for groups of clients within health care agencies, in the home or in the community. Demonstrate evolving competence in multicultural interactions. Provide health education for individuals, families, groups, and communities. Communicate effectively in interactions with individuals, families, groups, and communities. Evaluate research findings, applying evidence-based knowledge to their practice. Assume responsibility and accountability for own decisions and actions in the practice of nursing. Incorporate a commitment to lifelong learning and professional values, including ethical and legal aspects, into the practice of nursing. Demonstrate knowledge and skills to use information management and patient care technologies to deliver safe and effective care. Syllabi for the following eight nursing courses have been approved by the College of Education and Human Services Curriculum Committee and were approved by the University Curriculum Committee on March 26, 2009. NURS310 Foundations for Professional Practice NURS320 Health Assessment NURS315 Pathophysiology NURS350 Care of the Critically Ill NURS410 Nursing: Home, Community and Public Health NURS420 Nursing Leadership and Management in Practice NURS490 Nursing Research NURS430 Nursing: Contemporary Issues, Policy and Politics A matrix showing where student terminal learning goals will be addressed in nursing courses (specific objective numbers have been noted) is found in Appendix 4. In addition the matrix provides a sampling of assessments that instructors may use to demonstrate if terminal goals have been met. The proposed BSN program at LHUP is aligned with the mission and goals of the Pennsylvania State System of Higher Education (PASSHE). This is apparent in several of the goals identified in the State System mission statement. The BSN program will provide upper division opportunities which will facilitate the educational mobility of graduates from the LHUP associate degree nursing program as well as other nursing programs (diploma and associate degree). The BSN program will directly and indirectly provide continuing education and community and public services in accord with the needs and aspirations of citizens and the social, cultural, economic and technical needs of the Commonwealth, particularly as related to health care. The BSN program will help meet specialized, statewide educational needs and provide public services to the Commonwealth by contributing to the educational preparation of professional nurses to meet todays needs and tomorrows projected needs. Creation of a quality BSN program in the Department of Nursing necessarily expands the likelihood that the University will gain in its recognition as a regional social, intellectual and cultural center. Development of a BSN program will enhance the Systems ability to participate in and help provide leadership for the economic revitalization and development of the Commonwealth. The proposed BSN program addresses the need to provide undergraduate education for students in the professions, including opportunities for research, artistic effort, scholarly achievement and personal growth, and is consistent with the legislated mission of the System. The Nursing Department utilizes a Master Evaluation Plan as a systematic means to emphasize ongoing assessment and evaluation of both student learning outcomes and program outcomes. These aggregated evaluation findings inform program decision making and are used to maintain and improve student learning and program outcomes. Specific areas evaluated are spread over the academic year and are discussed monthly in either Faculty or Curriculum Committee meetings (See Appendix 5). In accordance with the National League for Nursing Accrediting Commission, the University mission, and the Nursing Department, the following goals have been created. Program Goals 1. Enroll sufficient students to support program viability 2. Promote student success 3. Ensure placement of graduates 4. Assess and improve student learning 5. Ensure student satisfaction with nursing program 6. Ensure employer satisfaction of LHUP BSN graduates 7. Promote faculty scholarship Appropriateness to University Mission and Goals The University, by offering a BSN degree, will extend its contributions to the State Systems ongoing commitment to excellence in education at the lowest possible cost to students and consistent with student aspirations and regional, state, national, and international needs. According to its mission and goals, Lock Haven University is committed to an education that is based on a liberal arts foundation and includes a focus on multi-cultural and global dimensions of a changing society: a recognized need to foster the development of critical thinking; the analysis, evaluation, and creation of knowledge and the personal attributes of resourcefulness and responsibility in preparing graduates for careers and advanced education. The goals of the BSN program are consistent. The baccalaureate-prepared nurse is liberally educated; is expected to master discipline-specific knowledge and to incorporate and apply knowledge gained from other disciplines into his or her nursing practice; and is prepared to embark on a career path to include life-long learning, a commitment to the profession and recognition of personal and civic responsibilities in a multi-cultural and global community. 2. The Need Introduction of a BSN program represents an overt response to addressing societal and economic needs of the region, state, nation, and international community. Intellectual Value of the Program Nurses with Bachelor of Science in Nursing (BSN) degrees are well prepared to meet the demands placed on nurses today. BSN nurses are valued for their skills in critical thinking, leadership, case management and health promotion, and for their ability to practice in a variety of settings. Nursing students, by necessity, must be among the brightest and best of the students in the college setting. The rigors of the program, the intellectual challenges, and the expectations for professional integrity demand enrollment of students of the highest quality with drive and determination and who share a realistic understanding of health care and the outstanding opportunities for the future. Graduates of BSN programs have limitless opportunities for personal growth, creativity and advanced education and practice. A quality program will attract students with those attributes. As a consequence, others will benefit. Student Demand for the Program A survey was distributed January 2009 to first and second year LHUP nursing students enrolled in the ASN program inquiring about their interest in pursuing the RN to BSN. Seventy-seven of the 86 (90% of those surveyed) respondents indicated an interest in pursuing the RN to BSN at Lock Haven University. Thirty-eight of those students graduate April 2009. It is thus assumed that the ASN program will be an automatic feeder into the RN to BSN program. Many previous graduates and other nurses from affiliated facilities have also inquired about the proposed RN to BSN program. According to the latest annual survey conducted by the American Association of Colleges of Nursing (AACN, 2008), enrollments in entry-level BSN programs increased 5.4% nationally in fall 2007 over the previous year, making this the seventh consecutive year of enrollment increases. The AACN was pleased to see an increase in the number of registered nurses (RNs) pursuing baccalaureate level education. From 2006 to 2007, enrollments in RN to Baccalaureate programs increased by 11.5 percent or 5,188 students. This was the fifth year of enrollment increase in these degree completion programs. Not all qualified applicants are being accepted at four-year colleges and universities. In fact, AACN's survey found that 40,285 qualified applicants were not accepted at schools of nursing last year due primarily to a shortage of faculty and resource constraints. Within this total, applicants turned away include 36,400 from entry-level baccalaureate programs; 524 from RN-to-Baccalaureate programs; 3, 048 from master's programs; and 313 from doctoral programs. Expressed Demand for the Program in the Nation, State, and Service Area for Program Completers News of the nursing shortage abounds. From the national shortage of registered nurses to the recent decline and rise in applications to nursing schools and programs and the dire predictions of an inadequate nurse workforce in the future, everyone agrees, the issue is critical in nature. The Bureau of Health Professions (July, 2004) reported the demand for FTE RNs is projected to increase 41 percent between 2000 and 2020 at the national level. By 2020 the national shortage is projected to increase to more than 1 million FTE RNs. If the current trend continues only 64 percent of the projected demand will be met. The predictions in Pennsylvania are similar. According to data (2004) from the American Hospital Association, Pennsylvania is expected to experience a shortfall of nurses through 2020. (See Table 1) Table 1: Projected Supply/Demand of Nurses Pennsylvania2 YEARSUPPLYDEMANDDIFFERENCE2000111,800110,2002005105,900115,000-9,100201099,200120,300-21,100201590,600127,200-36,600202080,400135,200-54,800Change from 2000-2020-28%23%2The Health Resources and Service Administration, Bureau of Health Professions (2004) Projected Supply, Demand, and Shortages of Registered Nurses:2000-2020, National Center for Health Workforce Analysis While it is clear that it will take time and resources to resolve or reduce the current problems, it is important for institutions of higher learning to rise to the challenge - expand programs, increase enrollments, and graduate more nursing students who are well-prepared and able to function within the practice arena. The National Advisory Council on Nurse Education and Practice (2001), policy advisors to Congress and the US Secretary for Health & Human Services on nursing issues, has additionally urged that at least two-thirds of the nurse workforce hold BSN or higher degrees. Notably today, only 43% meet the criteria. "As educators, we must encourage all nursing students to further their education in the interest of providing the best nursing care possible," said Geraldine "Polly" Bednash, PhD, RN, FAAN, executive director of AACN. "Unfortunately, most nurses who enter the workforce through pre-baccalaureate programs do not advance their education beyond the minimal preparation required for licensure. AACN is committed to working with nurse educators at all levels to send a message that education makes a difference in care delivery and is key to career advancement." Given the calls for a better-educated nurse workforce, more registered nurses are pursuing baccalaureate level education. According to the latest annual survey conducted by the American Association of Colleges of Nursing (AACN, 2008), enrollments in entry-level BSN programs increased 5.4% nationally in fall 2007 over the previous year, making this the seventh consecutive year of enrollment increases. This trend is encouraging since the National Sample Survey of Registered Nurses (U.S. Dept. of Health and Human Services) found that only 17.4 percent of nurses educated in associate degree programs go on to complete a four-year nursing degree program. Completion of a BSN program is the first step in the preparation required to become a nursing educator. "Increasing enrollment in baccalaureate programs is a key first step to addressing the nation's diminishing supply of nurse educators," said AACN President Jean E. Bartels, PhD, RN. "Since the overwhelming majority of nurses with master's and doctoral degrees began their education in baccalaureate programs, efforts to overcome the faculty shortage must focus on boosting enrollment in four-year nursing programs." It is important to note that interest in a career in nursing is not limited to traditional students. A survey (2000) conducted at Geisinger Medical Center indicated that 80 of their non-registered nurse employees were interested in pursuing professional nursing education. They also reported significant interest in continuing formal education at the baccalaureate and higher degree levels by their registered nurse employees. In addition, a report published by the American Association of Colleges of Nursing (2008) indicated that applications from registered nurses with diplomas or associate degrees in nursing had increased. Applications from individuals with baccalaureate and higher non-nursing degrees have also increased nationally and regionally. Both trends were expected to continue. Value of the Program (With Respect to Student Breadth, Faculty Vitality, and Community Enhancement) It is anticipated that LHUPs BSN program will contribute significantly to the larger university community. Nursing programs of this nature are expected to attract a wide range of students from those who have recently completed an associate degree program in nursing and immediately enter the baccalaureate degree program to the older adult practicing as a registered nurse for years. A new and growing trend is the admission of second-degree students into nursing programs, reflecting recognition of nursing as a growing discipline with excellent opportunities. This brings an entirely different student into the program and serves to enrich the learning experience for other students as they share and learn together. Faculty practice, research and professional development expectations are encouraged and will contribute to a vital and substantive faculty presence. Nursing faculty will be encouraged to partner with other departments on campus to expand and enrich learning opportunities for students and to enhance their own scholarly endeavors. They will be integral to faculty governance and community service. Nursing programs are noted for the obvious link they provide to the surrounding communities and the community service that is inherent in the interactions they have with health care institutions, agencies, and community organizations. Every clinical nursing course includes experiences outside the educational institution. The agencies utilized for clinical experiences vary by the focus of the course and the objectives defined within each course. Nursing faculty is committed to creating a close working relationship with agency personnel to ensure that the clinical experience is positive and rewarding for all participants in the process. Through interactions with community agency representatives and the professional nursing community, the Department of Nursing faculty, students, and, ultimately, its graduates, will promote the University strategy to capitalize on opportunities to improve its contributions to business, industry, and the community at large. In the final analysis, the BSN program will contribute significantly to the local and regional workforce by enhancing the availability and quality of healthcare services, and improving the overall health of individuals and communities they serve. 3. Academic Integrity Curriculum Overview Lock Haven University proposes the development of an On-line Bachelor of Science in Nursing (BSN) Program. This program will be an RN to BSN completion program, with curriculum designed for entry of the registered nurse with a diploma or Associate of Science Degree in Nursing (ASN). The program is based on the tenets of the Pennsylvania Articulation Model (The Pennsylvania Coalition for Nursing Education, September, 1993). The program is organized systematically and sequentially and is designed to provide a solid foundation in the liberal arts and natural and social sciences. The curriculum is academically sound, based on a liberal education, and in concert with the Universitys general education, progression, and graduation requirements. The curriculum plan incorporates the Essentials of Baccalaureate Nursing Education (AACN, 2008) and is designed to meet accrediting body standards. It is designed to facilitate the preparation of competent, nurse generalists who are able to perform in a variety of settings. Two advising plans have been structured, one for full-time (See Appendix 1) and the other part-time (See Appendix 2) students. RN-to-BSN students in nursing must have proof of graduation from a basic program of nursing and proof of current registered nurse licensure. General science requirements will be completed before beginning 400 level nursing courses. Progression in the program will require completion of all prerequisites and requirements. The 26 credits of nursing courses will be offered online. Syllabi for the following eight nursing courses have been approved at the College of Education and Human Services Curriculum Committee and have been reviewed and approved by the University Curriculum Committee on March 26, 2009. NURS310 Foundations for Professional Practice NURS320 Health Assessment NURS315 Pathophysiology NURS350 Care of the Critically Ill NURS410 Nursing: Home, Community and Public Health NURS420 Nursing Leadership and Management in Practice NURS490 Nursing Research NURS430 Nursing: Contemporary Issues, Policy and Politics Many of the general education requirements are currently on-line with a goal of total online general education offerings to complete BSN requirements. In addition, funds will be allocated (See Five Year Budget Table) to ensure the availability of general education courses. ASSUMPTIONS: Students possess an associate degree or a diploma in Nursing from an accredited program. Students are currently licensed to practice as a professional nurse. Students have completed an introductory computer course prior to beginning the online portion of the program. General science requirements will be completed before beginning 400 level nursing courses. Students will maintain a 2.7 GPA throughout the program. Advisement from the Department of Nursing will be available throughout the program. Curriculum Overview CURRICULUM GENERAL EDUCATION REQUIREMENTS FOR THE BSN DEGREE WELLNESS CORE (total of 3 sh) SKILLS CORE (total of 9 sh) English Composition (3 sh) Mathematics (3 sh) Speech (3 sh) CONTENT CORE (total of 30 sh) Humanities (total of 12 sh) Art/Music/Theatre/Dance (6 of the 12 sh) Literature (3 of the 12 sh) Philosophy (3 of the 12 sh) Social and Behavioral Sciences (total of 12 sh) World History (3 of the 12 sh) Political Science or Economics (3 of the 12 sh) Psychology (3 of the 12 sh) Sociology or Anthropology (3 of the 12 sh) Natural Sciences (total of 6 sh) Biological Sciences, Chemistry, Earth and Space Science, Geology or Physics. TOTAL GEN EDS: 42 sh REQUIRED GENERAL EDUCATION OVERLAYS Multicultural (MC) Two of the courses taken throughout the curriculum must be designated Multicultural (MC) Writing Emphasis (WE) Three of the courses taken throughout the curriculum must be designated Writing Emphasis (WE). The courses are beyond the first-year English Composition class. Ideally these will be taken as one class per year to maintain the writing skills developed in the first-year composition class. Information Literacy (IL) Two of the courses taken throughout the curriculum must be designated Information Literacy (IL) External Experience (EE) Students will take two units of External Experience (EE). However successfully completing the clinical component of two NURS courses can satisfy this requirement. NOTE: If a single course contains more than one designation (e.g., WE, MC, and IL), then students may count all of the designations towards fulfilling their emphases requirements. These requirements may be fulfilled by any course so designated. ADDITIONAL REQUIRED COURSES *BIOL110: Introduction to Microbiology 3 sh *HLTH115: Anatomy and Physiology I 4 sh *HLTH120: Anatomy and Physiology II 4 sh HLTH415: Introduction to Pharmacology 3 sh CHEM111: Chemistry of Nutrition or RECR205: Nutrition for Wellness 3 sh Elective: 1 sh TOTAL: 18 sh REQUIRED NURSING COURSES NURS310 Foundations for Professional Practice 3 sh NURS320 Health Assessment 3 sh NURS315 Pathophysiology 3 sh NURS350 Care of the Critically Ill 4 sh NURS410 Nursing: Home, Community and Public Health 4 sh NURS420 Nursing Leadership and Management in Practice 4 sh NURS490 Nursing Research 3 sh NURS430 Nursing: Contemporary Issues, Policy and Politics 2 sh TOTAL: 26 sh PREREQUISITIES TO NURSING COURSES Students must complete a basic Statistics course prior to NURS490. To participate in the online nursing program, it is essential to have an adequate computer, software, and internet connectivity. The student is required to complete the university web based student orientation tutorial through the Office of Academic Technology. LHUP Associate of Science in Nursing (ASN) Graduate Sample RN-BSN Curriculum The LHUP ASN Graduate has completed the following curriculum: FIRST SEMESTER (Fall) ENGL100 English Composition (3 cr) PSYC100 Intro to Psychology (3 cr) HLTH115 Anatomy & Physiology I (4 cr) NURS101 Fundamental of Nursing (8 cr) SECOND SEMESTER (Spring) BIOL110 Introduction to Microbiology (3 cr) PSYC240 Dev. Psych: Life Span (3 cr) HLTH120 Anatomy & Physiology II (4 cr) NURS102 Nursing II (8 cr) THIRD SEMESTER (Fall) Math 101 (3 cr) (or higher level) English Elective (3 cr) SOCI101 Intro to Sociology (3 cr) NURS201 Nursing III (8 cr) FOURTH SEMESTER (Spring) SPCH102 Fund. of Public Speaking (3 cr) * Humanities Elective (3 cr) NURS202 Nursing IV (8 cr) NURS212 Nursing Transition (2 cr) TO COMPLETE THE PROGRAM, ALL STUDENTS MUST COMPLETE (20 HOURS) MULTICULTURAL EXPERIENCE *Humanities Include: Art, Music, Theatre, Languages, English, Literature, Philosophy, Film, Journalism, Mass Communication, and Speech courses other than Public Speaking. NURSING MAJORS: Maintenance of a minimum cumulative (overall) 2.70 GPA, and a C or above in nursing and science courses is required to progress in the program.. Any of the general education courses may be taken prior to acceptance into the ASN program. However, once you are accepted into nursing you must complete the courses in the semester in which they are offered. Total Credits Required for Graduation: 69  REMAINING GENERAL EDUCATION COURSES TO COMPLETE THE BACHELOR OF SCIENCE DEGREE WELLNESS CORE 3 sh SKILLS CORE 0 sh CONTENT CORE Humanities 6 sh B. Social and Behavioral Sciences 6 sh C. Natural Sciences 3 sh Elective 1 sh TOTAL 19 sh ADDITIONAL REQUIRED COURSES HLTH415: Introduction to Pharmacology 3 sh CHEM111: Chemistry of Nutrition or RECR 205: Nutrition for Wellness 3 sh TOTAL: 6 sh REQUIRED NURSING COURSES NURS310 Foundations for Professional Practice 3 sh NURS320 Health Assessment 3 sh NURS315 Pathophysiology 3 sh NURS350 Care of the Critically Ill 4 sh NURS410 Nursing: Home, Community and Public Health 4 sh NURS420 Nursing Leadership and Management in Practice 4 sh NURS490 Nursing Research 3 sh NURS430 Nursing: Contemporary Issues, Policy and Politics 2 sh TOTAL: 26 sh PROGRAM TOTAL 120 sh PREREQUISITIES TO NURSING COURSES Students must complete a basic Statistics course prior to NURS490. To participate in the online nursing program, it is essential to have an adequate computer, software, and internet connectivity. The student is required to complete the university web based student orientation tutorial through the Office of Academic Technology. RN GRADUATE FROM ANOTHER INSTITUTION Sample RN-BSN Curriculum Block credit awarded as transfer credit for completion of the RN program from which student graduated. Thirty-four nursing semester hours (34sh) from an accredited institution of higher education will be granted as prior learning credit based on nursing licensure. GENERAL EDUCATION REQUIREMENTS FOR THE BSN DEGREE WELLNESS CORE (total of 3 sh) SKILLS CORE (total of 9 sh) English Composition (3 sh) Mathematics (3 sh) Speech (3 sh) CONTENT CORE (total of 30 sh) Humanities (total of 12 sh) Art/Music/Theatre/Dance (6 of the 12 sh) Literature (3 of the 12 sh) Philosophy (3 of the 12 sh) Social and Behavioral Sciences (total of 12 sh) World History (3 of the 12 sh) Political Science or Economics (3 of the 12 sh) Psychology (3 of the 12 sh) Sociology or Anthropology (3 of the 12 sh) Natural Sciences (total of 6 sh) Biological Sciences, Chemistry, Earth and Space Science, Geology or Physics. TOTAL GEN EDS: 42 sh REQUIRED GENERAL EDUCATION OVERLAYS Multicultural (MC) Two of the courses taken throughout the curriculum must be designated Multicultural (MC) Writing Emphasis (WE) Three of the courses taken throughout the curriculum must be designated Writing Emphasis (WE). The courses are beyond the first-year English Composition class. Ideally these will be taken as one class per year to maintain the writing skills developed in the first-year composition class. Information Literacy (IL) Two of the courses taken throughout the curriculum must be designated Information Literacy (IL) External Experience (EE) Students will take two units of External Experience (EE). However successfully completing the clinical component of two NURS courses can satisfy this requirement. NOTE: If a single course contains more than one designation (e.g., WE, MC, and IL), then students may count all of the designations towards fulfilling their emphases requirements. These requirements may be fulfilled by any course so designated. ADDITIONAL REQUIRED COURSES *BIOL110: Introduction to Microbiology 3 sh *HLTH115: Anatomy and Physiology I 4 sh *HLTH120: Anatomy and Physiology II 4 sh HLTH415: Introduction to Pharmacology 3 sh CHEM111: Chemistry of Nutrition or RECR 205: Nutrition for Wellness 3 sh Elective 1 sh TOTAL: 18 sh REQUIRED NURSING COURSES NURS310 Foundations for Professional Practice 3 sh NURS320 Health Assessment 3 sh NURS315 Pathophysiology 3 sh NURS350 Care of the Critically Ill 4 sh NURS410 Nursing: Home, Community and Public Health 4 sh NURS420 Nursing Leadership and Management in Practice 4 sh NURS490 Nursing Research 3 sh NURS430 Nursing: Contemporary Issues, Policy and Politics 2 sh TOTAL: 26 sh PREREQUISITIES TO NURSING COURSES Students must complete a basic Statistics course prior to NURS490. To participate in the online nursing program, it is essential to have an adequate computer, software, and internet connectivity. The student is required to complete the university web based student orientation tutorial through the Office of Academic Technology. NURSING COURSES RN-BSN COMPLETION NURS310: FOUNDATIONS FOR PROFESSIONAL PRACTICE 3sh A seminar course focused on the theoretical concepts underpinning professional practice, along with the theory development in nursing. NURS320: HEALTH ASSESSMENT 3sh Designed to focus on identification and demonstration of advanced assessment techniques with emphasis on normal and abnormal findings throughout the life span. Learning experiences provide for development of systematic approach to physical assessment findings and major health deviations. NURS315: PATHOPHYSIOLOGY 3sh A study of physiologic mechanisms altered by illness, injury, or disease processes in humans throughout the life span. Fundamental disease processes, specific illnesses and their effects on homeostasis as well as the links between pathophysiology, diagnosis, and therapeutic interventions are emphasized. The focus is the use of critical thinking processes to analyze diverse client presentations of selected illnesses for symptomatology, pathophysiology, and health care implications. NURS350: CARE OF THE CRITICALLY ILL 4sh Designed to provide fundamental information about the nursing care of clients across the life span in critical care settings. Clinical activities will focus on advanced concepts of critical care related to multi-organ/system function and dysfunction. NURS410: NURSING: HOME, COMMUNITY & PUBLIC HEALTH 4sh An overview of the current and evolving roles of home health, community and public health nurses. Health promotion, health teaching, economic, political, legal and ethical influences, environmental issues, epidemiology, communicable diseases and vulnerable populations are addressed. Focus is on the application and integration of health and wellness concepts. NURS420: NURSING LEADERSHIP & MANAGEMENT IN PRACTICE 4sh A capstone nursing course with focus on leadership and management issues in health care. Seminars provide opportunities for students to share commonalities and unique aspects of their practice experiences. Course culminates in a concentrated external experience in an area and agency selected by the student. NURS490: NURSING RESEARCH 3sh A one-semester course focusing on the theoretical basis of research methodology with emphasis on analyzing, critiquing, and interpreting nursing research. Development and implementation of a research study based on an identified nursing problem will be completed. NURS430: NURSING: CONTEMPORARY ISSUES, POLICY & POLITICS 2sh An exploration of policy and politics, strategies for policy development and political action, application of such strategies in four spheres: workplace, government, organizations, and community. Focuses on the political roles and responsibilities of professional nurses in efforts to discuss unresolved issues of interests to nurses, their colleagues, and consumers of health care. Current course offerings required by the RN to BSN program MATH107 BASIC STATISTICS I 3 sh The course presents both basic concepts and computational methods involved in the analysis of sample distributions, with consideration given to probability theory, and a thorough introduction to statistical inference. Prerequisite: MATH100 or Placement by the Department of Mathematics. Fulfills General Education Requirements.  CHEM111 CHEMISTRY OF NUTRITION (3/0) 3 sh An introduction to the chemistry of nutrition emphasizing nutrients and their interactions in the body. The chemical composition, energy value and by-products of food elements and water will be related to the needs of the human system. Nutrition will be studied not only from the point of view of how to get the necessities of life, but also what effect they have on the human being. Prerequisite: high school chemistry or permission of the instructor. or RECR 205 NUTRITION FOR WELLNESS (3/0) 3 sh Designed to investigate contemporary nutrition concerns. While the course will emphasize the relationship of nutrition to overall good health and well being, it will specifically focus on an understanding of the most current issues related to sound nutritional practices. Prerequisite: high school chemistry or permission of the instructor.  HLTH415 INTRODUCTION TO PHARMACOLOGY 3 sh This is an introductory course in pharmacology, which focuses on principles of drug actions and major classes of drugs emphasizing mechanisms of action, rationale for therapeutic use, side effects, and relevant toxicities. Emphasis will be placed on pharmacotherapeutics so as to promote an understanding of the rational use of drugs in the clinical setting. Prerequisite: HLTH251 or BIOL410.  Learning Experiences and Instructional Methods The BSN program of study is based on an inherent understanding of the complexity of health care today, the importance of being able to critically think and problem solve quickly, and the recognition that knowledge and the need to know reflect the dynamic nature of the discipline. Several assumptions form the basis for planning learning experiences and identifying appropriate instructional methods: Students must be active learners and committed to lifelong learning The faculty role is to promote creativity, freedom of expression and application of critical thinking skills to the practice setting Students learn differently, therefore, method selection must reflect the variety of learning needs and styles among diverse student learners Day-to-day experiences can serve as resources for learning and applying knowledge; with proper documentation, credit may be awarded for life/work experiences Clinical experiences must be planned to provide an environment within which students can apply knowledge and skills Learning experiences and clinical placements will vary within and among courses. Although the nursing courses in the program will be offered as web-based courses, a variety of teaching modalities may be used such as individual and group projects, journaling, workshops and attendance at professional conferences in addition to computer-based course work. Students will learn and apply knowledge utilizing state-of-the-art technology whenever possible. Clinical placements provide the venue for application of learning and skill performance. There is an external clinical experience in three of the nursing courses: Care of the Critically Ill; Nursing: Home, Community, and Public Health; and Nursing Leadership and Management in Practice. An authorization form will be completed for each external experience and signed by the Chair of the Nursing Department and the facility/preceptor working with the student. This form will contain detailed information concerning the role and expectations of both the student and preceptor. Selection of student assignments will reflect instructor identified learning objectives as well as student identified learning needs. The curriculum is academically sound and is in concert with the Universitys general education, academic progression, and graduation requirements. The curriculum plan incorporates the Essentials of Baccalaureate Nursing Education (AACN, 2008) and is designed to meet accrediting body standards. The RN-to-BSN program is designed for the registered nurse with a diploma or Associate Degree in Nursing. The curriculum focuses on four core concepts: Man, Health, Nursing and Environment. Five curricular themes are evident throughout the program: Critical Thinking, Communication, Therapeutic Nursing Interventions, Multi-cultural Awareness, and Ethical Competence in Nursing Practice. Classroom and clinical experiences are coordinated so that students integrate classroom learning into their practical experiences. Clinical experiences expose students to patients of all ages, ethnic groups, and levels of wellness. RN-to-BSN students in nursing must have proof of graduation from a basic program of nursing and proof of current registered nurse licensure. General science requirements will be completed before beginning 400 level nursing courses. These courses may be completed through traditional coursework, web-based courses, or CLEP. Twenty-six (26) credits of nursing semester hours will be offered as the online component of the program. Progression in the program will require completion of all prerequisite courses and requirements. As members of the larger University community, nursing students will be encouraged to be actively involved citizens and to join the Student Nurses Association of Pennsylvania. Program Administration Although the State Board of Nursing does not regulate RN-to-BSN programs, it is recommended that program administration be conducted in accordance with the Rules and Regulations of the State Board of Nursing as they meet accrediting agency standards. Minimum Requirements - full time administrator, currently licensed in Pennsylvania as a professional nurse Professional (registered nurse) programs - employ a qualified nurse administrator for a professional nursing program at least 12 months prior to the intended admission of students. BSN programs - Administrator must have a masters degree in nursing and an earned doctoral degree or plans for completing doctoral preparation; must have experience in nursing practice, nursing education within an institution of higher education, and educational administration. An advisory council comprised of community representatives is in place in accordance with departmental by-laws that define departmental governance. The advisory council will serve as a liaison between the department and the professional nursing and lay community. Bi-annual meetings will be held to afford individuals from affiliated agencies an opportunity to contribute to program evaluation efforts and provide direction for the future. Faculty Qualifications Minimum requirement for faculty: masters degree in nursing; graduate preparation in the area of teaching and/or functional areas of responsibility; documented evidence of maintaining expertise in clinical and/or functional areas of responsibility Faculty with less than the above qualifications may be employed if qualified personnel are not available, however, may function for a maximum of 5 years as an assistant under direct guidance of a faculty member fully qualified in specific teaching area; must have a minimum of a baccalaureate in nursing Shall give evidence of actively pursuing masters degree in nursing, including written plan for completion of degree Lack of availability of qualified faculty must be documented Faculty will be carefully integrated into a well-developed, organized curriculum. Student Qualifications/Support/Advisement The RN-to-BSN program is designed for the registered nurse with a diploma or Associate Degree in Nursing and is based on the tenets of the Pennsylvania Articulation Model (The Pennsylvania Coalition for Nursing Education, September, 1993). As such, RN-to-BSN students in nursing must have proof of graduation from a basic program of nursing and proof of current registered nurse licensure. It is essential for students participating in the online nursing program to have an adequate computer, software, and internet connectivity. The student is required to complete the university web based student orientation tutorial through the Office of Academic Technology. General science requirements will be completed before beginning the 400 level courses. Students recruited into nursing must, by necessity, meet University standards and are initially processed through the Admissions Office of the University. Additional standards are imposed for enrollment in the program. This includes a minimum GPA of 2.7 for entrance into the program and successful completion of all pre-requisites. The required GPA of 2.7 is carried over from the LHU Associate of Science in nursing program. This GPA had originally been increased from a 2.5 fall 2005 to help ensure academic success and passage of the State Board exam. If students graduated prior to the policy change with a 2.5 or above, they are acceptable for admission. Student is responsible for completion of health requirements, current CPR certification, criminal history background check, child abuse clearance, and purchase of liability insurance. All students are expected to meet University standards and requirements for academic promotion, progression, and graduation. Faculty within the Nursing Department will advise RN-to-BSN students. Advising discussions may occur via email or phone. Faculty will maintain a student log concerning details of advisement as with ASN students. The proposed RN-to-BSN program addresses the need to provide undergraduate education for students in the professions, including opportunities for research, artistic effort, scholarly achievement and personal growth in ways that cannot be achieved with an associate degree. BSN nurses are valued for their skills in critical thinking, leadership, case management and health promotion, and for their ability to practice in a variety of settings. 4. Coordination/Cooperation/Partnerships With Related Programs at Other Institutions There are several area colleges and universities with nursing programs. The Department of Nursing chair, faculty, and students will have many and varied opportunities to interact with peers. The Nursing Chairperson will be the institutions representative to the American Association of Colleges of Nursing (AACN), The National League for Nursing (NLN), and Pennsylvania Higher Education in Nursing Schools Association (PHENSA). In so doing, the Chairperson will be afforded opportunities to meet with colleagues to share expertise, discuss common problems, and participate in efforts to prepare nurses for the future. In addition, the Chairperson will be actively involved, formally and informally, with nursing leaders from PASSHE member schools. Faculty will be involved in regional conferences sponsored by such organizations as the Sigma Theta Tau consortium, Pennsylvania State Nurses Association, and nursing specialty organizations. Nursing faculty will attend affiliated schools meetings in those institutions and agencies utilized by LHU for clinical placements. Such meetings are designed to bring faculty together to plan mutually satisfying and coordinated placements to minimize conflict and overlapping of unit assignments. Students will be encouraged to become members of the Student Nurses Association of Pennsylvania (SNAP), an organization hosting annual student conferences. As SNAP members, students also belong to regional and national chapters. Thus, students will have opportunities to meet and interact with students from other schools. Students will also interact with students from other nursing programs while in clinical rotations and community experiences. With Other Departments/Units on Campus One of the outstanding features of developing a program of this nature at Lock Haven University is the opportunity for nursing students to be taught and learn in classes that are interdisciplinary in nature. The natural and health science courses required for nursing majors will include students from other health science and pre-professional programs as well as majors in other disciplines. Cooperative learning experiences of a more general nature will be planned in collaboration with other health and human service majors, pre-professional students, and majors in other related disciplines. Nursing faculty will be encouraged to contribute to the general education requirements through the development of courses that satisfy the Multicultural (MC), Information Literacy (IL), and Writing Emphasis (WE) requirements. With Outside Agencies, Corporations, and Organizations The Department of Nursing faculty and students will have many opportunities to engage in activities with outside agencies, corporations and organizations. The chair and faculty will be expected to be actively involved in their professional and specialty organizations and to contribute to those agencies and organizations that are related to their areas of interest and to support them in their practice. Members of the department will meet collectively with hospital and agency representatives in the planning and evaluation of clinical experiences. Teleconferencing and ITV may be utilized for this purpose. Agencies will be represented on the Nursing Advisory Council to provide input and recommendations for the nursing department, the educational plan, and student learning experiences. Students will be involved with the area agencies, corporations, organizations, and informal groups in their clinical placements and community service projects. Potential clinical sites will be identified by course. Examples of clinical placements may include, but are not limited to: hospitals, outpatient treatment facilities, the Department of Health, home health agencies, and industrial sites. 5. Periodic Assessment Institutional Reviews The Department of Nursing will participate in the institutional review process (annual and five-year reviews) typical of all departments. In addition, the Department of Nursing will invite faculty from across departments to discuss programmatic issues of importance to the broader campus community that in turn can be blended into the Nursing program. The ongoing review of courses taken by nursing students outside the Department will be of particular concern. Efforts will be made to ensure that courses are meeting departmental needs and that students are adequately prepared to achieve success in those courses. Additional monitoring and discussion will be undertaken to ensure that BSN students are able to participate in the wide range of programmatic offerings available such as the Honors Program and ROTC. Professional Reviews The State Board of Nursing does not regulate RN-to-BSN programs. The program will seek accreditation by the National League for Nursing Accreditation Commission (NLNAC). The initial report and site visit occur prior to graduation of the first class and subsequent visits are required on 5-to-10 year cycles. Programs are expected to maintain ongoing self-evaluation and to keep records related to program outcomes and other elements identified on a comprehensive Systematic Plan of Evaluation. Accreditation will be pursued to ensure that students in the charter class will graduate from an accredited program. Accreditation Plans The framework for the Self Study Report required by NLNAC for accreditation is already in place. The nursing program engaged in a site visit from NLNAC in spring 2006 and received the full eight years of continuing accreditation for the ASN program. The standards and criteria to be addressed for the baccalaureate program are very similar to those addressed for the associate degree. Collectively, the faculty has had successful experience with the accrediting process. Periodic visits and written reports are required for continued accreditation. Distance education programs in nursing are held to the same stringent requirements of programs utilizing traditional educational methods. In order to ensure that LHUPs Nursing Program maintains a high standard of quality related to distance education learning technologies, the program defers to the standards set forth by the Alliance for Nursing Accreditation Statement on Distance Education Policies (AACN, 2005) (See Appendix 3). All nursing education programs delivered Student outcomes are consistent with the stated mission, goals, and objectives of the program. An annual program review will be completed which will evaluate student outcomes in relation to the mission, goals, and objectives of the program. Assessment is done throughout the year within the nursing department utilizing a master evaluation plan. LHUP does assume the responsibility for establishing a means to assess student outcomes. Each RN-to-BSN student will be required to maintain an academic portfolio throughout the core of the RN-to-BSN program. This will be a collection of data related to the progress of the student in achieving the baccalaureate program outcomes. The portfolio will be a tool for student learning, self-evaluation, and assessment. Students will complete annual evaluations of the program. Mechanisms for ongoing faculty development The Office of Academic Technology (OAT) at LHUP supports faculty in effectively integrating technology into teaching and learning. They promote faculty development by providing training, seminars and information sessions both at the beginning of and during each semester. This is in addition to individual and group consultation. The staff at OAT assists with the design and development of instructional materials and course sites, as well as helping to develop content and multimedia materials. There is a web based student orientation tutorial which provides information on how to progress through web based courses and reviews the tools provided such as discussion groups, chat rooms, and video conferencing. Technical support is available 24 hours/7 days for both faculty and students. A requirement for faculty teaching fully on line courses at Lock Haven University is to successfully complete the eCertification course offered by eCollege. This is an instructor-led online course taking six weeks to complete. Building an online course, developing content, strategies for teaching and managing online courses, incorporating interactivity, and assessing students are key points of the course. When utilizing distance learning methods Specific objectives are included in each course syllabus which direct student learning. Learning opportunities that facilitate development of students clinical competence and professional role socialization are identified under activities in each syllabus. Evaluation tools completed by the students preceptor will be utilized for each specific clinical experience as a mechanism to measure student outcomes. The student will also complete an evaluation tool to assess their strengths and weaknesses, as well as a tool to evaluate their learning experience. When utilizing distance learning methods Resources specifically related to each individual course will be made available through eCollege. LHUP library resources are available to students online. As identified earlier, the Office of Academic Technology at LHUP provides student support related to all distance education technology. The faculty member in charge of each course will be available through eCollege or email for advising and direction. Each accreditation and program review The framework for the NLNAC Self Study Report required for accreditation of the RN-BSN program is already in place. The self-study will clearly address the components under each standard related to distance education. 6. Resources Sufficiency Expenditures (Including Faculty, Start-Up Costs, and Continuation Costs) Staff Faculty and Support The Nursing Department currently has ten faculty members, seven full-time and three part-time. All faculty have indicated support for the RN-to-BSN program, even though not all will be directly involved. Three of the five tenured faculty members have developed the eight course syllabi and helped move them through the curricular process. An additional two faculty have expressed interest in developing course shells (for electronic delivery) and subsequently want to teach courses. Finally, four of the current Nursing Faculty are eCertified. One full-time faculty member with a doctoral degree in Nursing will be hired to assist with teaching web-based nursing courses and participate in seeking accreditation of the program. This individual will be hired to begin January 2010. It is anticipated that this individual will assist in the ASN and BSN programs. Annual salary and benefits for this individual is estimated at $96,518 for the start-up year. An additional part-time faculty member will be added year two of the program. It is anticipated that the existing clerical staff will provide clerical assistance. Adding this program will increase the need for general education and other support courses, therefore nine credits of support courses will be needed in year one of the program with an estimated cost of $29,167 for faculty. This will increase to eighteen credits in year two of the program at an expense of $57,080 annually. Learning Resources Books, Periodicals, Films, Cassettes, etc. It will be necessary to purchase resource material for the campus library for this program. Estimated library costs are $4,000.00 for the first year. After that any additional library resources will be incorporated into the library budget at $1500.00 in each year two through five. The University already has periodicals supporting the Associate Nursing Degree program that can be used to support the BSN. Instructional Equipment and Supplies and Maintenance Necessary to Support Such Equipment Computers and other miscellaneous instructional supplies are estimated at $6,000.00 in the start-up year to prepare for the start of the program and $2,000.00 in each year two through five. Facilities or Facility Modifications No facility modifications are required for this program. Accreditation/Licensure Expenses Plans for accreditation will commence in the first year of the program. The initial report and site visit occur prior to graduation of the first class and subsequent visits are required on 5- to 10-year cycles. Accreditation expenses are estimated at $4,000.00 in the first year of the program and $1900.00 annually to maintain accreditation. Revenues Currently, tuition is the only means of revenue for the program. The estimate is based on 20 students entering the program each year, generating $157,605 in revenue. Projections for year two are based on an attrition rate of 10%. It is estimated that 19 full-time students will be enrolled in the program in year two (10 new students and 9 students entering their second year of the program) and 38 part-time students (20 new students and 18 existing), generating revenue of $252,111 in year two of the program (See Five Year Budget Table). 7. Impact on Educational Opportunity At present there are no BSN nursing programs in Clearfield County. In seven adjacent counties there is one associate degree program and two BSN programs as evidenced in Figure 1).  Three of seven counties have no nursing programs. As indicated earlier, those that do have programs have all experienced tremendous growth in their applicant pools and many have waiting lists for admission. Adding an RN-to-BSN program will improve the regions ability to service both the prospective student population and the health care industry. Healthcare service providers will also gain significantly from the additional prospective professional nurse graduates who will enter the workforce. And, ultimately, it is the recipients of healthcare who will benefit. Recently published research (Aiken, et al., 2003) suggests that patient outcomes are improved with an increase in the presence of baccalaureate-prepared nurses. The BSN program at Lock Haven stands to be a primary player in the production of such nurses. Bibliography Aiken, L.H., Clarke, S.P., Cheung, R.B., Sloane, D.M., & Silber, J.H. (2003, September 24). Educational levels of hospital nurses and surgical patient mortality, Journal of the American Medical Association, 290, 1617-1623. American Association of Colleges of Nursing (2002). 2002-2003 Enrollment and graduations in baccalaureate and graduate programs in nursing. Washington, DC: Author. American Association of Colleges of Nursing. (2008). The essentials of baccalaureate education for professional nursing practice. Washington, DC: AACN. American Association of Colleges of Nursing. (2008). Annual state of the schools. Washington, DC: AACN. Department of Health. (June 2003). State health improvement plan special report on the characteristics of the registered nurse population in Pennsylvania. Combined data from the survey of registered nurses renewing licenses in April 2002 and October 2002. Department of Health. (April 2003). State health improvement plan-report on the status of nursing education programs in Pennsylvania. A report on data from nursing education program annual reports, 1999-2002 and approved nursing program compliance reports, 2000-2002. Health Resources and Service Administration, Bureau of Health Professions (2001) Projected supply, demand, and shortages of registered nurses:2000-2020, National Center for Health Workforce Analysis. Hospital & Health System Association of Pennsylvania. (2001). Pennsylvania nurses: Meeting the demand for nursing care in the 21 century.  HYPERLINK "http://bhpr.hrsa.gov/nursing/nacnep/default.htm" National Advisory Council on Nurse Education and Practice. (June 2001). Nursing: A strategic asset for the health of the national policyon the nursing workforce shortage. The Pennsylvania Coalition for Nursing Education. (September 1993). Pennsylvania imperative for nursing education in the year 2000; Pennsylvania nursing articulation model. Appendices Appendix 1 COURSE SEQUENCE: FULL-TIME CURRICULUM FIRST SEMESTER (Fall) HLTH415 Introduction to Pharmacology (3 sh) -- Wellness (3 sh) NURS310 Foundations for Professional Practice (3 sh) NURS320 Health Assessment (3 sh) Total: (12 sh) SECOND SEMESTER (Spring) CHEM111 Chemistry of Nutrition Or RECR205 Nutrition for Wellness (3 sh) -- Humanities (3 sh) NURS315 Pathophysiology (3 sh) NURS350 Care of the Critically Ill (4 sh) Total: (13 sh) THIRD SEMESTER (Fall) -- Social & Behavioral Science (3 sh) -- Natural Science (3 sh) NURS410 Nursing: Home, Community & Public Health (4 sh) NURS420 Nursing Leadership & Management in Practice (4 sh) Total: (14 sh) FOURTH SEMESTER (Spring) -- Social & Behavioral Science (3 sh) -- Humanities (3 sh) -- Elective (1 sh) NURS490 Nursing Research (3 sh) NURS430 Nursing: Contemporary Issues, Policy & Politics (2 sh) Total: (12 sh) Grand Total : (51 sh) Students must complete a basic Statistics course prior to NURS490. To participate in the online nursing program, it is essential to have an adequate computer, software, and internet connectivity. The student is required to complete the university web based student orientation tutorial through the Office of Academic Technology. Appendix 2 COURSE SEQUENCE: PART-TIME CURRICULUM Fall 1 HLTH415 Introduction to Pharmacology (3 sh) NURS310 Foundations for Professional Practice (3 sh) Total (6 sh) Spring 1 -- Humanities (3 sh) NURS315 Pathophysiology (3 sh) Total (6 sh) Summer 1 -- Social & Behavioral Science (3 sh) Total (3 sh) Fall 2 CHEM111 Chemistry of Nutrition Or RECR 205 Nutrition for Wellness (3 sh) NURS320 Health Assessment (3 sh) Total (6 sh) Spring 2 -- Wellness (3 sh) NURS350 Care of the Critically Ill (4 sh) Total (7 sh) Summer 2 -- Humanities (3 sh) Total (3 sh) Fall 3 -- Natural Science (3 sh) NURS410 Nursing: Home, Community & Public Health (4 sh) Total (7 sh) Spring 3 -- Social & Behavioral Science (3 sh) NURS430 Nursing: Contemporary Issues, Policy & Politics (2 sh) Total (5 sh) Summer 3 -- Elective (1 sh) Total (1 sh) Fall 4 NURS420 Nursing Leadership & Management in Practice (4 sh) Total (4 sh) Spring 4 NURS490 Nursing Research (3 sh) Total (3 sh) Grand Total: (51 sh) Students must complete a basic Statistics course prior to NURS490. To participate in the online nursing program, it is essential to have an adequate computer, software, and internet connectivity. The student is required to complete the university web based student orientation tutorial through the Office of Academic Technology. Appendix 3 Alliance for Nursing Accreditation Statement on Distance Education Policies American Association of Colleges of Nursing, 2005 The growth of distance education courses and programs for the delivery of nursing education has increased and is expected to continue to increase. Recognizing this growth and the need to ensure the public that nursing education programs maintain a high standard of quality, the Alliance for Nursing Accreditation endorses the following standard: All nursing education programs delivered solely or in part through distance learning technologies must meet the same academic program and learning support standards and accreditation criteria as programs provided in face-to-face formats, including the following: Student outcomes are consistent with the stated mission, goals, and objectives of the program; and The institution assumes the responsibility for establishing a means to assess student outcomes. This assessment includes overall program outcomes, in addition to specific course outcomes, and a process for using the results for continuous program improvement. Mechanisms for ongoing faculty development and involvement in the area of distance education and the use of technology in teaching-learning processes are established. Appropriate technical support for faculty and students is provided. When utilizing distance learning methods, a program provides learning opportunities that facilitate development of students' clinical competence and professional role socialization and establishes mechanisms to measure these student outcomes. When utilizing distance learning methods, a program provides or makes available resources for the students' successful attainment of all program objectives. Each accreditation and program review entity incorporates the review of distance-education programs as a component of site visitor/evaluator training.  Appendix 4 Student Terminal Learning Goals to Nursing Course Objectives Matrix Student Terminal Learning Goals NURS310 Foundations NURS320 Health Assessment NURS315 Pathophy- siology NURS350 Care of the Critically Ill  NURS410 Home, Community, Public Health  NURS420 Leadership and Management NURS490Research NURS430 Contemporary Issues, Policy and Politics Examples of Learning Activities to Meet Student Terminal Learning Goals 1) Synthesize theoretical and empirical knowledge from nursing, the humanities, natural and social sciences in the practice of professional nursing.  4 4, 7 1, 2, 6, 7, 9 2, 3 1 4, 5 2, 3, 4, 5 1Analyze disease in r/t normal A&P Apply principles of nutrition2) Demonstrate skills in critical thinking and decision making in the use of the nursing process with individuals, families, groups, and communities experiencing complex health problems.   8  8 4 3Formulate plan of care utilizing the nursing process Apply nursing process to the community Student Terminal Learning Goals NURS310 Foundations NURS320 Health Assessment NURS315 Pathophy- siology NURS350 Care of the Critically Ill  NURS410 Home, Community, Public Health  NURS420 Leadership and Management NURS490Research NURS430 Contemporary Issues, Policy and Politics Examples of Learning Activities to Meet Student Terminal Learning Goals 3) Intervene therapeutically to promote, restore, and maintain the maximum health potential of individuals, families, groups, and communities.   8 1, 5 9 Manage nursing interventions for critically ill patient Complete community assessment4) Manage nursing care for groups of clients within health care agencies, in the home or in the community 1 9 2Implement a Service Learning project Create Personal/ Professional development plan  Student Terminal Learning Goals NURS310 Foundations NURS320 Health Assessment NURS315 Pathophy- siology NURS350 Care of the Critically Ill  NURS410 Home, Community, Public Health  NURS420 Leadership and Management NURS490Research NURS430 Contemporary Issues, Policy and Politics Examples of Learning Activities to Meet Student Terminal Learning Goals5) Demonstrate evolving competence in multicultural interactions. 4 7 6 6Complete a health assessment and examine cultural variations Evaluate strategies to improve health of vulnerable populations6) Provide health education for individuals, families, groups, and communities  8Develop educational tool for pt Design teaching project related to community need7) Communicate effectively in interactions with individuals, families, groups, and communities. 1, 2Develop therapeutic nurse-patient relationship Utilize communication skills in health assessment Student Terminal Learning Goals NURS310 Foundations NURS320 Health Assessment NURS315 Pathophy- siology NURS350 Care of the Critically Ill  NURS410 Home, Community, Public Health  NURS420 Leadership and Management NURS490Research NURS430 Contemporary Issues, Policy and Politics Examples of Learning Activities to Meet Student Terminal Learning Goals 8) Evaluate research findings, applying evidence-based knowledge to their practice. 2 4, 6, 8, 9 6  1, 5Utilizing evidence-based knowledge, complete case study Integrate evidence-based knowledge in research proposal9) Assume responsibility and accountability for own decisions and actions in the practice of nursing. 5 9 7, 8 4Prepare personal philosophy, integrating view of responsibility and accountability. Complete written assignment describing the responsibilities and accountability of the critical care nurse. Student Terminal Learning Goals NURS310 Foundations NURS320 Health Assessment NURS315 Pathophy- siology NURS350 Care of the Critically Ill  NURS410 Home, Community, Public Health  NURS420 Leadership and Management NURS490Research NURS430 Contemporary Issues, Policy and Politics Examples of Learning Activities to Meet Student Terminal Learning Goals 10) Incorporate a commitment to lifelong learning and professional values, including ethical and legal aspects, into the practice of nursing.  6 7, 8 3 6Discuss commitment to lifelong learning and professional values in Personal/ Professional development plan Describe the relation of lifelong learning, professional values, including legal and ethical aspects to nursing research.  Student Terminal Learning Goals NURS310 Foundations NURS320 Health Assessment NURS315 Pathophy- siology NURS350 Care of the Critically Ill NURS410 Home, Community, Public Health  NURS420 Leadership and Management NURS490Research NURS430 Contemporary Issues, Policy and Politics Examples of Learning Activities to Meet Student Terminal Learning Goals 11) Demonstrate knowledge and skills to use information management and patient care technologies to deliver safe and effective care. 4 4Demonstrate knowledge in using patient care technologies for the critically ill patient. In formal paper discuss information technology in the delivery of quality patient care. Appendix 5 PROGRAM GOALS ASSESSMENT PROGRAM GOALSHOW MONITOREDEXPECTATION FOR SATISFACTORY PERFORMANCERESULTS ANALYZED 1) Enroll sufficient students to support program viabilityFall reports on entering and enrolled majorsBy fall 2009: - Recruit 20 full time students into the RN-BSN program - Recruit 10 part time students into the RN-BSN programNursing Department Faculty Organization meeting May 2010 2) Promote student successFour year graduation rate and retention rate80% of full time students entering the RN-BSN program will graduate with a BSN within 2 years 80% of part time students will graduate with a BSN within 4 yearsNursing Department Faculty Organization meeting May 2011 May 2013 3) Placement of graduatesGraduate questionnaires sent out by Nursing Department 6 months and 12 months post graduation Career Services Survey100% of students so desiring secure full time employment position of choice or graduate school admission within 1 year of graduationResults gathered and analyzed by department Follow-Up Committee. Presented at Faculty Organization meeting September. 4) Assess and improve student learning Annual review of assessment process at conclusion of review of assessment dataProgram faculty evaluate whether assessment process yields information that is helpful in ensuring quality and improving programsFaculty Organization May meeting 5) Ensure student satisfaction with nursing program Course evaluation completed by student at completion of each nursing course Program evaluation completed by student at the end of each academic year Graduate survey sent by Nursing Department 6 months and 12 months post graduation80% of students will evaluate the course as satisfactory. Data will be used to improve course offerings 80% of students will evaluate the program as satisfactory Data will be gathered for ways to improve programResults will be gathered and analyzed by faculty completion of course Results gathered and analyzed by Follow-Up Committee. Presented at Faculty Organization September meeting. 6) Ensure employer satisfaction of LHUP BSN graduates  Employer survey sent by Nursing Department 1 year post graduation80% of employers will rate the nursing practice of LHUP BSN graduates as above average to excellent in all areas identifiedResults gathered and analyzed by Follow-Up Committee. Presented at Faculty Organization September meeting. 7) Promote faculty scholarship  Annual faculty reportsOne Nursing Faculty member will continue pursuit of terminal degree All faculty will participate in at least one workshop, seminar or conference next academic year One two faculty will present one continuing education seminar at LHUP Clearfield CampusFaculty Organization meeting May Executive Summary 1. Appropriateness to Mission Lock Haven University proposes the development of an On-line Bachelor of Science in Nursing (BSN) Program. This program will be an RN-to-BSN completion program, with curriculum designed for entry of the registered nurse with a diploma or Associate of Science Degree in Nursing. The program is based on the tenets of the Pennsylvania Articulation Model (The Pennsylvania Coalition for Nursing Education, September, 1993). The addition of a BSN program will serve to strengthen the Universitys position within the Commonwealth by addressing the call from the Chancellor (Fall, 2003) to create new opportunities for students, establish academic programs in fields most in demand from Pennsylvania employers, and form partnerships with communities surrounding PASSHE campuses to improve the economy and quality of life for all Pennsylvanians. The goals of the BSN program are consistent with the mission and strategic plan of Lock Haven University. The baccalaureate-prepared nurse is liberally educated; is expected to master discipline-specific knowledge and to incorporate and apply knowledge gained from other disciplines into nursing practice; and is prepared to embark on a career path to include life-long learning, a commitment to the profession and recognition of personal and civic responsibilities in a multi-cultural and global community. Specific to the Universitys strategic plan, Lock Haven University is committed to serve mission appropriate educational and workforce development needs of the Commonwealth of Pennsylvania, to develop mechanisms for ensuring students have competence in general education skills, and to increase the number of program offerings provided by the on-line campus. 2. Need News of the nursing shortage abounds. Introduction of a BSN program represents an overt response to addressing needs of the region, state, nation, and international community. Additionally, the National Advisory Council on Nurse Education and Practice (2001) has urged that at least two-thirds of the nurse workforce hold BSN or higher degrees. Published research (Aiken, et al., 2003) suggests that patient outcomes are improved with an increase in the presence of baccalaureate-prepared nurses because they are valued for their skills in critical thinking, leadership, case management and health promotion, and for their ability to practice in a variety of settings. Notably today, only 43% meet the criteria. Given the calls for a better educated nursing workforce, more registered nurses are pursuing baccalaureate level education. From 2006 to 2007, enrollment in RN-to-BSN programs increased by 11.5%. This trend is encouraging since the National Sample Survey of Registered Nurses (U.S. Dept. of Health and Human Services) found that only 17.4% of nurses educated in associate degree programs go on to complete a four-year nursing degree program. Completion of a BSN program is the first step in the preparation required to become a nursing educator. "Increasing enrollment in baccalaureate programs is a key first step to addressing the nation's diminishing supply of nurse educators," said AACN President Jean E. Bartels, PhD, RN. "Since the overwhelming majority of nurses with master's and doctoral degrees began their education in baccalaureate programs, efforts to overcome the faculty shortage must focus on boosting enrollment in four-year nursing programs." Nursing programs of this nature attract a wide range of students as it is on-line and allows flexibility for the working nurse. The BSN program will contribute significantly to the local and regional workforce by enhancing the quality of healthcare services, and improving the overall health of individuals and communities they serve. As this program will be on-line, the value of the potential national impact of the program could be substantial, as it will allow the working nurse to continue to pursue education while remaining in the workforce. 3. Academic Integrity The primary goal of the BSN program is to prepare a practitioner who is able to function in a variety of settings: providing care of the sick in and across environments; participating in, planning, implementing and evaluating activities and programs to promote health; and facilitating population-based health care. The curriculum is academically sound and is in concert with the Universitys general education, progression, and graduation requirements. The curriculum plan incorporates the Essentials of Baccalaureate Nursing Education (AACN, 2008) and is designed to meet accrediting body standards. This program will be an RN-to-BSN completion program, with curriculum developed to allow for entry into the program after completion of an associate degree or diploma in nursing. It is designed to provide a solid foundation in the liberal arts and natural and social sciences. It is designed to facilitate the preparation of competent, practitioners of nursing who are able to perform in a variety of settings. RN-to-BSN students in nursing must have proof of graduation from a basic program of nursing and proof of current registered nurse licensure. General science requirements will be completed before beginning 400 level nursing courses. The general education component of the program can be completed through traditional coursework, web-based courses, or CLEP. The twenty-six (26) credits of nursing courses will be offered online. Progression in the program will require completion of all prerequisites and requirements. Students will be advised by nursing faculty throughout the program. Learning experiences and clinical placements will vary within and among courses. Although the nursing courses in the program will be offered as web-based courses, a variety of teaching modalities may be used such as individual and group projects, journaling, workshops and attendance at professional conferences in addition to computer-based course work. Students will learn and apply knowledge utilizing state-of-the-art technology whenever possible. Clinical placements provide the venue for application of learning and skill performance. There is an external clinical experience in three of the nursing courses: Care of the Critically Ill; Nursing: Home, Community, and Public Health; and Nursing Leadership and Management in Practice. An authorization form will be completed for each external experience signed by the Chair of the Nursing Department along with the facility/preceptor working with the student. This form will contain detailed information concerning the role and expectations of both the student and preceptor. Selection of student assignments will reflect instructor identified learning objectives as well as student identified learning needs. Minimum requirement for faculty include a masters degree in nursing, graduate preparation in the area of teaching and/or functional areas of responsibility and documented evidence of maintaining expertise in clinical and/or functional areas of responsibility. A faculty member with an earned doctorate in nursing will direct the program. 4. Coordination with Other Programs Faculty and students will have opportunities to interact with peers in nursing programs at other area colleges and universities. Graduates of area schools that train licensed practical nurses currently come to the University to earn their associate degree in nursing. With the development of an RN-to-BSN program they can enter the workforce upon graduation from the associate degree program, attend classes to complete their general education requirements, and progress into the on-line program. Natural and health science courses required for nursing majors will include students from other programs. Nursing faculty may collaborate with colleagues from other disciplines to explore new learning opportunities for students. 5. Assessment and Accreditation The Department of Nursing will participate in the institutional review process within the University that applies to all departments. The State Board of Nursing does not regulate RN-to-BSN programs. The program will seek accreditation by the National League for Nursing Accreditation Commission (NLNAC). The initial report and site visit occur prior to graduation of the first class and subsequent visits are required on 5- to 10-year cycles. Programs are expected to maintain ongoing self-evaluation and to keep records related to program outcomes and other elements identified on a comprehensive Systematic Plan of Evaluation. Accreditation will be pursued to ensure that students in the charter class will graduate from an accredited program. The framework for the Self-Study Report required by NLNAC for accreditation is already in place. Distance education programs in nursing are held to the same stringent requirements of programs utilizing traditional educational methods. While developing and seeking accreditation of the RN-to-BSN program, the university will defer to the Alliance for Nursing Accreditation Statement on Distance Education Policies. 6. Resource Sufficiency Currently all courses required for the entry into the program and the general education component of the program are available at both campuses of the University. Many of the courses are offered on-line. The eight nursing courses have been developed and have been approved by the College and the University Curriculum Committees. A Ph.D. prepared faculty member will be hired to assist with teaching web-based courses and participate in seeking accreditation of the program. Four of the current Nursing faculty have been involved in the development of the courses and will continue to be involved in further course development and instruction. Four Nursing faculty are eCertified and ready to teach on-line courses. 7. Impact on Educational Opportunity Three of seven counties have no nursing programs. As indicated earlier, those that do have programs have all experienced tremendous growth in their applicant pools and many have waiting lists for admission. Adding an RN-to-BSN program will improve the regions ability to service both the prospective student population and the health care industry. Healthcare service providers will also gain significantly from the additional prospective professional nurse graduates who will enter the workforce. And, ultimately, it is the recipients of healthcare who will benefit. Recently published research (Aiken, et al., 2003) suggests that patient outcomes are improved with an increase in the presence of baccalaureate-prepared nurses. The BSN program at Lock Haven stands to be a primary player in the production of such nurses. FIVE YEAR BUDGET TABLE UNIVERSITY: Lock Haven University of Pennsylvania, Bachelor of Science in Nursing ESTIMATED REVENUESYear 1Year 2Year 3Year 4Year 5ExistingNewExistingNewExistingNewExistingNewExistingNewProjected University E&G or Tuition$157,605$119,421$132,690$122,976$150,304$126,576$154,704$130,509$159,511External Grants and ContractsOtherTOTAL REVENUE$157,605 $252,111 $273,280$281,280$290,020ESTIMATED EXPENSESYear 1Year 2Year 3Year 4Year 5Salaries and/or benefits (Faculty and Staff)$146,385$206,833$216,075$225,421$234,881Learning resources $4,000$1,500$1,500$1,500$1,500Instructional Equipment$6,0002,0002,0002,0002,000Facilities and/or modificationsOther$10,000 $5,750$5,750$5,750$5,750TOTAL EXPENSES$166,385$216,083$225,325$234,671$244,131DFFERENCE (Rev.-Exp.) $-8,780 $36,028$47,955$46,609$45,889 ESTIMATED IMPACT OF NEW PROGRAMYear 1Year 2Year 3Year 4Year 5FTE Enrollment 23 (10 Full-time and 20 Part-time)44 (19 Full-time- and 38 Part-time)47 (20 Full-time and 40 Part-time)47 (20 Full-time and 40 Part-time)47 (20 Full-time and 40 Part-time)Projected Annual Credits Generated 26 credits per full-time student 16 credits per part-time student 26 credits per full-time student 16 credits per part-time student 26 credits per full-time student 16 credits per part-time student 26 credits per full-time student 16 credits per part-time student 26 credits per full-time student 16 credits per part-time student Tuition Generated$157,605$252,111$273,280$281,280$290,020 Year (1) 10 Full-time students @ $5,519 (full-time tuition increased 3% from 2008-09)=$55,190 20 Part-time students X 16 @ $230 (per credit tuition increased 3% from 2008-09)=$73,600 Salary and Benefits for (1) Full-time faculty-$96,518 Compensation for Online Course Development-$20,700 Salary and Benefits for General Education Courses (9) credits=$29,167 Year (2) 19 Full-time students @ $5,685 (full-time tuition increased 3% from 2009-010) =$108,015 10 New students and 9 Existing students 38 Part-time students X 16 @$237 (per Credit tuition increased 3% from 2009-10)=$144,096 20 New students and 18 Existing students Salary and Benefits for (1) Full-time Faculty -$102,891 Salary and Benefits for (1) Part-time Faculty-$46,862 Salary and Benefits for Support Courses (18) credits-$57,080 Year (3) 20 Full-time students @$5,856 (full-time tuition increased 3 % from 2010-11) =$117,120 11 New students and 9 Existing students 40 Part-time students x 16 @ $244 (per credit tuition increased 3% from 2010-11)=$156,160 22 New students and 18 Existing students Salary and Benefits for (1) Full-time Faculty -$109,250 Salary and Benefits for (1) Part-time Faculty-$48,033 Salary and Benefits for Support Courses (18) credits-$58,792 Year (4) 20 Full-time students @$6032 (full-time tuition increased 3% from 2011-12)=$120,640 11 New students and 9 Existing students 40 Part-time students x 16 @ $251 (per credit tuition increased 3% from 2011-12)=$160,640 22 New students and 18 Existing students Salary and Benefits for (1) Full-time Faculty -$115,631 Salary and Benefits for (1) Part-time Faculty-$49,234 Salary and Benefits for Support Courses (18) credits-$60,556 Year (5) 20 Full-time students @$6213 (full-time tuition increased 3% from 2012-13)=$124,260 11 New students and 9 Existing students 40 Part-time students x 16 @ $259 (per credit tuition increased 3% from 2012-13)=$165,760 22 New students and 18 Existing students Salary and Benefits for (1) Full-time Faculty -$122,043 Salary and Benefits for (1) Part-time Faculty-$50,465 Salary and Benefits for Support Courses (18) credits-$62,373 Other- Faculty Travel including travel to the Lock Haven Campus Office Supplies Postage Telephone Accreditation/licensure expenses     PAGE 3 9   , - 2 3 [ \ v w $ % R S m n I ׯyyoeoeoeoeoeoeoeoeoeoeohjpPOJQJ^Jh=OJQJ^JhjpP5OJQJ\^Jh=5OJQJ\^Jh7CJOJQJ^JaJh0CJOJQJ^JaJh=CJOJQJ^JaJh=>*OJQJ^Jh=>*CJ OJQJ^JaJ h=CJ OJQJ^JaJ h=5CJ OJQJ\^JaJ h=OJQJ^J'"#789:`a K t u v w  $   *$a$w    2 3 ^ _ y z (   0^`0  $  a$   $ ^$ `( ) 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